HomeMy WebLinkAbout28085_LONG, WESLEY_20010726 (2)CAMA and DREDGE AND FILL -�Jv� �I
G E N E R A L s
rr=1
PERMIT
hAas 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 Phone Number
Address
City State zip
Project Loc t'on (bounty, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) Length _ F
? )
FI-
Groin Lengthe(,
1
number {
Bulkhead Length L~
max. distance offshore #,44
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site drawing _
and attached general and specific conditions. Any violation of these terms (7 {
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 issuing date
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
expiration date
attachments
application fee
WESLEY C. LONG 6P4- �JbS5 I.
PH.252-726_5996 /)55(�rj8
NEWPORTI NC 2 7p
214 CEDAR LN. Date e� " U v 66-36/531
�
Pay to the 131
Order of
/ Dollars
FIRST CITIZENS 131 a e.
N K Firslhili ens Bank & 2855 Company lllira Sues!
Mot-CRIz n,BCly. N.C. Trust
F or
1:0531 00 300�.00 l 3 i 74 7 3 6 60u• O 50
3..C�II.I�N:�LJTYI�j3��1111�Y1 L - ,dtlryT.1L W! _
mM rYe /Invr ,•--J„W(•' i.c.�hGi'vtiii _.-1.L.Tatlryp¢ '--
GUARD(A W SAFETY BLUE ESBL
I _`
l � �
J � �' �
� � ti '�
� � �
og \ , � ,
� � \��\��
��
('^J
� L \ ,�
�' �- � i
�-,� ��
/�O ���
��
�(� m �^�� 1�6Z�
�",� n c� � � �v�i _
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on L. in . N.C.
(Waterbody) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMEINT
(To be filled in by individual proposing development)
4iW
Signature
Print or Type Name
Telephone Number
V
Date:
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
property located at
on
(Waterbody)
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 pi--7/mooring
pilings/boatiift/boathouse must be se: back a minimum distance of fifteen feet (15') fron my area
of riparian access unless waived by me.
I not wish to wa,e the setback require Went.
I du wish to waive t�.at setback recuiremeat.
DESCRIPTION A ,-D/OR DRAWrNG OF PROPOSED DEVELOP%fE\T:
(To be filled in by individual proposing development)
SiLmature
1114
4els-41 r 1/1/, /11 '
Print or Type Name
Telephone Number
Date: 06 — /-�) 0
ADJACENT RIPARIAN PROPERTY OWNTR STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
DEC 13 2000
at
fy that I own property adjacent to UV �Sl �� 's
(Name of Property Owner)
0�t�f 4, �gl. �-,-dvq, or
(Lot, Block, Road, etc.)
on fP ,e �J , in N.C.
(Waterbody) (Tow 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
pilings/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP.IENT:
(To be filled in by individual proposing development)
17
------ ----------------------- -----------
Signature
ester ii r
0 � Print or Type Name
T
$4
J Telephone Number
Date: Oo
oEc .� � 2p00
DIVISION OF COASTAL MANAGEMENT
RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
s '4o
W,7 A—//L
Address of Property: C
__- �"`7z�2
(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.
e6 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.)
4'0�1 r-Wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
!c'-) `� — Oct
Signature Date
Print Name
Telephone Number With Area Code
■ Complete items 1, 2, and 3. Also complete
A. Received by (Please Print Clearly)
B.
Date of Delivery
item 4 if Restricted Delivery is desired.
1
■ Print your name and address on the reverse
C. Signature
so that we can return the card to you. iece
■ Attach this card to the back of the mail p
X �(�
❑Agent
or on the front if space permits.
_ �, �ti
❑Addressee
1. Article Addressed to:
c f
(--1 iLJ Imo/
D. Is delivery addres erent from item 1?
If YES, enter delivery address below:
❑ Yes
❑ No
.
v 7
3. Service Type
y
Jnn �� ��
Ci C ���
0C giieMail ❑ Express i
b Registered ❑Return Receipt for Merchandise
✓
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ Yes
2. Article Nu ber (Copy fro service labe
PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952
UNITED STATES POSTAL SERVICE I r
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Send r: Please,print your name, addre s nd ZIP+4 in this box •
i�-
70
■ Complete items 1, 2, and 3. Also complete �.
1j item 4 if Restricted Delivery is desired.
J ■ Print your name and address on the reverse
so that we can return the card to you. C.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
I 1. Article Addressed to:
� } �
l� e0 J'q Me y
r
D¢
l
Received by (Please Pdnt Clearly)
D.7s delivel* address
If YES, enter deliv+
❑ Agent
from item 1? ❑ Yes
,ss below: ❑ No
3. Service Type
Xertified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label)
PS Form 3811, March 2001 Domestic Return Receipt 102595-01-M-142 i
UNITED STATES POSTAL SE
V
• Sender: Please grin%
r"
First -Class Mail
y Postage & Fees Paid
PM USPS
c i Permit No. G-10
c-turname, address, and ZIP+4 in this box •
0 AJ
Z'Q vA
A) I- 2V; ?v
PostalPostal
(DomesticCERTIFIED MIAIL RECEIPT CERTIFIED MAIL RECEIPT
Only; . Insurance Coverage Provided)D. ,
insurance Coverage • 0 '
r-9 Article Sent To: rij
/U
ru
Iti ro
CO Postage $ � Postage $ L� �0
L0 \ a
Er -Certified Fee r��'(� N� to Certified Fee ( J
r:^oo `p�
Return Receipt Fee Pc:rn ��,,
�> H�,r�, nu Return Receipt Fee JUN �S'a
0, (Endorsement Required) - _ O (Endorsement Required) Here
^ ' C7
0 Restricted Delivery Fee �fl ti �Ooo Restricted Delivery Fee
� (Endorsement Required) _� ^n VV 1 '� � (Endorsement Required)
O Total Postage & Fees $ 19,
1 O Total Postage & Fees $ USPS
ru I m
ru Name (Please Print Clearly) (To be omp'leted by ma!leW' ul Sent To /+
-------------------------------------
(p �Fl�'� $
---------- - ---------------------------
------------------------------
City,StEr reet, Apt. No.; or PO Box No. p Slreel, Apt. No.; or PO Box No.
T 0
_________________________________________________._._.____.___.____ _-_.-_.__-__________-___-___-
7 5itate, ZIP+4 _____________
City, Ste ZIP+ 4