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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