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Home My WebLink About89318A - Umphlett, Timothy❑ #F,I'New M CAA Q DREDGE & FILL NU 89.318 A a C D GENERAL PERMIT Previous 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 a 7 ( 2 C>❑ Rules attached. Q General Permit Rules available at the following link: www.dgtq,nc&oy/CAMAruI% Applicant Name ') k &Y'A -J {,) t.nca4� c.'.Y'"T" Address { 0 cl c_a {'-(LIL��'", P'r�? ie'\s� C",cwk City C f 6 . b1 State P-1 l_":� ZIP :!_ 7 Phone # (11:j7) ti 4. 7.. " 4111 t Email L"1)(N(e:_� NC' J'C'I'C`) C,fitwo Authorized Agent _ o 1 c.: , Project Location (County): C LAVT 1+tAr., IL= - Street Address/State Road/Lot #(s) {D 6 C`r'�I , I I CI i Subdivision City I , L.V k ..� ZIP 2- Affected ❑CW [�JEW ❑PTA ❑ES EPTS Adj. Wtr. Body ]*A I M ", I (natlman%unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no t C.. Type of Project/ Activity C: A i"fi t" vr1 Ij tn CLn <- P Y s " , , t. 6 tJ i Li (Scale:I tt=20 ) Ghnrolinn 1 nnoth l �"�l �� 1 Access Length- Pier(dock)length Fixed Platforms). i Floating Platforms) Finger pier(s)—�'�_- Total Platform area 'Z. 20. Groin length/# Bulkhead/Riprap length Avg distance offshore Breakwater/Sill Max distance/ length_ Basin, channel Cubic yards Boat ramp Boathouse/Boatlift Beach Bulldozing Other _V-A'j)4.1 r- l"-— - j- 1AI t I i - .-_i- a `� d%i al 4Y i. .. ... _ ' k � .I .. T( - _...._.._. r —t. i eA 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 ALA. by: ec �y� V )r 1 JC'. C� �^ l.._-Q U 11 '"`•i 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'• Application Fee(s) Check #/Money Order Signature Issuing Date FExpiration Date Locality _ Permit Number Ocean Hazard _ Estuarine Shoreline ORW Shoreline Public Trust Shoreline_ Other_ For official use onl GENERAL INFORMATION LAND O.�W�--N^^ER — MAILING ADDRESS �7— Name: l�Md {7E V (J/►l�� 1C �e• Address: �10 r f Cza0S67W C CT City: �QfiN p V State: /V C Zip: Phone: 7S7- 6460 Email: -i"C 6%Pk IB'Ta NETzE2a. Cd r✓► AUTHORIZED AGENT Name: Address: City, State: Zip: Phone: Email: LOCATION OF PROJECT: (Address, street name and/or direct' ns to site; name of the adjacent waterbody.) ios s ,�n�tit �- fays DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) flock + kepo;xPL auiKMW �t+Vpw SIZE OF LOT/PARCEL:// square feet acres � PROPOSED USE: Residential ,5ingle-family ❑ Multi -family ❑) Commercial/Industrial ❑ Other ❑ COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies to your property): (1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes air-conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but excluding non -load -bearing attic space) (2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT UPON SURFACES: SS.-I'� square feet (includes the area of the foundation of all buildings, driveways, covered decks, concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.) STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater Management Permit iss ed by the NC Division of Energy, Mineral and Land Resources (DEMLR)i YES_ NO If yes, list the total built upon area/impervious surface allowed for your lot or parcel: _ square feet. CAMA Minor Application Page 6 of 9 OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others. Check with your Local Permit Officer for more information. STATEMENT OF OWNERSHIP: 1, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person listed as landowner on this application has a significant interest in the real property described therein. This interest can be described as: (check one) Elln owner or record title, Title is vested to name of 16 5r S. GcgmV .VC C.,see Deed Book page 0 in the RQF tIGiL County Registry of Deeds. Ein owner by virtue of inheritance. The applicant is an heir to the estate of probate was in County. [Df other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application. NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS: I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. ((Name) Address] 2) �+✓ p oy (3) L •1 n ttN (4) ACKNOWLEDGEMENTS: 1, the undersigned, adatowledge that the land owner is aware that the proposed development is planned for on area which may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particular hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing techniques. I furthermore certify that I 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. This the day of_OGT 20M Landowner or berson authorized to act as his/her agent for purpose of filing a CAMA permit application This the ?%L _ day of OAT 202.4 This application indudes: general information (this form), a site drawing as described on the back of this application, the ownership statement, the Ocean Hazard AEC Notice where necessary, a chock for $100.00 made payable to the locality, and any infometion as may be provided orally by the applkont. The details of Are application as described by these sources are incorporated without reference in any permit which may be Iswed. Deviation from these details will mmtime a violation of any permit. Any person developing In an AEC without permit is wlyect to civil, criminal and administro dive action. CAMA Minor Application Page 7 of 9 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT) CERTIFIED MAIL. RETURN RECEIPT REQUESTED or HAND DELIVERED 'Rose*-' F1'• c.&j Name of Adjacent Riparian Property Owner /07 S GoosewsvG cr. Address amwoy AA C .2-)iaq City, State 'Zip To Whom It May Concern: Date' Th correspondence is to notifyty you as a riparian property owner that 1 am applying for a CAMA Minor permit to on my property at /O 5 5 [�mSEcvss✓G Cr GphA) N .'� c 7 93Y in t,oi eyGg County, which is adjacent to your property. A copy of the application and project drawing is attached/enclosed for your review. If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no comments or objections regarding this project. If you have objections or comments, please mark the appropriate statement below and send your correspondence to: (LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY. STATE, ZIP CODE) If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or contact (LOCAL. PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL). Sincerely, T�o*v Uiftekj I% — 157-64.2-4691 Property Owner's Name Telephone Number /05' 5 Goosrwr.+VG CT. GRAKoy #IC 9.7939 Address City State I have no objection to the project described in this correspondence. I have objection(s) to the project described in this correspondence. Adjacent Riparian Signature T— Date Print or Type Name Telephone Number Address City State Zip Zip Revised July 2021 N.C. DIVISION OF COASTAL. MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT) '--roM Name of Adjacent Rgr»ran Property Ow»er -� S vrr� Address Ale C(t), Stele /.Ip 'to Whom It Mav Concern: MUA 6,)� o1Tk1r-K Date.. This correspondenco is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to Oil »,> prol,eiiy at _jv5` L3U�t wa1(y.__..� i _... in C ✓P P CTVC }!A _ County. which is adjacent to your property. A copy of the application and project drawing is altachedlenclosed for ,your review. If you have no objeetions to lire proposed activity, please mark the ;appropriate statement below raid return to me as soon as possible. If no continents are received within 10 days of receipt of this notice. it will be considered that you have no comments or objections regarding (his project. If you have objections or continents, please mark the appropriate statement below and send your correspondence to: (L)CAL. PERMIT OFFICER, NAM OF LOCAL GOVERN MI NT, MAILING ADDRESS CITY, STA-rE. ZIP CODE) If you have any questions about the project, please do not hesitate to contact n,e at ill address/number listed below, or contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL). Sincerely, Prop rty Owners Name 'I'clephone Numbcr 10 s 5 (,tx)sCwxwc-- cr L'LAIQ`)v N'C< -;2 3 r/ , Address Cite State Zip I have no objection to the project described in this correspondence. 1 have objection(s) to the project described in this correspondence. Adj(te nt R pan a Signature Date Print or Type arno Telephone Number /C%� GGOSL wiN ; L� GL�LpAr �C� 3q, Address City State zip Revised July 2021 -A krV 01 IJ ol 1. q. 441