HomeMy WebLinkAbout91284C - Wagaman ,3&di(OM41&OCAMA ❑ DREDGE & FILL N9 91284 A B C D
t = 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 ❑PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length _.
Pier(dock)length 1 H
I
Fixed Platform(s) f
Floating Platform(s)
Finger pier(s) i
i _ .:.# _ .
Total Platform area i
Groin length/#
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards F
_... _
I
Boat ramp I T. _ �. - - i -
Boathouse/Boatlift q �-
Beach Bulldozing
Other i
I
.,
SAV observed: yes no ,
Moratorium: n/a yes no --+FF
Site Photos: yes no
Riparian Waiver Attached: yes no i I
A building permit/zoning permit may be required by: ` ~
Permit Conditions ❑TAR/PAM/NEUSE/BUFFER(circle one)
1 ❑ See note on back regarding River Basin rules
e �Z ❑ 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.
ApIgicadon Fee(s) Check#/Money Order Isswng 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 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
�1*qit°"r41NEICAMA ❑ DREDGE & FILL N9 91284 A B C D
GENERAL PERMIT Previous p
Date previousious 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 -- 1.....
' r
Pier(dock)length
Fixed Platform(s)
j
Floating Platform(s) i I.
m 7 4,
Finger pier(s)
Total Platform area I 4 r
Groin length/#
Bulkhead/Riprap length '
{
Avg distance offshore _.. ._... ._. _ _ ... _
Breakwater/Sill '
1INN
Max distance/length
Basin,channel
Cubic yards _.._ __ __ ..___ __ ._ a..... -
Boat ramp
tt
Boathouse/Boatlift
Beach Bulldozing
Other
--
l 6
SAV observed: yes no
Moratorium: n/a yes no '
Site Photos: yes no
i
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
ElSee note on back regarding River Basin rules
See additional notes/conditions on back
1 t,ya�
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
t
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:
1-1 Tar- Pamlico River Basin Buffer Rules 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. DnASION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent}
Name of Property Owner ZDEE.04-14
Address of Property 15o:Z :5AS1,4, polpirr- A4DOC-4*� C(T"V
Mailing Address of Owner i5co V4jgu-, PiloWA itire MoPrriMb C-Irrti
10K
Owners email:Am Wq(44�A - P►�onedt !245;z -745 LIS
Agent's Name, t+;k szoo I<_5 Agent Phones: Z4F',e7,Aq t's Email. Ort
on
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
ottom portion to be completedAy th4t Adimid Prooefty Ownef-)
hereby certify that I own prop"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. 6
d"r,riotion or drawing, with di"nsions, must be provided with this letter
DO
100 NOT have oblections to this proposal. _--,.—
I have obiections to this prope",
ff you haw objections to what is being proposed• you most rmilfy the N.C. Division Of Coastal
Managanwit(DCM) in writing within 10 days of receipt of this 006CO. Correspondence should be
m~t*4W Commerce Ave.,Morehead Ctly,NC 28557.OW r4W*WnftdV#S can also be contacted
at f252)80&2808. No response is considered the same as no objoctfoin If you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings. boat ramp. breakwater, boathouse, i1ft. Or
9min must be set back 8 minimum distance of I 5'from my area of npanar. access unless waived by me
(ft does not apply to bulkheads or riprap revetments). (11,you w,,sm to waive the setback, you must sign
the appropriate blank below.)
100 wish to waive sorneall of the 1 5'setback
Sqnature of Adjacent Rlpo9rian Property Owner
-OR-
I do not wish to waive the I 5'setback requirement{initial the blank] U
signature of Adjacent Riparian Property Owner
V
Typed/Printed name of ARPO: d �V
ft ea
ARPO:
Mailing Add, of
Ix /-/ C61P1 ARPO'sPho rid*-ARPO's email:idAilrVrXi�Q ivq
I
per; *waiver is valid for up to one year from ARPO's Signature*
Revised July 202
AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property owner Request+n3 Perms,
D�A�' iM'r!-G�ir�t rf-ti1
Mad np Address
Ptmre Nurnt#r: �.�,� `7 2'3 17 3
1 ceRdy that l have authorized
to dot on my bet"alf fof the purp of appivmg fur and of laimEng all LAMA permits
rjecessary fnr she following proposed deveicoment
a:
a ro f: �s 2 5N-rtt.. Pc'� W` G�'
t m 1i4-y 4' tTtf
v Aa p� � !oc3te
County.
t furfhormore certifu that 1 am authorized to grant, and do in fart grant ,trefn►ossron to
Division of Coastai Min.wpmeni staff the Local Permit Officer ancr their, :o tauter
pn the afo►ementioned %ends +n cnnnechorr :vrltt evaluating mtnrm3tior. related 'n ttris
Permit applic:att)n
Propatty Owner Inforn anon;
i� I�,J•-tee �i, .�,�ic
,fir► r�
err
-24 25;
This certiftcatron ,8 v81111 thrpug)'s
N.G. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Q--EBjT a M& J#,RETURN EC�,3PT �ST Q pr NANQ pFUV_�RY
(Top portion:o De Completed try owner or their agent)
Name of Property Owner D&+`J V1*6-*p"4A-?111 ,/�. f
Addreim of Property 5(:)z S AFu, po/.Ajm �!o2�tl C' ' 7
M*Hnn Address of Owner 5,00 SELL' PD l,ti lra
owner s ema11: t1 al' +G� v 4419Kcrs'-Pi3oraee�
Agent's NameSHL+E�( l�'Q4f�$ Agent Phone
Agent's IgM101 W1/
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
;bottom portion to be comcieted by the Adiac ant LPMej Owner
I hetoby ceirbfy"t t own property&"cent to the above reterencad property l he mdrvxdual applying for MIS
pernvt has describer:to me, as shown on the attached drawing.the developrnent they are prow.4n9 A
y. •;�+* dr�v.i wRh_d's_mrnslGn.f,mu51 be rqv_aded_w tit this letter
100 NOT have oble=ns to this proposal _._.. DO nave obese!o ft proposal.
f7— Nara fecoroes m what is Deing proposed. you must rlty the'fft5 dolt of Coaa3N
Mansgemont(DCM)In WNalrtg wlthln 10 days of receW of this rrotice. Corrsspondonca should be
matted to 400 Commerce Ave.,Atoraft"d Clgy MC 28557.DCM mpresontatiras can also bey c0f7t cmd
at(262)80&2808.No response is considered the same as no otyactfon if you have Garr notiriod by
CarNtted Malt
WAIVER SFCT10N
i un aefst"U)at any fx*pused pier.dock.mooting pihir gs,boa:ram, breakwater.boathouse_Rft,or
grain must be set Wk R minimum dMA'Iro of 45'from my area of riparian access unless wamid py me
(Lhts does mt apply to bukheads or nprap revouneinw.1.1f you rich to Waive the>e back,you mtrat t3isrn
the appropriate blank below;
DO wish to wave scmalai+of the 15'setback
Signature of Adjacent Hipertan Prouty Owner
-OR-
,--*p I do not MINK ID%,No"tdy qw)s k ngtarem lit(inf#a!1 Uhl tfgtnk� w.__.._.....___
i
Signature of AdoKwrt ItIparlan Property O�w-nyer__�.... _ ...
TypedMirintod name of ARPO- ,���/�L ♦�
r_"T, Mailing Addmvs of ARPO: j?mil f #f7l be /`���_rL C ;79�7
._._...�,. ARPO's emai{:_ � � G ARPO's Phone«: 25(„q—
6,AWd,
Dater rO ZZ Z -waiver Is valid for up to one year from ARPO's SignatuW
F?Awwd July 2021
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