HomeMy WebLinkAbout28323D - Ancherico CAMA and DREDGE AND FILL G \S O I I s Iq A
G E N E I A L crtnf,ac+ilr - r �mQ ► 2 323—.�
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PERMIT , sic. Zq036,
as authorized by the State of North Carolina P)c,h lb t i I t &TANS (4 IL) • 5c)9 -222 S-
• Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 1 tl r (7? r '
Applicant Name ELAN4 h 0 L.. Pit\Ci- -0 i ( 0 Phone Number ri (� jig 2. — 67k z
Address (b ss N Q vv .('V 1/ Pc")
City i'J t 1 vv, , j\--,.) State N C Zip 1 Lk, r), -4-33 15
Project Location (County, State Road, Water Body, etc.) 1 J P_1AJ 1-k v O 4' - N-6w 11 t y (L 0 ce(ry( � a_u
(NI\: \t ilk (CY OWc' (AN' .6 I V)W
Type of Project Activity PIc'V- vi/(I c c(oC < - 0., a ' T- k a a c
►- '—
PROJECT DESCRIPTION SKETCH mum (SCALE: in 3tko )
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Pier(dock)Length I f 9
1r '7—•` 16 X Cc I T
Groin Length
number Z.
Bulkhead Length 111
max.distance offshore ,J ♦
ID
Basin,channel dimensions
..,�. I¢
cubic yards I i
1
-.....__....._........,,.�...._m - r c '
Boat ramp dimensions 1.1 / /
Other
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This permit is subject to compliance with this application, site drawing X / i Gc.� 6 r
and attached general and specific conditions.Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and �_ /
may cause the permit to become null and void. U ,
r
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- I 1 /11 ir 1 —2-- /I G?
fies by signing this permit that 1)this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they 7 N . f 1 Z GO
have no objections to the proposed work. f attachments
In issuing this permit the State of North Carolina certifies that this project IDri Vj C�,_a # 2-4 `�t`�
is consistent with the North Carolina Coastal Management Program. application fee
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: E ALoki Rr t--D L Na{6A-16-0 7 0
C�PS U I �Sl�i �4 + �o D
30
ADDITIONAL NAMES:
fr
AEC DESIG: ( Pr CO/ DEVELOP AREA: _,0 L PROJ DESC: p
(Will only take 6) / (Will only take 1) 3
WORK: r R ( 7O, 5
(Willonly take 4)TT: p i
MAINT:
(Will only take 4)
IMP: (l/L/"
(will only take 6)otiv 3^✓(
' ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: I ( f (•5 1 Of 11
DIVISION OF COASTAL MANAGEMENT O
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
V)
Name Of Individual Applying For Permit: //��
��C� ha1�`�ceNi'cep -7
Address Of Property: / 5� 4/
(Lot or Street#, Street or Road, City & 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,
Wilminaton , North Carolina, 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, lift or sandbags must be set back 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.
s II - 10- .1
A19191r4vA,
Sig atu E Date
. 1,/- tin CA-penfe(-
Print Name/
ti' ) 7 i -agk�
Telephone Number With Area Code H N R
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DIVISION _OF COASTAL MANAGEMENT
• -ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual A 1 For Permit:
PP Yin g �� 4.
Address Of Property: / 5 5 /Veit)l LN`( P
. - /if i'ini . 1-,Inl �t r M ,
(Lot or Street #, Street or Road, City & County)
I hereby certify that- _I own property adjacent to the above-
• referenced property. The individual applying for this permit has
described to as shown on the attached drawing the development
they are. proposing. A description or drawing,
should be provided with this letter. •
•
with dimensions,.
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 , North Carolina', 28405 or call 910 .395-3900 within 10 days of receipt of this notice. No •responseis 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, lift or sandbags must be set .back 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. )
2',..-''''''I do wish to wai .
v
ve the 1.5 -setback requirement.
S do not wish to waive the 15 'setback .requirement..
: , G'pi--611077. elit:571.4A
7,511;FA`...1
S gnature --
Date {, e
£Ah/c/n4 .E, endo in
Print Name - .- - •
(0 � ® .�NR
Tele hone. N mPer With Area Code . •
•
•
tt• •
, , is*NI,-`,,-, Z i —.r-- 5=c COASTAL MANAGEMENT
n -T', 2- 0 ' o- ri ; . -'Y OWNER NOTIFICATION/WAIVER. FORM
37 �z
6 o = Q> - •
•
N- 00 g _ z � •
O ��� ` nd Z ':far Permit:
Ad ' .� n
, N\ t r-5- itic k/e i,-A `-2
rt
:4 ' .‘it
t
{� `� 0 -et'#, Street or O -;`t Road, City & County)
ref ' w �y'- ' 'r property adjacent to the above-
,�, f 'idual applying for this
_ permit has I
des. : � ; � , a r.�
the : r. 1- �, � T.� attached drawing the development
_< 1;-.:; < tion or drawing, with dimensions
sho ` - �
t ,� meter.
\�— et.�: to this ±
�,::,,. proposal . j
r ' 7 «.. - . N. - beinc proposed .- please
Divl ._ le�se write the
Di1m Q 127 Cardinal Drive Extension ,
days
GS
, '- t,. 5 or call 910 395-3900 within 10 i
' 0 response is considered the same
as n. , 0 1 notified by Certified Mail
`.,i - a
v: . q P SECTION
I und_.`` _ _ �� 1
house, 1 ,.1 •oring pilings, .breakwater, boat
' � back a minimum distance of 15' •
from m - n access unless waived by me. If
to waive the setback, you must initial the �� you wank
below. ) appropriate blank
✓ i' I do wish to waive the 15 'setback requirement.
I do not wish to waive the 15'setback requirement. `1`
I
1
j41.41,-CLie,„F. elc---7-14A
Signature Date
SA/t/dna E. exde M Zarlirl
• •
Print Name ;
Tele hope Number With Area Code INIPI
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