Lyons, Brenda 80030C

ECAMA/trDREDGEIFILL
GENERAL PERMIT
6New EModification IComplete Reissue EPartial Reissue
As authorized by the State of North Carolina, Depaftment of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant
N980030 A B c D
Previous permit #_
Date previous permit issued
to l5A NCAC
Address
Applicant Name Prolect Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ztP
Phone # (_)River Basin
Adi. Wtr (nat /man /unkn)
Closest Mal. Wtr. Body
State ZIP
Phone # (_)
Authorized Agent
- !lL E-Mail
Affected trcw trEw trPTA
AEC(s):
-l OEA :t HHF - !H
tr PWS:
oRW: yes / no
-r*o
*, / no
trES
tr UBA
NPTS
trN/A
>C
Type of ProjecV Activity
(Scale:)
Pier (dock) lengh
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)_
Groin len4h
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore_
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Atached:
A building permit may be required by'
( Note Local Planning Jurisdiction)
E S"" note on back regarding River Basin rules.
yes no
yes no
yes nQ
yes no
Notes/ Special Conditions
I
-ffit-
I
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
\TL
l,
a
l**+---l*
)
I II'i,/-+l),rl
^4,
/^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
null and void.
This permit must be on the proiect site and accessible to the permit officerwhen the proiect 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 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 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 consistentwith the North CarolinaCoastal Management Program.
River Basin RulesApplicable ToYour Proiect:
] Tar- Pamlico River Basin Buffer Rules L l other:
! I Neuse River Basin Buffer Rules
lf indicated on front of permit, your project 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 WashinSton 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 Headguarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ r -888-4RCOAST
Fax: [phone]
(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
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
7s7-946-6481
Fax:252-948-M78
(Serves: Beaufon, Benie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
I 27 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9t0-796-72t5
Fax: 9 l0-395-3964
(Sewes: Brunswick, New Hanover,
Ondow - South of New River lnlet-
and Pender Counties)
http://ponal.ncdenr.orglweb/cm/dcm-home
Revised 7/06/ I 7
Ecalrne/trDREDGEaFILL
GENERAL PERMIT
[INew EModification EComplete Reissue IPartial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coasal Resources Commission in an area of environmental concern pursuant
N9 80030 A BCD
Previous permit #_
Dateprwiourp"rffi
to l5A NCAC
Applicant Name
-
Address
fl Rules
Project Location:
Street Address/ State Road/ Lot #(s)
Subdivision
ztP
Phone # (_)River Basin
Adl. Wtr. Body (nat /man /unkn)
Closest Mal. Wtr. Body
Phone # (-)_ e-uail
Affected trcw nEw trPTA
AEC(s): oEA r HHF r lH
r PWS:
ORW: yes / no PNA yes / no
trES
N UBA
tr PTS
trN/A
)C
Type of ProiecV Activity
(Scale:)
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)}#
Finger pier(s)1,Groin lengh
number
+
Bulkhead/ Riprap length ;-i-t-1l i-f={*--l--l*"r--'i
t-
avg distance offshore
max distance offshore
Basin, channel
.i__L
cubic yards
Boat ramp
Boathousd Boatlift I]-I
Beach Bulldozing
Other
L
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes no
yes no
yes no
yes no
!til
il
--"4
I-i.-
!
E S"" note on back regarding River Basin rules.
Notes/ Special Conditions
1--
tt!ii#-lliiilli!!.{-----{-i! i-lliii.lfrllili#
I
I
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
PermitOfficer's Printed Name
Signature
Application Fee(s)Check#lssuing Date Expiration Date
State _ZIP_
Authorized Agent
.H
--+
F---+-
-+
t-"
i.i-"
!tilffi
A building permit may be required by: .
( Note Local Planning Jurisdiction)
*l-I
Ij-t1--i-1
-1-
LI
i
i
I--'r'--1.-
J-
Statement of Compliance and Consistency
This permit is sublect 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
null and void.
This permit must be on the projectsite and accessibletothe permit officerwhen the project is inspected forcompliance. The
applicant certifies by signing this permitthat l) priorto undertakint any activities authorized bythis permit, the +plicantwill
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 retum receipt has been obained from the adiacent riparian
landowner(s) .
The State of Nonh Carolina and the Division of Coastal ManaEement, in issuing this permit under the best available
information and beliel certifythatthis proiect is consistentwith the North Carolina CoastalManagement Program.
River Basin Rules Applicable To Your Project:
E ott etTar - Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
lf indicated on front of permit, your project 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 RegionalOffice (910-795-721 5) for more information on howtocomplywith these buffer rules.
Division of Coastal Management Ofiices
Morehead City Headquarter:
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I -8884RCOAST
Fax: [phone]
(Serves: Caneret, 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:[phone]
(Serves; Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
257-946-64A1
Fax: [phone]
(Serves: Beaufon, Benie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-721s
Fax: 9 l0-395-3964
(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
ADJACENT RIPARIAN PROPERW OWNER STATEMENT
I hereby certify that I own property adj acent to Ton anad lLvetndta Luratat
(tlame otTroperty ffi neil
located at ll I Ma\ \avcl Covc. Flave.lnck. N t- 2-$6 ZL
s
property
(Address, Lot, Block, Road, etc.)
on C\trlr€trn F e cla ,tn CYavev. f n\^hFr,A , N.C(waterbody) @
The applicant has described to me, as shown below, the development proposed at the above
location.
l1 11 I have no objection to this proposat.
I have objections to this proposal.
DESCRIPTION AND/OR ORAWING OF PROPOSED DEVELOPiIENT
(lnclfurcruat propoalng devetopment must flll ln de.scrlptlon below or altach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the '15' setback requirement
(Property Owner lnformation)
1A.=-a,--
Signature
$ve*:.do, Lurn"reinlorrypeiT-1S5 EcarLe. r t r.'WHavz\or,ta N0 2e532
City/State/Zip '
z
(Adjacent Prop€Owner I tion)
Sigpature* t / 1lB^ucn laec,:n r <1
Pint or TvDe Name t/ai.ntA LLAbd (ou.
M t(/.c. )1<
Telephone Number / email address
64r-Lo7-l
Q.grma;
hone N er/r-24- 2
email acklress
3
Dale
*Valid fior one calendar year after signature*
Date*
(Revised Aug. 2014)
ADJACENT RIPARIAN PROP ERTY OWNER STATEMENT
I hereby certify that I own property adj acent to 'for.' arrrol bvotnt) a Lu rrra l ,S
property located at h
(Address, Loq Block,oad, etc.)
on Cturk*rr trl C,rzcV .tn , N.C
(Waterbody)(City/Town a r County)
The applicant has described to me, as shown below, the development proposed at the above
locatign.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWNG OF PROPOSED DEVELOPMENT
(lndfuiclual prcposing development must fill in description below or al,bc, a site dnwing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
I do wish to waive the 15' setback requirement.
Signature
Wwrda Lr,,tovrl
(Property Owner lnformation)
,4-._\,........___
(Adj acent P nformation)
Sisnature*' /7Al lTfit4/to*'fl7*ffil2ptl u*""'nwfrf/A/' //a z(i/z
City/State/ZipCity/State/Zip
ZUz. - lol o- llt A UJuftl4aL,a,.lr, 4,t^!A qt Ail
Tetephone Number / email address J v
Print or Type Nan\b
185 Brarlett lcavte-
l,rla,iling Addtess J
5:Lt L!)71
r ee o none N ff)ef " T_7, "ff i: )
Date Date*7
(Revised Aug. 2014)
I do not wish to waive the 15' setback requirement.
*Valid for one calendar year after signature'
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