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HomeMy WebLinkAbout60270_LASICK, JULIE_20120821CAMA / DREDGE & FILL NO. 60270 ' ^ GENERAL PERMIT Previous permit # ❑New —]Modification I 'Complete Reissue I.] Partial 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 I SA NCAC ❑ Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # (` ) Fax # (�) Subdivision Authorized Agent City___ Z!P___ Affected I CW I EW -j PTA J ES F-' PTS Phone # ( ) _ --- River Basin AEC(s): El OEA _' HHF L IH UBA N/A Adj. Wtr. Body-- _ (nat /man /unkn) PWS: FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier (dock) length Platform(s) - Finger pier(s) I Groin length — -- - number_ Bulkhead/ Riprap length � avg distance offshore max distance offshore Basin, channel cubic yards - Boat ramp -- Boathouse/Boatlift_ Beach Bulldozing Other - - -- Shoreline Length — t�= 'r `• ; SAV: not sure yes o "" Sandbags: not sure es no yr. Moratorium: n/a es no }.. j _I I Photos: yes no I Waiver Attached: yes no I' A building permit may be required by: ! See no*Ig River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Permit Officer's Signature Signature ** Please read compliance statement on back of permit ** Issuing Date Application Fee(s) Check# Local Plan ningJurisdiction Expiration Date Rover File Name 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, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: L_I Tar - Pamlico River Basin Buffer Rules [_-1 Other: 1 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/ 1-888-4RCOAST 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: 9 10-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to J14 ji L fi L 6r7JC/ 's (Name of Property Owner) property located at Z l/ be, i s w (Address, Lot, Block, Road, etc.) on 6 P) £St in Ar t1 /3't'✓1h N.C. (Waterbody) (City/Town and/or County) Agent's Name #: Agent's phone #: Mailing Address: /// /Q4 ice( 4,j !2 /'i�ru 4C-Irel hG "2Sg� 'L He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 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 www.nccoastalmangement.net(contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail Owner// Information) Print or Type Name Mailing Address LLIJ � NG 2x�2 City/State/Zip Telephone Number .17/,i7 /nA iOI Date (Riparian Property Owner Information) Signat/ure�� 0,� Print or Type Name Mailing Address Mre-, "Yse,� City/State/Zip 22C'_ 7�S^ Z Telephone Number Date —/� DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to - l L r 's property located at (Name of Property Owner) 41,. (Address, Lot, Block, Road, etc.) N.C. (Waterbody) Agent's Name #: Agent's phone #: (City/Town and/or County) Mailing Address: �� �G j s (.,�A -/S' e-1 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. - ------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT --------------- (Individual proposing development must fill in description below or attach a site drawing) A lrv�� pA-5- C If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in wilting within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoasta/mangementnet/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail (Property Owner Information) 4S190tureL Pnnt or Type Name kz lrt/V Mailing Address -Radl PSI /Vl; City/State/Zip ' a) & 0 5o Telep noh e Number ,7/!v, 1An /,-I Da (Riparian Property Oynermation) Z:LI Print or Type Name Mailing Address yistate/Zip Telephone Number --//' 7 Date I / 6 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: Mailing Address: I certify that I have authorized (agent) ;� l��s,� C�r/l to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) P FREDERICK A DRESSLER JULIE A LARICK 111 DUCKS WAY (301) 299-7174 NEW BERN, NC 28562 Pay to the Order of_ 3176 66-19/530 NC F� 15578 Date -� $" l?® ars F..,.,.. Bankof America -glib Wealth Management Banking ACH R(! 053000196 . r For f % nm 1:053000196I: 000688390475►�' L76 ADJACENT RIPARLA-N PROPERTY OWNER S"T:vTE1iE-NT ' (FOR A PIER11OORI.,VG PILINGSiBOA TLIFT,BO A THO C SE) I 'hereby eenify that I own property adjacent to 1} c, /J' i' /9 L— /)-•I % C %'s (Name of Property Owner) proGc: ty located at -- 4)-,�l_G,l (Lot, Block, Road, etc.) on in , N.C. (Waterbody) (Town and/or County) Applicant's phone 4:1/0 ���G �.35�! Mailing Address: nC— 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 RECEiai3 I do wish to waive that setback requirement. ----------------------------------------------------------------------------------------- JAh-2-3-20)1-------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) I C -------------------------------------- ----------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address `^ Signature ti City/StdiciZip Print or Type Name Telephone Number Signature Date Telephone Number Date ADJACE-NNiT RIPARIAN- PROPERTY O'W ER STATENIENT (FOR .1 PfER- 11100R,CNG PILINGS180.4 TLIFT,BOzi nVOLUSE) I hereby certify that I own property adjacent to 14� (Name of Property Owner) �rAAk property located at (Lot, Block. Road, etc.) on A /" / f S F 6-C in . dJ F cam! A i- A k3 , N.C. (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address: - S"6� 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 I boathouse trust 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 1 do wish to waive that setback requirement- --------------------------------------------------- — -------- ------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To befilled in by individual proposing development) (Information for Property Owner Applying for Permit) Mailing Address City/stale zip 0/6 te- � 'S'eone Na b Si aiure Date -------------------------------------------------------- (Riparian Property Owner Information) Signature 7-91 Print or Type Naine 2 SZ�G3�°��oz"L Zip, Tyqj\j zo Telephone Number Date