HomeMy WebLinkAbout40353D - Wieber 7
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1 ,ENERAL 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 SA NCAC 7if -
Rules attached.
Name i 2 Q i �/e b e _ Project Location: County g A.541iGIL-
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Locality Permit Number
GENERAL INFORMATION
LAND OWNER
Name _1
Andress yc� 4' f,k/tiDili 4 I.;
City S'iI r C:toy State /I,VC_ Zip 17'3 yej Phone
AUTHORIZED AGENT
Name /VL �>f✓S/!'�/c//c'1�
Address l/p� �,'r'S5 fcs k'J
./
City golf' c� State A - Zip 22-:Y1/• —Phone
LOCATION OF PROJECT / s/ /`k a-et'" YCiC-f�
(If not oceanfront,is waterbody natural or manmade?) /j GJ..,'/.i r c-
DESCRIPTION OF PROJECT CPI c_e= t`'X ` /9-fc'-E c-?%
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
PROPOSED USE
Residential Commerical/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT-UPON SURFACES (such as driveways,etc.)within 75 feet of the estuarine shoreline, or 575 feet
ORW shoreline, or 30 feet of the public trust shoreline.
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING
SQUARE FOOTAGE OF SITE
OTHER PERMITS MAY BE REQUIRED: Zoning,Drinking Water Well,Septic Tank
(or other sanitary waste treatment system),
The activity you are planning may require Burning,Electrical,Plumbing,Heating and
Hermits other than the CAMA minor Air Conditioning.Insulation and Energy
03/03/2005 09:11 17049821099 EFIRD GAS CO PAGE e
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Z./7f v
Address of Property: /:7 7 _;7oz c K2 S7
(Lot or Street R, Street or Road)
,4 ieZen/ /7 each f/�� 1;ews:e4/1
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development thi
are proposing. A description or-drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by'Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be
bck a minimum distance of 15'from my area of riparian access- unless waived by me. (If y
wish to waive the setback, you must initial the appropriate blank below.)
�.Z-4 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement_ •
'Sign NaQie. - - Date AA ..
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER FORM
Name of Individual Applying.For Permit: /)may
Address of Property: /.� 7 5 /C rd $,
(Lot or Street n, Street or Road)
Alt)/leAlB -Jo 4/c /5G-:4t/5 z}J
(City and 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.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
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 or boat lift must be set
bck 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sian N e Date A A
• 998 Cypress Lks.Cir.SE
Bolivia,NC 28422-7900
•
• Phone:(910)846-3228
Fax:(910)846-3360
•
B & J Construction
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To: ,,zq
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Phone: -sa- - / 3 ? Pages:
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❑Urgent/ �
0 For Review 0 Please Comment lease Reply 0 Please Recycle
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Notes: Thank you
C i c n,t 5-Yd.- tJ cf 7
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AGENT .3 .3436 DATE 0310( '-) okiv
TIME 13J8 01 11.h wur
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081189947757 LOCATION 0025461-e;
** FAY EXACTLY TWO HUODRED DOLLARS AND NO CF.i9
PAY EXACTLY
PAY TO THE -71i PAYMENI FOR/ACC1.
ORDER OF
PURCH AS 6,4Dr#sti--(0 5s-3
PURCHASER.SIGNOR FOR DRAWER
PURCHASER AY IMMO YOU AGREE TO THE TERM OG THE RIVERSE MOIL
Western Union Money Order and Design is a service mark of Western Union Holdings.Inc./Payable at Wells Fargo Bank Grand Junction•Downtown.NA.Grand Junction,Colorado
02 L004001: 400r3 L Li399142353o
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