HomeMy WebLinkAboutLawrence, Larry�'CAI/ ❑DREDGE &FILLN2 /1650 A B C D
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ENERAL PERMIT � Previous permit#
t�ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
1\ e
As authorized by the State of North Carolina, Department of EnvlrOnmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Named Project Location: County
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Phone # (, 7?b)
Authorized Agent
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AEC(s): El OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes J no
PNA (yes) no
Street Address/ State Road/ Lot #(s)
Subdivision _
I i City l l (? l ZIP
J Phone# O f�l1�� River Basin_
Adj. Wtr. Body
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Agent or Applicant Printed Name
Signatprre *! PI : se read compliance statement on back of permit's
Permit Officer's
J Printed Name
Signature
Application Fee(s) Check# Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Larry Lawrence
Mailing Address:
Phone Number:
Email Address:
Newport NC 28570
252.240.9670
larry.d.lawrrence@gmail.com
I certify that I have authorized Harber Contracting
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Observation Platform
at my property located at 105 Greenhill Place ,
in Carteret County.
1 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:
Signatur
t-
Print Pr Typ ame
�W� e
� �
Title
l
Date to 1 TV
This certification is valid through 12 1 31 / 18
ADJACENT RIPARIAN PROPERTY OW—ftR STATEMENT
I hereby certify that I own property adjacent to A jgg cj �s
property located at10 t, \tryam� qj(�o J� caner)
(Address, tot BI oa , etc.)on in Le N.C.
(Wa ody) [City/Town andtoe County)
The applicant has described to me, as shown below, the development proposed at the above
to7n.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must trTl 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.)
I do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
Owner Information)
Signature
Print or Type Name
Mailing Address
Citylstatelzip
Telephone Number/ email address
Date
W40
Owner Information)
address
'Valid for one calendar year after signature*
(Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Larry Lawrence 's
(Name of Property Owner)
property located at 105 Greenhill Place
(Address, Lot, Block, Road, etc.)
on Bogue __ , in Garterek County , N.C.
(Vliaterbody) (CityiTown 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 DeVELUPMrN i
(individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
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.)
—As I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/StateMp
Telephone Number/email address
*Valid for one calendar year after signature*
Information)
C.<Ftq( coal ,� �
Lee, DIJnI-J vodr
033 325—
City/5trate/Zip 77d , 6 -7 � �t
Telephone�Nuinb'r Q mail address ll
Date*
(Revised Aug. 2014)
Lawrence
Observation Platform
40'-0"
- —
Note: Y. Ihru bolts
`
used at 4x10 girders.
4
O1
518 thin bolls usetl at
Marsh Line
4x10 giber
hogslats and 6x6s
Drawing for
Drawing By: Cliff
Harris
Larry and Joan
Haiber Contracting Inc
Lawrence
P.O. Box 4562
105 Greenhill Place
Emereltl Isla NC 28594
Newport NC 2B570
252342-9967