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Home My WebLink About31954D - Lambertsen 0 CAMA / DREDGE & FILL Nt' 31954—i- GENERAL PERMIT Previous permit # )% ' 'New Modification Complete Reissue Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resource Commission in an area of environmental concern pursuant to 15A NCAC 114 ,0 0.. . ` Rules attached. Applicant Name (',ai Lamb el -1 S\ Project Location: County ON Si 0 M/ Address c. 0 1 1 A` i€(AA y JC/V f Street Address/State Road/ Lot#(s) Z-o i .../.-_ p6 4 City 5i1 6 DC i--P R-'( State NC. zip 0/G 0 Phone# (9'/U) 3 "").- It 5 )-Fax#( ) Subdivision /4i ? LTV/Ji'^_ At f F S Authorized Agent 4/�4- City C /t/- p izzekig y ZIP 04 i6 b i{-CW EW ❑'rfZ ❑ES PTS Phone # ( ) River Basin '43,-- U 1,< Affected AEC(s): ❑O FWS HHF ❑IH❑FC. ❑UBA N/A Adj.Wtr. Body AT'v+/v../ - (nat�man /unkn) ) Closest Ma Wtr. Bod Si e 0 kti tl - ORW: yes / no PNA no Crit. Hal,. yes / no l' y Type of Project/Activity ,pp:,,vA1 'P i l:::R.. _/ i::::;:r�, _ (Scale:�it C C.) / ) �Pier(dock)length /3/p ________ w a G`�. � 7. Platform(s) Ill �( 3 p i rr(J! . I� �, Finger pier(s) v O • • (,4-f j:S, (', - 1 0 Groin length number _- -_-- - Bulkhead/Riprap length - �i avg distance offshore -^ — - _ O max distance offshore b( _.+ tI k &/Y 34 // -- _. ._ ---. -. l► _-----, ter -----'----- -�--}- Basin,channel ,_ i L/ '""t cubic yards ; Boat ramp -. t Boathouse/ oatli f ,�� r, Y 3 cot Apw f 9 Beach Bulldozing _L_. —_ f _ Other --- - _I , i F j , I : :ehmneLure f 4 ,Lo yes no -- -- _--i- l I _ •# • > �> _ Sandbags: not sure yes no 4 I I I I I Photoorium: n a yes no . 4. 4.-...._._ e k. f - 1 - I yesI r I Waiver Attached: yes no ------ ------- A building permit may be required by: U6-, , • 'L• . L See note on back regarding River Basin rules. .Notes/Special Conditions ( D 4 if Afk. I ? .(Tii1 s17-t-il RP 7 ?fc/ I / +'P6 .. \/ rrl. iA J ( Aep-r( SF13 W (:7_ti ►2 V A . /401L e ris e iLd Agent or Applicant Peened Name Permit Officer's Signature ) Signature * *Please read compliance statement onback of permit** Issuing Date t Expiration Date /1. c/(, 6,0 • 5 0 7J�./9,i3 Application Fee(s) ,/,V-t 0, Check# 1/ '/ J Local Planning Jurisdiction Rover File Name J f 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 I)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: i I 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 Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Washington District Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall 1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889 Raleigh, NC 27699-1638 252-264-390 I 252-946-648 I Location: Fax: 252-264-3723 Fax: 252-948-0478 (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde, Parker Lincoln Building 2728 Capital Blvd, Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties) Counties) Raleigh, NC 27604 9193 2293 / 1 888 4RCOAST Morehead City District Wilmington District Fax: 9I Fax: 9 19 733 1495 151-B Hwy. 24 127 Cardinal Drive Ext. Hestron Plaza II Wilmington, NC 28405-3845 Morehead City, NC 28557 9I0-395-3900 202-808-2808 Fax: 910-350-2004 Fax: 252-247-3330 (Serves: Brunswick, New Hanover, (Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and New River Inlet-and Pamlico Counties) Pender Counties) Revised I0/05/0I CODES FOR AEC DESIGNATIONS "OH" - Ocean Hazard "PT" - Public Trust `-�Z" " - urine Waters "CW"- Coastal Wetlands "ES" - Estuarine Shoreline "PC" - 'Fragile Coastal Natural/Cultural - Public Water Supply "OR" - Outstanding Resource Water CODES FOR PROJECT "P"- Private-usually an mziMcival "F" - Federal "C" - Commercial "L"- Local Government "If' - Utility `°H"- Housing Development "S"- State "O"- Other -4 CODES FOR PROJ DESCRIPTION "11"- Balkh- fta ,Rinrap "16" - Utility Lines "12" - Piers,Docks Boathouses "17" - Emergency Reps "13"- Boat Ramps "1 S"- Beach Bulldozing "14"- Wooden Groins "19"- Temporary Structures _- — "15"- Iviaintenance of Basins, Channels,Ditches - --- - — --- - _- GENERAL PERMIT COMPUTER FOB APPLICANT NAME: &k Q y Q . L 4 3filso ADDITIONAL NAMES: AEC D:SIC: 1 PT ('"J v DEVELOP kREA: 0.O PROJ ' - 1� DISC: (Will oaiytak 6) — — (Will only lake 1) WORK PR b,13( bL 13,f3 glt (Will onlytaice4) . Wan': !� • (Will only take 4) (/ I Ow J5 ' (will only take 6) ACTION E3I.°I ATION DPEDGE&rT[.T ,QTJIR"'D: CAMA MAJOR DEVELREQUIRED -i -i /O?- L i . , , ''Q \ 1J V\ U n,`` `J 1 0�J ' �_ $ 1�, er dcizr /9/er 11111m/tR.� - d I 144 J 1 mN DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit : , 74Y' ,)fi r�se4.) Address Of Property: c2c ( 1 ocz /. y /),z' s (Lot or Street #, Street or Road, City & County) I hereby certify that I own property adjacent to the above- referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development__�___ they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal . If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or call 910 395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION ' I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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. - AnD_ I ClicR, Adjirdk Si n ture Date Wa- a la o ( 1, im3%0a 1 Print Name Telephone Number With Area Code DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit : 6;7/9,4 /9,4-f er/SC'� y Address Of Property: c2C l ‘,/hfe,r e c y /) e S.lie 15 S !fie ray A7C a ei 6' (Lot or Street #, Street or Road, City & County) OA's (v 9 07, I hereby certify that I own property adjacent to the above- referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal . If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or call 910 395-3900 within 10 days of receipt of this notice . No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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 thel5. setback requirement . 4)7/(-)g- -ff4414 '16-t- /A-aiil-a I do not wish to waive the 15' setback requirement . ()it_ L 1/1/02...-- Sig ature Da e V 3-0-,91iL • G bf -1Z , J/Z Print Name (9/) 4 -? -7-f s yy Telephone Number With Area Code 3:.t • • - - .. r .. - • .r GARY A. LAMBERTSEN 66-7489/2531 4 9 5 5 0900010526301 ROS 710 RIE LAMBERTSEN DATE /? l� 7102 PENGUIN PLACE L(, �GP' FALLS /CHURCH, VA 22043 PAY TO THEORD R OF /Y C t /�/� I $ /QD. 'o f� C9-O GL/ 7(/,-b{i 4 7) �T-C,-�y c'-"' ------LDOL LABS 8 D � Marine Federal Credit Union ``, Ouali� �co.VA�22134-0t88 G�/ FOR 6 p a_3/p sF - -----' --- 1: 253174E1931:09000 L05 2630 495S