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Home My WebLink About101391C- Valois ,yo*�jOA r^,&c❑CAMA El DREDGE & FILL N9 101391 A B C D 1 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: I SA NCAC ❑Rules attached. ❑ General Permit Rules available at the following link:www.dgq.nc.gov/CAMArules Applicant Name V Authorized Agent / Address f Project Location(County): .. " City State //i. ZIP Street Address/State Road/Lot#(s) c° L•�h�f Phone#(�) 5-9 7,�7 Email S� l�l �� Subdivision City zip BS6 Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body t,+ 10- b,;Md (nat/rya unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body ORW:yes/no. PNA:yes/no Type of Project/Activity .� (Scale: ) Shoreline Length J Access Length i Pier(dock)length Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area i f Groin length/# it Bulkhead/Riprap length r �� Avg distance offshore Breakwater/Sill s Max distance/length Basin,channel Cubic yards Boat ramp i Boathouse/Boatl i ---------�--- ---- _.._ Beach Bulldozing Other SAV observed: yes no rf Moratorium: n/a yes no Site Photos: yes no j Riparian Waiver Attached: yes no ; A building permit/zoning permit may be required by: it 7 Permit Conditions �Y%" L �� 7 i �= i r oo j �TAR/PAM(NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature"Please read cojnpiiancestatement on back of permit" Signature r , �491GGl)O2 kl I �Og/boa y Application Fee(s) Check#/Money Order Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 1-1 Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Manaeement Offices Morehead City Headquarters Washington District 400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889 252-808-2808/1-888-4RCOAST Fax: 252-247-3330 252-946-6481 (Serves: Carteret,Craven—south of the Neuse River,Onslow Fax: 252-948-0478 Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Elizabeth City District Wilmington District 401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax:910-395-3964 (Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties) Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 o1+0WASTk&❑CAMA ❑ DREDGE & FILL N9 101391 A B G D 3 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 ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules Applicant Name Authorized Agent Address Project Location(County): r City r State ZIP Street Address/State Road/Lot#(s) Phone#(_) C, ' ? Email Subdivision City zip �f6 Affected ❑CW ❑EW ❑PTA ❑ES ❑pTS Adj.Wtr.Body L (natt /unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body ORW:yes/no PNA:yes/no Type of Project/Activity (Scale: ) Shoreline Length f Access Length i Pier(dock)length I Fixed Platform(s) i Floating Platform(s) Finger pier(s) Total Platform area Groin length/# Bulkhead/Riprap length ?} Avg distance offshore Breakwater/Sill Max distance/length { Basin,channel Cubic yards Boat ramp Boathouse/"Boatlifl) Beach Bulldozing Other � ii•' t. s 'i I J `'� .�T ._I" - r_ d SAV observed: yes no f l Moratorium: n/a yes no ! Site Photos: yes no / ! Riparian Waiver Attached: yes no J y ,fs A building permit/zoning permit may be required by: ❑TAR/PAM/NEUSE/BUFFER(circle one) Permit Conditions ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agent or Applicant PWNTED Name Permit Officer's PRINTED Name l j f r Signature*'Please ad cofnpjaace4tatemeM on back of permit" Signature Application Fee(s) Check#/Money Order Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 1-1 Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889 252-808-2808/1-888-4RCOAST Fax: 252-247-3330 252-946-6481 (Serves:Carteret,Craven—south of the Neuse River,Onslow Fax: 252-948-0478 Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Elizabeth City District Wilmington District 401 S.Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax:910-395-3964 (Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties) Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 Docusign Envelope ID:FDE2BC6E-CB61-4A06-AE30-AEECEF7B649F AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 1&Nd rC0 L 01 f Mailing Address: .2.55-/O K AN4,f X ZA4 X pllk Phone Number: L ,�S`�•„ '� Email Address: Zre,� �p�ao•taw+� I certify that I have authorized ,/. t[ r, .61 ' Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: g, 13o.4T at my property located at ey, , in 4 omjw County. l furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: U«usegnw fir. Signature LAN/►?t/max .��ZS Print or Type Name -4 Title o 31� 2oz Date This certification is valid through d, "3 x x N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL IPT REQQg§Tg IVERY (Top portion to be completed by owner or their agent) Name of Property Owner; Address of Property: t> Mailing Address of Owner: ,". ��+ 04 jA &C A, Owner's email: _' 19 W6*\Owner's Phone* Agent's Name; Agent Phonaslt; ZOZ ' i;Agent's Email: ,,7,1104=Otlrm Nit ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Aftegd Prowrttm_Oyrrterl I hereby certify that I own Property adjacent to the above referenced property.The Individual applying for this pefmit has described to me.. as shown on the attached drawing, the development they are proposing. A descriiDtion or drawing.with dimensions,mush l rovided wJ h his letter, 100 NOT have objections to this proposal. l DO have objections to this proposal. K you have objections to what is beingr proposed, you must notify the N.C. Division of Coastal Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 943 Washington Square Mall, Washington, NC 27889. DCIN representatives can also be contacted at(252)946-6481.No response is considered the some as no objection if you have been notified by Certif/ed Mall. 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 16 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 slcrn the appropriate blank below.) I DO wish to waive somelall of the 15'setback *oAgdJ-aAc-`AntP1pa"dan Signatura Pmoperty Owner I do not wish to waive the 15'setback requirement(initial the blank) LESignature of Adjacent Riparian Property Owner: TypedlPrinted name of ARPO: ' Mailing Address of ARPO: ARPO's emali: 4 ARPO's Phone*: Date: - "? diver Is valid for up to one year from ARPO's Signature' Revised July 2021 N.C.DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL RETURN EIPLEt REC Q tDESTED or HAND UELIV�Y (Top portion to be completed by owner or their agent) Name of Property Owner '�' '�''"'' -A A Address of Property: �f 1� s7c�r_ L. _�f�� C fZV !VO- /X5 2.,, Mailing Addresu of Owner �t A rJ tV_L_g0 K X'VM X Ale- A`gS23 Owner's email: Yrfl4t-m� �t�Q4t�R'st _4a"Owraes Phone#' bla'3St�B Agent's Name: ie-x y- ,/1L Awrtt Phons#; S2 9Y $fe Agent's Email: 'lvc 0111111111111 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (SatfomRgrtlon#o be or tad by the Adiacent Property Ownerl 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 des r' iorE or drawing,with dim qnsionsm be provI420 with the 4 ter I DO NOT have objections to this proposal. I DO have objections to this proposal. If yoci have objscttar►x to what Is b*inp purposed. you must notify the N.C. Division of Coastal Management(DCM)In writing within 10 days of receipt of this notice. Correspondence should be mailed to 943 Washington Square MsN, Washington,NC 27889. DCM representatives can also be contacted at(252)9464481. 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 pilin ,b t rump,breakwater,boathouse,Idt,or grain must be set back a minimum distance of IF front a og riparian access unless waived by me (this does not apply to4)ulkheads or nprap revs ts) ( to aive ie setback,you must st n the appropriate blank below.) 100 wish to waive some/all of the 15'setb fS Si aturn of A arena Ril,an weer }-- -0R- I do not wish to waive the 15'setback requirement(ir l lie b n Signature of Adjacent Riparian Property fawner. r Typed/Printed name of ARPO: 'h 'r-6 ax Mailing Address of ARjPO: cl ,k �V 1�,►Ql�. �. (V/ I ARPO's email: A ARPO's Phone#: aaN: )0 ' �+� 'wsiver Is valid for up to one year from ARPO's Signature' Revised July 2021 _ I s w _ i I i JJ{f E t I 1 I , fix, � ► i _wig t 1 i t� y a _ 3 L i z � - m Ln ' - • CQ u7 R Q For delivery information, our - • at www.USPS.COM'-I. 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