The URL can be used to link to this page

Home My WebLink About89221A - Smith, Shane and KimberlyCAMA ❑DREDGE & FILL N9 89221 L"JB C D 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: 15ANCAC_7 im-DAy #, / Z b D ❑Rulesattached. Iv eml PenNt Rules available at the Following fink: deq gov/CAMArules _z 'Tr Applicant Name � 0.n k `'- AL i b e r /V 5'491j nt, Authorized Agent Address _S`/ 1) Project Location (County): Ru. City .ruc State VA ZIP J_3/D5 Street Address/State Road/Lot#(a) 3/ rfizsu/1, J. rUi1�• Phone # (92) r �s1 Cs ' D r• "- _? ,r Email C: STS AK Y !a <•. 'It • Aft SubdMslon s rik,1 - �.5 CJ v'� 8,115A- City nn F ea zip 'L-79Sy Affected ❑ CW PEW [P�TA ❑ ES ❑ PTS Ad). Wtc Body O 0.(nt cs �¢ :> na an/unk) AEC(s): ❑DEA ❑IHA ❑UN ❑SPIMA ❑PWS Closest Mal. Ww. Body rQ 0<t.A CUICe .51:,,k ls�_ ORW: ves/(i_.� PNA:Yes t�o Type of Project/ Activity Shoreline Length :t '9 9 r Access Length a��U�?e� Piet (dock) length Fixed Platform(s) ((s,AT uF Floating Platform(s)_ Finger pier(s) ^ Q�CKIN Vty Total Platform area FA�ft'f'1 Groin length/4 Bulkhead/ Rlprap length Avg distance offshore Breakwater/Sill Max distance/length Basin, channel Cubic yards Boat ramp Boathous Boailif_ t CI Y" Beach Bull oz ng T� Other r 'r I SAV observed: yes no i Moratorium: n/a yes V;O�Ve- Site Photos: es no yRiparian Waiver Attached: t no tea^Lr L A building permit/zoning permit may be required by: s a .An e� ey\J-l��°' z Permit Conditions Feels) /IAx C (Scale: 9eculNs i� FAcILgTy wS a"/ `iTT' r�WPE.((v Lo� • PdT �, LN tPy fll"C¢ '-OY iuepiJc.�) ❑ TAWPAMINEUSE/BUFFER1(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back Permit Officer's PRINTED Name ...� Sig re Issuing Date Expiration Date �`°"" CAMA ❑ DREDGE & FILL N9 89221 �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 theCoastalResources Commission in an area of environmental concern pursuant to: 1 SA NCAC !7 #1 2 a ❑ Rules attached. IiTGeneral Permit Rules available at the following link: www.dea.nc.aov/CAMArules VA zip *2.3 / OS Project Location (County): A JJ Street Address/State Road/Lot #(s) Email C 55 M 1-1'1-1 `t Q CAter Subdivision r * d vim Uc 1 r cy'r /'7. r-/,.i— City�n'Epe-C zip Affected ❑ cW MTW ® PTA ❑ ES ❑ PTS Adj. Wtc /k Body 1b a -An( .KK n` an/unk) AEC(,): a❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr, Body y OCLA <C4 ' e J O-ksL ORW: yes/J PNA: yeso Type of Project/ Activity. Shoreline Length + �' Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) _ Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill T Max distance/ length Basin, channel Cubic yards Boat ramp T Boathous Boatlift Beach Bull ozing Other r (Scale: Aft-y ) Iy•cfLf t�tsi/A/c� 6oATUG-4T 9e<kiM6 twe 7f7 QASKI J-JFI' ri"s V ru / Bay �Efi ��A�a .. • aRat SAV observed: yes no Moratorium: n/a yes n Site Photos: yes no Riparian Waiver Attached: s no A building permit/zoning permit may be required by: Permit Conditions i THAT APPLY TO THIS PR or Applicant PRINTED Name Signa'turJe **Please read compliance statement on back of permit** WDD ZSSSli� Applic lion Feels) Check#/Money Order �� -puce for Cwo.; Jo,d� ❑ TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back (Please Initial) 1C V1-+11^Q Ca.t-JXLr Permit Officer's PRINTED Name r 5ig e 9 /2r A `f i 512.5 Issuing Date Expiration Date #F-]New DCAMA ElDREDGE & FILL N9 89221 A B C D Previous permit GENERAL PERMIT Date previous permit issued [—]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 - ❑ Rules attached. IT'; i-,C.eneral Permit Rules available at the following link: www.d .nc. v CAMArules � Applicant Name I / Authorized Agent Fit t - ' 0 / 1 t Address / Project Location (County): i City < k A, State ZIP Street AddreWState Road/Lot #(s)"- Phone # (_)! Email Subdivision City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body / AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/00 'I PNA: yes/no Type of Project/ Activity Chn.ulina I anoth � `:� 'h (Scale: ,,; 1,, ) Access Length Pier (dock) length Fixed Platform(s) frr.y Kim ' Finger pler(s):'' "E� : :Total Platform area Groin length/#_ Cubic yards Boathouse/ Beach SEE ME ON M 111 log :MIME �.:.:1IN M OEM No ONE M MEMO No ME on 1 00 0 :n.:®:..v■■..■.■ . 1l..■..N.� .. ..�.;..� ...'� Other BINMEMM SAV observed: yes no Site rMoraPhotos:� o :..� .low ME.■..: �a.�.w�■.:■■■■...:■ MENEM ::C�::.:::UM � an NOMmno A building permit/zoning permit may be required by: "�( ,n..1 r, i= '>•'� i .�, Permit Conditions ❑ TAR/PAM/NEUSF/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back 1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROIECTAND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit* Signature Application Feels) Check #/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAM —A PERMIT APPLICATION Name of Property Owner Requesting Permit ' n Pf� Mailing Address: � 54g On dx Y" Phone Number: Email Address: e I certify that I have authorized . h� 4'Y tl C fgBnt/t:onhector to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the ff�oll�ll``o��wing proposed devel(oppment: at my property located at, inCounty. I fur(hormore certify that I am authorizad to grant and do to fact grant peantsslon 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 lnformatlen: A � Stgnatura Pdnt or TWO Name Use jaj_ZI__t.` Date This certification is valid through ` ,Revised Mar. 2016 :v , �E PEA C /�Ixi(-/� A10RI c, 0 C«iA) C-rs N.C. DIVISION OF COASTAL MANAOEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Q9BJJFIEQ MAIL RETURN RECEIPT REQUESTED or NAND DELIVERY Crop portion to be completed by owner or their agent) Name of Property Owner. .�Qr . kYff��ntaet�S� nn �� Address of Property; Mailing Address of Owner: I_h`i $�_ `\ail m slMtYs� a3lt 5 Ownarsemail! 5 i�1��''n�� Owner's Phone# ht c tna��ne.d�nS �a-at�_3Lz5" Agent's Name: en;s Agent Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Sonora portion to be comnieted by the AdiaSent Property Owner) 1 hereby certify that I own property adjacent to the above referenced property. The Individual applying for this permit has descdbed to me, as shown on the attached drawing, the development they are proposing- A drawinc with dimensions must be provided with ibis ]sher- _ 4. t DO NOT have objections to this proposal. — - I DO have objections to this proposal. jr-you have objections to whet !s being proposed, you must notNy the N.C. ondence should be Management (DCM) In writing within 10 days of receipt of this notice. ComIsp both City, NO, resentatives can also be contactedat (252) 26"9e1. No response as considered His "me �Mo opib)ectfon if you have been noth7ed by Corti/!ed Malt, WAIVER SECTION (Choose onto ono} 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' from my area of riparian access unless waived by me wish to waive the setback, you sign t 's d- "s --• --'� bulkheads or rioran revetgiff.Dtv)- (if Y°'t the appropriate blank below.) I DO wish to waive some/all of the 15' setback Stgst d)acent Rfpadan Property Owner -OR- i DO NOT wish to waive the 15, setback requirement (Initial the blank) Signature of Adjacent Riparian Property Owner: _- 41 . Typadtprinted name of ARPO: �n;G art �`?'S 1. PI '- 40 RPf) Mailing Address of A: — r _ c ARPO's Phoned`: ARPO's Date: e ' t AA gvalver is valid for UP to one year from ARPO's Signature' 0 Revised August 2022 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIVIAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be Completed by owner or their agent Name of Property owner. 2 `b a �(�C-- , ^ Address of Property: e-)Ct.,� � �(�'i S1 tom`-i0yi'�'" tl Melling address of Owner: 1Fy`3 �Gr�4 'Qa. >•� t\\ a'rnS .Tc .r `"� Q o'T'J18�`~ Owner'sCd�3Jfowiro+'s Phona#.h`J 5 �) ' 02 thgr,gt_ _ 2 Agent's Nama.�> l/1+�f��i (` V*lp 0y5 Agent Phone#: Agents Email: "_`Y"U1'�e yl%o-e-e CS�ns't'. ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom oortton to he completed by the Adacem Property Ownart I hereby certify that 1 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 description or drawing with dimensions must be provided with this 12M. I DO NOT have objections to Oils proposal. _ 100 have objections to this proposal. n you nave ogiecuons ra wnar rs ue+ug Management (DCM) In writing within 10 d mailed to 401 S. Griffin St., Ste. 300, Film contacted at (252) 264-3001. No response no0fiad by Certified Mail. of this notice. Correspondence should be 2noo. DCM representatives can also be the same as no objection If you have been WAIVER SECTION (Choose only one) I understand that any proposed pier, dock, aiming pilings, boat ramp, breakwater, boathouse, lift, or groin must be sat back a minimum distance of I There my area of riparian access unless waived by me (ibis does not apply to bulkheads oL crap revetments). (If ypU wish/.tea waive the setback, you must $)an the appropriate blank bebw.) „ A /% !� / 1 I DO wish to waive sumo/all of the 15' setback -OR- I DO NOT wish to waive the 15' setback requirement (Initial the dank) Signature of AdJaCent Riparian PMPerty Owner. TypedtPrinted name of ARPO: —M L Mailing Address Of AR,PO: ARPO's small: a4l `�. ..._ ARPO's Phone#.* a2 s% �joii Date: I - i "waiver Is valid for up to one year from ARPO'e Signature' Revisad August 2022