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HomeMy WebLinkAboutLockard, Tom 76785C_�KCAMA / XDREDGE 6 FILL EW.GNERAL PERMIT New Modification Complete Reissue Partial Reissue Date prosnvt peg As authorized by the State of North Carolina. Department of Environmental Qualm and the Coastal Resources Commission in an area of enNronmmntal concern pursuant to ISA NCACC',j_ Applicant Name �() of \ C� Project Location mm Co Address I� 7 �A��' Uri I Q �t Street Address' Sate Rest : 0 City!/�;G' (j�Ca State ZIP Phone #l)�� �ffl�]jjE-Mail _ Subdivision Authorized Agent �1 �e� [�c'1t!' OM Ilse cor57t .. City i ' t Affected CW -krW _`-PTA .+M PTS Phone # I I Ssssts.Cur. s OEA HHF IH USA N A v AEC(s): Adj. Wtr. Body PWS_ ORW. yes (rtb`- Closest Maj. Wtr. Body PNA yes t..L!'• cs.• } Fof ProjetV (Soak: ' Pier (dockl length Fixed Platform(s) Floating Pladormisl / Fmger pug) Groin length r Bulkhea Paplength avg distance offshore ma. distance offshore Basin, channel % cubic yards Boat ramp Boathouse) Boatldt Beach Bulldozing Other Shoreline Length. SAV. not sure yes Moratorium. Na yes I Photos: yes�ess� - 1 WaWer Attached: / tes% no A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions Oet a -TOM L-C C, .4AX Name read compliance statentent on back of permit -5V ao A' 4" RECEIVE[ JUL 15 202 DCM-MHD C See tote on back r ftw\Jw% Rnr _s �v(. PetnNt Off1(Mf hteNhi NyR � s � Sng�jnat(yre i vl d t f lu ttgp o fVd a'cv?{la,t= rwk, lip L.0 EN 40* ..+10 —7 ..All T -v 4 Tq lie, y all it; ' �LAv W I.V ar. "il j Wall, 11 � Aiz! r UP .1; W; j. .4 blilwl P I if lq,'. g I Y 1-i P; j OR t I lit I 4 i p L tr,,il 'rip! 141 p :21 v. 14 1 .4- elm 1, KAMA / XDREDGE & FILL N9 76785 A BOD GENERAL 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 /y� and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0 /�/ 4 ^ 1100 XRUles attached. I a Applicant Name La Project Location: County ���VP n/ Address 1 1 7 M t l f I Il Ptli, no— Street Address/ State Road/ Lot #(s) I /p/6 /^r-//]/' k City bo l(Aslo['o State�iZIP Phone # ( L Authorized Agent I Affected Li CW AIEW —kPTA` ❑ PTS AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /(;;R� PNA yes //q Type of Project/ Activity Pier (dock) length r Fixed Platform(s) 'f Floating Platform(s) l Finger pier(s) Groin length r l Bulkhea iprap length 9� avg distance offshore" max distance offshore Basin, channel Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure Je , Moratorium: n/a Photos: Waiver Attached: es no A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions or 7 Subdivision City (DA!✓L ZIP Phone# (_) River Basiny� Adj. Wtr. Body / v tivf5t i t V n mr unkn Closest Maj. Wtr. Body (Scale: i 0 ) note on back regarding River Basin rules. Pie read compliance statement on back of permit"' r�n Fee(s) Check # Signat re _7%/rho I) /lo o Isst(ng D to ExpatiorADate 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 ❑ Other: ❑ Neuse River Basin Buffer Rules 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 complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (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) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (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 FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: Tom Lorkard Mailing address: Telephone Number: 117 Mill Run Place I certify that I have authorized River Rats Marine Construction LLC (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of and installation of a bulk head and wheelchair accessible ramp at my property located at 1615 Belangia Rd. Havelock, NC. This certification is valid through July 29, 2020 (date) (Property Owner Infonnation) Sign ture Tom pkard Print or Type Name Owner Title, co. owner or trustee for property 5/29I20 919-344-5114 Telephone Number IockardthomasCo)vahoo.com Email Address 0.jgOD cV'. f.�pQ0 RECEIVED JUL 0 7 2020 DCM-MHD CITY I iA g90-1I I Nt',t!-:A �14W.A �'Zui;O ?f;Om -,�t aj4,w4o,ft.MA'1-j ;--Jeri Q�Az-iim)h tx'4a-oq(y1: orh 'Ertl p,�Iu'kv V jjRrjmq "mil CJ3V1309,q 1gi0,> T 0 jjji, Othjb t)ii%.-" ft•'if P N wi Q, -maWl rt416,lib%­ t, , I 10"urwV 'L� VTIO (31AWM043 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Tom Lockard's property located at 1615 Belangia Road, on the Neuse River in Havelock, NC 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) See attached 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 Infor anion) Signature ( Thomas B. Lockard Print or Type Name 117 Mill Run Place Mailing Address Goldsboro, NC 27534 City/State/Zip (919) 344-5114 Telephone Nu bar � I .-)%'D <).-) C) Date Telephone / mb er��J� Date (Revised W.81201 EGE ED JUL 0 7 2020 DCM-MHD CITY -.:, , .- �7F{M-�/��i�.� RECEIVED JUL 0 7 2020 DCM-MHD CITY i'l �Wvls:)p ..'; o1 v u I iu� YTQ QRM,.moa t, RECEIVED JUL 0 7 2020 DCM-MHD CITY 1 in QIVIISOIR RECEIVED JUL 0 7 2020 DCM-MHD CITY I Q"f gas T 0 Jut yp.,;) 014M.Woo ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Tom Lockard's property located at 1615 Belangia Road, on the Neuse River in Havelock, NC The applicant has described to me, as shown below, the development proposed at the above Ioca io . 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) See attached 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.) h/f I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signahtre Thomas B. Lockard Print or Type Name 117 Mill Run Place Mailing Address Goldsboro, NC 27534 City/State/Zip (919)344-5114 Telephon Num er �1 aozo Dare (Adjacent Property Owner Information) -6 S' nature '/ xr-Z ��S G z `— Print or Type Name 1A 6 t3 d L'LC_ { lvi� ailing Address (Revised 611 AfttIVED JUL 0 7 2jL" DCM-MHD CITY i RECEIVED JUL 0 7 2020 DCM-MHD CITY RECEIVED JUL 0 7 2020 DCM-MHD CITY I RECEIVED JUL 0 7 2020 DCM-MHD CITY ,I J'A