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HomeMy WebLinkAboutFaircloth, William H.L?�CAMA / ZL REDGE & FILL GENE PERMIT Previous permit# ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by State of North Carolina, Department of Environment and Natural Resources /�} and the Coastal Resources Commission in an are of environmental cgncern ursuant to 15A NCAC r , _ ulesa shed. # ! - (y` Uplicant Name ? ; i .j 1~. `�t'''C i` `t Project Location: County < �' �..!—i"� ""� Address i '�?f , (1 Street Address/ State Road/ Lot #(s) . City , y 4 p I, r,� 1 i kr 1 4.r t State tLZIP r t (1 �� (i� ~' Y'k� I .. Phone # '' ). J ? (i f Fax # ( Subdivision uthorized agent i ? 1 ,'` .��� j JCity `�� V -�I ` ZIP f } f Affected ❑ CW '� �aTA �ES ❑ PTS Phone # (j�-jZ ` � � C'live Basin i L ❑ OEA ❑ HHF p IH j❑'UBA ❑ N/A fC� AEC(s): Adj. Wtr. Body a ) t� 3 i ! '1(/` (n at /man /u_nkn) ❑ PWS: ❑FC: Closest Maj. Wtr. Body ORW: yes / (now PNA yes /no Crit.Hab. yes / no -- " Type of Project/ Activity Pier (dock) length Finger piers) Groin length ~number rr Bulkhe) Riprap length's avg distance offshore max distance offshore' r) I Basin, channel cubic yards Boat ramp Boathouse/ Boatliftl____� Beach Bulldozing Other Shoreline Length �" y SAV: not sure yes no Sandbags: not sure yes L.l o . Moratorium: n/a yes Photos: yes `nor' Waiver Attached: yes no 'f (Scale: P r n MEMO■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■MMUME is ■R ■■■■■■ n�■■■ ■■■e■e■M■■■■■EEO■■e■■■■■e■■i■■■■■■ ■..�■ �E�'.EE®MEEEEE�EE®�1�E ■■■■■■■■■■■■■■■■■Era■■■■■EBI�Irr�■■SEE■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■ EEHEEEEEEEEEM EEEMMEMEEEMEM w MOMM® ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■ems■�a ■■■e �k ■MMMMMMMM■M■M■MMMMM r .�UM■E ■■■■■■■■■■■■■■■■■■■■■■■■■■■ M r Y■■ MEMO A building permit may be required by: ❑ See note on back regarding River -Basin rules. ii ��// Notes/ Special Conditions 1:��t., r tilt. .: /j.t/ t' (, �' ? If ,l� '% ; l ' t'' :..f i • . r' 1r"tC'L`.1 �. �'!{. �P 4 {4 'S_. (--ti, ¢? t . ;' F`✓{.�� +1 �.I.•YJ ems` 4' 'L.y✓ ,r (f ent or Applicant Prijfnted Name + /s{ Permiiit0 r~s Si7g(fnyjjajture r { * 'Signature *'• , ease read compliance statement oil back of permit �. , Issuin [Date r f g / Eic iration Di ! ' P App6cationFee(s) , Check# Local PlanningJurisdiction 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, certifythatthis 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 howto 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/ I-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:910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: William H Faircloth Mailing address: PO Box 1526 Morehead City, NC 28557 Telephone Number: 252-504-2000 I certify that I have authorized Derek Smith (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of Repair/replace seawall at my property located at 145_Lola Lane, Newport, NC28570 This certification is valid through 8/01/2015 (date). (Property Owingr Info W H Faircloth Print or Type Name Title, co. owner or trustee for properly 4/27/2015 Date 252-504-2000 Telephone Number holt cD,faircloth.us Email Address RECEIVED APR 2 8 1015 0C1+-VP.0 CITY RECEIVED APR 3 0 7015 wow.mn9 eiTY ADJACENT_ RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that i own property adjacent to William H Faircloth is (Name of Property Owner) property located at 145 Lola Ln (Address, Lo k ad etc.) in on Bowe sound ��re otlnty N.C. ' (Waterbody) (City/Town andlor County) The applicant has described to me, as shown below, the development proposed at the above location. x I have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below orattaah a site drawing) Replace seawall and fill to adjacent property height RECEIVED APR 2 g !^'� DCM-MHD CIN 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 y u o 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) (Adjar n Property OAr?er information) Signature William H Fairclnth Pox p1526 e Mailin Address More City, NC 28557 C9Tt%b-p2000 Telephone Numberl email address 4/27/2015 Date RECEIVED APR 8 0 2015 C�7 (Revised Aug. 2014) `Valid for one calendar year after signature` ADJACENT RIPARIAN PROPERLY OWNER STATEMENT I hereby certify that I own property adjacent to William H Faircloth is (Name of Property Owner) property located at 145 Lola hp t�to R��a (Address, LoL�1i ei L"oLi et .} , N.C. on BoQue sound (Waterbody) (CitylTown andlor County) The applicant has described to me, as shown below, the development proposed at the above location. x I have no objection to this proposal. have objections to. this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must ft11.1n description below or attach a site drawing) Replace seawall and fill to adjacentproperty height RECEIVED APR 2 8 Yir DCM-MHD CIN 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 m . (I o ish to waive the setback, you must initial the appropriate blank below.) <l do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requi; (Property owner Information) i Signature William H Fair -cloth PP8t �oxyp1 16 e Mailin Address Moreheea2,d City, NC 28557 'MT- 04-p2000 Telephone Numbert email address 4/27/2015 Date `Valid for one calendar year after signature" Date or t Pr erty wne I r Lion) V XL I Nx1d IA-Z'l/'Y� 1r/G2d's'r7 s,1�7 R'c-Xi?-eom RECEIVED (Revised Aug. 2014)APR 3 0 1015 PJ9M7fnL;11 10-'rr Page 1 of 1 dress Points rcels - Updated 4-16-2015 1 Merlins Railroad Right of way my Boundary her County call othervalues> Cart 4 reage rcel Dimensions t Number RECEIVED APR 2 8 7B1" DCM-MHD CITY 41�aom N • w� �o VkA �S Lola Lm. M19C. x �g L 4::' L)l .41mbeir eaf . RECEIVED APR 3 02ut� P=M-wino o' ry http://Carteret2.connectgis.comIDownloadFile.ashx?i=_ags_ nap9eef4Ol985a942dd9e3247... 4/28/2015