HomeMy WebLinkAbout25247D - Harden COCAMA and DREDGE AND FILL
GENERAL -t> -� 25247 —a
PERMIT
as authorized by the State of North Carolina
)10 :„.... .- Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 7 14 13-0 O
Applicant Name I-VA� N.) % Sbitr-3 {vIJ6PhoneNumber 6poi (oat! �94 5
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Address I r7 I 9 f&rc H C Pee R\
City IN i L.-In-\I rJ tcat IY1 State NiZip
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Project4_
Location (Counttate Road, Water Body, Fri; ft - ' `.
h etc.) S €
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Type of Project Activity gE.-Cun S4-rt�c_+
G PS - Q 0 31 -I 1 (Ar
PROJECT DESCRIPTION SKETCH (SCALE: 1 It - D 1 )
Pier(dock)Length
11 — Al 11 11-1111/111111111111L1110 - IPMEM11111 11
Groin Length 1 l ,m
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number Ii i
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Bulkhead Length Nil __.. ..UI 111 1
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max.distance offshore 111 NM effta. 1 I U 11UIUUI
6 '.
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!III Basin,channel dimensions ��� ;y_ V 1...r.
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cubic yards
an matimiamm 1 ar ■ of
Boat ramp dimensions I II ■ IUmUUUI11 U.
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Other : >.I EL Ili I wi —11
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This permit is subject to compliance with this application, site drawing l L I ', , , i 1. t
and attached general and specific conditions.Any violation of these terms i appli nt's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. n c5—
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- 4 —4 ,Q ) 7 _4 o r
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 1-1— 19. o U
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project 1 0 0 e—" _ c7 a -
is consistent with the North Carolina Coastal Management Program. application fee
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: (4—/ 'Th ('
ADDITIONAL NAMES:
•
AEC DESIG: (J PT, DEVELOP AREA: _.1_ PROJ DESC:I' - (2
(Will only take 6) — (Will only take 1)
WORK: `P R -?4-, L' -C—S ( 6 s
•
twill onlytakeL 1 �a 10
MAINT:
(Will only take 4)
IMP: 0 2sg
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: -4
CAMA MAJOR DEVEL REQUIRED: c4 4- I, 1
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PSIJkG_ .PATIU, AUGI,E. WILL .13,E. A- 53-1E1 (ALL
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: ,12E4)14
Address Of Property: .1717 -I ULH RP
1/611. J36 01v] J C- 2A 1,1
(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.
1,/// 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 receiut 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.
•
-7)-(1 I (.-36`)/ Aliti
Signatue_ /
r ate ! • �
Print Nam ' `���
1EHN1=1
Telephone Number With Area Code
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM
Name Of Individual Applying For Permit:
Address Of Property: j17- 117,f4 (IZE.t.1( RT.)
If.t n ) I i
/
(Lot or Street #, Streetor Roa , City & County)
Y)
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,
Wilmington , 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.
VI do not wish to waive the 15'setback requirement.
LLS.
l -4 . CA/ U 3- 3 b - 0 1
SignA ture Date Al;
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Print Name
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Telephone Number With Area Code
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• 3722— � �
JOHN H. KING
910-686-9001 NCDL 7468822 66 I9/530 NC
130 E.BRANDYWINE CIR. Date 1BC
WILMINGTON,NC 28411
Pay to the .2 I $ 100 0%
Order of
6440 .VAIN C—J N/ Dollars el
Bank of America.
ACN RR 053000198
For 1U ►DW �'�(CAW) -
u:0 5 3000 L 9 6': 000 L800 L 7 53 5" 3 7 2 2
OUARDIAP*SAFETT BIDE WBI
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