HomeMy WebLinkAboutAndrews, Georgei❑.CAMA ❑ DREDGE &FILLB,
,!GENERAL PERMIT Previous permit #
� I
5 .,Nevv ❑Modification ❑ Complete Reissue ElPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality �r a' ^ z
P I_ .... . q_ ,4
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Y E �`' ' ; 7 y� r'
j 0 Rules attached.
Applicant Name p Project Location: County =�
Address J-
. s Street Address/ State Road/ Lot #(s)
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.'-Y' z,r %"t. ':ti `� t, f j. State �. ± ZIP
Phone # �k., F�_ L 1w .�. p..
( r'4, t� E-,Mail Subdivision
.aT ~y
-71
f Authorized Agent
Ci t F zip
» ty
•yr
r' 'r�. �'•- � � 1 River Basin,"
t`xCW x EW PTA, ❑ ES ❑ PTS Phone #
Affected
C ❑ OEA ❑HHF ❑41H ❑ UBA ❑ N/A
E n 'f 4 •It` r •
AEC(s) Adj. Wtr. Body 5 " `
k. � _� 'ff�.! �• 77 nat /man /unkn) .�
❑ PWS•
Closest Ma'. Win Body
ORW: yes / ono 3 PNA yes / no 1 Y
iY•
T e of Project/ Activity -
•
•
..� �: K y i•i e ` r._ �( 7 1- r: f } .:r - yS ��, Scale• I .,. i+...,� - •�
p _ ,4 L,' 4,• !StaY4 w:. q �: ii 1 ��4�.n: �Yq.4Y1d}, 4 E hn..c11 ,;' •
4.. "r r*.X�4 r r •r-M„'�ii� 'ii �
P` J XI
. ............ .....
Pier (dock) length �» - F iz
:.
' j. of
3j [
Fixed Platform(s)
: ` ,. e-o• .�• r ,r. r.x7;•rxt rRY'i `"7 %
Floatin Platforms �._Y _. , .n+ I`=` ` r�. 3.<. �t :g.i;,. f
Floating Platforms) i _ =
.o.......... ........... .r... i.•:••.•• �•i... ... K �' ..:yK; - ..i:............ .. .... ......:b:..........w.---.- ... ....d............b............a ...... ... ` . i
!. i}} Finger ier s •-•-••-w.... r, . ..W:.,,.......6
r ,..................................4....................'.F.,... •
....�...ir ... ...... ..it ......... ...... ....... .......
.............................
_ ....... —. ............ ......yb... ...b...
...........:.............:.............
........... o............ a............ a.... ...... ...K .......................................... ...............
Groin length i r ��m :: a x�,>x}9r4:i M.�. a:..x 4:7:eF
fiI•s � f )r({), t :
.:a[
...y... ... ��... ...... ...... .... ...... ....................
....................i[ .......••t•::
....•' ..b... ... ..0......... ..o{.. ' ......4..•number .................. ......... o......... ...... t ...... ..... ... ....Y x .. ....... .....
Bulkhead/ Ri ra len h
,
t'
— --------------- --------
ayg distance offshore,.::.
t. i---•..••..?......... t'k,'I: { 'r' {,` i�5 tf^.ex .,r'e ..... ir..-.,-^ l•^.^--'• 1, 3 _1 Q s .t
max distance offshore
...a.mro,trn t -J ;. 1 ":u t r 's r '• { • A 1' ro ;j
�. Basin channel' a f t v
(R y. ,i,; t'�! l 1 o >; �. Y 7.� •��' x ! ,.� d.�r'� i
f,' ` �?
• r i
cubic yards n� i s
3{ �,
."�"12:.:,'M1:A :•RCr b%til�'SF-'�17r _ J
Boat ramp r 3 n 33 �r
Cf f» i 3 r i t n i a S 9 �° A
i
I33
_ tt........................................................................................................:...............>,...........................,: °........... J.
q : o.......... e............o........................o............. ............. ......
F................................. _i .. it is
Boathouse/ Boatlift ,y. .. , r
•F' - ................... ...... - ......
• ....,b... ..b...
.. ....... ... ..r ::.....:....:::.....
_ .9r .... ...... ...... ..... .. .... J
............
f•
i - 1'
.Vt 1
k 3 i
j :"' ^ ....... ....... ...... .... ..... ..... ...... ........b...........b......
... ,t \ ' i E •, a... ...
Beach Bulldozing
1 Fw
1' Other-------------
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t}
j " L� }• � t �i��'. ..,,� aij} :+'`•' �4'»; i.'i`it. �17'
. i
Shoreline Length
SAV: �; yes no........................o................................ ....... ....... .... ....... ..:. ...... ............. not sure "
wt,>• +`` ? .... ....... .... ' ........ ................. ....... ....... ........................... ...........................
t
�..;. y............b............b.................... ...... IS
Moratorium: n/a es no,",,- ', ; : j
Y
T
',�i•.:}'' : ................ ...... ...... .. ....... .....
Photos: es ''ono a
3
Y.. E
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction) r
t
Notes/ Special Conditions
t k
t .
Permit'Officer's Printed Name
Signature
,� < p � T . • ,, • +t
•k. 1 7 �` 1•.. ai- i 1 � J
Issuing Date 1� fa Expiration Date
a� 33
.........a...................:.ab.......r�:b.....:.:..b,.,.:.......a....... ......
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❑ See note on back regarding River Basin rules.
r. . •rt.
7 ).
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Properly Owner Requesting Permit: I�r�,
Mailing Address:
2-561
Phone Number: � � � � � � 0//
Email Address:
I certify that I have authorized
Agent /Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: t � 5��� �c��-t• �"�
at mYproperty located at
in County.
I furthermore certify that 1 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:
Signature
sue-;
rint or Type Name
Title
Zc) z e
RECEIVED
Date
This certification is valid through _�l � � I ZJ � �
CERTIFIED MAIL, r RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT -RIPARIAN PROPERTY OWN Cia-NO1'IFlCAT'ION/VVA.IVER- FORM
Name of Property Owner: Ay,&-&-��
Address of Property: � '�� ���'Q ����i°._ C':(Lot orStreet #, Street or Road, City &County)
l�a�l�n
�, .: � .. d Tess:
Agent s blame * �� g Ad
'phone
Ag ents #. 0_11
I hereby certify that. I own property adjacent to the above referenced property. The individ u.al
. Y y
applying
lyin for this permit has described to me as shown. on the attached drawing.��the development
i-4 � ♦r. ,.� rrl 4N1ii.."t chTJ. F..it4`y�'iji+ 7ll�J'^�l �•�"t ''r�� ��.s!.7'�7
they e proposing.RUE
�>:..l:r,yc+\n�tc�tirr(jy-.t"^fi�•�-a�oM..r..�..!n*'fil��C, 1••s«�s��+/+I�Le9r�':�a��h,��bd��r �:�r4�.+ru4--niSvrl�ti:,��ht� r1{c�-���41r+�ltkr�`��4=1•��j1tP'. i.i:�?•t/omiN��i�°e%a� •�(�►c:aa'�..._+�r. �'v�t�"lsw:a-��a c.'al-;uc,���s`;a'i;fb�is b•!��,.r•�.�,'r'l:!a''r''�!�Ft`Y �.-'.at.a. l �:e6'vd�^ i r�J •ru..J • •r. �•n1� f` .,��.=i �\'.`..: l��e��'t en?r
-
.. .
have no objections. to this proposal. I have objections to this proposal.
If you have objections to what fs being proposed, you must notifythe �i�r`sion of Coastal Management
(DCM) In writing within 10 days of recei t of this notice. Correspondence should be mailed to 400
Commerce Aire,, Morehead City, NC 28557r ,DCM representatives can also be contacted of 252) 80$-
2808. No res onse is considered the same as no ob `action if ou hayd been notified b Certi ied Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 1 5' from my area. of riparian access unless waived by me. (if you
wish t waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 1 5' setback requirement,
do not wish to waive the 15` setback requirement.
{Property owner.l t rrnation} �; cent Pr ert owner lntormati }
� o {
0-&,9,c4ce 4-j
Print or ype Name
� �0 !+P-0f Fv te.
Mailing Address
AJ
City/State/Zip
Telephone Number
pebt I I 2,e)
Date
Signature
H
Print or Type Marne
Mailing Address
City/State2ip
Telephone Number 0 ).,CRECEIVED
2-
Date �O �(�
Revised 91��2
DCM=MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name Of Property Owner)
property located at
(Address, Lot, Block., Road etc.)
on
N.C.
in
(waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location
-' I have no objection to this proposal.
I haya-Q4j
-e-cli-o-n-s-0-tW-s-
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individ0al proposing development mist fill in description below. or attach a site drawing)
evc
L
us
WAIVER SECTION
I understand that a pier,.dock, mooring pilings, breakwater, boathouse, lift, or groin must be'set
ba'ck a minimum distance of 15' from my area of riparian access unless waived by me. (if you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Proper( OWE Information)
Si nature
Print or Type Name,--)
Mailing Aldress
NX,
Cif e IstqIt /Z10,
.
Telephone Number
za z'g'
Date
A- rLAJ,0,f-N'*-'
Signature
r Zi^ A
Print or Type Nam
Mailing Address
CitylS ta telZip
Telephone Number
?-,, III - L
Date %%--.CE1VED
(Revised 10A FT&z?Q 0
DCR9-MHD cRrP