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Home My WebLink About49218D - Grimsley GA►MA/ ❑DREDGE & FILL IENERAL PERMIT Previous permit# New ❑Modification Complete Reissue Partial Reissue Date previous permit issued ized by the State of North Carolina,Department of Environment and Natural Resources oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ///• /2 GG []Rules attached. Name 1p.,d GZ yi 0`2 ii'7-->"G E� Project Location: County 8,2.'..'Si✓ic /g 6 L A P /Z,d,,f{ Z-A,+✓-e Street Address/State Road/Lot#(s) /Q, MeA /9 219 1/29 State,SC ZIP 2 930/ .- ( '6yJ .77--2L.,V' Fax# ( ) Subdivision edAgent l'i€S'71 '61C 4"1 City Se,, eR9L/1 ZIP 2Tl5q ❑CW ❑EW O-PTA -fig ❑PTS Phone# ( ) River Basin G4/,�.d ❑OEA H HHF ❑IH ❑UBA Li N/A Adj.Wtr. Body(0/lr .e t 'A/AA, (nat ❑PWS: ❑FC: /v�✓!�J Closest Maj.Wtr. Body yes / no PNA yes I no Crit.Hab. yes / no I Project/Activity L o A 7Lit1Z,i / c f,--.5 , -c c..,L (Scale: ck)length S 4/f i t I )ier(s) —— k i._ ,tuberiv? I I i _ i � id/Riprap length , " -- ,g -- distance offshore -I ax distance offshore — - , li ;hannel -1,_ p� _ N G Ai to P ;laic yards use/ atli �3 / '3� ...., r f I; - i _.-1- Bulldozing / I / 7 _ T I- ine Length -- I 1} not sure yes no __ w ___. a ags: not sure yes (no Ii j f orium: n/a yes ono I s: yes ,no } r Attached: yeses ono ding permit may be required by: J[/"/.S Cl eP4_G 4 . I I See note on back regarding River Basin 20814 :KS & FABRICATION, INC. FIRST 1 BANK CROWN CREEK CIRCLE SW OCEAN ISLE BEACH,NORTH CAROLINA 28469 :AN ISLE BEACH,NC 28469 66-456-531 �/I I O '`�9 (910)575-5271 G� 8 DOLLARS lLL Fi1-4)3. 6L/e/n1S�L 6PV9J? / r 92,7 h fv� {-f e fe t (r-�msl NP 300 208 L4II' 1:0 3 L045681: 79 L0006400 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Marne of Individual Applying For Permit: Address of Property: I°6 (Lot or Street #, Street or Road) SS(3. L (City and County) [ hereby certify that I own property adjacent to the above-relerenced...property. The indiv applying for this permit has described to me as shown on the attached drawing the development are proposing. A description or drawing, with dimensions, should be provided with this lett I have no objections to this proposal. • [I' you have objections to what is being proposed, please write the Division of Co N.lanagement,. 127 Cardinal Drive Extension, Wiliningtou, NC 28405 or call 910••3.95. within 10 days of receipt of this notice. No response is considered the same as no object you have been notified by Certified Mail. WAIVER SECTION .___r_.... ( understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu yet bck a minimum distance of 15' from my area of riparian access - unless waived by m you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback,requirement. I do not wish to waive the 15' setback requirement. " " // a! Sign Name ate . • �� (,�/ l/ Alr';'"riz.• A DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: - 4,0 Address of Property: 10 g �1��, S 1 . (Lot or Street #, Street or Road) ssp. • 1-\-t.t.L , (City and County) — : hereby certify that I own property adjacent to the above-reie.renced_.property. The indiv Ipplying for this permit has described to me as shown on the attached drawing the developmenl ire proposing. A descrip n or drawing, with dimensions, should be provided with this lettc I have no objections to this proposal. • :f you have objections to what is being proposed, please write the Division of Co; ►iauagement,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910•-395-: vithin 10 days of receipt of this notice. No response is considered the same as no objecti ,ou have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu, et bck a minimum distance of 15' from my area of riparian access - unless waived by me ou wish to aive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. v. 7 igrr ame Date • F W . 5 c AA!• ;t Docks & Fabrication, Inc. 595 Crown Creek Circle can Isle Beach, NC 28469 910-575-5271 910-575-5250 - Fax 0 0 12K Beamless Lift Dock 13'9 X 9' oo E Walter Grimsley Bunny Wallace 108 Hickory Street 106 Hickory Street 01/25/2008 03;57 91057552:58 WEST DOCKS 1NC PAGE e2 ATA A1545111 Nora) Caroline;Department of En^Mronment anci Ivaturat ReSvuroes Division of Coastal Management *NW F,Easley,Govairor Charles 3.cartes,Dire.lor aVibliem G.km Jr.,Se Authorized agent Consent Agreement 'I is hereby authorized to ad on my kph: (&rinfod Noma Of)gone) in order to obtain any LAMA permit(s)require4 for the property listed below. The authorization is limited to specific activities described it the attached sketch. LOCATION OF PROJECT: PROPERTY OWNER MAILING ADDRESS: C Loci 3 PHONE N1O. `d4•7 - a 3 3 AUTHORIZED AGENT MAILING ADORE West Docks. Fabrication, Tnr ..._. .._......w_ I..,95 Crown Cree3;Circle Ocean isle Beaty, NC 213469 --- . PHONE NO. 7 7 v If if SENDER: COMPLETE THIS.SECTION COMPLETE THIS SECTION ON DELIVERY • Complete Items 1,2,and 3.Also complete A. Sig Item 4 If Restricted Delivery is desired. / /7 Agent • Print your name and address on the reverse 0 Addressee so that we can return the card to you. B. Received by(Printed Nam=) / C. Date of Delivery ■ Attach this card to the back of the mailpiece, (l/ or on the front If space permits. D. Is delivery add:.•different from item 1? • Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No (/ Bunny Wallace P.O.Box 564 Pine Bluff,NC 28373 3. Service Type Ef Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery'?(Extra Fee) 0 Yes 2. Article Number 7007 1490 0001 1789 5504 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 SENDER: C(f1MPLETE THIS SECTION COMPLETE THIS SECTION:IV DELIVERY IN Complete items 1,2,and 3.Also complete A SI. . Item 4 if Restricted Deliveryis desired. 0 Agent ■ Addressee • Print your name and address on the reverse so that we can return the card to you. B. -e ed b nt-d Na -) C. Date of Delivery • Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address diffe nt from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery a..ress below: 0 No Frank Nesmith 110 Hickory Street 3. Service Type Sunset Beach,NC 28468 p Certified Mall ❑Express Mall ❑Registered 0 Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7007 1490 0001 1789 5511 I i"ransfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 1