25245D - Caulfield

I—
F CA 4A and DREDGE AND FILL
-G E N E R A L ._, y.-
25245
PERMIT
as authorized by the State of North Carolina
)017„,..- Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC - 1 -2-0 0 •
Applicant Name JC? W CLAl FZ•.. t1/0 �Ie'N45 Phone Number qIO (oP4, —Li-1-;--
Address I-7 -2i- F t,j TL 1-1 Ct e e.k'
City L Ji v s; nYq ^, State N C.- Zip 2_,S4- 1
Project Location (County, Sidle Road, Water Body, etc.) c v-\�. / ')('`v-4' , e...c>,t
F L T C i--i rr 4e._Q. iL 1J N--�-} �L� r Co .
Type of Project Activity AA d II 4 c.."\ +Q 'I___5c 1 S G 1?%e '
0- 0&)g 19 A-
PROJECT DESCRIPTION SKETCH (SCALE: I l( :I )
Pier(dock)Length ,
y
Groin Length number
. ,
Bulkhead Lengthen MI > i r
max.distance offshore • 1 6 � L. .. �tOPtr
_. ■ 13xt _ f41t_tF'f`
Basin,channel dimensions
imp if _
cubic yards IliIIIs • /
... <, y
Boat ramp dimensions OW ril 1--I AD• •% X
Other ` "� IIIIPIIIII _ ki _ , , , ,
r ,..._....•.-".•""......" e •
T 1 L t_1_ -
1111
• .. .. ft.....__,1..___ - .___. -_._.
t •a . .
This permit is subject to compliance with this application, site drawing AAA. X ,V ( kOJT
and attached general and specific conditions.Any violation of these terms applicant's signature
`1
may subject the permittee to a fine, imprisonment or civil action; and ` pp g
may cause the permit to become null and void. I Cr)
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- Ci - al — 0 I 14.. a " 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 ---!7
been obtained from adjacent riparian landowners certifying that they H • 1 C) T
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project I 00
' ,' '77
is consistent with the North Carolina Coastal Management Program. application fee

(::;.-E NERA f P F_T-1 ' 'TT CO krE.P UTT R i
� PLIC.M.NAM�:
���NyLFI sip_
ADDITIONAL NAMES:
..1...:i . AEC DESIG: -� 1 1`-r DEVELOP AREA:__(_ P.PRODDESC: P - i
(Wili only take6) (Will only take 1) .
. woRK:• e cb L , l 3 • i 3 1
f c(Will only take 1 �.( r 3
S � ,
3q tat
.. MALNT:
(Wi'n only take 4) ), b 9
245
IMP: Q(i3 . •
(wi l only take 6) .
ACTION IRA TION
DRY&FILL REQUIRED: 1-a -O I 1 a` -(B 1
CAMA M.A.JOR DEV�L.REQUIRED: L I l

INI%ICTON OF COAST4i,M4N4GF,NIF,t\'T
.1-=4nT4('FNT RTP4Ri4NT PROPFRTY (�VF'NF'R NOTTFTf e-rrnT. rt:7
Name Of Individual Applying For Permit: ,O „e .
Address Of Property: •-
jki-WM)&70k.)
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-:referenced ro „
P Pam The individual
applying for this permit has described to lie as shown on the attached drawing
ent
they are proposing. A description or drawing, with dimensions, should with
this
letter. provided this
`)e- I have no objections to this proposal.
If V[1T1 have nhiin.,� n what is hAina mm�ncPrl
n1QacP write thA ]}Tv,c�nn of ('rtact�l
a 7
•TProin4 r T nntT rPennnCP is nr, '.z
if you have been notified by Certified Mail
W 4TSTER 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. you
wish to waive the setback, you mast initial the appropriate blank below.)
•
I do wish to waive the 15' setback requirement
1 I do not wish to waive the 15' setback req
uirement.
•
"1" vi
Sienamle a-
,f�
Print Name
Telephone "- ��6.—�g2YNCDENR_
ephone Number With Area Code NoRTI-1 cARaurtA DEPAPrr„aNT OF
LM/1RpNMJSr AND NAI-URA`FSOUROES

.
+r t = k„ ` 7 y -y• le:'''' '� 'x.. .,-k -_� ', tr ,t: t ,r u� , '
{ ., •IDTZ TCTON':OF . : - .- r - 1
` CO
4��T4TF�'`I' '' }
4T)J4(`Ft�'-r:RTp4RT4' ?PROPERTY n����R NOTTF (`4 g n:y
•
Name Of Individual Applying For Permit: o e U [ - _
Address Of Property: Z 1 _.
)G.iokJ: k1L 28 11 .
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the =:=
ro „P Pam The individual
drawing the development .ey
ihrare proposing. A description or drawing, with dimensions, should be provided with this
I have no objections
J to this proN?osal.
what. is h my nrhrtr .rri r�lPacP ,, the 1i
7 • • ' of ('naeral�nai T?r,v� 'Q►T�Im�n�oton Nnrth '
' hc - N�r cnnn is
If yr n h y&h i, t a r C�PTri�iP� 1.fi 1 7lCI A
— W A TVFR 4 CT1CPN .
I iind"rstand that a pier, dock, mooring pilings br.,alL�watar, boat house,o ,. � tse, lift or sandbags must be
set back a minimum distan;w of 15' from my area of riparian access unless waived by me. " f
wish to waive the setback, y initial th„ you
you mLct appropriate blank below.) •
I do wish to waive the 15' setback requirement ..
an not wish to waive the 15' setback requirement. -.
JeV '.—,
O
Sib _e • Date
Print ame
a 1 e8
_ , , _. _ Telephone Number With ..
. Area Code ;r��„-,"�DL;NA v�.�,�of .
"LIJVIRDNME►dT AND NQURA_'
S ' FSDUR=S

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