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Home My WebLink About77204_Melissa B. Lloyd_20200901 ICAMA/ Z DREDGE & FILL KS & 41 GENERAL PERMIT z.0*�3 / N -O 77204pA C D Previous permit# :;„� >Z ❑New CModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ,,l// 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 I 5A NCAC G /4 //00 f 2 - ❑Rules attached. Applicant Name A7/ i - �`. �� Project Location: County ��. ( - 7( Address -> ✓ Al'!, i 11,rot L. -L. c Street Address/State Road/Lot#(s) " %/ .,,-/I /r City IVA-I f 7/., / State .f/C ZIP % /f'`d%/ ` /. U/,i -%G. Phone#(.`.?// ) //J E-Mail /1/.-0)";0i ('- /•, w Subdivision ,ai/ Authorized Agent -��. /� .f City l r dc t e l, ZIP 7f/6 ❑CW CAW &PTA ErES COTS Phone# ( ) _ 7 River Basin 7 r //;'?A- Affected ❑OEA ❑HHF 0 IH 0 UBA ❑N/A ,� AEC(s): Adj.Wtr. Body 0 u, J . f ' • `C at;Arlan /unkn) ❑ PWS: ,' G ;ir. ORW: yes /6) PNA yes /62) Closest Maj.Wtr. Body Type of Project/Activity !/i ,/„ / „ r'✓L. (Scale: V 7, , ) Pier(dock)length Fixed Platform(s) { Floating Platform(s) i i Finger pier(s) ----.._.._. Groin length , it d / 1 ul f I number d ,.. ff _ _..... I Bulkhead/fti pray length 2 / � —� ,_ avg distance offshore /4. I 1 1 II I l max distance offshore /U i I I i UI I 1 . i 1 ( I Basin,channel / cubic yards Boat ramp iiii _ l I I , Boathouse/Boatlift �. . E...... i 7f'2l e,,;e fV rili Beach Bulldozing ----- �` '4 Other .;,_..-1 G 4 t u v 4s✓ .t r c r�etc ice} i i III I — Shoreline Length Ala/lii iiii Li ' III i SAV: not sure yes G-, I bit;r! --__._..._ ..__ ill III _._.._..._"_.v Xri4 .— r� Moratorium: n/a yes no I Photos: ,yes no �.. .. . : I -II Waiver Attached: yes no 1 t i A building permit may be required by: /_,;. -.. 4 j See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) / Notes/Special Conditions LL/1,o•,t / .cI`.i l�r e t''!i/ ce l7 K 4,,.., • • . l :-/!,/:., e,,.,../-r ,..,.r,t,/ ,7 / , Aid .1114 I V ✓o( �Z �J�, SGL!a,e I J f7` `�i Agent Applicant P anted Nam,, Permit r.)Printed Name . , Signature **f Ise read compliance s tement on back of permit** Signature ft /0 - _39-0.,2 / H,/ —26 / J ;1Ga..? / Application Fee(s) Check# IssuingDate Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific 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 I)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 or certified mail return receipt has been obtained from the adjacent riparian landowner(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: Tar-Pamlico River Basin Buffer Rules Other: 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. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office(910-796-7215)for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 252-946-648 I Fax: 252-247-3330 Fax: 252-948-0478 (Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 , CAMA / DREDGE & FR.L T A,k�/5� 4` } �/Xli� I N Z 9r A B C D GENERAL PERMIT Previous permit# New Modification ❑Complete Reissue -..Partial Reissue Date previous permit issued 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. Applicant Name 1 /- i Project Location: County . Address c Street Address/State Road/Lot#(s) City r State _ZIP Phone # ( ) E-Mail - Subdivision Authorized Agent City ZIP • Affected ElCW JEW RPTA 0ES OPTS Phone# ( ) River Basin /7 AEC(s): ElOEA ❑HHF El IH 0 UBA ❑WA Adj.Wtr. Body- _ (nat /man /unkn) ❑ PWS: ORW: yes / no PNA yes / no Closest Maj.Wtr. Body Type of Project/Activity (Scale: /jj 1 . ) Pier(dock)length / I Iii HI l • Fixed Platform(s) / I i i ; i 11 ! 1 Floating Platform(s) I I Finger pier(s) ■■ 1 ■ ; i Groin length f L (u! �' number • ■ ;_. t �. . I , Bulkhead/Riprap length -' `! iiiii __.-._ -—t H 1 1 avg distance offshore I _ i max distance offshore .4.- i Basin,channel } cubic yards 1 ' i I I liii I III t Boat ram Boathouse/Boatlift li-- ■ ■1= I , Beach Bulldozing Other IIII■ 11F I . - c.. i�• ' ! } r 1 . Shoreline Length I I I ( � +' f SAV: not sure yes no .. l ' 1 i Moratorium: n/a yes no . I I ■ ■■■ I i ■■ i ■ 1 r Photos: yes no j_.._.1 ■ RIM ■ tom— I i Waiver Attached: yes no I I I I iill I ' I A building permit may be required by: c 0 KSee note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions ,'( 1 /,c: , / I. / < - / / Agent grtApplicant Printed Nam i PermitOfficer's Printed Name >'� r• , . ' )7 Signature **Please read compliance st1tement on back of permit** Signature Application Fee(s) Check# Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific 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 I)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 or certified mail return receipt has been obtained from the adjacent riparian landowner(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: Tar-Pamlico River Basin Buffer Rules Other: 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. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office(9 I 0-796-72 15)for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 252-946-648 I Fax: 252-247-3330 Fax: 252-948-0478 (Serves:Carteret,Craven,Onslow- (Serves:Beaufort, Bertie,Hertford,Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-390 I Fax: 910-395-3964 Fax: 252-264-3723 (Serves:Brunswick,New Hanover, (Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates,Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 1 e it55/ _1 1C1r) Mailing Address: � ?o q /',cc fv L ARe / LDa k€. I; e-q- fi C 2 7-5 7 Phone Number: Email Address: //LLC) /, ) 31 t q (3 Ck 0! com I certify that ! have authorized "- �Je g.o} .fie l i._ : �- Agent/Contractor 1 to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: f) Je,,.j I SAM ear QA)P ,CDt)4 (Ad.v1)AI_(1T it)c /. milkAi"4/1 at my property located at,5,2 I C4- p&// Lid le!/v ie1.1 /t l in jecxorf County. 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 permi t t application. Property Owner Information: i)rti-, Signature --- 111e 1►SS 6 .. L1 Cj i 0 Print or Type Namel tnu, er. Title / D / A:: Date This certification is valid through / / ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Pie ,L 5/kipp Lk)ta,, 's � (Name of Property Ownefr) property located at `3.2.( L_Li;'v' 7�E'_11 [r,) PLIM14) (Address, Lot, lock, Roa , etc.)on &der , in ,fieril1-c &Lgiiiii ' , N.C. J (Waterbody) (City/Town and/or�ounty) The applicant has described to me, as shown below, the development proposed at the above location.. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) -- 'e.picidi6// ,4leAj f 54 Cxts'ttnic roc_-', locattfah A) c'e*: 6tt.J li kec.cA c ti e_i e r e i0 1 en iAtt-�5 heap _ �e w ex is • x x WAIVER SECTION I understand that a 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. (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 Property Owner Information) 'i4Anature • Signature I1eltScit 1 i.4tcp L!d% 1J _ 1'. ;?7, .F' Print or Typ ,IVame iy� , Print or Type Name �ta�/r Add s Mailing Address 6:1c, city/State/Zip City/State/Zip Telep one Number/email address Telephone Number/email address Date Date* (Revised Aug. 2014) 'Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to i1 I i S�,4 •//t5` c i_folio 's property located at �7-2 C(�ty( be/( LA) (Name of Proterty Ow der) Q (Address, Lot, 7ck, Road, etc on ,fikv0(L9 I Lrfer , in l L2,::,�2,r-I- MIL} , N.C. 11 (Waterbody) (City/Town and/or Co i nty) The appi' nt has described to me, as shown below, the development proposed at the above locati I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) ke ,p \.e-,0151,vykr_,1:'k af 42,r1s/P,d$ rock 13L,Ik j , c, j4.-r Lie-t-t 0 A) oT f C-j b t,(P, kf'Cki �) L t+ite r �� e...0 0 cC ex 1.5110S bL`ffR kec1.O Alta tx ts4,,d5 x WAIVER SECTION I understand that a 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. (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 Property wner 19for ation) Si nature F ` rgnature* '-' �--l 1t(i Y t 15 sky() L (O c/y? :1c"fi/ (7.. A:( `)_1!/'1.; Print or Type Name �1 ` Print or Type Name t Q M_t`cii, Z"�t41e Lin) • - c7.,,ftiii/-'j /:27 i.'11,-'l Ma�linq Address� Mailing`Address L,i die Fore 5 f hl fL 17- f 7 , ! mac/r/�/t �'��' _�1.�`(' r ��'�•; Cd /St te/Z, City/State/Zip % � 4i`l =117-Lr17/( _..5. -- ei `li �'..� i ' t- /!':;.,. c Telephone Number/email address f J1 C,. �— Telephone Number/email address `Date — Dnte (Revised Aug. 2014) `Valid for one calendar year after signature* NC Division of C.oastai Mgt. Habitat Impact Computer Sheet Applicant: �G 1 itlst J, L 1 ox J Date: J 5p 02 .)_ General Permit ft: 77,20 Y 5 Describe below the HABITAT disturbances for the application. Ali values should match tie :tonne,and units of measurement found in your Habitat code sheet TOTAL Sq.Ft ANAL Sq. Ft. ; TOTAL Feet ANAL Feet (Applied for. (Anticipatedfiaal i (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance Disturbance disturbance. Habitat flame includes any Excludes In totai includes Excludes any Choose One anticipated restoration any anticipated restoration and/or • restoration or and/or iemp restoration or temp impact temp impacts) impact am cup[) I temp impacts) amount) Dredge 0 Fill Bath El Other ❑ SI ovc I.h c Dredge❑ Fill Vieth ❑ Other ❑ I a.Z (1 '2 y Dredge 0 Fill❑ Both ❑ Other ❑ ! . Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both El Other ❑ I Dredge❑ Fill El Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ . i Dredge El Fill❑ Both El Other ❑ Dredge El Fill❑ Both El Other ❑ Dredge❑ Fill El Both ❑ Other El IIIIIIIIIIIIIIIIIIIIIII I Dredge❑ Fill❑ Both ❑ Other El Dredge 0 Fill❑ Both El Other ❑ IIIIIIIIIIIIIIIIII i i i Dredge❑ Fill❑ Both El Other ❑ 1 Dredge❑ Fill El Both 0 Other 0