HomeMy WebLinkAbout85966D - Lazorik❑DREDGE & FILL Lr— C07"Z2 N° 85966
A B C'D)
iewAMA
ENERAL PERMIT
Amw Previous permit
Date previous permit issued
❑Modification
❑ Complete Reissue ❑ Partial Reissue
As authorized by the of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
State
I SA NCAC `)� / z -
❑ Rules attached. General Permit Rules available at the following link: vv w.deq.nc.eov/CAMArvles
Applicant Name d 7CJ� r
- Authorized Agent f f
i
Address /� d C
i
Project Location (County):
�_
City 4,4 L T `t State
h r
ZIP ! i' �/ r sweet Address/State, Road/Lot #s)
Phone # ('_�) t .% SZ.
z- /9 f' /J /i /A r .
Email
Subdivision �..
city I IP
Affected ❑ cw EW PTA
N �
❑ Es ❑ PTS 'Adj. War. Body .lM
(n0%mir&nk)
AEC(s): ❑ OEA IHA uW
-L x1�
ElSPIMA ElPWS Closest Maj. Wtr. Body ��{r Cf�{
ORW: yes/Fm PNA:ye no
z
Type of Project/ Activity vvN5
A I O'L
/
(Scale- 1
Shoreline Length
Access Length
O R'
Pier (dock) length
Fixed Platform(s)
Floating Platforms)
Finger pier(s)
Total Platform area
Groin length/
Bulkhead/ Ripr length
Avg distance offsh e
Breakwater/Sill �,
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes
Moratorium: n/a yes o
Site Photos: yes
Riparian Waiver Attached: yes Yno
A building permit/zoning permit may be required by:
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. `(Please Initial)
Agent or Applicant PRINTED Name
Sig •Plea�p read compliance statement on back of permit*
�a
7��7�-
Application Feels) Check N/Money Order
Permit Officer's PRINTED Name
Signatpr /
Issuing Date Expiration Date
Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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: 1) 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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:
Tar - Pamlico River Basin Buffer Rules 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 Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Manaeement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
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 and PenderCounties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021
iZ,
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Q, rJe IJ�t Z (� ✓ 1
1 H
WL 2S'+4
Phone Number: a 1-f ' — 2 - I -I 5
Email Address: %4bL'rt )a 1,01r; Cory,
I Certify that I have authorized mOOSe- ufirL{ CAI f o1�) , uZ .
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:
at my property located at _a
in gfQ,(jrCounty.
2�4-6
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 agents to enter
on the aforementioned lands in Connection with evaluaf v information related to this
permit application.
Property Owngr Information
V Signature
Print or Type Name
Title
S I Ikk-e�2 2,ii
Date
This certification is valid through I I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to KJ ke, be � t lift it, ✓ J l� 's
property located at l V 0
I� p� ,(� }-th, /�_� 1 C++ /�+ (Name of Property Owner)
(AddressI of Blgck oad, etc.
on(�,I ��
5�nrf in iLi�r 114 jv2--
�� (yWaterbody) (Cit— yrro n and/or County)
The appfi t has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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. (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.
(Property qwner Information)
signal e --
I�cn�� Cn�K
Print or Type Name
Mailing Address
City/State2ip
Telephone Number
Date
(Adjacent ro erty Owner Information)
Signp(u�7- 2 R I<
Print
�o�rGType Name
Mailing Address
City/State2ip
Telephone Number
Dare
(Revised 611812012)
-7l-1eel� 12 �v9t���
<2 -aly��P V o I I
Q7 C
• Cii *te items 1, 2, and 3. A. Signature
■ Print ft name and address on the reverse X ❑ Agent
so that we can return the card to you. WAddre
■ Attach this card to the back of the mailpiece, B. PtIftelveh by `'n�rg mama) Ct./Date of Gel
or on the front if space permits. C/� /� /v 4
1. Article Addressed to: D. Is delivery address different Item 1? ❑ Yes
CAQn _ _ l If YES, enter delivery addresa below S A o
Z)Wrc, L) 1 0 C, 2,5 1H-
ice
0 Priority Mail alpreseO
II
I
I IIII
III)
II I
IIII
I III
II
II
I
II I
II II
III
11
Adult
17
SSignature ign tureeRestricted Delivery
O
❑ R gist red Ma Restnctf
9590 9402 5799 0034 4256 02
D Certified Mall®
❑ Certified Mail Retdclad Delivery
Delivery
❑Return Receipt for
❑ Collect on Delivery
Merchandise
2. Article Number (Transfer fmm service label)
❑ Collect on Delivery Restricted Delivery
❑ Signature Confltmatlan*"
tsured Mtl
❑ Signature Confirmation
7 0 2 0 0 6 4 0 01 3 614 5 6 01
sured Mal Restricted Delivery
Restricted Delivery
,aver $50c)
OC r— qR1 I Ldv onu eeni
Rnevn Q—int
USPS iRACKNG # I I I (I I
First -Class Mail
Postage & Fees
I I I I I III II � II I III 11111 `° L USPS
Paid
Permit No. G-10
9590 9402 5799 0034 4256 02
United States
Postal Service
• Sender: Please print your name, address, and ZIP+q® in this
A-Vel
�X 2bL
tl'.rhtlutl qI fI InnlnUl")1,IIIb11IIv,Iv.h,III, fill
■ Complete items t, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
III this card to the back of the mailpiece,
or on the front if space permits.
of VI(ilroAuk"
LA
Ian Allev),A 2Uw
X
B. Received by (Punted Name)
❑ Agent
C. Date of Deliver
D. Is delivery address different from Item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mall Express®
II
I �IIIII
IIII
III
I IIII
IIIII
I I II llI
I Ill
I ll
Il
I'll
13 Adult Signature
El Registered *
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restrict,
❑ Certified Mail®
Delivery
c�
95590 9402 5j799 0034 4256 26
❑ Darned Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
2. Article Number ?ranter fmm .,ica 1,e ell
10 Collect on Delivery Restricted Delivery
❑ Signature Confinnation'
020 0640 0001 3 614 5595
I Insured Mail
neared Mail Restricted Delivery
❑ Signature Confirmation
Restricted Delivery
lover $500)
PA Fr1Tl Am 1 _ .hrly 9n1 F PAN ]Ran-op-nnn-Rnnn
nnmestin Retlnn Recelm
USPSTRACKNG#
- ,p�I,r�ktp��j�'_'iC1 First -Class Mail
II I I III I( RI7il ~ Perms No. G-10Paid
9590 9402 5799 0034 4256 26
United States
Postal Service
your name,
►` )0*6 s- ch
40� fed rs ANCI
Wb RceNaO
MM C➢iRFmn NYnn
Ibm➢%Pwmk Nopw
NnJ¢
GncknYmY
➢mp/Ir
IMnI NYn �nb
R�ctl nN➢rMyRxl¢n(M
Ltlunnt
Ctlumn3 CWTN
LdumM
CdinlM
fNWnn4
Gumr
Lo1anG
CMvnn➢
5/1212022 Coastal Dods Builders LLC Haywood Bank of America 1026i
$ 200.00 GP #85615D Tmac rct. 16297
_
5/1212022 Ronnie's Crab Shack. Inc. .same BB&T 7851
$ 200.00 GP #827250 rut. 16296
_
5/12/2022 Signature Building Solutions LLC Clarken & Swanton First Citizens Bank 15131
_Tmac
$ 200,00 GP #85419D BH rat. 17565
5/12/2022 Audra Tucker 'same
'Citibank 315 $ 200.00 GP #85420D BH rd. 17566
5/12(2022 AMW Docks & Marine Construction
iTally Farms Inc.
Truist 7203 $ 200.00 GP #85908D BB rct 17589
_ _
5/12/2022 Phillip Haley
Davis and Clyde Hafley
_
Pinnacle 2361 $ 200.00 GP #85967D BB rct. 17587
5/12/2022 Moose Construction
II Lazovik
_
Tnnt 2249 $20000 GP_#85966D
iJD ML 17658
5/12/2022 Sloop Point POA
Isame
TD Bank 159 $ 200.00 GP #85961D
JD rct. 17676
5/12/2022
_ _
Southern NC Manna LLC
McCht raw
First Bank 1518 $ 200.00 GP #85987D
JD17879
5/12/2022
Southern NC Marine LLC
Fulbn
First Bank 1520 $ 200.00 GP #85986D
JD rd. 17678
5/12120221
Southern NC Marine LLC Fulbn ht
'First Bank 1519 $ 200,00 GP #85985D JD rat. 17677