HomeMy WebLinkAbout89232A - Enderson, Mark❑DREDGE & FILL N9 89232 A B C D
GENERAL PERMIT Previous permit
a 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: w .deq nc gov/CAMArules
Applicant Name
City State ZIP I
Phone # ( )
Email
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IRA ❑ UW ❑ SPIMA ❑ PINS
ORW: yes/no . PNA: yes/no .
Type of Project/ Activity
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Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
City J-%.
Adj. Wtr. Body
Closest Maj. Wtr. Body )^i'
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Floating Platform(s)
pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
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Beach
Other
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SAY observed: yes no
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yes no Site Photos; hed: yes noRiparian Waiver Attac I
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A building permit/zoning permit may be required by: ("�._LdYY 1i t,!!- (.,,CTtk'•"s
Permit Conditions
❑ 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) _ 1 ! 1
Agent or Applicant PRINTED Name Permit Officer'', PRINTED Name
Signature **Please read compliance statement on back of permit** Signature ; n'
f , 2
Application Fee(s) Check g/Money Order Issuing bale Expiration a�t6
DIVISION OF COASTAL MANAGEMENT
AGENCY FORM FOR PERMIT APPLICATI919E C; jVED
AUG 2 2 2024
WkaVk "eTSovl. : owner of the property located at: (°
(propetzv olvnet D C " "(��
' — EC
12,E �"(� ►�,/'
(prc = A ddress%
do hereby authorize 1< CMZ Luc1 S , Ccn sA' 4 cn
(rame Tc- : _:�":= : acting as agent)
to act as my agent for the purpose of obtaining W maaied Cc s a1=rea Management Act and/or
Dredge and Fill Act permits, that may be n w _'ore ::imposed development at the above -
indicated property, which entails:
(describe proposed developmenz r"or,:nch permits are being sought)
This agency authorization is limited to the specific activities described above, and will expire on:
(date on which agency authorization expires)
(siQi aturel (darej
(pr nred name of owner] (title, if officer of core. owner or trustee for property)
N.C. DIVISION Or COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECE,PT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner.
Address w Property.
Mailing Address of Owner:
EC'EAVED
AUG 2 2 2024
DCM-EC
✓
Owner's "w-.ers Phone#: 477' ZI�77
Agents Name: # 9 ��cr-1 Agent Phone#: 9S2- 3�— 03(07
Age-.s _rnal.
7i n P %�jZ E6AI G —
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
;Bottom portion to be completed by the Adjacent Propr`
erty Owne
e:.,'oy certify that! own property adiacent to e -ve r raced prope arty. The individua apply rag `or h's
cep has described to me. as shown or t'e a vi the development they a e a pos d. P.
description or drawing with dimensions, mus[ ....
-_ w:th mis'e ter.
y }CGS ! DO NOT have objections c',rr.s proccsal DO have objections to this proposal.
P if you have objections to what ,"s being 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 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 'Nail.
`NAIVER SECTION
i understand that any proposed pier zcc:< r:-:g pilings. boat ramo, breakwater. boathouse, lift, or
gro,r.must ce set pack a n:mG"• - ^v area c Iparlan access unless waived by me
.this does et apc.y to -
�iKhead., - ev ., is . ou w:sh to waive the setback. you must sign
the appropriate b'a-,k belcw
11. DO wish :c .vaive scmeia' of one 5 setback
S araa. •AJa;z�cec'l^<;canaan , rooerty Owner
-OR-
!do not Wlah tp waive ."...
Signature cf Adjacent Riparian Prooe^y GI.vrerx �
1NI (... Q 0*,a.�/ut
Typed/Printed name ofARPO: ff
c /UC �-7QfS
+• r:ve E'
Mailing Address of ARPO: I Z�- W ^- �r i Mc�_(
ARPUs email: r n c k L e Q tARPC's Phone* 2' 7 4 1 --
Date: ✓ 11361 Zy *waiver is vaito :;or up to one year from ARPO's Signature*
Revised May 2021
N.C. OF: COASTA:- MANAGEENT
ON
ADJACENT RI ARIANVPRIOPERTY O+r` NE ? ROFICATIONNVAIVER FOR
CERTIFIED MAIL - RETURN RECEI - :�-C: ESTED or HAND DELIVERY
(Top portion to be Completed, owner or their agent)
Name of Property Owner: j� WaYck d (� �e✓Sn yL
Address of Property: X I7�F vth4-P 'Tl.n , M ,..r,[nit t i)/-
Mailing Address of Owner.
RECEIVED
M AUG 2 2 2024
DCM-EC
Owners email: G'VLG�oS[�t�o) 61a :+ !or+�Owner s =nene#: �('7ST Zi8-gzS7-
Agent's Name: In ca!e.. cer:; gene#_252-
Agents E.mai kt j yt11 e %i:�2 (�-ht�ri l
ADJACENT RIPARIAN PROPERTY CWNER'S CERTIFICATION
Bottom portion to be completed by the Adjacent Property Owner)
1 hereby certify that! own property adjacent to t-e above re'e: _^. ed orperty The individual applying for this
permit has described to me. as shown on the aaac-,cc c-a,;c7g :-e development they are proposing. A
description or drawi^o with rilrrmancinnc m, cr 1
X h /t!l,' 1 DO NC- :-:ave objections to this proposes nave objections to this proposal.
If you have objections to what is being 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 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.
1'r,'L•lll�:����iiiil
1 understand that any proposed pier, dock, mooring pilings 'aoa: ramp breakwater. boathouse, lift, or
groin must be set back a minimum distance of 15' from Tv a -ea c` -:oa-:an access unless waived by me
(this does not apply to bulkheads or riprap revetments) ; `VOL w:sn to waive the setback, you must sign
the appropriate blank below)
100 wish to waive some/all of the 15' setback
Signature o!A:;;.:c:c- R;oanarr Property Owner
-CR-
do not wish to waive the 15' setback requirement ':,;cai the blank)
Signature of Adjacent Riparian Property Owner Z— 4Z --
Typed/Printed name ofARPO:X
Mailing Address of ARPO: X / l (U GrTGIZ f
ARPO's email:
ARPO's Phone#:z %) ) razz-
/
Date*waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
02
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RECEIVED
AUG 2 2 2024