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HomeMy WebLinkAbout26276D - Oceana CAMA and DREDGE AND FILL 26276 .) GENERAL ^ PERMIT & O33r/ l7c Pt- as authorized by the State of North Carolina > ,,:,..- Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC rf k, I 0 c r) Applicant Name ( ,,Ce'1Ata 11�ur',� / WU .Prc, r'c, Phone Number Address ��01 ry`Gfinu 5 4- City (Au rt.6 R'P"c 1 State N ( Zip aT`/o Project Location (County, State Road, Water Body, etc.) ;Ont( 611 R60 ✓f q- ih-fcr tom, 7Li..• oc Vac ‘ 8 u S l n, 4 I to VI d 5 n ws C.,4' on p r--A ,4 e of- a rD/J n..i 6C/ , !VC (4,0 ✓r r (74 4 / Type of Project Activity Aim l'ermAi( d reci i'h...) o X btJJ �ti. ydi yr Jr>s 4i desc rib(cf a't 4-(AtlnC•Li P141-s. Al ! c,.4Jttra'.0 ) F 9/4- 15004. 11 . PP1- PROJECT DESCRIPTION SKETCH 5 r /Q /tL (SCALE: 1 Pier(dock)Length M ilo mm f 0, T ALP e MI /n t IN • n Groin Length L �« number _ ....t�� �i^� �{ 7• n irii C ' ' n ‘ s 7,61 .:' ' Bulkhead Length IINI 4y' 7wl - p max.distance offshore ' m Basin,channel dimensions i rr),t /6 r pp `� y .. __. ..__.._ ..._.._ _..... . I I cubic yards ! ,, I,t.. e. Boat ramp dimensions g Other _ DA_ l_ -O 1_ — 5 r7•(4 i 5441 e 1 , / . r ) ,Z11ti 1 4 • .... _T. /.5 ,,,p , iiiii r .43 . . ii _... 1 A 1 Ilk II II IIIII 9 I_�..�.IN.." ' . to . This permit is subject to compliance with this application, site drawing t J and attachedgeneral and specific conditions.Anyviolation of these terms i p applicant's signature may subject the permittee to a fine, imprisonment or civil action; and f may cause the permit to become null and void. 1(\ i eli"Sr a -gt.A. This permit must be on the project site and accessible to the permit of- permit officer's signature ficer when the project is inspected for compliance. The applicant certi- -3 D— (0! (r- ' ^ !D/ 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 / O been obtained from adjacent riparian landowners certifying that they have no objections to the proposed work. 0 () e L,r7 attachments In issuing this permit the State of North Carolina certifies that this project j I 0 v- Len ✓t tf Ey,", 4-- is consistent with the North Carolina Coastal Management Program. application fee e 1 GI I!•I rJ r� 141 • i i I Iil n p 0 d • • 4 I 4 ,� +4 Cl III Ell I , 10 .,, t1 N• . + 1l 1 n�•rl Pl ►7 ('1 ,I 4 q 1 �' n, ca 1 A� 1 u� i+ �- rA r 111. III r1 .1� S ► ► (5 1,1 r,l I PI I •k • ill n7 r� 1-i I IA 11 .k i rx I1 P c1 c IN r. '# y �� 11 I n r1 Q1 • l I r '11 1 ; ' •1I 1 nr I, �1 11 1 ( ' Itr, In; Ir1 .11 rr rl , q) 1 1 El E1 q r r 141 iii 1I� 1r tr) 3 * ill 21 I1 1A t llr h 41 III . 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"TIFIED MAIL RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) • 111 . ' in Artcle Sent To: , tit / ED ( _ri Postage $ 6, .....tsE,c .\ .. . . .. r•-• r•-• Certified Fee b 41:? rre.;;; cr 17-d Her 7'1, AOrn ReceiPtee M Ill Return(Endomement Requifvu, . 27 11, C23 Restricted Delivery Fee mill Ol. 4 c3 (Endorsement Required) 11-- .01) 1111118191 &i9 Ps 3 — C3 Total Postage&Fees C:3 .7 (Please Peet aeat)01,1 cirteC by mailer) rn r ..... . . .......------------ i Street.A,---or p40r. ..............................:Lt iy,.5 .................... ._;.tate,.............. -(---.............. rit/ g c3 El ZIP+4 r,- See Reverse for Instructions . 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''..:!*t-l'i:.,..:.:'-.L--% . ...,. , - ;.;.;'"7.:t • Wes Gerald PO Box 4218 Wilmington, NC 28406 I propose to do maintenance evacuation of one thousand yards of material from the basin of Oceana Marina. This evacuation is to be done in three areas . Area 1 is between G and B dock. It is 150 ' long, 40 ' wide, and 16" thick, for a total of 30 cubic yards . Area 2 is between A and B dock. It is 150 ' long, 40 ' wide, and 16" thick, for a total of 300 cubic yards. Area 3 is between B and C dock. It is 150 ' long, 40 ' wide, and 16" thick, for a total of 300 cubic yards. TOWN OF CAROLINA BEACH 304 DOW RD CAROLINA BEACH NC 28428 FEBRUARY 20, 2001 WES GERALD RE: DREDGE POND PLEASE BE ADVISED THE DREDGE POND ADJACENT TO THE CAROLINA BEACH WELL# 3 MUST BE RELOCATED TO EFFECT STATE LAWS THAT MANDATE NO POTENTIAL CONTAMINATION SOURCE WITHIN 100' RADIUS OF WELL HEAD. AS PER OUR CONVERSATION THE DREDGE POND (ALL SPOILS INCLUDED) MUST BE MOVED AT LEAST 25' TO 30' WEST AND A MINIMUM DISTANCE OF 100' FROM WELL HEAD. IN ORDER TO COMPLY WITH THIS MATTER, THIS ISSUE MUST BE RESOLVED NO LATER THAN MONDAY FEBRARY 26, 2001. GENE GURGANIOUS DIRECTOR PUBLIC UTILITIES • / Form DCvI-?LP-1 APPLICATION i . (To be completed by all applicants) • b.. City, town, mmi nitY or landmark C Lc k na ¢.A-CI\ 1. APPLICANT c. Street address or secondary,road number ' a. Landowner: (1 `NI. SES — Name 06X-E_-Ptx ,p,\. S 1,W... d. Is proposed worwithin city limits or planning �/ Yes No Address V.C7- Lid,k D - e. Name of body of water nearesuro' pt(e.g..rive City ��. M. State'; 1•- creek, sound, bay) POW l� '� i- ,(e.g. CA Zip'2 - O I Day PhoneCLIO M• �p- c 9� V 3. DESCRIPTION AND PLANNED USE. Fax 1�C�'Z��O d O��D . _ =__ = - OF PROPOSED PROJECT, _. b. Authorized Agent: = �A" rJ l Name v i' ') l 'l 11 Q('L. ( ( 1(6 a. List all development:.,activities you, propose (e.g. " building a home, motel, marina;:bulkhead,.pier, and f`,r excavation and/or filling activities..r Address � - 1 1(..k.0 11 �� l ,q ., l�r�.j n/7' nlo/cr .aci RFVin/Gq ati i�, T t/ Cit D LnQ- -Q-4-C .Stat_e' ��L° ZT z� Da Phone'.Q) . ,`tom` • Zip y b. Is the proposed activity mainte" ce of an existing f?, project, new work, or both? _ h Fax CIla 'SLa lc7j�� I'.,:;:. .,r c. Will the project be for public priYate or commercial use? �s(Y\'M.P c_ f.% _ c. Project name (if any) l L (\c 1nc3.-ri na.._ , d. Give a brief description of purpose;use, methods of construction and daily • operations: of proposed NOTE: Permit will be issued in name of landowner(s), and/or project. If more space is needed, please attach additional pages. project name. 6\ C 1 -Fps-1- s1Y1Lt, k) -_ie--t IYNC,--: ".-C1[\ aa& .i N nrr,q- 2. LOCATION OF P ®POSED PROJECT C; n �c:.-t-k(7)(- ; iri,i6-t-7,,i C C'I,a!'6ti( J a. County;' E i.0 ;10{—Aldr _,(:S ,k3s , v k r) .-- \ KO Revised 03/95 - 4 Form DCM-MP-1 m. Describe existin wastewater`treatment facilities. 4. LAND AND WATER . 4./V i hb° S p (,41 CHARACTERISTICS a. Size of entire tract n. Describe location and type of discharges to waters of the state. (For example, surface runoff, sanitary b. Size of individual lot(s) ?CI - I2 wastewater, industrial/commercial effluent, "wash down" and residential discharges.) c. Approximate elevation of tract above MHW or Se/����'/— Ptt ii ? NWL (., M I,s/ d. Soil type(s) and texture(s) of tract o. Describe existing drinking water supply source. .HV.Y) (' uJ475/1 /)4 4i11/ e. Vegetation on tract !v oiv f. Man-made features now on tract Q 0 S i A/ 5. ADDITIONAL rNFORMATION g. What is the' CAMA Land Use Plan land classification Of the site? (Consult the local land use plan.) In addition to the completed application form; the following items must be submitted: Conservation Transitional. Developed Community e A copy of the deed (with state application.poly).or Rural Other --. other instrument under which the applicant claims°.title to the: affected properties: If the applicant1is not h. How ism` a tract zoned by local government? claiming to be the owner of s -aid pr`operty;,;then' /V,. f / forward a copy, of the deed or other;instrument under which the owner claims title,plus.written:permission i. Is the proposect,project consistent with the applicable from the owner to carry out the project. zoning? �1// Yes No • (Attach zoning compliance certificate, if applicable) o An accurate, dated work plat (including plan.view and cross-sectional drawings) drawn to scale in black j. Has a professional archaeological assessment been ink on an 8 1/2" by 11" white paper. (Refer-to done for the tract? Yes c/ No Coastal Resources Commission Rule 7J.0203 for a If yes, by whom? detailed description.) k. Is the project located in a National Registered Please note that original drawings.are preferred and Historic District or does it involve a National only high quality copies will be accepted. Blue-line Register listed or eligible property? prints or other larger plats are acceptable only if an Yes V No adequate number of quality copies are provided by applicant. (Contact the U.S. Army Corps of 1. Are there wetlands on the site? Yes y No Engineers regarding that agency's use of, larger Coastal (marsh) Other drawings.) A site or location map is a part of plat If yes, has a delineation been conducted? requirements and it must be sufficiently detailed to (Attach documentation, if available) guide agency personnel unfamiliar with the area to the Revised 03/95 'k u i DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WATVER FORM • Name Of Individual Applying For Permit: W r S (. 1 t - • .. Address Of Property: - 1-1O 1 111 4-R j'y//- S .! (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 tolie 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. Jf you have objections to what is being prod please write the Division of Coastal Management, 127 North Cardinal Drive, Wilmington, North Carolina, 28405-or-call 910.395= 3900 within 10 clays of receipt of this notice No response is considered the same as iso 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 mist initial the;appropriate blank below.) I.do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. 444 Signature Date ';� F _ Print Name • Telephone Number With Area Code NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES CAMA and DREDGE AND FILL Y . G E N E RAL N9 2 5191�—I l ,, HI T ., ,4 mi f i g I 1 i g 1 6 b7 ,`F ',�'"�'-; • + as authorized by the State of North Carolina ''''r z; Department of Environment and Natural Resources and the Coastal Resources Commission , : . '`-;"£4-'? in an area of environmental concern pursuant to 115 NCAC r/A. 1 S-6� Applicant Name 0 �_e'ln u M r t A g.t /t ') �ivrti c+ Phone Number Address 4/ D I /V\ct r / ^ a 5 City CO,---;2 / „ „, L)Ccti 4 State AfC Zip ').74/0ci Project Location (County, State Road, Water Body, etc.) SGfiv 4,5 q 4 ,;re di -1 i1L 1c r S[✓91-7-, af \)(.l.L.GL1- '✓ 613;A 1 4( w t cno w c Co 4- CcI ro !/ ; L�u c.h fi e ►J Al.it ^ VC II Typelof Project,Activity M U//l -4( l�u,,c( Cr, ,j 14) 0`F /, 0 3-3 C U. V ci S o- i-elf q'C ,( a4-f-uL-ke /k l _ 4 /1 (, , i -�1�.,s c 0 a- 1SO`) IY1i gipQI P PROJECT DESCRIPTION SKETCH $< A it-L,l, , d (SCALE: _ ) ow Pier(dock)Length i ,,,,, IliNfil it,, 11 11-1--1I , R1 / j Groin Length 1 , N "lIi'- R 111111 I number .• Bulkhead Length b L / n•= X. (f ee'�"" max.distance offshore —- IONA ___ " '� _ 1 l) L im,,' :. Ba-• channel dimensions 1 r l . /. t cubic yards tr�!. f { - = �. ,__.t.ign� . . , 4, .,4r �1 • r-b , .#,L, Boat ramp dimensions iEl I M c t7 g q I:, Other ..__ ..._ _ 1 1 4i ' C--( `� L' Ct IIIMMit n I III A• L_ _ �MNam r "f t _' . t I _ D - 111/ i ,Fr/ i .. . 6, _.‘,._ • .11111511111 1 i 1 t ' ,._1_ _i____,____ / fi y 3 _ l_ii 9t ;�s S TM This permit is subject to compliance with this application, site drawing and attached general and specific conditions.Any violation of these terms - pplicant s signature may subject the permittee to a fine, imprisonment or civil action; and7' may cause the permit to become null and void. ,� �. (JI , C Ct.1 This permit must be on the project site and accessible to the permit of- _ � permit officer's signature ficer when the project is inspected for compliance. The applicant certi- ; i/_ ;7 - r% ✓{ — AC 0 lies 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 ? / � I 6) been obtained from adjacent riparian landowners certifying that they -1 . r�` ^� have no objections to the proposed work. attachments In issuing this permit the State of North Carolina certifies that this project 0 v • v J ' is consistent with the North Carolina Coastal Management Program, CC 11 to c( application fee Form DCM-MP-1 • site. Include highway or secondary road (SR) numbers, landmarks, and the like. 6. CERTIFICATION AND PERMISSION TO ENTER ON LAND • A Stormwater Certification, if one is necessary. • A list of the names and complete addresses of the I understand that any permit issued in response to this adjacent waterfront (riparian) landowners and application will allow only the development described in signed return receipts as proof that such owners the application. The project will be subject to conditions have received a copy of the application and plats and restrictions contained in the permit. by certified mail. Such landowners must be advised • that they have 30 days in which to submit comments I certify that to the best of my knowledge, the proposed on the proposed project to the Division of Coastal activity complies with the State of North Carolina's Management. Upon signing this form, the applicant approved Coastal Management Program and will be further certifies that such notice has een provided. . conducted.in a manner consistent with such program. Name Q'�" rcvA-Qc\WS I certify that I am authorized to grant, and do in fact, Address grant permission to representatives of state and-federal • Phone review agencies to enter on the aforementioned lands in connection with evaluating information-related to this Name -- ---- permit application and follow-up- monitoring-of the Address project. •Phone I further certify that the information provided in this Name application is truthful to the best of my knowledge. Address Phone ..'` This is the r S day of r C P , 19.O f . • A list of previous state or federal permits issued for work on the project tract. Include permit nu uibers, Print Name ()6 S 1715 A LD. permittee, and issuing dates. 1 ,�•,C` �, Signature a /-�-�. �. r t be (3%1 C th- A , Ac q I Landowner or Authorized Agent A check for $250 made payable to the Department of Please indicate attachments pertaining to your proposed Environment, Health, and Natural Resources project. (DEHNR) to cover the costs of processing the application. t /DCM MP-2 Excavation and Fill Information DCM MP-3 Upland Development DCM MP-4 Structures Information ° A signed AEC hazard notice for projects in DCM MP-5 Bridges and Culverts oceanfront and inlet areas. DCM MP-6 Marina Development o A statement of compliance with the N.C. NOTE: Please sign and sdate each attachment in the Environmental Policy Act (N.C.G.S. 113A - 1 to space provided at the bottom of each form. 10) If the project involves the expenditure of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act. Revised 03/95 , . . . . • . . , e.,.....' I/1 Y.C..rs 14 , . . .,,,`,....0,:. .....,,.. ',... •' I„ ‘ \ 0 \V)i.\ I . • ..t\Z 't. 0J•ir-t:N 4 WEL1 ir - CT -r•n .\ „ / , , . • \ 0 1 •,. \I + • ',..v.,„0........ 4,A.,;ot,, • imp i ;:-Fg3AIN.re,..'. a, ‘ T 1 ea4i\-- • ..- • . •.1.!=t:...,4t.rogo„c,, ..' i . 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FEtiCE • cf\ 1 •:.a . li,i1" y&t,,.1414.011' ( \ ' 'i:41..ha #50. . • \ CI` % I 2 —5,RPH,,s, i ,t. . +31.. \ . - t • .. . ,r - .107-'4:6eAfir: •.N .1.1'-,0;',U.,•4 -.ts''• •„.. ' '-i-43. 07. . ...... ' r'' I r. t 3 ' q ;;04:,.:14403ti 119''' ' . •g. ,,, .-;1.114r,..0,:f , s. . ,,• , ' irPt.:,q‘:•pv.,,t ,1' ty: . -.110:.,/.7,,.,qr,5":4:14).." ?''' . \ , -f- I 3• I 3 APh't?.14.1 izi,.' ' V• . ,. .•.),,••tif,;(4,44.4-1/ •%1Wt' . ...„...........* I . I b • 1,4fir.,,-1.e..ceNititl,„ • 0 lb. ÷ t.VD .11)111.(/;1111r 4t. i 6 . 4 + I 3. %CI ,-•.- . ,s.,. _,fielt. 3i C:1 sPliVi.-43z,.41,0sy „, ' . Ect.'qf vvit,r-v,I, • •••••,, - ...-"" 9) , . 411fiG3-1-•>'..t, '•-•1,":4,4-fyit* Y.," +1 0. • • .,,:ggrek'40,,C1';,4r6 r'1•, •'''.. .. . „.. '>:+•141..40,4).4„.41 .., ,,i. +a. 13 . 11,1. - O. at3'.er, , .•:„....,.."svile,. ,, ,, , 9, „ .,_it____ • • '"401.4-'- •'W..iiit.13'7"..0,' 1-7rk:- .,''' .A. ' -A, .___ .____ _ _ 7.-2,.,-.*.it.''. .:' ''' .- vtitfdfliFs4.41.,i':;,A• . UAradTZ \ 1 e.:::rx., 72,44-- '4'1' .-i f';'''VT trtr •••''' ,. , Lv,, ' C '' e.A S 4-,,, •.,. ...t' Cl RY e A el.aimpbriabm • . I 0. - ..,,,... .'i?J:k •Ifre?..,.., • '.: - 1 . ,4+.4W Y 1)0:,YA•3',„1.4...-.:;',...... ,,-.e• . ..•.t.., .7 '''."...-. ="1.,,,0""1..-- .: ;'-:4`.-*,-1 5> •T',„,,. .4,„--,1"--S-ik-t Sr,- , .ks'--'0,2'.... ,..,,,;>/',Iti; --ve.„1..--' ,;4:',-,...-•"Ci:S..e••:, x. 41.rtz-- •,\,.->..-...•24t..--..:3!..>"-•`C.-:••,-..-,.'". ' " -.'• - • • /1 • TOWN OF CAROLINA BEACH PUBLIC UTILITIES • 304DOWRD CAROLINA BEACH NC 28428 (910) 458-8291 MARCH 1, 2001 MR. WES GERALD JUST TO LET YOU KNOW THAT THE FINAL INSPECTION WAS MADE CONCERNING THE RE-LOCATION OF THE DREDGE POND ADJACENT TO WELL# 3. THE DREDGE POND WAS FOUND TO BE IN ACCORDANCE WITH STATE LAWS AND AN ACCEPTABLE DISTANCE. AGAIN, THE SAID DISTANCE MUST REMAIN OUTSIDE THE 100' RADIUS OF THE WELL HEAD AT ALL TIMES. YOUR PROMPT ATTENTION AND COOPERATION IN THIS MATTER HAS BEEN GREATLY APPRECIATED. SINCERELY, GENE GURGANIOU DIRECTOR PUBLIC UTILITIES 1 .., , 1 1 :--- ..., i.--.• STILLING AS ,- • ELEV. +16.0± , - e I SILT FENCE -,:---Fof--7------:E---:-&--- -;:---------__::_-__--_-_----:-.----___:__—_____ = ILL ALL PIPE • i ALL AROUND .. E------- _- -__74,.. I/ D.,IK\.E\ne... _ not inumum..,;", '-. DIKE N-::-_-7-: ..-.-_=_E--.---=_----_-;-.1"--._.---_----- TO LW.--- ----- - BACKFILL r-, • . __, -` i , •ra,..N.Nr,.\-.-\\.. \ \\w.. \\ \ \•.,:\ IF ,.< •--*-777"rt# EXchyAu 1,1 1 1 .1 1 , rtR,-„CtIRE/ti 1 13. --: : . EXIS711NG:L:.: , - • ------: " • /` x 4\ -\. \; - j 1 ! _ . , , :,.. NEW RETAINING .-,' WALL .. t r 1 i . 1 , : --.'z-:(--....„........... i ! .. -- (1 I . . • \ , • sN.c.,, t s. s • r,--\\. : , c. ..) s-(_.-•= ‘ '"''. 1, -v r, V • \ ' 5'''la 4 ' ao,}•.• cz.P• rt-s5' AX.-C11•*:-'' • , • ‘--_-•,- '',-•::-:,--t':.--t`:: -:SZ;s,.,,:,k'iv,,-.,:•,-.--z, , 0.,,.1--`. i - s : ,:-:- •,-- .Y.44,43:,:/*„.V.±:„-'.:%.,.-...';.'-`: 't;"_\ ac.,,, , ' ,•.- : ',.• ',., : - ..t`,-:7.':..., ..„:.., g:7....:4,;,,:,1,,_!::,:;.1!':::': •,' : • -rn•A oi2Ci ' '- .'%.--i2-,,,:lisiS‘ni c.a.'•:::'':.--1_'e:.;'-''D ---.N.,1\ ' :_s ' . -,-..: , ----..,-. '';1-r;,,.,e41.1.';:: '-''-'6.' •'-'•-**15- - ', t )4 • 17 --...- , , K.s • ;EXISTING WALKWAY A—DOCK • - . :.'...-.:01. :- . ;,-:.•..',:.:::-'5'..'.,'..:',. .--•".... 2.!.;•,:--::-........,,,,,,,37F5z..--:.1,'-.---..'-f - ' -.• --. . L) "'":",-1T,i'en, o Loil ov o�• a 1. fj • TT �m • S�l �L �� ct B-ROC • qy\ `—t �� .Q� 4e-n J 1 \ • l 1 -DOCK-r � � ` . : DOC`1.:;-.••:,--,..:--.:,-,:,-. 14c.._ � /� / • r 4 i ll 1 - + 1 sue' ;'+ s-'►gp. • ,,,,!-„_..4:.,,,,,I!,,,.'i. • , id • i am- , { 3 tom] 'lY o tY I I: ' • • EXISTING WALKWAY �'` Dote:I 9/25/99 Scole: NOT TO SCALE- `� SOU MARINE Drown By: 1.S.G. Ret. OCEANA S O LJ D MARINA 207 Anleles Ct.Ste I•Wilmington NC..28405•910-395-9345 OCEAN A MA I'I N A EXISTING DOCK LAYO l ,t. PTVISIC)N OF COASTAL MANAGEMENT ADTACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: Id E S &f�i Li) - - Address Of Property: ((Q / /14-/(i ti4- B Qsi'a. '' (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''tie 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. f , ,. . If; you have objections to what is,being props sedl,`.please` write the Division of .Coastal - , Management, 127 North Cardinal Drive. Wih inQtnn North Carolina, 28405ror ca]1 910:195 1900 within 10 days of receipt of this notice No response is considered the same as no,ohjectioii r i if you have been notified by Certified vMail - - •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' froth,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 1$'.setback requirement. a firs� Signatures, Date ` dif r,YuitP ( GI Nov s 311Flvrjdga' t :- !`6 . . Print Name. . ; `�tGD S� Telephone Number'With Area Code o Now c ou`NA y + r. I • DfrA','. r- i ENVlIiONMEMTAN , D RAL.Ft • • t3t.' { • , t is - 7 `y0 !l �' '°'� r �' ',COMPLETE THIS SECTION ON DELIVERY SENDER COMPLETE T IS SECTION ; ='+ i " �`^ . r z b, aY rn�».. 's�st " ry" A R ryed'by(Please Pnnt Cear/y B D /� t • ::.5 t�,Compiete items tit,:2`and 3 Also complete .,� i ` a°ttem,4 rf Restricted Delivery is'desired., , • '' a;Print your riame'.and address on the.reverse 'tr ,� . ' " ,soithat we'can.return`the card to you: ss/ i ; :;�� ❑Agent_,, • ' I Attach this.card to.the back of the mailpiece, X, :•/ / : F.;Addressee , or:on the,frorit if space permits. D.'Is delivery add-:- different •m derma?. .Yes 1 Article Addressed to:;. If YES,enter delivery address below: ❑No S :. .00ti?ft!}ki498r t t8)litliftiii. .ii -- •• V .,t�8i;,1?•6ti f8ii3t} s c i p38), l nn''ppR ` /��,IL 3 e ice Type Q: Kll�'.1 l �' if-; Certified Mail, ❑Express Mail •, 1 • c-ILI'Registered ❑Return Receipt for Merchandise li "'" �-•- ❑Insured Mail , ❑C.O.D. i 4. Restricted Delivery?(Extra Fee) ❑Yes 1. 2:Article Number(Copy from service label) Domestic Return Receipt PS Form 3811,July 1999 to2595 99•M-t7es 1 ® WATERWAY SOUTH, INC. 3.467 P.O. 80X 4218 WILMINGTON, NC 28406 DATE .3/4/ 0/ 66-85/53L . u PAY A fikumze prI 7 Z IZ TO THEO !1 DOLLARS /M` tRRDDEq OF I Li d. A.to ill 7/ Az heeeetL V' U 47/(zetid a Par-&I RI, 11'0000346711' 1:053 L008501:0 27 2 L3994611' (opDc --) (--P