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HomeMy WebLinkAboutLomax, Terri 80544CER/AL PERMIT ew EModification EComplete 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 pursuant Applicant Name Address c State ztP N9 80544 Previouspermit o e e €'o Date previous permit issued_ a ////c-to l5A NCAC E Rules attached. Project Location; Street Address/ State Road/ Lot #(s) rlor< D, Phone # (_) Authorized Agent Affected n cw nici'j, n oEA tr PWS: ORW: yes / no PNA yes / no r )/0/E-Mail Subdivision City ztP Phone # (-)- River Basin Adj. Wtr. Body ,. . ' (n ClosestMaj.Wtr. Body ( Or-' J ', -tr '' nf, nEw tr HHF trPTA nrH trES tr UBA tr PTS trN/A Type of Projecfl Activity t7b (scatey,{//) ) Pier (dock) len4h 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/ Boatlift Beach Other Shoreline Length SAV: not sure yes no Moratorium: Photos: Waiver Attached A building permit may be required by: ( Note Local Planning Jurisdiction) vnla yes W yes 4 i yes tDO E S"" note on back regarding River Basin rules. /.a* -ffi -]-L{lltaq? + -lJ trtl ^l(l I I ++ Itttl ---+---- i f-r- , I*j-- I I 't-l- I I-'-.1'- -i I I tll --I I I ttl tl I I-r-I , I tt + +l -F-L + II I I I---T-- I i i -I1- l l I -+ tt I I I II I I I I I I Notes/ Specia! Conditions /lw Agent or Applicant Printed Name Signature ,l.'c Please read compliance statement on back of permit x* Permit Signature fiH + Application Fee(s)Check #lssuing Date Name Expiration Date Tdev.e/trDREDGE&FrLL W ffi=f # t< 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 subiect the permittee to a fine or criminal or civil action; and may cause the permit to become nullandvoid. This permit must be on the proiect site and accessible to the permit officer when the proiect is inspected for compliance. The applicant certifies by signingthis permit that l) priorto undertaking any activities authorized bythis 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 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, certirythatthis project is consistentwith the Nonh Carolina Coastal Management Program. River Basin RulesApplicable To Your Proiect: . Tar - Pamlico River Basin Buffer Rules l ] Neuse River Basin Buffer Rules lf indicated on front of permit, your proiect is sublect 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 RegionalOffice (910-796-7215)for more information on howto complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead Ciq/, NC 28557 2s2-808-2808/ | -888-4RCOAST Fzx: 252-247 -3330 (Serves: Caneret, Craven, Onslow - North of New River lnlet- and Pamlico Counties) Elizabet h City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 257-264-390t Fax:252-764-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Other: Wilmington District I 27 Cardinal Drive Ext. WilminSton, NC 28405-3845 910-796-72t 5 Fax: 9 l0-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River lnlet- and Pender Counties) http://ponal.ncdenr.org/web/cm/dcm-home Revised 7/06/ l7 tr Washintton District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax:252-948-0478 (Serves: Beauforc, Benie, Hertford, Hyde, Tyrrell and WashinSton Counties) ICAMA / fr DREDGE & FILL GENER/AL PERMIT f New f-lModification [-Complete Reissue [ ]Partial Reissue N9 80544 Previouspermit# A B c D Date previous permit issued Applicant Name-- Address fu authorized by the State of North Carolina, Department of Environmental Quality andtheCoastalResourcesCommissioninanareaofenvironmentalconcernpUrsUanttol5ANCAC Prolect Location: County_ Street Address/ State Road/ Lot #(s) ztP Phone # (--)-e-yait Subdivision Authorized Agent c ztP . lcw f Ew IPTAAllected AEC(s): :oEA .-HHF llH tr PWS: ORW: yes / no ,*O *, , no trES N UBA I PTS ]N/A Phone # (_)River Basin Adl. Wtr (nat /man /unkn) Closest Maj. Wtr. Body )C Type of Projecfl Activity H1-+ Finger pier(s) Pier (dock) length Fixed Platform(s) Floating Platform(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore_ Basin, channel ii!--t i-i cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length _ SAV: not sure Moratorium: nla Photos: Waiver Attached: A building permit may be required by: ( Note Local Planning Jurisdiction) +F +-t-- -_l-- iI I yes no yes no yes no yes no E S". note on back regarding River Basin rules. )(Scale: i !+ i-I Notes/ Special Conditions Agent or Applicant Printed Name Signature # Please read compliance statement on back of permit * Permit Offi cer's Printed Name Signature Application Fee(s)Check #lssuing Date Expiration Date city- state I + + 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 nulland void. This permit must be on the project site and accessible to the permit officerwhen the proiect is inspected for compliance. The applicant certifies by signingthis permit that l) priorto undertaking any activities authorized bythis 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 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 project is consistentwith the North Carolina Coastal Management Program. River Basin RulesApplicable To Your Proiect: Tar- PamlicoRiver Basin Buffer Rules Neuse River Basin Buffer Rules lf 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 RegionalOffice (910-796-7215) for more information on howto comPlywith these buffer rules. Division of Coastal Management Ofiices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 2s2-808-2808/ | -888-4RCOAST Fax:252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River lnlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste.300 Elizabeth City, NC 27909 252-264-390t Fax:752-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) E oth".' \rVashington District 943 Washingon Square Mall Washington, NC 27889 252-946-6481 Fax:,252-948-0478 (Serves: Beaufon, Bertie, Hertford, Hyde, Trrell and Washington Counties) Wilmington District I 27 Cardinal Drive Ext. Wilmington, NC 28405-3845 9t0-796-72t5 Fax: 9 l0-395-3954 (Serves: Brunswick, New Hanover, Onslow - South of New River lnlet- and Pender Counties) hnp://portal.ncdenr.org/web/cm/dcm-home Revised 7/05/ I 7 --I-ero- ,-\\eleproq ro\t Name of ftoperty Owner Requesting Permit:V(r,Lo"^^* /U). tL.o.r,,,,, !$ ..t"tt r' Mailing Address:\o+\Se+s\ora Dr.. Ak\ o.r.'t.".-c-.85ll Phone Number:4rq LZ\2-*oK Email Address:\or'r. ^*LA (.r.e. . Lo Agent i Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development:5e,.. r^.: a.t I to o GF\.County. ce- Dr Att t\)z8s-l I tn le l_furthermore certify that I am authoized to grant, and do in fact grant permission to Division o-f coastal Management staff, the LoCat permit officer and iheir agents to enter on the aforementioned lands in connection with evatuating information ielated to thispermit application. Property 0wner lnformation : ,l o{t't L ' L"..-+ -Tenri Signature L, Le.t ^tr*Pint or Type Name Title o4rz+ t 2oz Date RECEIVED MAY 11 2021 DCM.MHD CITY This certiflcation is valid through AGENT AUTHORIZAT]ON FOR CAMA PERMIT APPLICATION I certify that I have authorized at my property located at tt e\ I"e^ls huS- tRN[ GERTIFIED MAIL.RETU N RECE REOUESTEDPT DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAflONMAIVER FORM Name of Property Owner:L. Lpa ..r slflrt\ Address of Property:to \ar-ra (Lot or Street #, Street or Road, City County) Agent's Name #: Agent's phone #, I hereby certify that I own property adjacent to the above referenced property. The individual applying for this has described to me as shown on the attached drawi develo ment they are proposing V I have no objections to this proposal. I have objections to this proposal. lf you have objections to what is being proposed, you must notifythe Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be maited to 400 Commerce Ave., Morehead City, NC, 28557. DCM representatives can a/so be contacted at (251 SaS- 2808. No response is considered the same as no objection if Vo u have been notified by Cerlified 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 must initial the appropriate biank below.) RECEIVED I do wish to waive the 15'setbact requirement, ,I do not wish to waive the 15' setback requirement.MAY: 1 L Zl?1 c.e- bc 0 <- z8 s/I (Property Owner lnformation) Stgnafure Arr, L. Lo,vrz. l- (Adj acent Property Owner I nformation ) Signature a,r"la{lc.,*/ A . n4ppt.€- Print or Type Name t 3r3 E. dn)soq: [r.. Mailing Address Z I€- Print or Type Name lo+4 *4horre- )r. Mailing Address c- City/State/Zip 9tq , Lz=.3EDE Teiephone l\,lumber City/State/Zip Te[ephone Number /zt ZgS II D ntt La-- Revlsed 6/18/2012 It/ailing Address: 1";)4 +\J\rf \".^V$(\A\ -> c,tc q.g 3 -r,{z.*. \ \Ns\*g\\*" \$*\S=**\..g,\i\ e €(. \ ----:-*--a--'\i \_-<__ ---\, '.*& Yso^n^ rRNtGERTIFIED MAIL . REJURN RECEIPT REQUESTED DIVISTON OF COASTAL MANAGEMENT ADJACENT RIPARIAIT PR,OFERTY owNER NOTIFICATIONMAIVER FORM Te.rr. Lorvra.-y- /tj " r, \ .r.-n- l-. 9 c v'r"tt tcJName of Property Owner: Address of Property:l2lc2 5e.aS\nof:re- bc. u<,, (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: I hereby certify apolying for this that I own property adjacent to the above referenced property. The individual has described to shown on attached ey are proposing "/ I have no objections to this proposal. Ihave objections to this proposal. If you have objections to what is belng proposed,you mustnotifythe Division of Coastal Management(DCM) in writing within 10 days of receipt of this notice. Correspdndence should be mailed to 400Commerce Ave.,Morehead CW, NC,28557. DCM representatives can also be contacted at (254 8A8- 2808, No response is considered fhe same as no if vouhave been notified bv CertifiedMail. WAIVER SECTIOI{ I understand that a pier, dock, mooring pilingr, breakwater. boathouse, lift, or grcin must be set back a minimum distance of 15' from my area of riparian access unless waivei by me. (lf you wish to waive the setback, you must initiat the appropriate blank below.) RECEIVED I do wish to waive the 15' setbask requirement. I do not wish to waive the 15' setback requirement. MAY I I 202t DCltrr-MHD CtTy (Property Owner I nformation) csit . l-" Signature L€,rf L , Larvra.Jt.Su'^ BooLq,.r ation) t Print orType Name lu+q &o'st"or<- b"' Print orType Name ?o. fu* 5f Mailing Address Attor...lr- Mailing Address Nc- z8s tt S',,^liA&.-f J.\c. z?s++ City/StatetZip 9rq. bB\ . \+\81n.c og Telephone Number Telephone Number wu 4,zo?--lor( / Date za /z-tzt Dote 47 Reyised 6nBnU2 \ L \\".\ \ \N( -:--i.---.- /6 41 , \ \. S-\Ngr\vu\il\ -:--*-::--< ;-' --,_>L_,------.--}-\ U.S. Postal Service'" CERTIFIED MAIL@ RECEIPT Domestic Mait Only axtn 0t AL U t1,6tJ tr $_Ttr'IJIr tr $-+wD t0.55 t- J I our website at www.usFor delivery inlormallon. visi PS Form 3aoo, Aprit 2Ot5 I r)9+2 ltl t+/29/?t72r <lEm ru t',| f\.EE ruEEE Ei .-EE EruEr!