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HomeMy WebLinkAboutLawrence, Darryl' •i `ice ,. d� �.. ` .: r. '. ., , \,'. ❑LAMA /DREDGE &J FILL A B rC D GENERAL PERMIT LQ Previous permit# - EINew ❑Modification ❑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 Rules attached. Applicant Name ? ` ` ; �. Project Location: County Address 0 ' Street Address/ State Road/ Lot #(s) City State t ZIP Phone #_�) �E i -��/t"" �,� E -Mail r Subdivision ! I Authorized agent j, l tk tit l %. j t{. City 1 ~ ZIP Affected ❑CW nEW NPTA 'aEs ❑PTs Phone# (" .) �-j i` .� River Basin , - ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s)• Adj. Wtr. Body i 4 (nat /man /unkn) ❑ PWS: ORW: yes / �0 1 PNA yes/ ri� Closest Maj. Wtr. Body Type of Project/ Activity ;1 i i i 1 � ,.•fit, � ..� `r ( i ��� Pier (dock) length Fixed Platform(s) 4. Floating Platform(s) Finger piers) G ' `X 01 Groin length number Bulkhead/ Riprap lengd4f r'X avg distance offshore—I max distance offshore .= o Basin, channel! .. t `•r % �s Xr �i t Y• cubic yards ^'i Boat ramp Boathouse/ Boatlift Beach Bulldozing""" r• Other -1 Shoreline Length C - SAV; not sure yes no j Moratorium: n/a yes ,po' Photos: yesOn_o�" Waiver Attached: A building permit may be required by: ( Note Local Planning Jurisdictin) Notes/ Special Conditions H P i (Scale: ❑ See note on back regarding River Basin rules. t (r I � t` i \\Agent or Applicant Printed Name PermitOffic6rs Printed Name .. "" �; ..ice �¢,'`��� _ ;,:.�-'�r` - _, - ' `-'^*..».. _.,.._ - i � ` { ` 4 �� �.. ` �� � � f__ �• Signature Please read compliance statement on back of permit" Signature Application Fee(s) Check# issuing Date " Expiration Date 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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar- Pamlico River Basin Buffer Rules ❑ Neuse River Basin Buffer Rules ❑ Other: 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 Resources. Contact the Division of Water Resources 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 Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-8884RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet- and Pamlico Tyrrell and Washington Counties) Counties) and Pender Counties) Elizabeth City District Wilmington District 1367 U.S. 17 South 127 Cardinal Drive Ext. Elizabeth City, NC 27909 Wilmington, NC 28405-3845 252-264-3901 910-796-7215 Fax: 252-264-3723 Fax: 910-395-3964 (Serves: Camden, Chowan, Currituck, (Serves: Brunswick, New Hanover, Dare, Gates, Pasquotank and Perquimans Onslow - South of New River Inlet - Counties) and Pender Counties) http://www. nccoastaimanagement. net/ Revised 08/27/14 �. ,a. li1VO � 1JIV3 �9•=1a ID? 0i -0a13. �][! �SiCs)' a s J S u �,L i<Uad :� 't'M'-3 a9 iifJ d as .�" d i Applicant: Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet Habitat Name • DISTURB TYPE Choose One TOTAL.Sq. Ft. (Applied for. Disturbance -total includes any anticipated restoration or temp Impacts) FINAL Sq. Ft. (Anticipated.final disturbance. Excludes any restoration and/or temp impact amount TOTAL Feet (Applied for. Disturbance total includes - any anticipated restoration or ternp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amoun4-- -DredgeV Fill ❑ Both ❑ Other ❑ 4 00) 3. Dredge, ❑ Fill�4 Both ❑ Other ❑ I Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge El Fill ❑ Both' ❑ Other [I Dredge ❑ fill ❑ _ Both ❑ Other ❑ Dredge ❑ .Fill ❑T Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ . Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑.. Fill ❑ Both ❑ Other Dredge[]. Fill ❑ Both ❑ Other ❑. i revised- 021-DSIIO N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property OwnerApplying for Permit: Mailing Address: SANT-,'c 6 C. ��s�� �- I certify that I have authorized (agent) Pj`c144g(, ,�/3 lvK��a/!° to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) &:-& tt)Att- ^ F, P 5,CP,n���� A� ^ ���r�``� �►J a x-14 at (my property located at) 3G ii /` i- I -f -ed ccs R �'�` � C This certification is valid thru (date) 30 Property Owner Signature Date RECEIVED JAN 0 7 7111a 3 o Darrel & Patricia Lawrence 309 E. Fort Macon Rd. Atlantic Beach, NC 28512 East Canal 1/07/15 1• l�+iJ.�:i Project consists of the following: 1. Erect a 57' seawall as indicated in the drawing. 2. Erect a triangular finger pier approximately, 6'0"x15'0" 3. Install a floating dock, 6'0" x 1610" 4. Dredge entire area to depth of 28" as indicated in the drawing. (Approximately 130 cubic yards.) P.S. If you have any questions, please call me at: (252) 241-2198 When permit is ready for ick -up, please call me at this number: (252) 269-0762.(�On) Thank you! Darrel Lawrence RECEIVED JAN 0 7 765 p,9":"HP1 PITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to b A RRG /- CA&'kv%a%A 44LJR�A/CE 's (Name of Property Owner) property located at 3 0 9 roQT m&e-Coal/ 16 , 1_5"/4/ /0 ' (Address, Lot, Block, Road, etc.) on AST �'g�l�L , in N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatiory, 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) �- �L%� /�i-TT/� cif � (� d i2A�t✓i �G 1.✓ ti % moi, i'�J c !� d � s /�?�i`�✓TEn1A,t/Ci�' 9X11AVrA1/ 0X/ it'd 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Propert caner Information) I St. pg�ature Print or Type Name .3 6 9 &' / QT rYl� �•f R4 Mailing Address City/ tate ip ZSz Z 1//- 2Re- Telephone Number/email acrdress cO'" Date *Valid for one calendar year after signature* (Adjacent Property Owner Information) Signature * 0• (YAVCAI 4AIC2 a RECEIVED Print or Type Name 30/ C. J-'ORr M -4C"J /?d IAN 07 ila'; Mailing Address A-r,L4.J-r1 e- ,QL5�c# nfCis/ v 1;M°h4HF� CITY City/State/Zip Telephone Num� erlenlail address 1— -1 Date* (Revised Aug. 2014)