HomeMy WebLinkAbout 100851C - Anderson `OAR41&❑CAMA ❑ DREDGE & FILL No 100851 A B C D
3
Previous permit
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. ❑ 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 ❑PWs Closest Maj.Wtr.Body
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)
Total Platform area
Groin length/#
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
Other
t
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)
LF I U C
Agent or Applicant RI am Permit Officer's PRINTED Name
Signature**Ple see compli ce statement on back of permit** Si nature r:
1 h �12�If �/1 S
Application Feels) Check#/Money Order Issuinfi 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:910-395-3964
(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
`°"'"16N❑CAMA ❑ DREDGE & FILL Nn 1008) 1 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.dgg.nc.gov/CAMAruies
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 ❑PWS Closest Maj.Wtr.Body
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)
Total Platform area
Groin length/#
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
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
F'
Signature**Ple se read compliance statement on back of permit** Signature
r
i
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:
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:910-395-3964
(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
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of property Owner Requesting Permit
Mailing Address,
Phone Number: ,j��
Entail Address: Y�/�_go C&(-S&x ._�'� t����TG1+�p r �!3/►(
1 certify that I have authorizedI
4ge�a�C;rp�tr3cto�
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed devciopment-
at my property located at l�{�/ ?"� ,
in C49�P£l-" County f 4 G lJ c,-
1 furthermore certify t/)et 1 8trr suthorizecf to yrarrt, arid ciu in tact c rant p« f4
Division of Coastal Management staff, the Local Pemlrt Officer and their agents to enter
on the aforementioned lands in connection witlr evaluating information related to this
Permit applicalion,
Prop/ er In f rmatiow-
St naturc
i ff
�Q t`f1 A ire
Print or Type Name
Zr
Date
This certification is valid through 7 "31 J _
N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
E Y
(Top portion to be completed by cywnor or"if agert,-
Name of Pmperty owner, C*LA*ms
Addr"s of ftperty, I_10'I ST— Aj
Mailing Addr"s of Ow or: 21('0 C-+4u e4Wiu.-Ab,
owrw's email. 262 ,q4M 2,51%.
ow!-*r S
Agent'&Narne, A--; L-%::y( 61170o6=:� 217,
Ar,,,�,,t phoopt._7 12 4.44
Agent's Ernad. pft --e^4 q
ADJACENT RIPARIAN PROPERI'v OWNER'S CIERTI]PICATION
(a0.ftM9grfiOfl-W_kj-9ornPleted by ft AdLacs mZcM!U,0wn*r',
I he"W1 certiN that I own property 8djawl to ttl ut.c#t r_rtea pfoporiy Ti*iriftidual applyirS lot*tis
per-nit has deacribed !0 MW as shown on the atQz:hwj ctrawng. *.he deJecptnent May are proposing 6
Lion or S drawt r der. ntiic %; ;r- �Z
.riws,b �-p ins le"r
----
100 NOT have objeofims to this pmoosei, Coo hAve otiactors to tries propose:
it you hAwt OVOC60fis to wh-8i i's being Pnilposed, yols mt"Atsfh- —51* NZ,"—0fV*6P;a COO/
Hanapmem(DCU)in writing WIMA,10 days of receipt of this notilro. corr"Poncion"show be
makod1*400 Cpnnlmawc*Ay@.,44orahead City,NC 21t557.DCU reprUeMatrveis can afs*be eonocW
,2t(M)80&280. No response is corsidered the same as no o4femn if you have been notIfIed by
Cortiffed Omit
WAIVER$FCTiON
I undenstand that any proposed pier,dock. mowing pilings,boat r3rnp. �reakwatjir. boathovSo,k-,t,er
greitri must K00 2W.back 2 Minimum distance of 15'from my area of riparan access U.'llem Wtived bY Tt
(Mis does not apply to bulkheads or rip(ap revetments). (if you wish to waive the srwtbjjck, you must sign
I*OPMpriate black 6elft',3
f 00 With t0'&RMVV sorneiall of the 15'setback
-OR. S"ture of Ad*ent R44vian Prupporty(�;Awi—ie I
ro--4W I do nOt wish to waive flat 15'setback m4uiremao(0itial the b4ift1k)
IS!gMaturo of Adjacent RI ean R-Operty owr4e�-14-,''
Typedi"inted name of ARPO-.7,DW---j,ek k),�.I�;i
Mailing Address of AFtipp: 1100 9- VA2L� Nt,
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0 0j—AV1A--W'\kX01W`Vi
ARPas eiva rst-z itiro oWlig- —015 Phone#.
Deter: 0-_r-2 9% _'WS**r I$valid for up to wio year from ARPO's SliPature*
Revised July 2021
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N.C. ptY=N OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CiSliElEgMAIL. RN Or HAND MUM
(Top portion to be completed spy ownet or their agent)
Name of Propery Owner: Ait. � .�tt�n�,t �j.3 . CA-l-Av% aS
A dresSi Of
MaMng Addrsrss of owner' 21 CAU e=oHLL-Q:� 6 V—LACowne
r's;en*1 Ph_ t 'r',S
refs r+DW; —q _ � ' ,t xK- Agent PhO G•�t G _
7�pt-e t 1�1*t ,+.e .,.. #Mc+t tK
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
n to b*c Ran~.?Y_ A Prop ttv er
0 tweby ccerdigr that 1 own vop"adotcant to the aocve ret"roel property The tndtviduar appqinq Eris this
por it has described to me ms shown on the attached drawing. the deve etnt they We pmposimg
�r�r, t r dr ra�wrn�' av�.�+"res�itsraa,rr'tc�$t.l�t_�t��' anth tlt�;Witter.
oc�No f %atvet oblectors to this propo; ; _ 100 havt tbtec Cns to MIS fir . % t
Iryou have Ri;� t'iorrs to what Is t elrtg p d, yourust notr y ire N.C. 17ivisiorr oC Co.7stai
Mara nt(DCM)in writing within 10 deys of receipt of this notice. Coffespondww*should Ata
rnatiod to 400 Commarce Ave.,Morohe3d City,NC 28S57.DCM reprownttrtrvea can also be tor,
at(ZS )sat-2 US.So resporme is considered the a;no 04ection if you have b~notified by
Cartirled 11110.
WANVER SECTION
unearstand that any pr000s ed pier. : k,nxoort V oil: . mat ramp txaakwaler bow� sse. d
Qrorr must t3@ serf a mtr mum da#W106 of 1 S'from my ayes of rspw.ian accass txrtass warvoo by rise
{ttrrs does riot amity to bulkri9aidS Or nOW reweb-tents) trf You*isr tO waive Inn setter fou MM up
the appropriate warsk tviow
100 wish to wave st9rrWall of itse is wt)eck
narura Gf ACi�g�4raE #p�ri�rr.fit t�tMrS�''
-OR
I do rot wish to waive the 16 Setback MQUIfement 031111184 the b kj
+'*40p Sigtsa%r'e o`Adjacent R pwiAn PIOPertf
TVW/Printed name of ARPO: '"L^eL-
Mailing Address of PO! � �"°I!� r.�i.�r� � 11r)t _ �-�
ARPO's c54
ii� Cam. ARPO s PhoneM;
Dater. � wavier as valid for up to cans year from ARPO S Sign*u t'
Pevise!d July 202!