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.
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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:
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A building permit may be required by: ❑ See note on back regarding River -Basin rules.
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Notes/ Special Conditions 1:��t., r tilt. .: /j.t/ t' (, �' ? If ,l� '% ; l ' t'' :..f i • . r'
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(f ent or Applicant Prijfnted Name + /s{
Permiiit0 r~s Si7g(fnyjjajture r
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'Signature *'• , ease read compliance statement oil back of permit
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Issuin [Date r f
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Eic iration Di ! '
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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
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RECEIVED
APR 2 8 7B1"
DCM-MHD CITY
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RECEIVED
APR 3 02ut�
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