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HomeMy WebLinkAbout8826_FULCHER, VERNICE_19910613Applicant Name Address City Project LoGatior Type of Pro t ,--� 9 QQ 04 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 i uing r / expiration date attachments application fee (/ f' uXckFt 0 3 J3,0-M1yrro,,d a- i ur ups Qo-4m,v Pouf opt 10 0 a 1 )v I .163 13e i1 71? do F).0, 1 /y— g1cf Aw. 1- 7a krt Fooz o f Drell ur S � 2- Pd 46 ox, so axl(wv� or 1p �To-)I"" 3- t9k L 14 F-& .Q1 J,?. %3a�TFo(� jTd1T / �_12 Alt '�e' ?^0a'�`tl s� �- 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) 64 11 ---f L - 4IX C, Sa r7 Name Phone Numoer V Fi2jl7; c. l' W c�Ftt ) o 3 i39?7�1�fza„ J a. AJFOj a �tG a s �s' j '� __z30- luPs r o pS Nd wl I - Pp T It yr S 2- Pd 6 p,u Wd,(/CWo� Or lJ,'/ra4r,, 3- +91, L 14F9►xQ1 7A,7u 17akT6oC ITeiT' r , �To a L) _ --- ----- ! - I ' 1,J BJ1 C TV �,� ram._' w � �5i -- I -- — - -- — -- I - -- ! -► 163 J3aii�� dog r 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 ✓Fi2ju; cr r W c F4t ) 0 3 13,0Mix ao„d &. AJFC"3 aiG4 , N-C. a ftG a ► - 3os-PITR- -Ysg4 I � i 1� L1 9/9- A ae- t- Po it �Roa i o Vitt, u', S i 3- +9k L N F&,J, -1%,?v y lTe1T i � ,ZV i I, 1 a3 J39.1 ��� 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 r i Ej: 1„ t S'OLT LLJ ----�---- -- a--- - LD ,,,c �� r Jv �a,��p n rrcvo Y Y °d LO r-, S t CI f ,.. N C/J LD s 9 Cn 1 T�If��r p-rjIV j�Sl n Y ZN A Y l�