HomeMy WebLinkAbout26622_STEVENS, PAUL AND DEREK SMITH_20000804odt 784 2014; SEP-6-02 17:00; PAGE 2/4
Applicant Name 1fi�l
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Project Location (County, State Road, Water Body, etc.)
of Project Activity
PROJECT DESCRIPTION SKETCH
Pier(dock) lsn_,
number
Bulkhead L&VIV
max. distance oftorc
Basin, d1VML4 ciitmnsicK s
cubic yards
goat ramp 9flmenskwu
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32su r
_.-.:.uA and DREDGE AND FILL
GENERAL
PERM IT
as authorized by the State of North Carolina j 'JUL 18 2003
Department of Environment and Natural Resoujoes and the Coasre
esources Commission
in an area of environmental concern pursuant to 1.5 NCAC f 5�0U - ___
Phone Number
1`4 u 26622 L_
Zip
(SCALE: d i
-
i
4
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
ftes by signing this permit that 1) this project Is consistent with the meal
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 projec f
is consistent with the North Carolina Coastal Management Program,
signawre
pa it afflca a asanaa,re
i ing date exp66W date
(�..�(}�f (�stcachmcnts
application fee
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DIVISION OF COASTAL MANAGEMENT
ADJACENT R11PARIAN PROPERTY OWNER NO'tMCATION/WAIVER FORM
Name of Individual applying for Permit:--ft 1= s wel<S
Address of
91c'
(Lot or 5trwt C Strad or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
__ v''____ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
hfanagement, Hestran PArx-a 11, 151-B, Hwy. 2,4, Morehead City, NC, 28557 or call (252) 808-
2808 within 30 days of receipt of dais notice. No response is considered the sauce as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, Sift or sandbags must be
set back a minimum distance of 15' from my area cf 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 l 5' setback requirement,
5ignfure IrDate
Print Name
Telephone Number With Area Code
TO/To'd EVVI 9EL ESE T S SiaodS A00d 0I9 v2:90 zoez-22!--inf
MAIN # I a. too OUT Kik.H of at)C ► .t . >!
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OOW R NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
, �. ., _
Address of Property:
N
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
V I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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.)
t/ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
AL'�Z� /' I /' /' W-
Signature Date
��C-rtC G!� J F1C I S Q A P C5 5
Print Name
_z S'"2 2 4- T? 3 4 2Z)
Telephone Number With Area Code