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Home My WebLink About89143A - Kloske, Candice and Mahaney, Leed(ANrw N9 89143 �CAMA ❑DREDGE &FILL � e c D PrOVIGENERAL PERMIT Date ueviouspermit Date previous permit issued 1EVNew ❑ Modification [] Complete Reissue ❑ Pardal Reissue As authorized by the State or North Carolina Department of Environmental Quality and the Coastal Resources Commission In an area ofenvironmental concern pursuant to: ISANCAC 17A,IILe-- __,EJ Rules attached. E�r-eneral Permit Rules available at the following link: wowQ" ov1_YCeM&Y!U APPIIczm Name df r K h M& t L 00 Mako AuthorizedAgent � Address 7WJ roLA *- / 5& ^ e- Project Location (County): _,t7 cs-c— City ACC. o VA zip Z o StreetAddreWStato RoaclAot#(a) r.5 ✓T p„ Phone # ( O) `j 1 1--� A fz_ Emall Cad V.S¢.% 5 c Subc city cz ZIP_ 27457_ Affected ncW ZAw ®-PTA DES PTS Adj. Wtr. Body _$ o 4 e, o k— So lk, (na n/unk) AEC(a): �OCA �INA [�UW �SPIMAPINS Closest Mal, Wtr. Body/ %SAe tiC�.nnd OWyese PNA: yes 'oA)16 Type of Proleet/ Activity --Ir:n s'f-w, / 21 x- l Y` 6 , o,+/. Shoreline Length �j'Cs I { (Scale: A/1 Access Length(VVj Pier (dock) length _ /nth 0 YI V"0 r �,J., ( d "• I ��}�_ Fixed Platform(s) �� -/inf �•U V� i i S - Floating Pladorm(s)�`-_p Finger pler(s) t4 —. Total Platform area 2S (•_' Groin length/h V 4 Bulkhead/ Rlprap length„ Avg distance offshore Breakwater/Sill Max distance/ length_ I C Basin, channel � �' - � W � ' Cubleyards V _ - - 66 .1 Boat romp Q t/ 'VyIII�11/ i +r�' •}+ Boathouse/Boadik 1!(� Uv� - _ ;+•� .p Beach Bulldozing Other (pAi} 'ram it _ t F` S+ 'r �s'o •�, c' '� � -.o �rRt ., SAV observed: ye)no Moratorium: n/a s no Site Photos: Yes - Riparian WalverAttached: A building permit/toning permit maybe reqvuired by:olAA o't- N S stp,(. _ � Permit Conditions_ TAR/PAWNEU%F BUFFER (,Id. one) See note on back regarding River Basin rules -- See additional notes/condlffons on back p �t l;ee Actft% Agen/t or App�licanlP INTEO Name _ Lee- /LktAgrYP—, �- / e Signature • •Please read compliance statement on back of permit*- gvlg Application Fee(s) Check g/Money order Name (Please Initial) _g_4-4A- ltlf rt1 �`°"'"+ CAMA ❑DREDGE & FILL NY 89143 ('A B C D 8 GENERAL PERMIT Previous permit �J Date previous permit issued New ❑Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC __9. 1 ('y � ❑ Rules attached. En'General Permit Rules available at the following link: www.deq nc gov/CAMArules Applicant Name ',—a/rr�d--r Address ��r F" (_ Cityelf Pri Ace, Ge o Phone # ( O ) 9/ (/— Email CAA tSe,l1s i Affected ❑CW Z-EW 'PTA AEC(s): ❑ OEA ❑ IHA ❑ uW ORW: ye no PNA: yes iio Type of Project/ Activity �(—/ /2-`? ly` 6�wf/ Shoreline Length 5a Access Length Pier (dock) length Fixed Platform(s) f / ( f Floating Platform(s) Finger pier(s) Total Platform area Groin length/k Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel _ Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no p 70 Moratorium: n/a yes no G Site Photos: yes no Riparian Waiver Attached: no A building permit/zoning permit may be required by: C> A Permit Conditions. LJ a Authorized Agent Project Location (County): / 10.C� zip Z ° Street Address/State Road/Lot #(s) �% r S V r` p` City Z�<7s 7 ❑ ES ❑ PTS Adj. Wtr. Body 4 o qn.e lk , 5 o Ucrt 4(f na i an/unk) ❑SPIMA ❑PWs L'— Closest Maj. Wtr. Body wa A o K I ¢. S D.A/t d I AM AWARE Agent or Applicant PRINTED Name Signature "Please read compliance statement on back of permit'*� SV ur f—�r � n 1'1 ��/'L Application Fee(s) Check It/Money order Issuing Date PRINTED Name (Scale: A/—/3 ) ❑ TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Expiration Date 2 ❑DREDGE & FILL NY 89143 A B C D s GENERAL PERMIT Previous permit Date previous permit issued ❑New ❑Modification []Complete Reissue []Partial Reissue As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC I I I❑ Rules attached. ❑ General Permit Rules available at the following link: www.decinc gov/CAMAruIw Applicant Name_ Address City Phone # O Email ZIP Affected ❑CW ❑EW ❑PTA ❑ES ❑PTs AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/no PNA: yes/no Type of Project/ Activity Authorized Agent ' .. Project Location (County): Street Address/State Road/Lot #(s) Subdivision City I Adj. Wtr. Body Closest Maj. Wtr. Body (Scale: ) Access Length Pier (dock) lengthr Fixed Platform(s) L� I-,r� J t 1;, >fl-- —� ~— _ i —i- I - - I i � Ii -� r `t -71 : �P_ Floating Platform(s) ... - — Finger pier(s) Total Platform area Groin length/# >-j-- / --- —-- -`i + ---- --� �.. {— ---- — Bulkhead/ Riprap length Avgdistanceoffshore Breakwater/Sill I - I -+ — >Y— Max distance/length Basin, channel - Cubic yards S- 4 - Boat ramp - it f, Boathouse/Boatiift Beach Bulldozing Other ;t as U -- — i .•,� SAV observed: es no Y Moratorium: n/a yes no Site Photos. yes no�— Riparian Waiver Attached: yes ; no —I A building permit/zoning permit may be required by: Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Y Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit** Signature Application Feels) Check N/Money Order Issuing Date Expiration Date N A g m e3m ^ i 1� ? qP t DD t tM 1 w 11}} �34 • M1 N, is � � �f 3�, • / J t b i ��s�F '„,raj vt t{ t4 5F t t�gPt�`�1��kafk 41'pi,^5 r tp a � 3; Jn N.C. DIVISION OF COASTAL MANAGEMENT R EC E I V ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM EI CERTIFIED MAIL - RETURN RECEIPT REQUESTED Or HAND DELIVERY JUL 2 Z 2024 (Top portion to be compllletie(d1 b`yjj�owner or their agent) C�'` Name of Property Owner. 6 Ill V" " m DCM-Gy Address of Property, Mailing Address of Owner:v ( try Owner's email: ('(t t 1Ut>1tJ� 1�t`x"�r Owners rnonett. r` AgenfsNaie, Agent Phone# f� .: Agents Email: ADJACENT RIPARIAN PRr)i'i=RTY OWNER'S CERTIFICATION t. (Bottom portion to be completed bs the AdJacent PropetiY Owncrl ' o ad'acenttotheaboverefarencedproperty.Theindividualapplyingforthis I In certify that f own property 1 L as shown on the attached drawing, the development they are proposing. A pert -nit has described to me, s description or dfawino with dimen___sion_ s. must be provided with this letter. I DO NOT have Objections to this proposal. I DO have objections to this proposal. If you have objections to what fs befhg proposed, you must notify the N.C. Division of Coastal otice- Correspondence should be lyfanagement (DCM) in writing within 10 days h ityeNt o2 909this n DCM representatives can also be mailed to 401 S. Griffin St., Ste. 300, Elizabeth Cit ; NC, contacted of (252) 264.3901. No response considered the same as no objection if you have been notified by Certified Mail.. WAIVER SECTION fit, or I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, groin must be setback a minimum distance of 15, from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback; you must si n the appropriate blank below.) I DO wish to waive some/all of the 15 setback, nth Signature of dam' iaaccYIt Rrpanan roperty Owner ,OR. l ! I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: M v1t `r+ ' r Q i C tin +tin Z� i> ' fir\ n P� �� 0.)T1 �� Typed/Printed name o€ARPO)):�� {`� i(`` i ��i f�i r�l t " `�4 � —y p t U C, C Mailing Address of ARPO: "I 1 )._ tUIS�t,1� L t ARPO's email: 7 _ ARPO's Phone#: _ Date: t ,_,`waiver is valid for up to one year from ARPO's Signature* Revised July 2021 RECEIVED N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM JUL 15 2024 CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion nttof -be completed by owner �or their agent) DCM-EC Name of Property Owner: �t/ r� �� `— e e &k M-4q— Address of Property: /��' Mailing Address of Owner: - 5d f-raj c C I IV ��r�� 0�� i' A- � ✓k� 0 Owner's email: (6Wner's Phone#: 6LI)91'1 RG �f Agent's Name: Agent Phone#: Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. A -- - I- —_..:,,_., ...;1k ,k;.. 1 Ile. I DO NOT have objections to this proposal. I DO have objections to this proposal. if you have objections to what is being proposed, you must notify the N.c:. urwsion or t oasrar Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15''tfrom my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetr► pnts). (If you wish to waive the setback, you must sign the appropriate blank below.) 0 J I DO wish to waive sometall of the 15' setback G31 -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: f C 13 1- v r L-`' Mailing t" Addresst of ARPO: ! S �'f � ed &r t & 0 `0`0�"` �(f) AO � 17617 ARPO's email: f')t Po t� -C t�� _ ARPO's Phone#: 3 i� �'' �J — 7Q i u Date: S 0waiver is valid for up to one year from ARPO's Signature' 1 `I 1 V P TNaC, }fie"o,d NC Ms�j Revised July2021 l \ . f \ R � Vff 11 s Yh. r Nyt , vt 1 � a • A Me Y i r. ,q A -# /" ..b' :i?•�. , sir' . �.... i tJ %i VVV 6