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HomeMy WebLinkAbout40353D - Wieber 7 CAW IA / I DREDGE & FILL ,LV® 4 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- 2e0 k, 2 L'v 4Ais `�Q Street Address/State Road/Lot#(s) (4_7 C, 4-7 State - ZIP 273yp /,27 celvre Z' S7 ( ) Fax#( ) Subdivision ?dAgent„12cpa// �$3I �'�' c 9ffi(fi� -32?City 4174 � 4 4 ZIP /(! --Cw vfw I�PTA a ES --PTS Phone# ( ) River Basin L.(,//y li OEA Li HHF ❑IH ii UBA ❑N/A Adj.Wtr. Body net.A1/1 L (nat`f1 u PWS: ❑FC: (es /) PNA yes / oy� Crit.Hab. yes / no Closest Maj.Wtr. Body l44.-lt /4fLi � PrDoject/Activity r oto e �D 1 e/'/4c ' CX/ "-ram-t s r (�G Tvt.€4 e J C 1Lo�l IBC 9�(/Z / (Scale: :k)length ! /2 (s) Q k /Zr --..,. er(s) �Se T� igth � 7XZ1 N nber <'-----"*----- 6444.- 4 I pur-Traefrti tot I/Riprap length C' ,...--"" distance offshore c distance offshore annel /Z N is yards g�1 9 ip ;e/Boatlift_ "® k 1 r dldozing ►l ) wGwf t-- 15 - -rt !5r--.._ �rtit F"toau>t f \I a 1 ,w Length 3v, N • ��[t S t '�'� �� � t not sure yes 47 d la ` k' not sure yesI Our C_ `(Pl um: n/a yes 1tiyrOrt9 127 54tiAN�d^'`� �� no LJf Q/ nOI ttached: yes no (L_ _We 6; ( e(C)1"�L SO �� ig permit may be required by: )40(flp.„1 &tk_ . See note on back regarding River Basin rt H ; O RM u-iR L=C D IC- VT L .LOP=_._ - ?Rai C�er..iy-s_"_I) WORK:. PR Q)Cya r 2 TE '1) 12 • OW i1 fo (y::, • 4C�ON ?, t:ION DP FE- - 3. 4F 05 rot 1010S- CAl "_ LIOR:::.=7:v=-� 1'373 =: 3 10 f vS Col I o l os 07 05 06: 59a Beck Klass 910-846-3360 p. 2 Q p/GI C. a )+J S l f-LfG iaO-• I r" I / c } 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 _ . To: ,,zq y- 7 6_5"- Phone: -sa- - / 3 ? Pages: Re: �c �C: air C ❑Urgent/ � 0 For Review 0 Please Comment lease Reply 0 Please Recycle • Notes: Thank you C i c n,t 5-Yd.- tJ cf 7 Ne�c� �� tit�e.-t erricl1 AGENT .3 .3436 DATE 0310( '-) okiv TIME 13J8 01 11.h wur • 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 • •• •