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.
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Notes/ Specia! Conditions
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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
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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
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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:
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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
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City/StatetZip
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Telephone Number Telephone Number
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Date
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CERTIFIED MAIL@ RECEIPT
Domestic Mait Only
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