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
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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"'
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Fee(s) Check #
Signat re
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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
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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
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Date
Telephone / mb er��J�
Date
(Revised W.81201
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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)
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Print or Type Name
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ailing Address
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