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HomeMy WebLinkAbout89290A - Breen, Mark and Deborahat`v �CAMA ❑DREDGE & FILL a ) GENERAL PERMIT N9 89290 Previous permit Date previous permit Issued l.1 B C D [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 0. 114 ..i 2.00 ❑ Rules attached. General Permit Rules available at the following link: wwvvdeg.nc.gov/CAMArules Applicant Name ,c• G<'"-�7. � (P�c31A . Authorized Agent tif►`rlI -� 1 Address r�Url(u Aa4; Ae-5 Fv lvl'1�L P-041 A Project Location (County): j>ekf-C. City k% Qrta) G. State A cr zip eV, 59 A 9 Street Address/State Road/Lot #(a) 40 t j( iA a r +; ,to `.s Phone#r � E4Z• t4L-+9 PULNk TLo<d Email k%-.6e8 n iZ& ghnkMieV si L.t't' City k i ley 4a,L,)k zIP S-1 94 9 Affected ❑eW YEW 5PTA ❑Es OPTS Adj. Wtr. Body CUrrI# Ck LinlA('lL na/` an/unk) AEC(s): ❑ OEA ❑ IHA ❑UW ❑SPIMA ❑ PWS Closest Ma). Wtr. Body Cu t le i'r u e-& 'Ep a u A CS ORW: ween.) PNA: ye'J5o Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platformisl Floating Finger Total Platform Groin length/d CW wok it 1li•N"4J� " \ l'.WcylVc�c�� Z CCU+ �l L lAj G U) BUJ G VJ z (Scale: fr rizovv f "'p 14t Y t"ti` 00A 63V-T Bulkhead/ Riprap length r I t(--�-f I `-•` ~ rt4t�' PLCC' C^'J Avg distance offshore L C T hfA Cd{'Gi Breakwater/Sill ' t; w t, tAl Max distance/ length i'ifdeXt_ / �• ao� Basin, channel I Cubic yards C U 2K vl` Oc- V- Boat ramp Boathouse oati i t N• IL t 1 U C� \ Beach Bulldozing CVJ Other ` SAV observed: i1dk'AA es no Moratorium: Na jjjj''''��es..,, no Site Photos: Pe no 1� C: VJ Riparian Waiver Attached: a no L A building permiVzoning permit may be required by: Dinx e- Cot) *% t J ❑ TAR/PAMJNEUSE/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) we William Eger Mix a vt Ag o D me Permit Officer's PRINTED Name�J&r � ce-INt �..f.� . Signature **Please read compLance statement on back of Permit'* signature T� �Ci.Gy O l) ('2.Zi li�l�.�-./ / Z.�% mil'-�J— Application Feels) Check R/Money Order Issuing Date Expiration Date �60911`&L''_ICAMA ❑ DREDGE & FILL a° GENERAL PERMIT ❑✓New ❑Modification ❑ Complete Reissue ❑Partial Reissue N9 89290 Previous permit Date previous permit issued 0B C D 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 0 -1 Irt , tZOa ❑ Rules attached. VGeneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name 1'/LA.1'�' Ut@bQgro lVw_ p rC.21A Address *40, Nicar'%tv..3 oivt'I� K00XA City Itt� a w k State �3 c zip '2.1 94 9 Phone # (6,5 5 4Z- t 4 49 Email WLj<^l'(NCt112. (1. gWScL-J . Gom k Authorized Agent AgOt-A" IE ZI . Project Location (County): dA.f G 1 Street Address/State Road/Lot #(s) 40 I. 15� A & C T t I''A 5 Vol K+ ZOC�Cf. Subdivision MuC4CV%es Pni%,t.'t City K_ ilk/ 4a tj k zip 27 9 4 9 Affected ❑ CW [�(EW PTA ❑ ES ❑ PTS Adj. Wtr. Body CU ft` i±o r— C GcCj vt C` G-aan/unk) AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body C U C Y l t-U C_L S O U A a ORW: ye no PNA: yeeD Type of Project/ Activity Shoreline Length 1 Qb Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger piers) CW - A r,UJ G'JJ G ta1 (Scale:( 'rRopvsE-p ►bt X t-It 6oA'rWV-T Total Platform area Groin length/# Bulkhead/ Riprap length 0 1 Avg distance offshore ( L\fi --r , ?- pter Breakwater/Sill t I C)LtAA Pt41+�OfIf^ Max distance/length tdW L' 1 Basin, channel Cubic yards 1 Boat ramp , C G UJ / z Boathouse oatli I l )L 0 ° \ Beach Bulldozing \ C VJ Other \ f ^I SAV observed: es no„J i 4(_ 1 T`—�� /�f♦ Moratorium: n/aes,_ no Q Yt•l �Y Site Photos: no `tJra-txi �,) 1 / Riparian Waiver Attached: ye no A building permit/zoning permit may be required by: �`%1t,Y� C.ti tJ M+1 Permit Conditions Agentor Applicai PRINTEDName Signature **Please read compliance statement on back of permit** Application Feels) Check 77/Money Order CU'fZ VV OF k: SOO N D ,I_ ❑ TAPJPAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Permit Officer's PRINTED Na�m�.e.�..�� ( Signature co�z�24 Issuing Date Expiration Date #F/lNew ❑CAMA ❑ DREDGE & FILL No 89290 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: I SA NCAC - • I - 1 V...C: —, ❑ Rules attached. E]'General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name .1(_ ? l • CtSlk i \ i`' (" Address City State ZIP Phone # (`:•r/ ) Email r,..• - Affected ❑cW DEW ❑PTA AEC(s): ❑ OEA ❑ IHA ❑ U W ORW: yes/no PNA: yes/no Type of Project/ Activity Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision MI t City IZIP ❑ ES ❑ PTS Adj. Wtr. Body ❑SPIMA ❑PWS Closest Mal. Wtr. Body_ (Scale: Access Length Pier length ■■ ■■ ■■.N■ ■■ ■■ .'ck) Fixed Platform(s)Floating Platform(s) Total Platform area 22 Groin length/# �r�� ■ ��IwWW�� Bulkhead/ Riprap length ■�®�■ Avg distance offshore Max distance/ length NINON rH■!�!■llA■ 0Basin, ■I channel owl Cubic yards NINE Al I NINON MORM ME n o ME NEE M A building permit/zoning permit may be required by: i�r{ rt ,s f• r? tl o-�T" �S Permit Conditions I AM AWARE OF STATI Agent or Applicant PRINTED Name Signature **Please read compliance statement on back of permit*` Application Fee(s) Check H/Money Order Permit Officer's PRINTED Name Signature TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back (Please Initial) Issuing Date Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mark & Deborah Breen Mailing Address: 4016 Martins Point Road Kitty Hawk, NC 27949 Phone Number, Email Address: mbreenl2@gmail.com I certify that I have authorized Affordable Bill'sANilliam Eger Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Install one 10k boatiift. (No electric included) at my property located at 4016 Martins Point Road in Dare County. I furthermore certify that l 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: r -K 3rgnature ------. Mark or Deborah Breen Owner Print or Type Name Date Title This certification is valid through N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property owner: Mark & Deborah Breen Address of Property: 4016 Martins Point Road, Kitty Hawk, NC 27949 Mailing Address of Owner: 4016 Martins Point Road, Kitty Hawk, NC 27949 Owner'semail: mbreenl2@gmail.com Owner's Phone#: Agent's Name: Affordable Bill'sANilliam Eger Agent Phone#: 252-489-9555 Agent's Email: affordablebiils@gmaii.com 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 desc�/ ription or drawing with dimensions must be provided with this letter. a4 I� I DO NOT have objections to this proposal. I DO have objections to this proposal. It 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 15from 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 somefall of the 15' setback v -OR- Signature of Adj enf Ri rian Property Owner Pe" I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Ruth Ann or Donald Mailing Address of ARPO: 4020 Martins Point Rd, Kitty Hawk NC 27949 ARPO's email: Qr i ARPO's Phone# IL3 C219 .- Vo76 s h Date: r%' Zy -waiver is valid for up to one year from ARPO's Signature' Revised May 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NO CIFIICATan'TIONA DA EER LIVFORERYM (Top portion to be completed by owner or their agent) Name of Property Owner: Mark & Deborah Breen 4016 Martins Point Road, Kitty Hawk, NC 27949 Address of Property: 4016 Martins Point Road, Kitty Hawk, NC 27949 Mailing Address of owner: OwneesemaT mbreen12@gmail.c0m Owner's Phone#: 9 Agent's Name: Affordable Bill's/William Eger Agent Phone#: 252-489-9555 Agent's Email: affordablebills@gmaii-com ar 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 t,attached n ov dedrwith his letteevelopment they are proposing. _ t Thave objections to this proposal. 1 DO have objections to this proposal. If you have objections to what is being proposed, you must rlvP.y ..a Managementmatted to 401(S. Griffin St., Ste.in writingrthin 300, Elizabeth CityeNC, 27909. DCM representatives can alsipt of this notice. Correspondence o 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, rian access unless waived y e n sibreakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my are wish to waive the setback, you mus (this does not apply to bulkheads or riprap revetments). ( y the appropriate blank below.) 4- I DO wish to waive some/all of the 15' setback Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' $etback requirement (initial the blank) >r,+ Signature of Adjacent Riparian Property Owner: kr, a Typed/Printed name of ARPO: 4012 Martins Point Rd. Kitty Hawk, NC 27949 Mailing Address of ARPO: _ YY�� ARPO s email: a e t>s 26 OE C,{Y�C (ji. 'ARPO's Phone#: p�%g1-� 1 1 Z Q —•waiver is valid for up to one year from ARPO's Signature' Gene or Mary Ann Williams I Date: Revised May 2021