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HomeMy WebLinkAbout28352D - Williams .ICAMA and DREDGE AND FILL G E N E R A L 28352- j PERMIT Qogx3i6P as authorized by the State of North Carolina •)01 ,..... Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC '/ 14• I ),3 D Applicant Name \1 G/Y1 P V" / /1/ a rxj , 5 l- Phone Number Address 5 3 3 U G I I R J ,--') )f .D r • ii City L A G r b T t .e State N C Zip 2 8 01, 7 Project Location (County, State Road, Water Body, etc.) t // W. IN/A C+ w(.4 r j LC1) pr/vc* a 6 p f (it '� C r. /.tw /rlt�` I° Gitee/ S4iid. /-1,,tn-f S-tCuc) .1 Pen Jt' ( ,..,.. -i -�� �Ild � 1 C p Type of Project Activity C�/15 Tr�C. I"GPf r•``X. it �X 55 / Pfir iv, -/), )/v' ) 'jt `A`,,d-4' ? ,1' >/ , / ( ,,, -.� , l,L k ` wkTti.uNrcl e c , AI/ (oi( dt T 1 NH / S IF 9,L t) l o PROJECT DESCRIPTION SKETCH 5 A`, a p ' - / o._.. . .. _ (SCALE: A/ 7 SCe 4 ) Pier(dock)Length U . � � 3 5 / Rim Groin Length I ° , biSr. number ` 1 - i Bulkhead length t �� ill 1 1 __, .max.distance offshorelii _i . r 1 Ill ILI ;1111, , r try 11111111111 : , i,_ Basin,channel dimensions �� — mciiim I. ---in i al - cubic yards is :10 LI _ i ■ ::::: A) 'Il ; ' __ j rit_,Arni ye ris -1,G J-1 Ok r� 11111 ..._ III ._. __ ..._r ■ _ • �_.._ , , , This permit is subject to compliance with this application, site drawing ��'� : 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. L ' permit officer's signature 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- 0 I ) 0 1 / // 0 - 0 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 !� IJ'►J / d) I J been obtained from adjacent riparian landowners certifying that they / v have no objections to the proposed work. f$ attachments in issuing this permit the State of North Carolina certifies that this project JI D v- •-r VA; A is consistent with the North Carolina Coastal Management Program. application fee CODES FOR AEC DESIGNATIONS "OH" - Ocean Hazard "PT" - Public Trust "EW' - Estuarine Waters "CW"- Coastal Wetlands "ES" - Estuarine Shoreline "FC" - Fragile Coastal Natural/Cultural "PW" - Public Water Supply "OR" - Outstanding Resource Water CODES FOR PROJECT "P" - Private-usually an individual "F" - Federal "C" - Commercial "L" - Local Government "U" - Utility "H" - Housing Development "S" - State "0" - Other # CODES FOR PROJ DESCRIPTION "11" - Bulkheads, Riprap "16" - Utility Lines "12" - Piers, Docks Boathouses "17" - Emergency Repairs "13" - Boat Ramps "18" - Beach Bulldozing "14" - Wooden Groins "19" - Temporary Structures "15" - Maintenance of Basins, Channels, Ditches GENERAL PERMIT COMPUTER FORM APPLICANT NAME: a ww) Pi h1 t 66.4''.� / ADDITIONAL NAMES: AEC DESIG: P �i E IA)` C IA) DEVELOP AREA:__A,D f PROJ DESC: P - ` (Will only take 6) ) (Will only take 1) WORK: P1'R 4+ 3S F L/- (Will only take 4) MAINT: (Will only take 4) IIviP: Ow / / 0 D W �► (will only take 6 vu ACTION EXPIRATION DREDGE&FILL REQUIRED: CAMA MAJOR DEVEL REQUIRED: t'• SENDER: ■Complete items 1 and/or 2 for additional services. I also wish to receive the m •Complete items 3,4a,and 4b. following services(for an d ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. j •Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address • d permit. a, ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery t t ■The Return Receipt will show to whom the article was delivered and the date c delivered. Consult postmaster for fee. . 0 v 3.Article Addressed to: 4a.Article Number o 70993 ydo00/2aD.1W E SLOOP POINT LLC 4b.Service Type 8 200 E . A R L I N G T O N BLVD . 0 Registered q Certified w GREENVILLE , N . C . 27858 0 Express Mail 0 Insured cc 0 Return Receipt for Merchandise 0 COD 1 0 a 7.Die of Delivery z - (1/ m 5. Receive : (Prin e) 8.Addressee's Address\`(Only if requested -, r f; /C --� and fee is paid) t� J I. g 6.Signature: dresser)o gent o PS Form 38 , December 1994 102595-97-B-0179 Domestic Return Receipt CU rlUNITED STATES POSTAL SERVICE PM • .gie 4 FeesPaid_ „.-- -- -Permit No.G-10 • Print your name, MR:fress, and ZIP Code in this box• CHARLES F. RIGGS AND ASSOCIATES P . 0 . BOX 1570 JACKSONVILLE , N . C . 28541 t2 itfl,iillitliiii,l„iiiiii„.1idii,iiIdliIfI1millmliIIii • G P 6335,2. 2418 •� ROBIN LYNNE WILLIAMS111 AMES DAVID WILLIAMS, JR. �- � 66-21/530 Ph. 270 1936 „44,�y-1caS y� /BRANCH 04002 • 533 Doral Dr. DATE % r'�i�/�' �-- Hampstead, NC 28443 PAY TOTHE v/^J//�( "�1 IW'`'`� ORDER OF---- 9„ - ' ` •- ---- - ------ 1 s. , Are‘O‘d/ �) DOLLARS Organized Banking° First Union National Bank NA firstunion.com Org.001 RJT 053000219a �� 10/172 FOR 11l- 1 ( �Lliyi - nr 1:0 5 3000 2 L91: L0604 36094 4e 24 L8 HAA1 AND 11.1i