HomeMy WebLinkAbout27555_RITCH, MIKE AND LARRY ARNOLD_20010130CAMA and DREDGE AND FILL 27555 -,.(L
G E N E R A L I_
bdPERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Address
1
City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH - (SCALE:
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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, imprisonment 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 of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
Y
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee
,
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SERIAL NUMBER
YEAR MONTH DY PAY TOA
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ALTIVACENT RIPARIAN PROPERTY 0"NNIM, STATEMENT
1 hereby certify that I own property adjacent to
of Property Owner)
piopcJILy located at
(Lot, Block; Yoal-',
'*a in N.C.
a--:,rVcr County)
. I
r(p has described to me as ihown below., t.- if- d-- 071 " I-,- is prop,)sing at that
ve no objections to his pi-opc)sal.
DE-SCRIMON AND/OR DRIWING,r, ;
(To be filled in by indivV!---%
0M?r'*I
ftv'�' I
---- - -------- -
�v (
SI"norUre
Print or Type Name
Telephone Numbell
Date:
M
FAN,,
�..,��,�,1. \ 1 �urtittlAlV YKVY�K1 Y uw.NhR STATENIENT
11--336
I hereby certify that I own property adjacent to _ -)�- 's
(dame of Property Owner)
p,opc;ty located at
(Lot, Block; P.oa-&9
(Waterbody) (Tc a.+�,/cr County)
x(e has described to me as shown below, t:+e. dp`is proposing at that Im, xion.
have no objections to his proposal.
DESCRIPTION AND/OR DRAWL*vG C7 I'-?.OPOSF.D DEVELOPMENT
(To be filled in by indivV!,-' Ti isin.- development)
Signa-arciA -t
Print or Type Name
Telephone Nunioe:
Date:
At- ,>�
M/
r
P i r
-W
MONITORING & COMPLETION REPORT
[CAMA Major Developm nt & State Dredge & Fill Permits]
PERMITTEE' S NAME: J�(�,L PERNIIT # 5 S -C
LOCATION: LK,) ( f-
S-
PHONE:
DATE OF INSPECTION (�
FIELD REP.
DATE REPORTEDLY COMPLETE:
1) Do t7N[circle
nsured dimensions of the development differ from those indicated in the permit and workplat?
Y one].
COMMENT:
2) SEDIMENTATI EROSION CONTROL:
disturbed areas? NO [circle one]
COMMENT:
Has Permittee seeded, grassed, or otherwise stabilized all
3) FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YESI [circle one].
COMMENT: