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HomeMy WebLinkAbout24898_BRUHN, THOMAS_20000315CAMA and DREDGE AND FILL G E N E R A L 4898 PERMIT otz.�_ 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 T ,-, . /2 Applicant Name Address City State Project Location (County, State Road, Water Body, etc.) Type of Project Activity' PROJECT DESCRIPTION SKETCH Pier (dock) Length Groin Length number Bulkhead Length max. distance offshore Basin, channel dimensions cubic yards Boat ramp dimensions Other h" i I 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. Phone Number _- zip (SCALE: ,41 $"tE O O'J applicant's signature % permit officer's signature issuing date expiration date attachments application fee i THOMAS W BRUHN 0920 TANIA BRUHN Chm- Cash Ma agement Account* 1534 ISLAND RD HARKERS IS, NO 28531-9663 DATE Zhh 7 (/ �.y2L5-8�00//440 PAY THE ORDEREROF G �� .yam / j� Lv� 44++ s.c............ DOLLARS /rrill 1. AC MEMO 1:0440008041: 30 L 5 786 2601 09 20 Sandpiper Construction (2S2) 729-2792 08I07100 0S:17P P.002 MAR-07-2000 15:17 DIV PHYSICAL THERAPY 9199663678 P.02/02 rM—U i-?UUU INN IB: b'l All NC DIV OF COASTAL UK FAX NO, 252247333D F. 03 AWACWr RIPARIAN PROPERTY OWNER STATEMENT (MR A ,P1glCIM60RINQ PILIIVGS/SOATLIf'lYBOgTy0U5 I hereby cettffy that I own prof em adjacent to r�� '�',� �- &,- he' `9 (Nun of Property OWACC) Pn V*4 lomw at L0iVP . LC1 Block, Red, T_s rJ9vJti on t-3.s��sc o,A Ar D Cg Z-rce— 15 7" �' N y • N.C. (Watabodr) (Town anWor County) He has described to me, as st Own belcwr. the &--*]opulent he Is proposing at that krAtion, and, I have no objections to his Proposal. I understand that a pierlmooting pitingslboadiftlboQrlmsc must be set back a rninimum distore of fifteen fret (151 from my arra of ripnrfan wee= union waived by me. I &M wish to waive t1m selbAak requirement, I tg wish to waive that setback XquiremenL DBSCRnglON ANWOR DRAWING OF PROPOSED DEVELOPMENT! f 7b be filled in bx ladeposing development) X »r S 1 3� � 1.) 'q ) i $ �K H N fI i two p It T d, 4. W y ( � 12) R q--2 - - 7 4-4- z. e ephon" Number Date: ,3 LU TOTAL P.02 sandpiper Construction (252) 729-2723 02/07/00 03:17P P.004 MHR 07 100 14:35 FIR 18M CPRY NC 919 301 3990 TO 912527292733 P.01 W-08-2000 MN 08-57 0 NC DIV OF CWAI. 11 W FAX NO. 2522473330 P, 03 AWACM RIMUN PROPEM OWNM STATEMENT tpoir A KEPJA ORM PILM0St80A7L"TIBOATHOUSP I hereby certify that I "U pmpWy adjactat to � �%N$,9 � 'Kra ►f+; s (Name of Propecy' ilwacc� prvpei 10C ted at (Ut, flock, Rom, etc,) L.m.jo ,�,� �c �a v a (Wabectmd3y) (Town andlor cAuoty) Me has dawrlwd to me, as shown below. the drmkP nt M is poopotiSM at that kma"Ofil and. I havo no objections to llis p vp )W. I understand that a pier/mooring p yngslboat lWbMhovse moat be set back a minimum distance of fiftM f0d V5') front my atne of riparian a=m unless waived by me. I aqn w}sh to waive the mdbtu'lt rt:Nuircment. I wish to waive that setback requirement. DESCRIPMN ANDlOR DRAWING OF PROPOSED DEVE OM"T: (To beJ rd in Sy- h divOua! pr Odxg derrlapmFW) pip, a )01�-� 6Y)ff: �T ,,ly)1' i 13xo )4,4 1 6Yu "" E siSrlatw,s M tC,4+F-4— � YeVX-6 Print or Type Name .L — 9/5— 30/ 39 Tclephono Number Date.— 3 J� /D d MAP P17 'FP 14: 17 �c,7 ?PR 77gZ Par.= " * TOTAL PAGE.01*