HomeMy WebLinkAbout8826_FULCHER, VERNICE_19910613Applicant Name
Address
City
Project LoGatior
Type of Pro t
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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development d t /astil R/sr om issio
ig an area environmental concern pursuant to 1 NCAC %�
Phone Nu/rn(ber `� ��5/u
(Cou`nty, State Road, Water fjod
Activity
& 1 L
Zip
PROJECT DESCRIPTION I SKETCH (SCALE:
er (dock length 1S�L
Groin length
number
B Ikhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other r
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 be-
come null and void.
This permit must be on the project site and accessible
permit officer when the project is inspected for compliance.
applicant certifies by signing this permit that 1) this pro-
s consistent with the local land use plan and all local
o nances, 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.
applicant's signature
re
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uing r / expiration date
attachments
application fee (/
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
T certify that -I own property adjacent to
V r2ti i cr, � c..4 r&, Is property
Name
local:ed at O 3' 12 Oa 5I-29 12JI- ,Q A)97 on
(Lot Bock, Road, etc.)
/V C in /t/FCJ 13J-'/0 O/Z�U X J N. C.
(Water Body) (Town and/or County)
fie has described to me as shown below the development he is
proposing at -that location and I have no objections to his
proposal. I understand that a pier must b� set back a minimum
distance of fifteen feet (15') from my area of riparian access
unle:: s waived by me.
l.' I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO DE
FIY.LFM IN 13Y INDIVIDUAL PROPOSING DEVELOPMERT)
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Name
Phone Numoer
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify thatI own property adjacent to
's property
Name
located at I OS )S A J 1019R0u+cX A/VE . on
(Lot, Block, Road, etc.
1vEoSe. 20Prr in AIFA) c6zo CBOu#') , N.C.
.Water Body) (Town and/or County)
He hELs described to me as shown below the development he is
proposing at that location and I have no objections to his
proposal. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not, wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
(l�
t
S Teel
Signature
nn
Name
Phone Number
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GENERAL PERMIT APPLICATION INFORMATION
AMICANT' S NAME: V FeAl i Gr'z
(Firs
M"__1NG ADDRESS: 16 3
(Middle
US
Last
(PERMANENT) /V F4t> /1?,FAA N_C • STATE /V C ZIP
TELEPHONE: WORK ( ) HOME ( ) AZ Z I
CONTRACTOR'S TAME: TELEPHONE NUMBER
b�
PROJECT LOCATION: N.C. Hwy. # SR # l I I Road/Street Name
Waterway Name N Ew s JPu at County N
Town Subdivision Ifi l /!.Ftq%da0y� 6K�t
PP.OJECT ACTIITITIFS
PIER: Total dimensions of pier fron, MEW to platform S
(Length) (Width)
' T' or ' L' -head platform 6 1 () ly6A) E
(Leni"th) (Width) (Number of Mooring Piles)
Water depth at end of pier
w 3
Number of Mooring piles /JOA.)fi
T04 T HOUSE/BOAT LIFT: Length o9 4 Width 1; f
Number of Piles Water Depth
9�D4 C� J Q
BULKHEAD: ail Total length �
Average distance waterward MHW
Maximum distance waterward MHW
K'- Total length
Average distance waterward MHW
Maximum distance waterward MHW
RIPRAP: Total length Base width from MHW
EXCAVATION: [MAINTENANCE 'ONLY']
Length
Width
Depth of Cut
Adjusted water depth on MLW Existing water depth(s)
Estimated Cubic Yards (length x width x depth/27)
Type of spoil: Sand Mud
Dragline Backhoe Hydraulic
OTHER STRUCTURES:
F12/19/1995 18: 27 9196363127 FOLE`r' AND FOLE' , rA u 4 iE `�2
r4�r M
CAMA AND DREDGE AND FILL 8 2 6
-r"
��-
GENERAL ..,.,•••����
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development d Z'tail Res r s o i sio
i an area environmental concern pursuant to 1 NCAC •
` f u `� <3� 'jSy/�/`
Applicant Na e Phone u ber
Address -
City State Zip
Project Lo atio (county, $tat R a , Water d te.)
Type of Pro t Activity
L
PROJECT DESCRIPTION SKETCH (SCALE: )
P e (dockl length
Groin length-
i
number - - — ._ _..... .....,
Bulkhead length
max. distance offshore -
E
Basin, channel dimensions i i f
oof
cubic yards
Boat ramp dimensions
Other M, l
This permit is subject to compliance with this application, site j
drawing and attached general and specific conditions. Any 11
violation of these terms may subject the permittee to a fine,
Imprisonment or civil action; and may cause the permit to app icant'S signature
come null and void.
This permit must be on the project site and accessible ku-1,
permit officer when the project is inspected for compliance.
Ti�� . applicant certifies by signing this permit that 1) this pro -
,is consistent with the local land use plan and all local
or mantes, and 2) a written statement has been obtained tram
adjacent riparian landowners certifying that they have no
objections to the proposed work.
attachments 411 1
r
permit tsr'5 5i 9atu1re
Y�Oexpiration datt
the State of _North Carolina_ certifies that
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