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HomeMy WebLinkAbout50142_LAMBERT, JERRY_20080225❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # ❑New ❑Modification OComplete Reissue El 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 15A NCAC ❑ Rules attached. Applicant Name Address City State ZIP Phone # () Fax # (` ) Authorized Agent ' ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body - ` (nat /man /unkn) Closest Maj. Wtr. Body PermitOfficer's Signature Issuing Date Expiration Date Local Planning Jurisdiction 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: ❑ 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. h Z Division of Coastal Management Offices Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (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) Va > U/ a-,J,-e Cy 4c 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 r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to ere01 M b-e fi 's (Name of Property Owner) property located at \A�o';�, weCo. --- (Street Address, Lot, Block, Road, etc.) on ��---`�,� �n' Sys F �+c`;° E.t�n 2 �`�•�� .�� � N.C. , (Wat�e4-body) (Town and/or County) He/she has described to me, as shown below, the development he/she is proposing at that location and I have no objections to this 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. I have indicated my intentions b 'nitialin below: I do not agree to waive the 15' setback requirement. a V (initials) ED 4"t-p I do agree to waive the 15' setback requirement. F E B a 5 2008 (initials) ------ —-------- ------- ------- —---------------------- —------ ---- A - DESCREMON AND/OR DRAWING OF PROPOSED D ?, �CdM (To be filed in by individual proposing development) ✓.1 K— N r V- 51gnatTe Print rr "C Name C// j - 7,fA_- i l_� '1 Le(ephone Number --------------------- Date: a /.2.2 / 0' 9' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILLYGS/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to Z�e-C V �A )p 4CC 's (Name of Property Owner) property located at `(Street Address, Lot, Block, Road, fete.) on b ct\ 5 Ui"�in2,r c. \ ri_��� , N.C. aterbody) (Town and/or County) He/she has described to me, as shown below, the development he/she is proposing at that location and I have no objections to this 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. I have indicated my intentions by initialing below: I do not agree to waive the 15' setback requirement. (initials) ✓� I do agree to waive the 15' setback requirement. (initials) - -- - - - -- -------------------------------------------------------------------- DESCRIPTION AND/OR DRAWTNG OF PROPOSED DEVELOPM 5 200$ (To be filled in by individual proposing development'MOrehead city DCM -------------------------------------------------------------------------------------- ------- ------------------ ignature v L� � � J � Le- e vt ck Q _12wi� L�,vQa� Print or Irype Name ql 9 - 7 7 ? - "!'eiephone Number r ------ ---- y Date: FNUM : JERRY LHMBERT PHONE NO. : 919 894 5777 P01 HP office"jet` 5-08f}-s-eF-i-es--5j&1Dxi------------Personal Printer/Fax/Copier/Scanner Tobnnyj c ��i ;�19� Tony F(Criei 1 �' 2523936146 Feb 24 2008 5:20p �52393514t - --- P.1 Last Transaction ■'qI W&Mff[ North Carolina DeNVWk. gI FeWwnerent and Nift rai fiBMrM g e s R e s u l t Date Time Type Feb 24 0 5: 1 9 p Fax Sent Dhdsioa 66 COMOM Management 1: 2 6 1 0 K 4%"Wiwwfr C85 Fy, DVWr*r Jarnes H. Gre sw 01rectof 9 � Niplam G. peas Jr„ 3euei�jry Datc 4 — a.!n(5R- Applicaol Name ` Malliug Address '� O I certify that 1 have authorized • col f ► r`-Qti k./ Y rY . 4 hchalf, for the purpose of replying for and obtaining all CAIHA Peratits accessary it, �� 2s 5 20 08 install or Construct (56ivity) Q_ll� J Alo, �aC pity �L. at Ac This ri,.rtir3F-6e 4s valid tbru (date)_, !^<-\ sign -Stu NO c � _.._ 1u�s XVA p10:80 io Vnw 4�F �, c2 Avenue 6Apc� I W Waiolina 28557 I a edGl awl eleti n s a Phone: S2 808-2808 AX: 252-247.93301 Inlemet: www.nccoostalmanagement �t 7 1 o e s u P .J 1 a 4 e .1 etc) :0yLuca 10 9n8 9tiI9Esez5Z jliauoW Ruo.L ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR LAMA i MINOR PERMITS I hereby certify that I own property adjacent to & l ra n r t z," G i � #-buys + (� (Name of Property Owner) property located at _�� 1 I �n�k�rQ L-A � R 5 E kg (Address, Lot, Block, Road, etc.) on S C, C ACe , in ? UJ ayx S ►x�a'��, ��>�si0c-J , N.C. (Waterbody) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) Signature) Print or Type Name Telephone Number (� Date:` Rg' 'C , ( ' ' ' FEB 4 2008 Morehead City DCM 1 , " P q 9 IVD�r 1 \60 W)V'� mo FEB 4 ZOOR ahead City D(;M ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to &-I c'n �'C-hzc'4-N &'�, 's I n (Name of Property Owner) property located at� y �J WO CO l -j (Address, Lot, Block, Road, etc.) on C �l� , in rj w QVYS 'J�� On <10W Co , N.C. (Waterbody) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) Signa re L j Print or Type Name �/U - 3:'� j -(o Vl6)3 Telephone Number VV L t '' A U i 5 Date: T� 4TZ l 3 FFB 4 200S Morehead City PCIV M !Irmsiveo .00 FEB 4 2008 irehead City DCM INTERNATIONAL MONEY ORDER 054774242 1 75.912 3511 MERCHANTS _�� O EXPRESS MONEY ORDER COMPANY, INC. S MEMO MONEY ORDER COMPANY, INC. MEMO MONEY ORDER COMPANY OF NEW YORK, INC. U.S.P.O. OX8863 MERCHANTS CAMPPHILL ' PAA 17001/8863 P40T A iD OVER FIVE HUTYDRI'MLI S. DO��-�iRS (800) 922-8079 www.mcmnco.cOm �y � 7 b 4 l� l .: ' l �iinntaiI' ` SN-00054774LD42 AGENT-954 STORE-1 0#-2 I� �4'?t z w�I, FEB `25 20081 TWO H)NDREY DIli-APS AND 00 [TENTS PAY TO THE L VE i� Tiwlc'.i o7t5kv/ ORDER OF k riJ� 4P Y SIGNING. PURCHASER AGR TO BE BOUND BY THE TERMS AND CONDITIONS AND SERVICE CHARGE S SET FORTH ON THE PURCHASER'S RECEIPT Z n o_.3_._ PURCHASER'S SIGNATURE FOR SUER ADDRESS CITY/STATE/ZIP PAYEE READ TERMS ON REVERSE • PAYABLE THROUGH NORTH AMERICAN BANKING CO.. MINNESOTA 55113 1:09 L 20 3 586i:9600 5', 7 74 24 2 I'll