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Home My WebLink About27860_NEWBORN, JACK_200104034*1 CAMA and DREDGE AND FILL 1511 i;(*" 786O- G E N E R A L,.G 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 i` `'' �' ' '�"' V" Phone Number 7r ' ' t 371 Address k 1 City State zip ' Project Location (County, State Road, Water Body, etc.) h Type of Project Activity PROJECT DESCRIPTION SKETCH Pier (dock) Length `fv4 ,, l tr i l v'i t" i rS I Ie ; .I cL�VL (SCALE: t rr Aii,y,. ' i't< t o ) Groin Length number Bulkhead Length max. distance offshore Basin, channel dimensions cubic yards I i ) Boat ramp dimensions I Other €. X � c ♦ AT n£_ 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. issuing date applicant's signature permit officer's signature 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 n PAY TO THE ORDER OF _ i DRAWER: TRAVELERS EXPRESS COMPANY, INC. P.O. BOX 9476, MINNEAPOLIS, MN 55480 DRAWEE: FIRST INTERSTATE BANK, HELENA, MT (c WO mrmm�T)j J'J -' NOT VALID OVER $1,000.gp ISSUING BRANCH60177554 _(/O llQ_�n/ mllr ( a] a DATE �' I Q I I 93-541/920 o�11 S Mr.'TSDOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE C-9 AND OTHER TERMS ON THE REVERSE SIDE. P"AP a(o6 PURCHASER, SIGNER FOR DRAWER r �� ADDRESS CITY S STATE 11'60 1 7?554111 1:09 20054 1 11:0 170? 1045 109 2111 f'3 , i � � �� > ` T7T7 S '► "9 cam: � y, r- '+ �.., 31'tt: iL `( x .i i .: �- .:.<.� � l Y � � � - \�R (FOR A PIER/UN�—OVI R.ED BOAT'LIB I hereby c:, uy that I own property adjacent to J�CK ME�$pj,� s ' a.me of Property Omer) property located at L (Lot, Mock, load, 'etc ) �+.C. (iWater)ody) (Town ancUoir County) He has des::ribed to me, as show,- below, the development he is proposins at tl:at Ioca Con and, I ha,.e no obi�tions to �`tis proposal. I understand that a pier/uncovered boat Lift must be set back a minimum distance or rirte`n re--t (15') rrom rmi, area or riparian ac;--ss uniess waived by me. ' I do ,got wish to wave use secbacl� re; uire:nent. ✓ I do wish to waive that setback t. - ------------------------------------------------------- DESCR=O?Ni -'N-D/OR DR.AINZN-G OF PROPOSED DEVELOP-NMNT: (To be ftlled in by individual proposing deve,,Opmens) cK L' 3� a� <— ----------- — --- ------ ---------- --------- -- Sig:�ature lku61 66j1d Woi✓�✓ q13 / c, I -ve I-y � rk�e- �i �� A -) Prnt or Type Na:-;e (4) 33� 5qe 633.3 Telephone Numbe Dare: Y/ 1` Z. 1 �� .: :�.�.i: \J •T i 1 \ (FOR A PIERIUN� VERED BOAT L117 I hereby c ,.—y that I own propemy adiacent to 7f�ClC C(� 's Name of Propertv Owner) proper�y Iocated ac L01- q� rz0f-5W ramL-A rrl IWJK (Lot, BIock, Road, etc.) on +�� T DLE C'F-FL� g . ir, ��(C -sC N.C_ (i�'ateri�ody) JITL-R(Town and/or County) He has described to me, as shown bellow, the deve.'ol:,iment he is proposmo, at tha: location, and, I ha,e no objtct ons to his prorosal. I understand, that a pier/uncovered boat lir must be set back a minimum distance or riTtetin reet (_S') from m�� area of ripa:-ian ac:.;ss unless waived by me. I do not wish to waive the setback recuirement. I do wish to waive that setback necurement. DESCRIP"r 0?`i A-ND/OR DR -A Wpi G OF PROPOSED DEVELOPMENT: (To be r ed in by indiv^ual proposing deve:(oprnent) ! 3 �� Q 6SG P -D)l t t;� 3 ,�, ot;T k ----------------------------- ----------------- ---------------------------- C/O P i�P.aCure P::nt or Tyve Nrr;e Telephone Number Date: Y1IE241802n1 -- /ss� eaQ. ��•n `� ADJACENT RiPARI N MIFEAR Y M R S'r.A.i !,-I,IU''r I' V)? A PA&l /YIYCO VWb BOA LI I hereby crr-dfy that I own property �dj�cettt. to C Gin— ,s 'ame of Pro; -rty Owner) property located at LOT fU ` ,�'' A7 i C. ..� oyit (Lot, Block, Road, etc.) on DLE C� ' ^B� — - N . C . (Waterbody) (Town and/ County) He has desti: ibed to me, as shown below, the development he is I,roposing at that location, and, I have no obje`tions to his proposal. I understand that a pieriurcovered boat Lift must be set back a minimum distance of rifteen fftt (IS') from m area of ripar�an ac-ss unless waived by me. I do not wish to waive the seiback requirement. I do wish to waive that setback requirement. ..:------------------------------------------------------------------------------ -- -- ------------------ DESCRIP"I'ION A.N-D/OR DRAWING OF PROPOS DEVET,0P'JF—N--I': (To be r ed in by indi dual proppo�sing deve pment) c'P`el(5 K ----------1-----------------------------------------------.�.------------- - _-- f L `� J i /� � Signature 3-64ti Print or Type N Telephone Numb r Date: e 33 Sys 4'73 -9Pas �cuS 'fTe , MONITORING & COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] PERNIITTEE'SNAME: junk 1 ctt")�911n PERMIT# 27860- C LOCATION: L of * % jtj;f , ; , C�a7&t Nlo b; It go ►H e Pa i K FIELD REP. S!v ✓e•- A�{aKh c 13cer�( Olaf ex ! 9,V %�c l� &ee y , _ PHONE: 2SL- �-59•63 7-1 DATE REPORTEDLY COMPLETE: g -Z :7 - v 1) Do the easured dimensions of the development differ from those indicated in the permit and workplat? YES/ O [circle one]. COMMENT: 2) SEDIMENTATION ROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? /NO [circle one] COMMENT: 3) FUTURE MONITOR & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? YES/ O ircle one]. COMMENT: