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25250D - Gorham (2)
. e LAMA and DREDGE AND FILL GENERAL =4,� ' 25250 —b PERMIT 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 NCc ne7 •< 1 0 c PP A licant Name K GoRl -A•f'r 70 Q.� '4< PhoNu Z (.1 0 .S " 34© � Address Pyr S SALAt AMGath 1" VJ City i CAtk j,..Le rtLA.t--- State N V\ Zip 46`T 1 O 1 Project Location (County, State Road, Water Body, etc.) Lin a.0 - 1141.1 by c1' , E l �.8 ,Is4.0.4si , Pc }� ce ,.r�," C I� Qp� O1 ! Type of Project Activity --- IL111--+{.e .b PROJECT DESCRIPTION SKETCH (SCALE: % t\ _ 1 Pier(dock)Length s + ` '� a11 a mamal Groin Length ��, ill Ill _ number 111110.2 �� � .� Bulkhead Length � O 2 1_'F i . 111.11 �� ���. i max.dista offshore �� amyl 11. .� III "'ma � ii ow Basin,channel dimensions �� dill ' I II jail- twlt�ll le NM al cubic yards M� .111� i1.111lri I 1 Boat ramp dimensions ■ ., II. n�� ! ■111111 Mil Other 11111 NW.. . 11 I. t• Al...frill.l a .11 rim mila cur aim minim p_, ,,_ �U .U ii ii t mimmiumim 11114111 111111N1111 Man m This permit is subject to compliance with this application, site drawing Ilk Illiefr �. 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. 2_,._- ---.P '�Q_(7 This permit must be on the project site and accessible to the permit of- per it officer's signature ficer when the project is inspected for compliance. The applicant certi- (_ a --0 I 9'- ..21 - o 1 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 been obtained from adjacent riparian landowners certifying that they 7 H , 1100 have no objections to the proposed work. attachments In issuing this permit the State of North Carolina certifies that this project Iii IC ) - C '' ?9 9- is consistent with the North Carolina Coastal Management Program. application fee • el 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___ — --- - -- GENER L PERMIT COMPUTER FORM APPLICANT NAME: \--( 0 kin ADDITIONAL NAMES: AEC DESIG: DEVELOP AREA: _-� _ PROJ DESC: I, < (Will only lake 6) (Will only take 1) WORK: . ,-N- I 3 •(Will only take 4) - MAINT: - (Will only take 4) IMP: AG. Lam'CQ� . • (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: (` D-�--Q[ 01 CAMA MAJOR DEVEL REQUIRED: • ` DIVISION OF COASTAL MANAGEMENT ' ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: FRANK GORHAM Address Of Property: 20 Sandy Point Figure Eight Island (Lot or Street f, 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 ovided 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 Manaaement, 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 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. i • \_ . '' 1,61)(2../j&64/,c• ature D-Ø&/c/ AVA` ' —T-�i n tJ, Gi-- 4 Ir int Names/� _ �y� _7 s� 9� H N Telephone Number With/ Area Code , tr GG) �' ` -- 7 vtC�.� c �O/ / ,!_ f-9 : • j , 1 08141V.314 f61 I � i` I i 1 _.{...__-- __: _. ..._;_..._. _;.._......i. __.. ._ _ __ .; .. y . ... _-- _ ____ ... - 1 : I , .._._. .._. _-_,-4- -i .. ._ _._ ____a._ .__. _. _ _- tJitit ± : t i i ! 4 , i I I _ _ i • 1 ; ' 1 1 1 i • i 1 `, I I i � -r— ': 'aliolz.vpkx-nz ;-.9.-irk : ; i-al 1" icitrIvv>\\If e--- l'541c1-24. a ' •t r �! i M { : 1 i • : - - Y -- - - �- -f t-- -- • . j.- i— -- — —� , . . I - 1• ' , { . i t . I ' r i ! ' ! • ' ' I I{ a -—,-- - - `- � .tea59'1"4AVIZr` 1` _.. f I , I J �� . i • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM Name Of Individual Applying For Permit: FRANK GORHAM Address Of Property: 20 Sandy Point Figure Eight Island (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. \A11C) 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 , Wilminaton, 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, tcat house, lift 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. t/ / ct I do not wish to waive the 15'setback requirement. • ace / Sianature Date • • h'i1ia x i h C c �f'�. �► Print Name 9` `_�� 9 £7o F3� 4�? i�EHNR Telephone Number With Area Code Marble C�trsctun,"Cakl PO.Box716 Iff - f •••• .. - •.:;• • . - _ - .' • • _ _ . • _ ...„ . . . . _ .-• •. _ . . •. . . . . . , • . - • • t I - r i I I r , ! 1 I ...-1_..._. . �.._..._I. -_.._. � l i it � ` 1___. __...---�--�!•--�._. ,--'--i--'-a-.._..i_. 1 . : , r v i i i 1 - • ' •;fib : , n ,..... - — — 1... _ _• _. i ! - _ ?'{'mac V—V' y ... • — • ! 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