HomeMy WebLinkAboutArnoult, Allison 77048CXCAPAA / O DREDGE & FILL N9 77048 A B OD
ENERAL PERMIT Previous permit #
ew ❑Mo❑Complete Reissue DPartlal Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality O
and the Coastal Resour Commission in ar�grea of nvironmental mn em pursuant to I SA NO' : s ��
Applicant me r r i _ Project Location: County _
Address _ Street Address/ State Road/ Lot #(s)
City ��� State ZIP v
Phone #dK C9 1 up- g-Mail
Authoraed Agent_
❑CW *W
*A
DES OPTS
Affected
❑OEA ❑HHF
❑IH
DUBA ❑PI/A
AEC(s):
❑ PWS:
ORW: yes / (o j PNA
ye��s--77/
Type of Project/Activity
Pier (dock) Irngdr---
`_
Fhred Pla ) --�
Floating Platform(s)
Finger pier(s) !"—'—"
Groin length
number
Bulkhead/ Rivap length '
avg distance offshore--
M. distance of shore =
But,, channel
Boat ramp .--�
Boathouse/ Beach=
Wl not sure yes no
Moraconum: n/a yes no f _
Photos: yp.. no A —
Waiver Attached: CY l.6 s r
A building permit may be required by:
( Note Local Planningjurisdiction)
Notes/ Special Conditions
Phone #
Adj. Wtr. Body
Closest Maj. Wtr. Body
on back
ZIP
I
i
to River Basin rules.
®XCAMA / ❑ DREDGE & FILL LV 9 77048 A B OD
,ENERAL PERMIT Previous permit#
ew ❑Modificatio, ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resour Commission inea of nvironmental con ern pursuant to I SA NCAC
cs attach d.
Applicant Name,411I Project Location: County
Address Street Address/ Road/ Lot #(s)
�City
Phone
Authorized Agent (-`r�1L
�C ),A,
City
J
ZIP.
OW
`+`EW
ITA
❑ES ❑PTS
Phone# ( fiver Basi
Affected
❑OF.A
AEC(s):
❑HHF
❑IH
❑UBA ❑N/A
Adj. Wtr. Body
—
❑ PWS:
ORW: yes / (0
PNA
yes /
Closest Mal. Wtr. Body
,�'i•�
gI_rpll\i1�_
M.
■■■
■■■�■■■■■■■■■■■■■■■■■
■E■■■■■MoOmmill
■■■■■■
momossom
■::aC�:C.�.�'
SEEMME
mn
OMMMOMMS
ON
110
MEt�
C
■..■
�■MENEM
■■■MEME■■N■■■
EEN
16
VA
11
E
ME
ME
ON
mom
MENEEMEN
ME
��■1��11i�!\.1
S:
NO
�i..J.lvwm
oomM�
■■■
■■■■■■■MIS
E
MEN
M1MJ�
v
��s+'
IN
■■■■■■■SEEN■■■■■■■■■■■N■■■■■■SEEM■
z� _.■■Ci...Ci■■■■■■■C■■.■■■.■■i■i■■■i■
- . .... NEB .■■■ BEEN .■■■ .SEES
1.1 ■ E■■■■■.i■■.C'�'� MEMO C■■■■lCsi■■■■■■l
■■■S ■■■■■ ■■■■M■ NEE■■■EEEEE
Agent or Applicant Printed Name
Sivaseread compliance statemento ackg(py�nj"'")
App ation Fee(s) Check#
ILI
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 [)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 ❑ 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
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, Berrie, 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:/Iportal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Al ll' > T A-f 0004
Mailing Address: � JO S. o�fV_eA
Ne �a� , NC Zg5r1 G
Phone Number: - L-W- a '
Email Address: C_:�0.-�00-1fl II (2-�_ C\fY1t6 1 , CUY)
I certify that I have authorized A:'7_
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: F_ Z.024
at my property located at ISO S Le Wi5 t�eqjZC4 NC Z00
in C.C10(WV\- 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 Infor tion: p�
Signature
{�11\iSC�(1 NCO caul
Print or Type Name
C WY e_(
Title
PC).)o
Date
RECEIV P.D
This certification is valid through / / IAUG % 0 ZU, I
VCM-MHD CITY
W
h
L
0
2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �1 � � PmAn tat Is
Property located at 15O
(Name of Property Owner)
�,L.e Wks C��Cee�
(Address, Lot, Block, Road, etc.)
on �CGJ�c�Cl1 , in N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc
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)
7 L
':Ll3
O 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)
Cb'L'C� A AA-
(Adjacent Property Owner Information)
,gnarr,�e
�r1 �,�ActR►�
Print orTvoe'Nama
Telephone NUmber/ema address
-7/7--71 2-b
'Valid for one calendar year after signature' (Revised Aug. 2014)
CA+vl
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
of Property
(Address, Lot, Block, Rod, etc.)
on in WAS
(Waterbody) N.C. Z Q
( Ity/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to n.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development mast fill In descriptionbelow 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 u wish to waive the setback, you must initial the appropriate blank below.)
7KI do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner
/1Hf_p\lrmation�) A (Adjacent Property /Ol1pw�(ner Information)
Name
LN
il-wm
r erepnone Number/ email address
�(T 8J a)w
Dare
*Valid for one calendar year after signature*
Date*
S
/email add sr6 s
(Revised Aug. 2014)
d�
t %L
C O
K
C/ t
G
Q
r,a
I hereby certify that I own property adjacent to . ' LI � ✓A S A (y)\ ,eK_-s
1 Q �.\ (N m'e of Property Owner)
Property located at U_ S. LS C e iS roa
(Address, Lot, Blo k, Road, etc.)
on (Wa
ter dy in PAS JC'r N C N.C. C: iMo
Y) (City' own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
Ipration.
1 have no objection to this proposal.
_t 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)
cSY(cy
arcd nk
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.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(rroperry owner Information)
Cam, Cam„
Dare
0
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Ca
Signature
aarla.5 �ol�t;ky'� Kim i-6 Back
Print or Type Name
)TKI 3, LBLJ1,S cS-
M fling Address
AJ W02ry,
CitylStafelZip
319-920-363y/OhipboliL c�ga� 4Vm
Telephone Numberf email address
'? - 27 - �030
Date *
(Revised Aug. 2014)
Dock Live Load of 62.5 ibs/sgft
Low ProDlc Dock Live Load 30 lbs/sgll
i�
NOTICE! Read EZ Dock Limited Wommy artfully. Among other things, EZ Doek does riot warrknt danoga,
failure or defeeu muud by umudwrixd modificmim of FZ Dock Product, and/or unauthonmd amchm t w/of
EZ Doek Prodmi.
MADE IN
USP. 0;>
' General Notes:
1. ibiatrawhadoum rtdm nappa{. Ome wmdnr mFarwuw@
—Vb PngeeJ aequn F. mnxviy wm am Eenam waGiriors
u raJwl, uclonntl ^wY M Jeoilel.
3. Nae:lludc Eerk owarlepnrora mlwarLi4tY rouamaie aedeomply
.Jr.n.rvl:.sle raarJ, srae..ea sra mr...,.uie.,a. and
aeaeel.so.x u.cnuen mao�m.a 'mes melienai.c rcm�rnenu
pmaini� a � imral4um applicatim am rue of FZ peek padrnr m
dee.nerlrTeorr.'.Imniu. EZ pak.lm. evria+m0ury or
ivpensiOJiN Hilo rsym b tlw leplinm canplincyellM1e
uwm/opauMsebmm unJhtiac apginrioe «we olP2 pak
pmikwn
3. W. FZ pork o,n Ataal faradtlii»ml dnail.
0l0/NLU
150 S Lewis St - Google Maps
Go gle Maps 150 S Lewis St
Imagery 02020 Maxar Technologies, Map data 02020 50 ft
httpsllwww.goog!e.com/maps/place/150+S+Lewis+St.+NewporL+NC+28570/@34.7187034,-76.9376707,177m/data=!3ml!tea!4m5!3m4!lsOx89a8ee6645fcO267:Ox3ba3631 abb3ad252!8m2!3d34718... 1/2
CAMA / ❑ DREDGE & FILL 9 77048 A B 0 D
60ew
ENERAL PERMIT Previous permit#
❑Modificatio" ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resour Commission in an ea of nvironmental con ern pursuant to 15A NCAC
` attachCd.:
Applicant ame Project Location: County
Address Street Address/ State Road/ Lot #(s)
City �% L State ZIP
4
Phone # (aCT 11-Mail ouuwvI un
Authorized Agent /,/,- City ZIP.
Affected ❑ CW `(AEW ITA ❑ ES ❑ PTS Phone # ver Basi
AEC(s):
❑ oEA ❑ HHF ElIH ❑ UBA ❑ N/A Adj.Wtr. Bod
y
❑ PWS: - /"x `
ORW: ves / ) ,
PNA yes / Closest Maj. Wtr. Body
Type of Project/ Activity
)
(Scale:)✓
Pier (dock) length-----,
I
Fixed Platform(s)
�
I i
Floating Platform(ss)
Finger piers)
Groin length
number .�_�^ —
•--�
T —I--
-
— --
—� +
Bulkhead! Riprap length
avg distance offshore
i
� I
I I
max dicta nce offshore
'
--�—�
Basin, channel
!
i
cubic yards------
I
T
T
,
Boat ramp I
i
Boathouse/ Boatlift1EM
-4
+
_�
Beach Bulldozing
Other
(
i
i
Shoreline Length
SAV: not sure yes no
I 1
Moratorium:' n/a yes no
Photos: no
I '
y
Waiver Attached:
A building permit may be required by:
❑ See n
e on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Jf
j
Notes/1 Special Conditions
�
b�
,