HomeMy WebLinkAbout54388_LUCAS, JOHN_20090908L CAMA / YDREDGE & FILL
GLNEIRAL PERMIT Previous permit # '
1
CINew OModification OComplete Reissue OPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
]Rules attached. I
Applicant Name �) � !! f ! , Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP -
Phone # O =:y Fax # ( ) " " - Subdivision
Authorized Agent City - 1- R ! 1 )C ZIP
Affected ❑ CW ElEW El PTA i] ES ElPTS Phone # ( )- River Basin
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A /1 %iJ , n ,
AEC(s): Adj. Wtr. BodyL_ / (nat /man lunkn)
❑ PWS: ❑FC:
Closest Ma'. Wtr. Body
ORW: yes / no PNA yes / no Crit.Hab. yes / no I
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
`r
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date;
Expiration Date
Local Planning jurisdiction
Rover File Name
-4 A
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, 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 Quality. Contact the Division of Water Quality 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
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: 252-247-3330
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
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 -below New River Inlet- and
Pender Counties)
Revised 08/09/06
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A.PIER/MOORING PILINGS/BOA TLIFTBOATHOUSE)
I hereby certify that I own property adjacent to J JP � ` �j S� RUC 's
(Name of Property Owner)
property located at 1 'L'� Ltd E , iti�
(Lot, Block, Road, etc.)
C-
on t n
N.C.
, (Waterbody) (Town and/or County)
Applicant's phone #: 25Z- Le 34 � `2iMailing Address: �'D
N ULj�.r 1JC z'8 C��
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
��PAWL F)F &Vt ,rtuU� Gnu
b &Q<
4S,,TAt0 Al- �-4 C-T' YNI"
(Information for Property Owner Applying
for Permit)
t-5e:1\)TLC-y L 01 r,
Mailing Address
N6VLJ Ze
City/State/Zip
(Riparian Property Owner Information)
Signature
17o�✓Ac.l7 rf' GA�.st 6ARb�vE�C
Print or Type Name
262-6-3 72_1
Telephone Number
m
Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to JV�� ' L-UC%M 's
(Name of Property Owner)
property located at *1�5
(Lot, Block, Road, etc.)
C,
on �ea6F. flql�, WZ1 , in � , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: `� 2-' � :54 `'Z%;iIailing Address:
53 L
Nfa) jQ NC 29, c,��
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
rFPAle 8F G>Zt Tm P& GOAT R� P N )'Crt T2D
------------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
t5-EPTLEY LA
Mailing Address
�6ykJ FAO' 0 , �J C ,- �® �c
City/State/Zip
G-S2- (e-�4 � 2,551
T
Signature
Tint or Type Name
252 - 4'70 W 5V8
Telephone Number
Signature - Date Date
JOHN P LUCAS 1 044
DBA LUCAS ASSOCIATES 66-112is31
3 BENTLEY LN
NEW BE28560 5836 �D
PH.252-63634-252552
PAY TO THE � c V j�eo
ORDER OF _ff ' V4../ l�
DOLLARS
BRANCH BANKING O C AND TRUSTMPANY
�1.600-BANK AND
CO ✓f�! ()f( lJJ`
FOR
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