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Home My WebLink About20168D - Bradshaw CAMA AND DREDGE AND FILL /� I� GENERAL NC." 020168 -p _Y �.5 1 c� C) 9LiA PERMIT as authorized by the State of North Carolina Department of Environment, Health,and Natural Resources and the Cost Resources Commission in an area of environmental concern pursuant to 15A NCAC I/17so ' / i" Applicant Nalei D V rAto - v r j s �✓ Phone Number Address f 0 A414 j in3 cL City /`c,nP S'/Lewd State Al C ip $�ti3 Proje, t Location (County, State oad, Water ody etc.) O n A Cj/n e d (f C eA 4a 4 h T aC G �1 I� I lJl h/ !)l.� r j'�� r �j 5'�„�� P/1 d,t r L�.��'�` 1 Type.of Project c vity II!✓15!It../C-— l ` X 13' 46'cf. I-/'Pi a n A o r 1A 5 1 d C 04 .ey i s /1A m rl€ r- pi/ (0 J14-4" p T. ' AJJ Sou/l .1/" . -e'er- r f-k" SA /( A pra �t ct e do.. t.' or- /nor < -M,,,, -hr.o /j .a � Nor�'l� ,de met 4• ,-- ticks IVA (titd / F.i- Sc 1/-back PROJ ECT DESCRIPTION SKETCH (SCALE: Aio i„ A' s ) Pier(dock) length pff-e �l W Groin length �"F�Si'n•� T A eaclJ FiJ4 h'�r) 11< number Bulkhead length Pr vow ci ,.....* a • Boy+fit I • • max. distance offshore (...,,,,,,........1„,,-"'-'.. , \\ Basin,channel dimensions cubic yards i Q JrP4l1 Boat ramp dimensions \v Other 3 , /J ' . \ VOM�s(F ;it This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine, imprisonment or civil action; and may cause the permit to be applicant's signature come null and void. -eM-41 This permit must be on the project site and accessible to the (�( per it officer's signature permit officer when the project is inspected for compliance. n_?5-_0 1 /)- -�6_ p / The applicant certifies by signing this permit that 1) this pro- ject `7 is consistent with the local land use plan and all local issuing date expiration date ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no c7� /a 0 J objections to the proposed work. attachments n issuing this permit the State of North Carolina certifies that LIi / �ihuhis project is consistent with the North Carolina Coastal application fee -�! �' Ca ro /s anagement Program. �. .�_ - _.� J it _ \ v _`:,.J, 1 i- APPLICANT N.A.1 _ o,r' vJ��d r�tic) )1W1.4.> ADDITIONAL NAND .S: 1/1/ ./ 4 AEC DESIG: � E Yl� DE � 1p OP AR 4 � ROJ DISC: P - (Will only takeo) 1 (Win only tall;:I) WORK: UL /3, / 3 (Willi only lab:4) L MAL-NT: _ (Wil]oniy take 4) Dvi?: C7 l 4.. 1 (will only tail 6) ACTION 'PIRATTON DREDGE d:FILL REQUIRED: D: CA MA A MAJOR DEVEL REQUIRED: DIVISION OF CO ACT 41,M&NAGE-WENT &DJkCENT RIPARIAN PROPERTY QWNER NOTLEICATION/WAIVER FORM • Name Of Individual Applying For Permit Address Of Property: /777 /1./f - (Lot o treet Stree 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 tome as shown on the attached drawing the development they are proposing. A description or drawing, with.dimensions, should be provided with this letter. • • . ier,Csr I have no objections to this proposal. Or • Jf von have objections to what is beingproposed,421tse write the Division of Coastal days of receiptofthis notice No Tesponseis considered the same as 110 objection if von have been notified by Certified Mail • • WAIVER SECTION I understand that-apier, dock,mooring 1l zs,breakwater, boat house,lift or sandbags inustbe - set back a minimum distance of 15'from my area qfriparian access.unless-waived by me. (If you I wish to-waive-the setback,you mnct initial-the appropriate bianic-below.) • I do-wish:to waive:the 15' setback requirement. . , I do-not wish to-waive the 15' setback tequirement. • Nycz,ic I • •I -1 Signature Date - Print'Name 17 0• Z—c• 2••51 / • Telephone Number With Area Code NORTH CAROLINA DM.ARTMENT OF ENVIRONMENT AND NARJRAL.RESOLIROES' e } • • • • • • t+ i • ' 1 till .,y,... • '�.'��♦1 I�� •..r • • . • • 1 air. 12T�1S'LON OF CO 4ST 41,M 4N 4GEMTNT 4ILT 4C'FNUREP 413I4N PROPERTY OINTRTR NOTIFIC 4TION1W 4TVER FORM Name Of Individual Applying For Permit /'AJde../1 // Address Of Property: /7/7 mi AS4 --zfjj MC, (Lot oiStreet#, Street;ed Road, City & County) ty I hereby certify that I own property adjacent to the above-referenced property. The individual applying for this permit has described tome as shown on the attached drawi o the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. V I have no objections to this proposal. If vo11 have obiections to what is being proposed please write the Division of Coastal Manacement�127 N h C' rdinal Driv Wiimin on, North C rolin 7R C}5 or ca11 91n 39i ' 9O(1 within 10 days of receipt of Chic nice No reepon_e . is conenerecl the same as io ohiection if von have been notified by Certified Mail W'OVER 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 meet initial the appropriate blank below.) v I do wish to waive the 15' setback requirement_ - I do not wish to waive the 15' setback requirement. _ A471117:111 ture Date wit"' Print Name (Ts? -C y/9_7 NCDENR Telephone Number With Area Code _ NORTH CAROLINA.DM=ARTI.ENT OF ENVIRONMENT AND NATURAL R3OUR c . . • . . . . . . ,_.• ' . . . . g. a• • , . . . .. .. .. se. .4... .', It—.2\ ••.,... . 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