The URL can be used to link to this page

Home My WebLink AboutLancaster, LynnJV CAMA / ❑ DREDGE & FILL } �� P7� 5.'i 6 t° ENERAL PERMIT lam'- Previous permit # ew ❑Modification El Complete Reissue ❑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 i _ Rules attached. Applicant Name : > � ^� ? " ;s �� Project Location: County_,, �I . ddress j `7E' r'.- t "I i t ! Street Address/ State Road/ Lot #(s) / t r j ;Ci S`� 3 i i r S to ZIP I(tf A i ti/ i j, -' ,,..,Y.r•�-"'.. �..�.,.✓ Phone # (t i' 1) )}? r t ; fax # �_) Subdivision Authorized Agent ; \ 1_'v� ., ,f; t City!,^) ` ��'». ZIP �j"r r-'``�• f' ii t t i Affected ❑ CW -,PEW L�PTA "*ES ElPTS Phone # (` 1 %� I f � i� er Basin ❑ OEA ❑ HHF ❑ N ❑ UBA ❑ N/A t 7 i fj AEC(s): Adj. Wtr. Body + J(.• (nat /man /unkn) ❑ PWS• ❑FC: v, k_ t ORW: yes / °?_ l PNA yes / o'' 11 1 Crit.Hab. _X�'/ no Closest Maj. Win Body Type of Project/ Activity ir; i Pier Platf Fing Groi y.. i BuIrd Basil Boat Boat Beac Oth e 1 (Scale: ■■■■■■■■e■■■■■■■■■■■■■■■■■■■■■■■e■■■■■ length number ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ . ::■■■il■ avg distance .............. ■■N max distance offsh ■■■e■:■■e■e■■■■■■mmumm■■■■■ee■■:■oe■■■■ cubic yards.— ■■■■■■■■■■■■■■■e■■■■■■■■■■■■■■■e■■■■■■■■ ■■■e■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ramp ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■m■■1�e■ ■■■®■■■■■■■■ ■■ ■■■■e■■■■■■■■■■■■■m®e■ ■■■■■■■■■■■■■■■:■■■■■■■■■■■■■■■M■■■r,ie■ ■■ ■■:eimmmmmmmmmmmmmmmmmmmmMMMMM=MMEMMMM:■■:■■■...■■■■■:■eMMW:®W�e■ ■■■■■■■■■■■■■■■■■■■■■m■e■■■■e■�■■■■■■■ ■■■■e■■■■■■■■■■■■■■■■■■■■■oeo■■■mm■■■■■■I ■■.EM■■■■MMEMM■OMMOWOOMMUMMMMMMM ■■■ ■■.■O.em mmmrm�r_._m�: dine Length I ■■■ ■■■■MSE■■:■■■■■■■■ ■■■■■■■ia ■ ■■■■�I not sure yes . ■■ev■■■■■■■■■■■■■■■■■.■®■rA.®■e■■■■ ■■■M■■■■.■■■■■■■■■■■■■■■■■■■■■AMMO■■■■ not sure yes •■■■■■■■■■■■e■■■■■■■■■■■■■■■■■■■■■■■■■■■e •■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■K&Fauf■■■■ . ,. _ • ■■�■�■■■■■■■■■■■■■■■■■■■■■■■■■ • :.zee■■ A building permit may be re by: t'"i ""�;�( j �1 ? ` - 1' !.'� ❑ See, note on back regarding River Basin rules. Notes/ Special, Conditions' l +� (•: ` f 4' `Yrt i n �: 0 .-A j T ,t �" ( '�,"'��1,�! ct 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 landowners). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythat 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: 0, 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 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/ 1-888-411COAST 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 __ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at 5 �� t ��-�- J,i � ..� (Address, Lo Block, Road, etc.) on_-_efAv-AL— ,in �L�w�i� ��cH ,N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 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 you wish to waive the setback, you must initial the appropriate blank below.) pe I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. '> + h P`is35eNme 's d11YS�r �4 Mailing Address Ct /State/Zip l 41 "Z7-5'3 Tel hone Number/email address • 2(6 - c- IRS RECEIVED roperty Owner Information) APR 2 0 2015 -.o%-- `"r'R" 4mi-i9 eiTY P ype Nplh6 Maili AOddressZ`-! le C City/State/Zip4<11 9pQ FCF,L�O Tele h� N b e 7res �l�� IDS Date (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Iihereby certify that.I own property adjacent to L wt A I (Name of Property Owner) Eopertylo_oat ti.2t° - -S A WS ^,h,.._ .. Bl (address, LoAock, Road, etc.) on • w,a , in +Ln.-4 4/1, , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, 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 you wish to waive the setback, you must initial the appropriate blank below.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. RECEIVED (Property Owner Information) Si a Print of Type Name IS ' H o 1's `tailing Addres 14,!!� h- (4,c. 2'?�0( Cit /,fa�te�ZQ Telephone Number 3- 2 G- 15 Date (Adjac r erty Owner InformatiOlAPR 2.0 1015 S 3 nJvGm-mmp IgIrr !/Amon C vcl-e2i�n 3�,35, Telephone Number Date (Revised 611812012) 10 .. & AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: L T,,) c.► Mailing address: t�•��p� ri VG Telephone Number: ) CI 2-33 3,4y R I certify that I have authorized M v0 f�&-cr J60— VoesJSip�S I` (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of ��) �cr .,,-� > ,pwe- lJ at my property located at V vC ' This certification is valid through (Property Owner I B111"33 c Print or Type Name (date). RECEIVED APR 2 0 2015 Title, co. owner or trustee for property Wr"m=M"a CITY Date �Fn Telephone Number Email Address