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HomeMy WebLinkAbout73888A_Lane, James & Marian_20190917N.CAMA /-C7OREDGE & FILL u. GENERAL PERMIT LXNew ❑Modification ❑Complete Reissue ❑Partial Reissue No. 73888 0- V/ A B C D Previous permit # Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC H, ®,Rules attached. Applicant Name ,,,x R S `►`- 01 "C r n L a n ce Address g/ M d JV C r� J City V I n, o, eq- q State ZIP_,13 yS Phone # ( /v / `1 - Z $/ $ E-Mail Authorized Agent L y d t n I'I'1 <5 r, .. Q Affected ❑ CW 4(EW IOTA �%S KeTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / (no Project Location: County IF r c c, , , `, ,+-� G ,, s Streets/ Address/ State Road/ Lot #(s) J q 33 3 re71_�.-1 a NQ T_ Ln n n Subdivision City /�/�� ZIP7 Phone # ( ) — River Basin r u a n Adj. Wtr. Body nat an unkn Closest Maj. Wtr. Body 4 /� L- .,-r OMENS I00 mommommommommoomm ■■■Mir, /J■■■IC■■■■■■■ ■■■■■■■■■All■■■■■■■■■■M 6 MEN ■®■i��■■■■■■I■■■■■�■■ ■■■■■ ■■■■■■■■■■■ ■■wdwN■■■■■►'■I ■ ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■GPI ■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■I ■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■111.■■■■■■■■■1■■■■■ ■■■■■■■■■N■■■■IF■■■ ■ NINE! '- ■1■iIG!.� ISEEMIJIMN■ili *mumsiii�iiic�c.�Cfi�Ci�Ci�Ciili�solcz■■■■ "'How ■ ■■ mac • - ■■■■■If i��sn�r��:,�:�!��7 �n �TiT.lB�ll�'1l�III►/�11;T11���! ■■A� II■■��I�A1�!!��11!'►l:�kMll■,r�lr+Al`�iir1��■1�Ill■!�IRIII �I���1 ■s■■■ t:'■■ ■�W IIL �� ■■■��■� � 1111111■1111■ 1MMMl11U • ■ Wi 11 arwi 1111■1■■■■ vi-w■■■■■■■0 •■■■■■■■■■■■■■■MENE■■ ■■■■■■�■■�� Agent or Applicant P ' d Name Signature Please read compliance statement on back of permit r7�7 Ap icationFee(s) Check# Per it Officer's Printed Name Signature // Issuing Date zpi�rat'on 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, 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 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 how to 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/ 1-888ARCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) (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 - South of New River Inlet - and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit. JIMMY LANE Mailing Address: Phone Number: Email Address: /✓psi 367 GOOSES LANE HERTFORD NC 757 619 2818 N/A I certify that I have authorized LAYDEN MARINE, INC Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: TO CONSTRUCT 330/FT REPLACEMENT BULKHEAD Nr51T_ at my property located at 367 GOOSE LANE in HERTFORD County. I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: r<� ell ' Signature JIMMY LANE OWNER Print or Type Name Title l & — Date This certification is valid through // / / l/!�_ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to JIMMY LANE 's lv,-s l (Name of Property Owner) property located at 367 GOOSE #EEC LANE (Address, Lot, Block, Road, etc.) on ABLEMARLE SOUND in HERTFORD N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatio� f 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) TO CONSTRUCT 330/FT REPLACEMENT BULKHEAD 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 '�/ I do not wish to waive the 15' setback requirement. (Pro Owner Informati I7- ature JIMMY LANE Print or Type Name 367 GOOSE..�LANE Mailing Address HERTFORD NC City/State/Zip 757 819 9818 Teleahone Number/email address Dare 'Valid for one calendar year after signature` (Ad- nt Property Owner I formation) Print or T pe Name a-3U , .f". e4 r C�•�� / �-�/ Mailing Address itylStatelZip / / NO 417, �a/� h ort-e`/�9tir/ .,14+11 ��i�..►.o; �, Telephone Number/email address GG� Date * (Revised Aug. 2014) m. �fi fto, F3 Jr, _9 &A A, IT -.:rut • - CFaC)qO5fq "4") ✓�,A-V 490 P0100A Ko; r I 10 wom*-o 44AQ& ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to JIMMY LANE s h�//,5-5-j (Name of Property Owner) property located at 367 GOOSE LANE (Address, Lot, Block, Road, etc.) on ABLEMARLE SOUND in HERTFORD 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) TO CONSTRUCT 330/FT REPLACEMENT BULKHEAD 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. (Property Owner Inform! ' n) (Adjacent Pro w Owner Information) __ at ure Signature JIMMY LANE mgr-C UJA LizaN °d >vH Print or Type Name�v� Print or Type Name 367 GOOSE B� LANE 3'%q GooSE AlEST Mailing Address Mailing Address HERTFORD NC City/State/Zip City/State/Zip 7576192818 1--l";z1511-1�-436-�0� Telephone Number/email address Telephone Number/email address Date Date * (Revised Aug. 2014) 'Valid for one calendar year after signature' I /7 IdO In? Ing d� !vvis)(4 .10i , Z/ RVf ti'ah' ))L.4k7o5 -gl j-owaoJ I a Perquimans G IS 1:2,257 9A02019, 1034:39AM 0 001 0.03 G06ml perquimans_nc_misc perquimans_nc easement perquimans_nc_acres 0 0.02 0.04 0.09 km E sri, HERE, Garmin, (c) OpenSfreo"p conMbutwsand the GIS user perquimans_nc_lot perquimans_nc dims ® Imagery2016 community pe,qutnans Gis f (w tax pur(wr.:es only. Not a legal ctx:unwnt(w whey perquiinans n(w Stake of NC assume any liability rewi*V Inwn use Of his map. 9/10/2019 e. Print this Proper.- and www.co. perquimans.nc.us/taxcards/index.php?mode=viewcard&id=7477 a Return to Search Results W l—, T T This property consists of 1 property cards Perquitnans County. North Carolina P',rY V7 AT OTH IMP DESCR----- GO CD LEN RI ---R A T Z-- T. jv MAP2 i:083 00( An-- \T I H'a',T WA -Ps Mram I MET=I T' `RiLSIGx2AO£ C C A 42 4 --.-- -- PIN 4— _= _- 1? -•Te{ !LG/GR. C C A 16 Ib 3;b r r c _ AiN iEHCZ/LG,/GR.0 z SIORieGE/L.3 GRk=* C 2,540 E tiZ T UaTE TM'EL TRAILER 100 C A 2,5:0 ' LANE, JAMES A $ MAPJAN S 20Rc:1, SSEt .0 C A _ zle'2.0;0 TEN'hHSE T a it .0 i a'- ZRGINIA BEACH, .A ..3456 STZ !S ONE FT2RY 16200 p-n i_LL =s. g-i_L_N5 P,-.,':2..1T ch-s:,.F"- ---R k T E-- --V A L G - - ^.vi^ - -Oki -_ _ ----------`--- _ _ 2': _: _ ; _ ? _... - _ .• , �_ _ _ _ - _-�s �: _ 1 a� $36,500 3n t 1 ia7 FR�°°9�+�. 30 GARAGE E •g6�? - LAN T Y- E---L'NFT3------• -- FA= - --- -:� L r E-- R T_- FAC.-LANOrS£ j .R =E N=!T RESIDErl i $0 120000 $0 11=1:1-.uATy 36-00 T>. = 15201 172700 T= all is A.)EEO .i- r__. .a3iT OF NAY FROM MACE a :�Wi ac,_LIO6 _ R L__- T�+y= S172r700 Print this Propertyand rr Return to Search lts Every Reasonable Effort has been made to assure the Accurtiy of these maps and associated data. Parquirnam County. North Carolina and Pearson Appraisal Assume no liability arising from use of these Values or Data contained on this website. The values and property data is provided without warranty of any kind either expressed or implied, including, but not limited to, the implied warrantees of merchantability, and fitness for a particular purpose. www.co.perquimans.nc.us/taxcards/index.php?mode=viewcard&id=7477 1 /1 A, A Emki 2019-09-10 �r 2019-09�-10 2019-09-10 A 2019-09-10 2019-09-10 NC Division ofCoastalMgt. Habitat Impact Computer Sheet Applicant: Permit #: Date: 1 /t -7 /( Q 3 CYYff/�7- 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 temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) Dredge ❑ Fill oth ❑ Other ❑ 7 :z�, Dredge ❑ Fill Both ❑ Other ❑ rZ ,V Dredge ❑ Fillip( Both ❑ Other ❑ k a (` n,4.� Or 54-. Dredge ❑ Fill ❑ Both ❑ Other l, 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RCOAST :. www.nccoastallmanagement.net b 1 ,2 03 ,;.