HomeMy WebLinkAboutLevert, Richere 76617CAMA / ❑ DREDGE & FILL O
N. 76617 A B C D
NERAL PERMIT Previous permit #
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit Issued ///
As authorized by the State of North Carolina, Department of Environmental Quality U / U
and the Coastal Resources mmissi n In an ar of environmental concern pursuant to 15A NCAC(((J��� 111000
/� Rules/p'ttached.
Applicant Name 1 C,�`'Ci`.'V'P ProjectLocation: County ( C'1YTP✓t+%
Phone #
Authorized Agent
r
Affected DCW r"" 'TA DES ❑PTS
A
Affecte DOEA DHHF OIH OUBA ON/A
O ME:
ORW: yes no PNA
Type of Project/ Activity _
Pier (dock) length
Fixed Pladorm(s) J(
Pla
Floating er(dm{3-1'-'eft'—'
Finger piers))7
Groin length
number
Bulkhead/ Rlprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
athouce/ tijft
Beach Bulldozing(
Other
Shoreline Length 1 I
SAy: not sure yes
Moratorium: Na yes
Photos: yes
Walver Attached: yes
Street Address/ State Road/ Lot #(s)
/ C7
Subdivision
City �$ ZIP
Phone # (_) River its t
Adj. Wtr. Body %`�C l' i" nat an unkn
Closest Mal. Wtr. Body'~
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A building permit may be required by: _
( Note Local Planning Jurisdiction) f
Notes/special Conditions l
L nS�yoher
❑ See note on back regarding River Basin rules.
Check# IssuingDate
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AMA / ❑ DREDGE & FILL N9 76617 A B CD
NERAL PERMIT Previous permit#w ❑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 mmissi n in an are of environmental concern pursuant to 15A NCAC PPPJhed. (,9
Rulesjp'tt�ached.
Applicant Name G�'� C %'UP Project Location: County Ct%
Phone #
Authorized Agent
r
P ;Z
Affected ❑ CAN �;EW`rA ❑ ES ❑ PTS
AEC(s): ❑ oEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes Ino ) PNA
Type of Project/ Activity _
Pier (dock) lengtl
Fixed Platform(s)
Floating Platform
Finger pier(s) f
Groin length _
number
Bulkhead/ Riprap length
avg distance offshore I� _
max distance offshore
Basin, channel —
i Ali I
cubic yards
Boat ramp ` J19
athouse/�oatlj(t — t 1 -
�� X 1
i
Beach Bulldozing
Other
Shoreline Length
SAV: not s�re yes n
Moratorium: yes n
Photos: yes no/
Waiver Attached: yes no
A building permit may be required by: G i''4 +,Y
( Note Local Planning jurisdiction)
Notes/ Special Conditions "/� C t Zia
Agent or Applicant Printed Name
VePlease read compliance statement on backs)))fI 'C'heckckk###
Street Address/ State Road/ Lot #(s)
Subdivision
City � r� ZIP
Phone # O River Basin t M
Adj. Wtr. Body nat an unkn
Closest Maj. Wtr. Body G+A/�
Issuing Date
e r j-
❑ See note on back regarding River Basin rules.
O "2
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 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
❑ Other:
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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-888-4RCOAST
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 LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: -'R" wife 1 Beyer +
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
1)
S
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at l
in /e 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.
Print or Type Name
Title
5 ! S ! a0--20
Date
This certification is valid through S I
NC
CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: 21ACIk ..._
Address of Property:
(Lot or Street #, Street or Road, City & County)
Agent's Name#: L.ArtMailing Address: �Slcrvic� ��
Agent's phone #: --�a
6
to C
I hereby certify that I own property 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. A description or drawing with dimensions must be Provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what Is being proposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact Information for DCM offices is
available at http://www.nccoastalrnanagement.net/web/cm/staff-tistinu orby calling 1-888.4RCOAST.
.-
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
(Props wri&1natIon)
U
i naha•
Print or Type Name
Date —
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
CN
Telephone Number/Email Address
(Revised Aug. 2014)
CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
(Lot o� Street #,"ttreet or Road, City 8 Cou nty)
Agent's Name MOn I Mailing Address: qyi"
Agent's phone #: � � �t ) I�p�« `, ��i C-
I hereby certify that I own property 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. A description or drawing, with dimensions must be Provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices Is
available at/rttp://www,nccq,�st In nar�uent.net/tveb/crn/staff-tistingorbycalNngI-888-4RCOAST.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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) (Riparian Property Owner Information)
Signature
1- �e r�
Print or Type Name
�Q- ll 91�
Dnte
Signature
Print or Type Name
Mailing Address
City/State Zip
MA r I.Csrr1,
Telephone Number I EEmail Address
Vale
(Revised Aug. 2014)
postal
CERTIFIED MAIL" RECEIPT
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