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
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3/18/2019 Richardson Construction/Will Richardson Michael & KathyLambert BB&T 7369 $ 200.00 ! GP 72899D TMc rct. 7750D