HomeMy WebLinkAbout24455_GRIMM, KEN & LUPTON, LEONA B_20000207CAMA and DREDGE AND FILL Y
P , E R, M...I TL
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Zip
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) Length I =771
Groin Length EL
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions TXPI
Other =44
i
I nls permit IS SUD)ect to compliance wim Lnis application, site arawing
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.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
32 3.2 Srevews CAl?ReL
%le `eC I Avc
z a 5--7;7
2. Article Number (Copy from service label)
A. Received by (Please Print Clearly) B. Date of Delivery t
. i
C. Signature --
❑ Agent
/�'
i�CL�GG! a /u(.r., X .c �'/ ❑Addressee ,
D. Is delivery address diffdrent freW item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
PS Form 3811, July 1999 Domestic Return Receipt
102595.99-M-1789
UNITED STATES POSTAL SERVIC<�A • tt/
First -Class Mail
Postage & Fees Paid
USPS II}
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Xle
/�� !fie lc) C/l yc -2 Y 5 3
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
+ or on the front if space permits.
1. Article Addressed to:
/'x
�Q
1Ce 6ii2chw000, /W
C J 5 4ee'q
A. Received by (Please Print Clearly) B. Date of Delivery
C. Signature
X ❑Agent
❑ Addressee
D. Is delivery address different from i 1? ❑ Yes
If YES, enter delivery address b ow: ❑ No
3. SepOidia Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article "
PS Form 5-99-M-1789
UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your ggme, iddress, and ZI.P+4 in this box -----!
M177
16
l e/ocX
,0 i„i,li„1„I:i,It Hill hit I+II,I,,fill lit) i,ll,fill III JIM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: !i/ ve r N 0, 6 rc l m 4
Address of Property: / l D (� Iee.-9 7- tie c l e X `j.
(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.
/— 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.)
__ I do wish to waive the 15' setback requirement.
1A i�ti� I do not wish to waive the 15' setback requirement.
1-29- ';t'000
Signature �' Date
Print Name
19«l 9 65-3�),9�
Telephone Number With Area Code
CERTII{`IED MAIL o RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: IyAlertt 0. 6l` Im In
Address of Property: �C) e�,t �Lle C�� '� c�
(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.
efth�BJ f ah' ve no objections to this proposal.
If you have objections to what is being proposed, please ►vrte the Division of Coastal
Management, Hestron Plaza H, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 ivithin 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
�tj �,�,C'96I� `/ /iings,
ECTION
I understand that a,ier dock, mooeakwat , boat ho/sswalved
dbags st be
set back a minim distance of 15'of rip ian access by m . (If youwish to waive he setback, you mupro riate blank be
I do wish to ive the 15' setb k requirement/
I do not ish to waive th 15' setback regtlrement.
000
Signature Date
Print Name
Telephone Number With Area Code
219 -024
BERRY, CARLMMOYCE D
BERRY. CARLOS R
�` 5-019 -012
LUPTON, LEONOA B
5-019 111
ODHAM,1OJM4Q & THE[.
j 5-019 A15
J SEAGROVES, 0 & THELMA BERRY, CARLOS IR
S-Ol9 -010
S MON, CIIARLES H & WANDA D
5-019 418
GUEST, LEONARD RAY &
5+9 -t49
BELANGIA, CARRIE B E
5-01
LUPT
5-019 -146
5-019 AD9
LAWRINCE, EVA G & RI HARD C 5419 A84
HOWARD, EBBIE & EI.EANOR GRACE
GH.I.IKU4, CUR