HomeMy WebLinkAbout27859_LANCASTER, BRIAN_20010403CAMA and DREDGE AND FILL 4/
G E N E R A L • ����sw
/1 /9�IOlt Fir tPv�
PERM I T
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 L ter,• Phone Number
Address
City State "V Zip '
Project Location (County, State Road, Water Body, etc.) y ,'
r
Type of Project Activity i 1-c t, rl '� Y, ^ ►, � r F` -
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
tf t�
ATIIz FIX 1. ITT (SCALE: N'cw t )
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.
�I applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee
THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM 1
11 Ta
EN
NOT VALID OVER $1CHMH
ISSUING BRANCHC MAIN/6102301 60177565
PAY TO THE
ORDER OF _
BB&T
DRAWER: TRAVELERS EXPRESS COMPANY, INC.
P.O. BOX 9476, MINNEAPOLIS, MN 55480
D EE: FIRST INTERSTATE BANK, HELENA, MT
Cyr -gym rr--
DATE / - - a'
93-541 /920
**100.00*************
wswww ue Je1 I I OLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
., —� � AND OTHER TERMS ON THE REVERSE SIDE.
PURCHASER, SIGNER FOR DRAWER
ADDRESS
C%; S7V-f- CITY & STATE
1116017756511' 1:09200SI L0:OL707L045L092II@
0 THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK. THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. 0
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{ - ]'tic/' 'yT7y�,� 7q �= E :_�'1 � \ T 1?''L.R •^.?-_ ��-;-'?,��-•'-,�Tr
• (FOR A PIERIUIV' OVERED BOAT LIFT}
I hereby ce;,pry that I own property adiacerit to %/�ii�
S
C-` ame of Propertv Owner)
property located at GE>T q9' c"KcAT/H f�& 14n) PACK
(Lot, Block, Road, etc.)
on . Amp PbLE GR�-C �� in f }TL#9 7'` 7-1C, B C,74 N.C.
(WateriDody) (Town and/or County)
He has described CO me, as shown below, the deve.'oriment he is proposers at tl a:
location, and, I have no obj ions to his proposal. I understand that a pier/uncovered boat lift
must be setback a minimum distance or nftevn rett (15') from my area or rparan access unless
waived by me.
/ I do aot wish to waive use setback re�uire.;ent.
V I do •mesh to waive that setback reeuilerent.
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DESCRIPZ!O. A-ND/OR D� OPOSEE! DEVELOP? MN-T:
("To be fzlled ip bl zvz�ual pro osirzg development)
O
00eb?,p
SiJ.^iatllre
'3,11AN
Pr nt or Ty - e
Te1;2phone Numbe,,
Dare: U— � - .2-0z/
.JC3l.r �fIrii�t1`I iTi1^ O'WiV R^_'r_'
'i''q!�i' l�`�
.i 3 .i
_
(FOR A PIER/UNCO1ERLED BOAT LPT
I hereby ce, ;ry that I own property adiacer,t to
M44- o4w—&� s
Cl ame of Property Owner)
properly Ioczted ai LhAnn. j
(Lot, Block, ,Road, etc.) ---
on L ��
(Water )ody) N.C.
(Town and/oir County)
He has des;,ribed to me, as shown bellow, the deve?ol;ment he is proposin; at teat
location, and, I ha,e no obiecticns to his proposal. I understand that a pier/uncovered boat ilft
must be set back a minimum distance of (_'5') tTom mar area of ripa-rian acc:ss unless
waived by me.
I do got wish to waive Ll e se bac recuire^zent.
I do w4sh to waive that setback re u-i-anent.
DESCRIPI-0 ND/OR DR W-D G OF PROPOSES! DEVELOPMENT:
(7'o be filled in by irzd ..%z4alproposing deve,opment)
T�1 IfT
o a 3QnS� [.ITT
0
Pr;-, or Tye ti e
l., ephone ivumbe�
Dares:
T ,a _
OWN—E.
d 1yr�/� p'y� ~
• - � f r.Li \ � � \� i 1 1 l��
(FOR A PIERIUNt:CVP--RED BOAT LIIM
I hereby ce; U y that I own propery adiacrnt to
ffp
f)N s
Cva.me of Property Owner)
property located ai Lal— 1b rTwq q)� iil�t --ppr��.1�
(Lot, BIock, Road, etc.)
onin L attd c ?,C.N.C.
(W'ateruody) (Town and/oIr County)
He has described to me, as shown below, the development he is proposir� at that
location, and, I have no obitions to his proposal. I understand that a pier/uncovered boat !if, -
must be set back a ninimum distance or rifte`n remit (? j') from m�' area or npaznan access unless
waived by me.
I do not wish to waive the sebac re^ulrement.
I do wish to waive that setback
- -----------------------
DESCRIIyTiO?� A-N-D/OR DR. W-D G OF PROPOSEL! DEVELOP-T:
(To be iVied in r i i � r0p0sn9 deve:opmenz)
101
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P
S:�r atur.
P f or TyDe !7a--; ; e
—G6cl
-I'eiephore Num�e-
Date:
-ESL Qes(r)
4
c)L9 -/Q5) ®J
dorq" (qldrj& a �v�
MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE'S NAME: Fr,ah t4vim -c i PERMIT# Z 71 59-C
LOCATION: L 0 t98 w;'%,, �r �d� Mo%%l, gone ?."t FIELD REP. As ve,-
PHONE: ZS1- �53.7 So y
1)
DATE REPORTEDLY COMPLETE: 8 -Z 7 - o /
hWsircle
ured dimensions of the development differ from those indicated in the permit and workplat?
YES one].
COMMENT: 30uf��`>�� l�/d_r nec;F,.,�a,� APS' .A F,/,./ 1, A
2) SEDIMENTATION & OSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilizer)
all disturbed areas? OYINO [circle one]
3)
COMMENT:
action needed?
COMMENT:
: Is further investigation or enforcement