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HomeMy WebLinkAbout72899D - LambertCAMA / ❑ DREDGE & FILL r. GENERAL PERMIT XNew ❑Modification El Complete Reissue El Partial Reissue No. 72899 A B Previous permit # Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality ,' ff and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC (�' .J t 12O ❑ Rules attached. Applicant Name M J C NAEL: & VATN Y LAMB F 2T Project Location: County $Ru AI5 W 1 Lr. Address 11� p l 1 i Ir A-rM R 1 D 6 C_ L N Street Address/.Sttaat`e Road/ Lot #(s ' 2, City CArzv State ZIP W151-3 1 (/DNA �R 1 V E Phone # 302- 4143 E-Mail kl2l&M 6r-ci! Q gwg,;J.c mSubdivision At 1A Authorized Agent WILI- RIc1a/►1xs>So/d C� City No1LA>t`N ZFAcH ZIP ;.84-(D2 Affected Ll CW I(EW XPTA ❑ ES ❑ PTS A c cxT Phone # (910) 3b7 - 0 3 3 5 River Basin LIA M 6GR AEC(s): ❑ OEA ❑ HHF C IH ❑ UBA ❑ N/A Adj. Wtr. Body CANAL- (natnat m_�) ❑ PWS: A L.er Mai WA rr 11-4- 1 W W a'D Agent or Applicant Printed Name ) ' t s(, Signature ** Please read compliance statement on back of permit A ;7_0 o -9--'73& 9 Application Fee(s) Check # 611A In r__ Permit Officer's Printed Name - 1i�. P C Signature 3 I'+ I 9 t 4/2011 Issui g Date Expiration Date 4NCAA" / J DREDGE & FILL No. 72899 A B C ENERAL PERMIT Previous permit # ew ❑Modification ❑Complete Reissue '_]Partial Reissue 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 15A NCAC Q Rules attached. Applicant Name_ Mir-Mr-i- & {l,I1TH Y 4AMt3lER`T Project Location: County _ ___ Kwtj �_c -�--- Address �(-}r-A-rm 1Z IV 6 _f _ Street Address/ State Road/ Lot #(s) City_ . C-Aav State_I/C ZIP -7 5j-3- �__ —R1y a Phone # (q1.4) 302- 4143 E-Mal kD. L'L�t&rAQ SM J •,cSubdivision N /,4 _ - Audwized Agent W 1 i-L R1c.N. mp_S_OJ City5�dL----� -A uM ZIP 2 ? 4-(i 2 _ Affected a CVN {PTA LIES C PTs A GAT Phone # ( to) 3L7 - 0 3 S River Basin I_1bK Vr4la_ AEC S : O OEA ❑ HHF ❑ lH ❑ LAA ❑ WA Ad . Wtr. Bo ❑ PWS: I dY _ GA 1lAk-___ _ nat 4S n t or Applicant Printed Name C Signature "` Please read compliance statement on back of permit" _4 ,2,a o � -73(o 9 Application Feels) Check # PertrdtORker's Printed Name — 4c Signature i 11 4-/..Zoi 4 Issui Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mike Lambert Mailing Address: 301 Heathridege Lane Phone Number: Email Address: I certify that I have authorized Cary NC 2713 919-302-4143 kplambert@gmail.com Will Richardson Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Boat Lift installation at my property located at 121 Tuna Drive Holden Beach NC in Brunswick County. I furthermore certify that 1 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: Signature J. LS�hcr Print or Type Name 6jhfr Title 3 l 3 l-A Date This certification is valid through 04 1 30 l 2019 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Mike and Kathy Lambert s property located at 121 Tuna Drive (Name of Property Owner) (Address, Lot, Block, Road, etc.) on Canal in Holden Beach N.C. (Waterbody) (City/Town and/or County) The licant 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) Installation of boat lift 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Will Richardson: Authorized Agent Print or Type Name 3235 Seacrest Ave SW Mailing Address Supply NC 28462 City/State/Zip 910-367-0335 Telephone Number March 3rd, 2019 Date ---' I►fie-be-10AW 1VII A LLa� Print or type_ Name Mailing Address �' CeVII > -1 some �c� AZ AWo Y City/ tatelZip C �� �� - f)009 Telephone Number lr� 19 Date (Revised 611WO12) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Mike and Kathy Lambert 's property located at 121 Tuna Drive (Name of Property Owner) (Address, Lot, Block, Road, etc.) on Lanai in Holden Beach , N.C. (Waterbody) (City/Town and/or County) i li t 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) Installation of boat lift 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 s tb , you must initial the appropriate blank below.) .2�W I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Qwner Information) Signature SiS t _ n Will Richardson: Authorized Agent Print or Type Name Print o Type N�; e 3235 Seacrest Ave SW �c�v I r (()Vl d C^ ,1 Mailing Address Mailing Address J iy Supply NC 28462 ,ate - 1u, ZUS-- Cily/State/Zip City/State/Zip 910-367-0335 , - _ / Telephone Number Telephone Nu ber March 3rd, 2019 ;;1 o A Date Date (Revised 6/18%2012) Charles & Debra Dallas 11 q Tuna Drive WZ02 aftO: ~26feet Scope of Work: Installation of Boat Lift -17 No Wetlands CANAL --� N bx16 float Proposed lift PrI T 13x 13ft 4x6ft Existing Structures -23ft- No Wetlands Owners: Mike & Kathy Lambert 121 Tuna Drive q 1 q-302-4134 Jason Parker 123 Tuna Drive 704-763-365q Dafa Received Date ce .sited Check From (Name) Name of Permit Holder Vendor Check Number aChockmount Permit Number/Comments Recei (or Refund/Reallocafed Columnl Column2 Column3 ColumM Columns Co/umrK Column? Column8 Column9 3/18/2019 Richardson Construction/Will Richardson Michael & KathyLambert BB&T 7369 $ 200.00 ! GP 72899D TMc rct. 7750D