HomeMy WebLinkAboutLynton-Edwards, Robert 80044CtrcAMA t aO REDGE & FILL
ENER/AL PERMIT
EModification ECompleteReissue EPartialReissue
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 l5A NCAC
N9 80044
Previous permit #
Date previous permit issued
ABCD
) 7-#ffi
I Rules attached.
Name
^ll
tu,
Street Address/ State Road/ Lot #(s)
Subdivision
a Project Location: County ) li/
city- State-
714^fr6
ztP
Phone # (_)
Authorized Agent
E-Mail
XA ZIPTYal
. ,-cw lEw :-1 PTA rtES
Attected
AEC(s): troEA tr HHF n rH n UBA
tr PWS:
ORW: yes / no ^O *, , no
N PTS
!N/A
Phone # (_)River Basin
Adi.Wtr.Body /t.tr ke'V (=ipf (.
,
Closest Maj. Wtr. Body
-
Type of ProjecU Activity l or,l
(Scale:)
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) "
Groin length
number
Bulkhead/ Riprap len4h _
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp yzxl
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes
yes
yes
yes
no
no
no
no
A building permit may be required by:
( Note Local Planning Jurisdiction)
E Su" note on back regarding River Basin rules.
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Notes/ Special Conditions
( r /t^l
or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Oflicer's Printed Name
Signature
Application Fee(s)Check #lssuing Date
'-'L
Expiration Date
Applicant
Address fr\,
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S6tement of Compliance and Consistency
This permit is subiect 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 proiect site and accessible to the permit officer when the proiect is inspected for compliance. The
applicant certifies bI 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 proiect 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 adlacent 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, certifythatthis proiect is consistentwith the North CarolinaCoastal Management Program.
River Basin RulesApplicable To Your Project:
r- Tar - Pamlicofuver Basin Buffer Rules
Ll Neuse Rjver Basin Buffer Rules
E other
lf indicated on front of permit, your proiect 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 (252-945-6481) or the
Wilmington Regional Office (9 I 0-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Ofiices
Morehead City Headguarters
400 Commerce Ave
Morehead Ciq/, NC 28557
252-808-2808/ | -888-4RCOAST
Fax: 252-247 -3330
(Servesr Caneret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Grimn St.
Ste.300
Elizabeth Citf, NC 27909
252-264-3901
Fax:252-264-3723
(Sewes: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-648t
Fax:252-948-M78
(Serves: Beaufort, Benie, 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 lnlet-
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ I 7
Applicant Name
Address
trCAMA/trDREDGE&FILL
GENERAL PERMIT
DNew LlModification lComplete Reissue EPartial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pu rsuant to l5,{ NCAC
N980044 A B c'D
Previous permit #
Date previous permit issued_
E Rules attached.
Project Location: County_
Street Address/ State Road/ Lot #(s)
Subdivision
City ztP
Phone # (_)-- River Basin
Adj. Wtr /man /unkn)
Closest Mal. Wtr. Body
State ztP
Phone # (_ )_ f-mait
Authorized Agent
Affected tr cw trEW
tr HHF
tr PTA
trrH
trES
fI UBA
tr PTS
trN/Anici'i' troEA
tr PWS:
ORW: y"r 7 no l PNA yes / no
>C
Type of ProjecU Activity
(Scale:
Pier (dock) lengh
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore _
Basin, channel
cubic yards
Boat ramp
Boathouse/
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
tiHT|'i
-
)
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yes no
yes no
yes no
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Agent or Applicant Printed Name
Signature x* Please read compliance statement on back of permit **
PermitOfficer's Printed Mme
Signature
Application Fee(s)Check #lssuing Date Expiration Date
Abuildingpermitmayberequiredby..trSeenoteonbackregardingRiverBasinrules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
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Statement of Compliance and Consistency
This permit is subiect to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may sublect the permittee to a fine or criminal or civil action; and may cause the permit to become
nullandvoid.
This permit must beon the proiect site and accessibleto the permit officerwhen the project is inspected forcompliance. The
applicant certifies by signingthis permitthat l) priorto undertaking any activities authorized bythis permit, the applicantwill
confer with appropriate local authorities to conlirm that this pro,ect 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 adiacent 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, certifythatthis proiect is consistent with the North CarolinaCoastal Management Program.
lf indicated on front of permit, your proiect is subiect 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 howto complywith these buffer rules.
Division of Coastal Management Ofiices
Morehead City Headquarters
400 Commerce Ave
Morehead Ciq/, NC 28557
25 2-808-2808/ r -888-4RCOAST
Fax:252-247-3330
(Serves: Cartera, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizebeth City District
401 S. Griffin St.
Ste.300
Elizabeth Ciq/, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck.
Dare, Gates, Pasquotank and Perquimans
Counties)
E other:
Washintton District
943 Washington Square Mall
Washington, NC 27889
252-946-648t
Fax: 252-948-0478
(Serves: Beaufort, Benie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-72t5
Fax: 9 l0-395-3964
(Serves: Brunswick, NeYv Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
hnp://portal.ncdenr.orglweb/cm/dcm-home
Revised 7/05/ l7
River Basin Rules Aprplicable To Your Proiect:
l] Tar- Pamlico River Basin Buffer Rules
l ] Neuse River Basin Buffer Rules
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:/0,0
Mailing Address i?q Ene,, d. G,u Lr,
Z a+r-
q 6 ,0IPhone Number:
Email Address:I -o I /r1
I certify that I have authorized ir?€Gns A;^
Agent / Contractor
To act on my behalf, for the purpose of applying for and obtaining all CAMA permits
Necessary for the following proposed development:6"? /k
BrE
at my property located at
s /or,County
rc ei Fo*a
in
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agenls to enter
on the aforementioned lands in connection with evaluating information related to fhr's
permit application.
Proper$ Owner lnformation :
Signature
or Type Name
Title
5 202 (
Date
r.-) tZt r.2AZtThis certification is valid through I t
,
CERTIFIED MAIL . RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property owner: Qob*+ {-
tl Llt
,Fon 1 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Address of Propefl
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Agent's email:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this it has described to me as shown on the attached drawi devel
they are proposing
. Y I have no objections to this proposal. I have objections to this proposal.
lf you have objections to what is being proposed, you must notify the Divlslon of Coastal Management(DCM) inwriting within 10 days af recelpt of this notice.Correspondence should be mailed to I 27 Cardinal Drive Ext.,Wlmington, NC, 28405-3U5. DCM representatiyes can a/so be contacted at (g1 0) 796-7215. ffo response isthe same as no if have been Ceftified
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. (lf you
wish to waive the setback, you must initial the appropriate blank below.)
/lr, r'. 26 4Q'/
(P ro perty Owner I nformation )(Adjacent P Owner I
Signature Signature
,tr,,l+L/' (',/1/" //
Pint or Type Print or Type Name
lo4 E*rr"/d (ox C/.//)or .L, hl/ttt U
Itailing Address Mditins Adilrb{s "
#/a <g* , /t/f. 2!++r I
Citft5tater-ffp City/StaterZip
q 7/ -%q - 4/q'g//j
Telephone Number Telephone Number
5-a- 2oz r 5-6 -21
Date
5" c;
Date
7
RevrSed 6n8/2012
c
CERTIFIED MAIL . RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERW OWNER NOTIFICATIONfWAIVER FORM
,j
Name of Property Owner:
Address of Property:f*,.d
Agent's Name #:
Agent's phone #:
Agent's email:
(Lot or Street #,or Road, City County)
Mailing Address:
I hereby certifu
applying for this
that I own property adjacent to the above referenced property. The individual
permit has described to me as shown on the attached the develo
they are proposing
TjX, have no objections to this proposal. I have objections to this proposal.
lf you have objections to what is belng proposed, you mustnotify the Dlvlsion of Coashl Manegement (DCM) inwiting withtn 10 days of receipt ol this notice.Correspon dence should be mailed to 127 Cardlnal Drlve Exi,Wlmlngton, NC, 28405-3845. DCM representa tlves can also be contacted at (91 0) 796-721 5. l,/o response isconsldered the same as no oblectlon lf you have been notlfied bv Cerlfied Mail.
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. (lf you
wish to waive the setback, you nnust initial the appropriate blank below.)
T?I do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement
(Property Owner lnformation)
Signature
Print or Type
lQ4 Enca/L G,c. Cl
Mailing Addresi
l/Jl, {,;* , /tt. Zf+qr-
CitllstatCfllp
1n - l*6i.;f
Telephone Number
5* A-Lozr
(Adjacent Top"rty Owner I nformation)
n <..
Signature
(-.|\6r
Print or Type Name
\cc,
Mailing Address
[i1 n,{trr,.-1
City/StaterZip()/, ^b2r*-0/r/r
(
1
5 1
t-/
Telephone Number
5'6 *){)z
1
Dote Date
Revised 6/18nU2