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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—.� �a h,. ,� r r-P, � I S+urkte Sf 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 ) r 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 0 r Y — - r 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 1 1))A4 .. K., ., ,31) N ......::;. ., ‘k ___ c' . . ,_ t\-, 1 _.....______________:—. ., - ,,,,,,,,,I 7 110,6zit-------- ' : . ,,,,,, r ..:‘,..„ . .>,--, „, . ,: - „. ,,,,, ,. • "�, ,, \ r•••"' • �--�- 35 mil 1 r---ti-bo 3. 4 CJ Vl C,Q7,'l9f7/J ,N J �/P --i'S-, h r'''°\ .111' 1 Vii VA -11 - 'A\ b 1'- /IL 1 /f )� ) L k x )� r ,, , ...,___ \,. , 4 vt,,,,0,0 i , 9/ _,------T----4 Ai,aq d ! 7 e 12(1 S / • 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 ffl