HomeMy WebLinkAbout92862C - Groff 101 1CAMA 11 DREDGE & FILL No 9286 2 A B c
G Prervious permit
ENERAL PERMIT
Date previous permit issued
New ( ]Modification [ )Complete Reissue I_]Partial Reissue
As authorized a via.Department of Environmental QualKy and the Coastal Resources Commission In an area of environmental concern Pursuant to:
I SA NCAC- _ _ Rules attachd General P Ru
les ules available at the following link❑ -yryfw.dea.n�,gov1CAMAru1ey
Applicant Name_-J_T//��,,�]__- -, _._ Authorized Agent
Addre _/Q (" - Project Location(County): _--
4ty rate_ �ZW Street Address/State Road/L t II(s)
Phone r .) -- .--.To
Email Subd'
—... — ---__-- - City ZIP_ (LLlLSG—
Affected CW MEW PTA ❑ES [J PTS \_ Adj.Wtr.Body (tpt/
AEC(s): kI s]OEA �IHA UW [�SPANA P S ` closest Mai.Wtr."( `
ORW yesMo' 1 PNA�r'no `
Type of Project/Act! Q
(Sale: 1
Shoreline Length
Access length,+1 _ rT/s/(`vJ•{' IUX/`
Pier(dock)length
Fixed PlaHorm(s) t \
Floating Plattorm(s)— ` On
Finger pier(s)
Total Platform area
Groin length/a
Bulkhead/Riprap length— / I
Avg distance ^1 1�
shore
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards
Boat ramp
Boathouse Boa fhI
Beach Bulldoz / /I
Other
d ue—
SAV observed: yes ���1
Moratorium: n/a yes o
Site Photos: y s n .N
Riparian Waiver Attached: s ��p�7u�n
A building permith in f ma le' ulred by:__ I . ^
Permit Condition
FJ TARIPAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
See additional notes/conditans on back
AM AWARE OF STATUT CRC RULES TI S THAT APPLY TO THIS PROJECT AND R97WED C.OWLI ATEMENT.1 (Plea Ini
` f{NTEDNam�ro' / Pe mlt0 'AEDName
-
Signature"PI ead compliance statement on back of/permit*
Signat re
`14164 to/n /:ty a 1►�/25
Ap ication Fee(s) Check R/Money Order Issuing Date Expiration Date
0authorized
, CAMA ❑ DREDGE & FILL 92H62 A e �°ENERAL PERMIT Previous permit
Date previous permit issued-�New ❑Modification ❑Complete Reissue ❑Partial Reissue
e S e feN o olina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name kAJ A Authorized Agent
Address Project Location(County):
City tate ZIP Street Address/State Road/L t#(s) on
Phone#
Email Subdiv' ' n
City ZIP
Affected ❑CW )(EW PTA ❑ES ❑PTS Adj.Wtr.Body T (nat/m Ink)
AEC(s): IDEA ❑IHA UW ❑S A WS Closest Maj.Wtr.Body
ORW:yes45 PNA% 'no
Type of Project/Activit
VA (Scale:
Shoreline Length 1 C�'/ " t `�
Access Length 1 J11Q `
Pier(dock)length a 1 \
Fixed Platform(s)
Floating Platform(s) LV 11
Finger pier(s) a)5bayo
Total Platform area NO J
Groin length/# L--- t
Bulkhead/Riprap length
Avg distance offshore �1
Breakwater/Sill
Max distance/length � V�
Basin,channel
Cubic yards \,
Boat ramp
Boathouse Boa i
Beach Bulldozi
Other
ll�f
SAV observed: yes
Moratorium: n/a yes o
Site Photos: yes n
Riparian Waiver Attached: s
A building permit/zo in t ma a e" uired by:
Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
I ❑ See additional notes/conditions on back
AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND RWJEWED CO LIA ATEMENT. (Please Initi
Agent or Applicant PRINTED Name Pe mit O 'c is ED Name
Signature**Ple ead compliance statement on back of permit** Signat re
`14-7 V 9 10/►, /2y
Ap lication 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:
F-1 Tar- Pamlico River Basin Buffer Rules 1-1 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
COM41 ❑CAMA ❑ DREDGE & FILL No 92862 A B C D
3
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:
15A NCAC ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#(_)
Email Subdivision
City ZIP
Affected ❑CW ❑EW PTA ❑ES ❑pTS \ Adj.Wtr.Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ElS SPIMA I' Closest Mal.Wtr.Body
i FJf`
ORW:yes/no PNA:yes/no \
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s)
...............
Floating Platform(s) `
Finger pier(s)
i
I
€ E�
Total Platform area
Groin length/#
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
i
E
Max distance/length
__
Basin,channel \
... __ _s _ _ _ _ �_ _ __ _ _€ _ _ _
Cubic yards j � -
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
....._ E _.
Other
-
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
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 PRINTED Name Permit Officer's PRINTED Name
Signature"Please read compliance statement 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 F-1 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:910-39S-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
❑CAMA C] DREDGE & FILL N4 92862 A B 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:
15A NCAC ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#(_)
Email Subdivision
City ZIP
Affected ❑CW ❑EW PTA ❑ES ❑PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPiMA Closest Mal.Wtr.Body
ORW:yes/no PNA:yes/no e
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length
Pier(dock)length
i
Fixed Platform(s) i.LA
- _ _ t.-_- _ .. i
.i�
I
Floating Platform(s)
Finger pier(s)
i `j'
. ...._� .
Total Platform area
Groin length/#
Bulkhead/Riprap length _ _ .
Avg distance offshore
E
Breakwater/Sill dd
Max distance/length
i
Basin,channel
_ ...
Cubic yards - i_w
Boat ramp
Boathouse/Boatlift `
Beach Bulldozing
.......... ........ ................ ' ...._.......... ...... i...... s
Other 1 k }
SAV observed: yes no -- k
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
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)
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
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:
F-1 Tar- Pamlico River Basin Buffer Rules F1 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
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: ��(� ` �1 C_I Irl4f_
Address of Property:
Mailing Address of Owner: \V k��LLl otR 0 VC
Owner's email: l��Cl�c��L\ lC l C�M� O,wner's Phone#: \1 L Z Lo 4 c;o I
Agent's Name. Agent Phone#:
Agent's Email:
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.
ZDO 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 400 Commerce Ave.,Morehead City, NC 28557.DCM representatives can also be contacted
at(252) 808-2808. 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 ---OR-
—
Signature of Adjac iparian Property Owner
I do not wish to waive the 15' setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO: 11
76 j
ARPO's email:_ ARPO's Phone#:
Date: 12// a 2�--� 'waiver is valid for up to one year from ARPO's Signature'
RECEIVED Revised July 2021
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■ .Complete items 1 , 2, and 3. A. Si natur
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■ Print your name and address on the reverse ❑ A ent
so that we can return the card to you. ALK `ET Addressee
■ Attach this card to the back of the mailpiece, B• ,B�ceiv (Printed Name) C. Date of Delivery
or on the front if space permits. �1 ' 1 2 a
1. Article Addressed to: D. Is delivery addr ss different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
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3. Service Type 0 Priority Mail Express
❑ Adult Signature Q Registered Mai ITM
❑ Adult Signature Restricted Delivery 0 Registered Mail Restricted
❑ Certified Mail8 Delivery
9590 9402 7357 2028 1565 94 ❑ Certified Mail Restricted Delivery ❑ Signature ConfirmationT^A
0 C411e��on DeCw ery fl S+gnature Cos�t�tmatiort
❑ Collect on Delivery Restricted Delivery Restricted Deti'iv8ry
2. Article Number (transfer from service label) � Insured Mail
3 8 ❑ 3 8 0 5 6 isured Mail Restricted Delivery
7021 2720 0001
)ver$500)
—_ _ � � CEIVEDL Domestic Return Receipt
S Form 38am
11 , July 2020 P.�N 7530-02-000-9053 �E
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USPS TRACKING #
First-Class Mail
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LISPS
L Permit No. G-10
9590 9402 7357 2028 1565 94
United States • Sender: Please print your name, address, and ZIP+41 in this box*
Postal Service
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SENDER: COMPLETE THIS SECTION COMPLETE THIS ON ON DELIVERY
■ Complete items 1 , 2, and 3. A. Si ature
■ Print your name and address on the reverse x ❑ Agent
so that we can return the card to you.
❑ Addressee
■ Attach this card to the back of the mailpiece, a 'ved b (P iaal Name) C. Date of Delivery
or on the front if space permits. LD( ��
1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
ZC C C-L to 1' , IN-� c V
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3. Service Type G Priority Mail ExpressS
Adult Signature ❑ Registered MaiIT'•'
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9590 9402 7357 2028 1565 70 '] Certified Mail Restricted Delivery ❑ Signature Confirmation TM
Collect on Delivery Q Signature Confirmation
2. Article Number (Transfer from service label) 171 Collect on Delivery Restricted Delivery Restricted Delivery
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7021 2720 0001 3503 8049 ,sured Mail Restricted Delivery
_ giver $500)
PS Form 3811 , July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
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USPS TRACKING# First-Class Mail
Postage & Fees Paid
USPS
L Permit No. G-10
9590 9402 7357 2028 1565 70
United States ' Sender; Please print your name, address, and ZIP+4c in this box`
Postal Service
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