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HomeMy WebLinkAbout26194_GLOVER, ANNIE & WESLEY, DANIEL_20010530A2 CAMA and DREDGE AND FILL 5P G E N E R A L PERMIT as authorized by the State of North Carolina I 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 State Project Location (Count)4 State Road, Water Body, etc.) Type of Project Activity PROJECT DESCRIPTION SKFTCH Pier (dock) Length Groin Length number Bulkhead Length max. distance offshore Basin, channel dimensions cubic yards Boat ramp dimensions Other Phone Number Zip i (SCALE: ) 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- 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. / applicant's signature permit officer's signature issuing date expiration date attachments application fee .. . . PERSONAL MONEY ORDER NOT VALID UNLESS MACHINE IMPRINtED 7512 358 _ MEMO MERCHANTS EXPRESS MONEY ORDER COMPANY R� T COMPANY MII O X 0863 CAMS, I III 731 , PA 11001 NEW e a�RK s 012222503 1 reuq� pry Ix- - .... . I Of riI tpl u k FI O'd C a,a� I!t m itµ}I "> rn �f I"►I" I r„. Nmire�j 11H n R M rr I{n.r ti 'nli �Hr I r r E rt_...1 I l._ r 4 4 I 1 1Ft�k#�iF'llt'IFFII'�E-lii'Y�1FiFlEiiiE+i-iFitiEiF�ikirxAM�itkikiclilFit'1Eilit�fl r.i��f .0 CL1�tj 'Ar 71vit� 4{:i1',�jJtit:i �,l!1.'_iS"b i�lliV (1 :.�(�i;.t "'' 4. CASHIER READ RMS ON REVERSE - NOT VALID OVER $500 U.S. DOLLARS /CLQB� Gc�s�j, TOYTHE ORDER OF Z), PAYEE READ TERMS ERSE YA THRO Ban L. es a 5 9.9 SIGN E ADDRESS (•,,. /J! _Sf /'/ By -SM AGREES TO BE D B E TfRMS AND CONDITIONS AND SERVICE CHARGE AS SET FORTH ON THE PURCHASER'S RECEIPT VALIDWit OVER FIVE HUNDRED U.S. DOLLARS 1:09 1203SEID:9600312222503 L!!' lb • • Is t lAl,� a A I_ A I A A X .1. [ A A I A_ 1- 1 1. A E I 1 l- i� 1 1 I/ 1 I L 1 k_, l\ lJ L L 1 1 .L_- 1 L-L—. I I (FOR A PIER/MOORING PILINGSIBOATLIITIBOATHOUSE) I hereby certify that I own property adjacent to (Name of Property Owner) prope.-y located at ��� ��-1 �N E2 .S l lyEA %' (Lot. Block, Road, etc.) on �GyN ��'� -L K, , in -,Je4 u A C N.C. (Waterbodv) (Town and/or County) He 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 pie?/mooring pRirngs,boadift/boathouse must be se- back a minimum distance of fifteen feet (15') from my arPw of riparian access unless waived by me. I do not wish to waive the setback requirement. I du wish to waive teat setback requirement. DESCRIPTION AND/OR DRAWLNG OF PROPOSED DEVELOPMENT: (To be filled in by indii,idual proposing development) -------------------------------------------------------------------------------------- 44 Signature (4J a ac e-IJ, �� 0 Print or Type Name 7)* 1 Te!eohone Number Date: _ '5 — Z4— J, • • • i J._AJ,I . A I - l -,. I I Al \. A A. , A A ,_I _ I. I A A. J I I_ I\ I I I J I I I� I .I \ l) I t ). I A- - , IJ.-_ I. (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) I hereby cer-ify that I own property adjacent to/�I��'V s (Name of Property Owner) property located at 7- (Lot. Blocic, Road, etc.) on 69 , in Is '64 4 ��e-� N.C. (Waterbodv) (Town and/or County) He 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/mooring pdin g5;boadift/boathouse must be se -back a minimum distance of fifteen feet (I5) from my area of riparian access unless waived by me. I do not wish to wa;%e the setback reauirement. XI d(2 wish to waive tr:at setback recuirement. DESCRIPTION AND/OR DRAWLNG OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) -------------------------------------------------------------------------------------------------------- ci Signature Z'-d/,j, ,8_ "she Print or Type Name 2 5.�- - 7,. 9 - ,P- -7 Te!ephone Number Date: � 1057 067 � 10 36 a� 0979 531 . INDEXED ON 7306.18 D� i ri3� 4261 147�� 60 4123 a140 :9 2.058 9 r�3 0� 30442 . Q, l< h� Location: (( �, ` , �`� Field Rep. Phone: �] �� � ',(,, Date of REport: Description of Project: �� Q - )-C cr Date Project Reportedly Comp?`ete: IIn (Z� Do the mE sured dimensions of the a-EVElopment . di ffEr from those indicated In the pErmit .and_,workplat?, YES / NO i-iGVE all per -,,it conditions been satisfied? -,/Y'Es / No ' COMMENT : - (2) E= c?"i �c �10ri am Erosion Control: Hcs pE=it sc=QE_ CT'c55c Cr C�.�tEr"w15E s�a_9l i ZE^ all G15tLIri�Ed a?'c=5: Yc=�No -- 3 COM_`ENT : I (3) Fut- e McnitorinQ and enforcement Action: I.- s L_ T it-' r f�.E_ i _^.VESt1Qat10P_ or En=OrcErEnt action needed? Yes /-No CO=— NT :