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HomeMy WebLinkAbout52167_LAVVORN, LARRY_20080117❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New ❑Modification [-]Complete Reissue ❑Partial Reissue 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 Applicant Name c C) V r, Address 1: c \?` C��. City State ZIP Phone # O Fax # ( ) Authorized Agent w. ..' CW ❑ EW ❑ PTA ❑ ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF Q 1H ❑ UBA ❑ N/A ❑ PWs: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no �us permit # Date previous permit issued ❑ Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) — — :� .20O do •dQ�wir—L �r: J� Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body ' (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) (Scale: ) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other — - / _ - r 4 ' I, ? of Shoreline Length SAV: not sure yes no. - Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no .I Waiver Attached: yes no - A building permit may be required by: 71) �� �. �,. Notes/ Special Conditions- - rc i I ❑ See note on back regarding River Basin rules. Agent or Applicant Printed Name Signature Please read complilnce s e -n-ton back of permit Application Fee(s) Check # PgrmitO$icer's Signature Issuing Date Expiration Date LG r, =7 f * A Local Planningf urisdiction 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. 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) 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 North Carolina Department of Environment and Natural Resources Division of Coastal Management Charles S. Jones, Director Michael F Easley, Govemor Date Applicant Name. ;?. -Ul�_ Z:v'js 45 Lo V Mailing Address �� 0 %� C ''�' `tee"'V.. f .-Kf 2— William G Ross Jr., Secretary I certify that I have authorized (agent) Foley & Foley Contractors, Inc. To act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) ;Z401� 4,ram; ­� ��is�r✓� , ��io at (location) e-= —tom � V�= •- -+,?), j a -� � This certification is valid thru (date) Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808/ FAX 252-247-3330/ Internet: www.nccoastalmanapement.net An Equal Opportunity/ Affirmative Action Employer-50% Recycled/ 10% Post Consumer Paper (�C C`a� �D ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER410ORING PILINGSBOATLIFTBOATHOUSE) I, hereby certify that I own property adjacent to ^"^ AAu4J100riJ 's (N me of property owner) property located at 0100 %' w (Lot, block, road, etc.) in A) Ea) g��? a"C'FJ . C !_ IS;-) , N.C. (Water body) (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. I understand that a pier/mooring piliiigs/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. V I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (to be filled in by individual proposing development) Row- 0 'O � aJ Foley & Foley Contractors, Inc. Phone#: (252) 636-2515 Fax#: (252) 636-3127 2�" �--- ►- - 11g1,2 Signature &PVJQJ 5 W . �J- L.4� Print or Type Name Telephone Number and Date (Lot, block, road, etc.) F,.aCAAWIJ, N.C. (Water body) (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. I Understand that a pier/mooring l li llidadift/boathouse must beset back a:minimum distance of fifteen feet (15') from iliy.arett of riparian access unless waived by me. I do not wish to waive the setback requirement. I do wish to waive that setback'requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (to be}ilCed in by'individual-prop6sing development) Foley & Foley Contractors,: Inc. Vhdhe#. (252) 636-2515 #: (252) 636-3127 Signatu"r6l Print or 3'ype Larne Telephone Number and Date fn secu i I Y-- 1'—� 'i 'i t. S b d , I I - fj FOLEY & FOLEY CONTRACTORS, INC. 1747 z MATERIAL ACCOUNT (252)636-2515 x 1810 OLD AIRPORT RD. 66-112/531 D 1111111, IC 11112 DATE, f oq 01901, PAY TO THE ORDER OF— U?v 4L 2. —DOLLARS ITI MIMI BRANCH BANKING AND TRUST COMPANY (-( )-7 C�- NEW BERN, NORTH CAROLINA rop kA FOR 111001747114 l:0S310112l,':S2900S2l,59IIl