HomeMy WebLinkAbout89223A - Kirkland, James and LisaCe"' CAMA ElDREDGE & FILL NY 89212J U B C D
Previous permit
S�A zr
Y G NERAL PERMIT Date previous permit issued
I
ONew []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 /� r �� / ❑ Rules attached. JA4orseral Permit Rules available at the following link: www.d .nc,govlCAMArules
Applicant Name ,A �- Lil51'e I41 'I r1/IAA f__ Authorized Agent
Address / 5 a l' Project Location (County): -k
City 4 `/rrrk`,�Ok state �__ ZIP �1 1-5 SLV7 Street AddresslState Road/Lot #(s) -S [/ /.. �� �-
Phone#(tot
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Email^/ic < Ala. C oA� _ __... __ Subdivision
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f ` City1'coZIP,2...7 r/_inn
Affected ❑CW VfEW- ®PTA DES ❑PTS Adj. Wtr. Body 'Z 0, - j (na ma�ink)
AEC(s): 4OEA ❑IHA ❑UW E]SPIMA ❑& PWS Closest Maj. Wtr. Body ^/)�c,
ORW: yes hA/PNA: yes
r
Type of Project/ ActivityZ_
Shoreline Length 1:� K 2'"
Access Length
Pier (dock) length •'
Fixed Platform(s)
Floating Platform(s)
Finger pler(s)
Total Platform area
Groin length/ff
Bulkhead/ Riprap length
Avg distance offshore
a Breakwater/Sill-
Max distance/length
Basin, channel
Cubic yards
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Other
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SAV observed:
Moratorium: n/a
I
yes _
i no Ah-!3/ I�(� •---���-J
Site Photos:
itsS) no
Riparian Waiver Attached:
" , no
A building permit/zoning permit m berequiredby: �)!n rz,_ �-�+\• T`/
Permit Conditions
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❑ TAR/PAKNEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
IAM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PR ECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Y
Age ppl'cmt PRINTED Name PeYt u s tPRNTEcme�._
S lure •'Please read compliance statement on back of permit• �alure q
A S ss �� ° � 9/qA�i
��`°"" CAMA ❑DREDGE & FILL
G NERAL PERMIT
Na 89223
Previous permit
Date previous permit issued
0B C D
Alew ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized b�$tatQ of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC 4/ f/ r / / �� ❑ Rules attached. (24eneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name c. �) cy, M 2 S 9-- Li Y-en /<'T rK 10 A4- Authorized Agent
Address IS 0 y O �e�t-r't iti �a-� Project Location (County): /
2
City z^ �r1 �l9�� State LL zip 9-Vt-5 6-3 Street Address/State Road/Lot #(s) Sq (s, c� LLo J,5, r 4t—
Phone # (I
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Email � // � o. ®9 M A, r Coo /V, Subdivision (-Ui A 1-7
City
Fr l zip 2 '7
Affected ❑ CW 6vi— / PTA ❑ ES ❑ PTS Adj. Wtr. Body �Rnn�- (na(man/ nk)
AEC(s): �OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes PNA: yes to�
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) _
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/q
Bulkhead/ Riprap length
Avg distance offshore —'
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp — a
Boathouse Boatlift
Beach Bulldozing
Other y
EXtDK)«� h��(�l{1V7
SAV observed: yes
Moratorium: n/a no nj/ II� Site Photos: XQ2no 0/JnnN I,Riparian Waiver Attached:no v
(L,HIvE, �t
A building permit/zoning permit may be required by:
Permit Conditions
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I AM AWARE
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❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Agent or Applicant PRINTED Name PerMcitt Officer's PRINTED Name
CC+—a-�-9--
Signaturel�Sread compliance statement on back of permit"` S n77/1 / �
f11 _ a � C/y / .Z. 'ZS
—^T—
Apprication Feels) Check q/Money Order Issuing Date Expiration Date
adcomr"' ❑MAMA ❑DREDGE 8t FILL No 8922S ( A B C D
Previous permit
t GENERAL 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 ❑ Rules attached. C ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name `f (� � ��.
Address / I b 1-1 OI J
City / 'f�it �JJ`���-� State ZIP
Phone#(r�r) /�Yt�'
Email 4 %aC6A Q> °tyli
Affected ❑ CW LJ 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 ZIP
Adj. Won Body
Closest Maj. Wtr. Body
(Scale: +' )
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Floating Platform(s)....0
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Finger pier(5)
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Beach Other Bulldozing
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SAV observed: yes no
Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached yes no
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A building permit/zoning permit maybe required by: �.��� e. L-�V.n�•
Permit Conditions _L
❑ 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
Signature "Please read compliance statement on back of permit"
Application Feels) Check k/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date
Expiration Date
y
/
f
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or
their agent)
Name of Property Owner: Ti(Mp�i r]- t,.L`t X "r r it ri'
Address of Property: 14,SS '7 er l Khr' frr -t (o ovU 21Ut
Mailing Address of Owner: /';F '-q atd Ar^ r , t,,A-a" i.4l ZYia3
Owner's email: A I Q59 f El+i j ill Z�mowner's Phone#: '�? ri' �qil/ Z/ St
Agent's Name:
Agent's Email: r"t`r-
Agent Phone#: /L#
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
description or drawing with dimensions 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 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.
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' 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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
1 do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Haan DAn7C7trri.)
Mailing Address of ARPO:
ARPO's email:
Phone#: 4/I4 366 2,V3 'S
Date: 2 "q - 2 / 'waiver Is valid for up to one year from ARPO's Signature'
Revised July 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNoER NOGIFICDAoTIOHNA pAIVEDELVERY ORM
IP:
(Top portion to be completed by owner or their agent)
Name of Property Owner: YllnfS a �`
Address of Property: 5116 L
i/�- z Mailing Address of Owner. i y t t ja i% Yn
owner's email:
V ci OEM �1 (-&,-Ll • 6---Owner's Phone#: q;q- yyy- 2./
Agent's Name: tV4
Agent Phone#: P
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bettem portion to be completed by the Adjacent Prortv 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
descnot,on or drawin with dimensions must be provided with this letter.
,,wi/Jtf I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have actions to what is being proposed, you must not ly the N.C. Division of Coastal
Management mailed to 40f(SCGtiffin St., Sfe.ng r300, Elizabeth City, NC, 2 9ogf receipt of this n DCM representatives can alsotice. correspondence io be
contacted 0 S. 26 ll St.,. to 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 IS from my area f r po rri ve the sian etback, you must sign
unless waived by me
(this does not apply to bulkheads or riprap revetments). ( Y
ou wishthe appropriate blank below.)
I DO wish to waive somelall of the 15' setb % t —
ignature o jacent parian Property wner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
TypedlPrinted name of ARPO: Go
A 99 sr6 :sco 1�c, a?�3
Mailing Address of ARPO: Con , D
ARPO's email: ARPO's Phone#: 3o y- 8 7l - :A Ll7
Date: ! 3 a` f "waiver is valid for up to one year from ARPO's Signature"
Revised July 2021
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