HomeMy WebLinkAboutGoodson, Lori 77149CCAMA / DREDGE & FILL 77149 ✓
A 8 C,
GENERAL PERMIT Previous permit#
x'fdew Modification Complete Reissue Partial Reissue Date previous permrc issued —
As authorized by the State of North Carolina. Department of Enwronm vital Q„ d,ty,
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC (YZ AY 1 e"
/eRules atucled
Applicant Name (• ( GL 5[1 Project Location County On51C. 1,V
Address r1s�1,1lt Q�r RQ(,�( �/� Street Address State Road, Lot #,s}
Ciry Jti [ y state.l�L�_ ZIP aR
Phone # (� ' 8311_4e W E-Mail _ � Subdivtsron
Authorized Agent EM6f _Mott un f city ZIP
Affected .. CW A'EW rf-*TA Es PTS Phone # ( I River Basel � �' :�{
AEC(s): OEA . HHF --IN USA NSA Ad. W
ORW :ez �� PNA
Type of Project/ Activity
Pw dou.)length
Feed Phdo ,)_._ JS'�L fC i
Ftom�plaf"s),
G ° " �gth
rrattber
BWkhcad' Romp �M
a g dowiot pflrhpry
rim dmrke olEhore
Basin. chwnel
�c �-- —
Boa, ramp
sosti,c soawst
Beach
Shorekne 4engM.. - _�� ,
$AV riot sure yc -
ma yes
Photos yes
Warier Attached yes
m
A budding perit may be required by
Note Local Planning Jurisdiction)„ r
N�otesf Special Cortkiora-1►='-117. L"�y-t-'
\ i va fAn !i {�FlDPf=FJ
"P
F
1. tr- —Y_ __ t mar+ u,-4�
�/ 1 P
Closest Mai. Wtr Body : VC'W/ , t
dflck
See note on back regarding Riser Barr, cures..
/r C_ _ i1 .
Come it
on back offppermit •• '•Kj
Chrc4 ♦ 1 "'g use E -
kCAMA,' DREDGE &FILL
GENERAL PERMIT
)(New Modification Comptete Reis" Paroal Reissue Date Pre'Aous permit msued_—
Ai -Al*flzed by the Stare, of North Carotna, Department of Ermronmentat Qi,ai,y
" the Coutal Resources Commission in an area of eninrOnMentill concern pufluiirt w I SA NCAC
Applicant Name Lv', Proiect Loi:aoov Coi,irty
Addr7& LS
City z�' I T K�((' Q 4/ /1" Street Address State Roaa Lot
q�rr
State I VC Zip
Phone # E-Mat
Subdivision
/ Authonzed Agent (VI C# A-k- City Zip
Affected CW -'t'XW t-fTA >IS PTS pho" # r Ft'e' Bain,
AEC(s): OEA HHF - IH UBA NA
Adj. Wtr. Body Ow�wi f-
PINS
ORW yes 1,4?? Pt4A ses *;51 Closest Maj. Wtr Body
Type of Project? Actmty
% '-�HOr �
,V� Ani,ct*d te,
A tAsitding permit may be required by
Note Loa Filisnamg].0witit"
r, � -
Notes, Sped A
.— —
I �L
xr'7�
ct>r,*ame statement on bUk of pWIM
Olt,
{Scale:
Gr CCA51�0 ()
I At
Set 110" 0-1 back repraiin RNw Saw ,",
Jr— I r Ol
p"r,ttoffit"'t NWW A
;IVY/
S t
®^ .3 CAMA / ❑ DREDGE & FILL p) NO 77149 A B (V? D
GENERAL PERMIT Previous permit#
�161ew ❑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 07
/
1 Rules attached.
Applicant Name LOV411
p Project Location: County �%91Ow
Address A�_S� tM Tp'f ISO Street Address/ State Road/ Lot #(s)�
Phone #
Authorized Agent
Affected ❑ Cw `q EW -PTA kVS ElPTS
A
Affecte ❑ OEA ❑ HHF ❑ IH 1-1UBA El NIA
❑ PWS:
ORW: yes /6o� PNA yes /49
Type of Project/ Activity
er
Fixed Platform(s)
)
Fixed Plallorm(s) is
Floating Platform(s)
Finger piers)
Groin length '
number
Bulkhead/ Riprap length r
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
r
Beach Bull of g '
Other
Shoreline Length 10
SAV: not sure yes I
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction
Notes/ Special Conditions
fooc(- S on
or Applicant Printed Name
Signature ** Please read compliance statementon backof permit"
Fee(s)
Subdivision
City ZIP
Phone # (_) River Basin
Adj. Wtr. Body (qhn man unkn
Closest Maj. Wtr. Body Ak�e \
(Scale:
i Cc
❑ See note on back regarding River Basin rules.
t , I r- . O
g,4 Gmge-V
Permit Officer's
L/t %
5�lt�l�o
r
Is uing Cate Ex iratio 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 officerwhen 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 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 El 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-8884RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender 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: f G1'IIJL�G7
Mailing Address:
Phone Number:
Email Address:
I certify that 1 have authorized
Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: �)'� ��' Pier'
Dock and Ltic- e5
at my property located at 4A 6 (-an Phi of
in (D 1,1616 LQ 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
permit application.
Property Owner Information:
Signature11
Print or Type Name
�1 u i[ P r Title RECEIVED
% r -2 uac AUG 2 0 2020
Date
DCM-MHD CITE
This certification is valid through 1 1
-4;o- L
zci .44sn'Od vfl.l IT-!
_('4"i1,,,.,,;+., 'CI6
(lz
rl
�t INA
71,
ADJACENT RIPARIAN PROPERTY OWNER STATMENT
I hereby certify that I own property adjacent to �2r/ (S,,)6J,S-o r) 's
property located at
()VNme of Property Owner)
�� (`� [� � }') �p /h
on (Address, Lot, Block, Rpad,tettccc..)
In .5 )- r1ecla.
(Waterbody) (City/Town and/or(County) Is) r N.C.
The applicant has described to me, as shown below, the development proposed at the above
loca
� 1n 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)
WAIVE f{ 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
e. cu 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.
i�(Pr erty owner Information) (Adjacent Property Own Infor�)
�C�� �.
SiglJjatttire %� Qj Signature
/✓�J i-I IJULYC 50Y„-) Z
Pri t o T pe Name Print or Type Name
h,f.Y.�'.,_, ,�...• i .nJ YP
Vate
•Valid for one calendar year after signature*
q' 1 O l M(Revised Aug. 2014)
Co)�t�jer e
ADJACENT RIPARIAN PROPERTY OWNER STAJEMENT
i hereby certify that 1 own property adjacent to L,i rl CMG &J,5- L� s
/' /'ame of Property Owner)
property located at s7 f� XI
(Address, Lot, Block, R ad, et )
on e , in t5 n l (M f fxrw N.C.
(Waterbody) (Clty[Town andlor(County)
The applicant has described to me, as shown below, the development proposed at the above
to i
I have no objection to this proposal.
It
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
Ondlvldual proposing, development must tilt In description below or attach a site drawing)
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,)
do wish to waive the 15' setback requirement.
4t JQ� i do not wish to waive the 15' setback requirement.
Information)
try
Dare'
ant Property
'Valid fcr one calendar year after signature, (Revised Aug. 2014)