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
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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)
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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'
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9/10/2019
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www.co. perquimans.nc.us/taxcards/index.php?mode=viewcard&id=7477
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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--
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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
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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 ,;.