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Home My WebLink About27338D - Williams • 1111 LAMA and DREDGE AND FILL 6 , 5'. _ d o 2738 . G E N E R A L � �� -- 5 �9 �� PERMIT as authorized by the State of North Carolina )0' ;,,...' Department of Environment and Natural Resources and the Coastai Resources Commission in an area of environmental concern pursuant to 15 NCAC '� Applicant Name b kJ 1 1\ >A fv, t Phone Number '7) y- k'/1, '-/U7 S Address ) 6' , ,-‘ j'9,h‘,^.`) IIJP i ‘ 1Q(I City �t-ttv}i- v,./ < .J State Al (' Zip Project Location (County, State Road, Water Body, etc.) L-irt 44 b (-)n `i t` 4v-it ¶O tk)A. k 13Y Pcc a . ,A,i L-9r-A via Iv - Nob L4,s..►1 1 P( P C) . Type of ProjectActivity P ci.--+t -+:0 r� d t ( ) \A V( u,PP(Crl L i(i ( 49 40. 4 AI) '40(4)ti/1-,. (T.' 0"6J^' 0 t.. VII ?-) n (, }NOCIc PROJECT DESCRIPTIO11I SKETCH - (SCALE: f ' .2 O ' ) Y 1r t' ', s Pier(dock)Length 30 I /LI A - 1111CA 1 _„,..,- . . ... ,. `: Groin Length 111111111111II` 1111 ! number - - I - , ...... . n .,„ Bulkhead Length • ..,. t _. r , ..II , a max.distance offshore111 } Basin,channel dimensions " • cubic yards 0 i D ( .._...—.... - . .—»....--w._.__. ..... _.,.. r.... .,..,. ...m. Boat ramp dimensions 111 Other / % 1 I,J /I . - - _ 111111 MINI 1- _.�a I _ Imm This permit is subject to compliance with this application, site drawing �I / and attached general and specific conditions.Any violation of these terms ` 1 applicant's signature may subject the permittee to a fine, imprisonment or civil action; and may cause the permit to become null and void. i Illf," This permit must be on the project site and accessible to the permit of- 1permit officer's signature ficer when the project is inspected for compliance. The applicant certi- v c- .,_ c) J C.). — 7_ U/ 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 III - J 6 have no objections to the proposed work. ,y/ attachments In issuing this permit the State of North Carolina certifies that this project f/vU, GU ( /rd Lj7/ 2 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: -?-_,J10 LL 1A ADDITIONAL NAMES: AEC DESIG: C i-E(A-1 P r DEVELOP AREA: d U' PROJ DESC: • - (aill only take 6) (Will only take 1) WORK: PR 30 1, 4. /.1,I ' (Will only take 4) yy MAINT: y` (Will only take 4) /6 IMP: 0 w yv Y (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: CAMA MAJOR DEVEL REQUIRED: 0 S-.)9-d ( Ok-a-5-0/ • • DTVTRTON OF CO AST AL MAN 4OEMENT . - 4tTACENT RTP ART 4N PROPERTY OWNER NOTTFtCATTONTW4INTER FORM Name Of Individual Applying For Permit •W ydGc. � Address Of Property: dab,. • • (Lot or Street#, Street or Road, City & County) 0 Ihereby certify that I own property adjacent to the above-referenced property. The individual applying for this permit has described tome 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 obiections to what -is being proposed. please wri - , - ivision of Coastal Manac em .ntj 27 North-C rdinal Drive Wilmin on North Carolina 2 4fl5 n 9i f) 3�r 1 _J l/1 11 Y 111 1�I1 '9OO within 1 Qdays of receipt of this notice No response is considered the same as_no objection if you have been notified'by Certified Mail • . WAIVER SRCTION . , Lundeerstand ihat:a.pier, dock,mooring pii i as,breakwater, .boat house,lift or sandbags:mustbe set back a Triinimum.distance of 15'from my areea.ofiparian access unless waived"by me. (If you - wish.to waive the_setback,you mmnct initial:the appropriate:blank below:) A V 'tr I:do-wish to waive fhe 15'.setback;requirement. • I An rot:wish to-waive-the 15' .setback requirement. 5 mature Date �Y� � frp7 /yl t 7 / EAs6 Print Name c- ae 3ne NCDENR Telephone Number With Area Code E CAROLINA D�AFrrr vntr OF NVIRONMENT AND N.avRAL RESOURCES• Dj%JSTON OF CO MA_N4GEMEWT j 9-DI4CF,NT ETPARIAN PROPERTY OWNER NOTTFICATION/WATVpR FORM • Name Of Individual Applying For Permit• Address Of Property: .d , • • (Lot or Street#, Street or oad, City & County) Ilhereby certify that I own property adjacent to the above-referenced property. The individual applying for this permit has described tome 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 von have obiections to what is heinQ p nnseti, please wri he Divicinn of ('�actal ManaQement�1�7 North Cardinal Driv , Wi}mincrton, North C'arolina�.��= ,,, }} y;� ;95 - • ' 9OO within 1 n days of r ip_ofihis notice Na response is considered the same as no objectinn if von have hen notified by Certified Mail • • • • . . W4IVER'SECTION • I.unders!and that-apier, dodo mooring pi}i as,~breakwater,`:boat house, lift or sandbags mustbe .setback a minimum.distan;e of 15'from any.area.of Tipariian access unless-waived"by-me. "(If you . wish.towaive i setback,you nwct:initial the.appropriate bintlic.below.) '/ • ' • 3 1 ✓ I do:wish to-waive-the 15':setback requirement. • 1 • I fin-nnt:wish".to waive the 15' setback requirement: :1 : A:4 IA/ 7 )-(M/ • Signature Date ^�- - • Fantle �l /frezy ft . Print Name • 910, 3. r_p8/.s-- NCDENR _ - Telephone Number With Area Code `NoTM' CARDLJNA-L ART of • nntwroNM=NT• AND NF7iTRAL RSDUR"'� N ?-j2, 1 1•\ R)/ ., . Ci\ 1\1 A- Ls . . . , . . 1 -- . . • • . ..._ . , . . . . . . . . . .__ • . , • , • •• c.#.0m-L-- . ., b1110. 1„. - 1-- • , . , , . . . . 12 •'#,..0- , . . /-0 3 , . . 't....+_LI!::L ..,_ _ _ -: . • ,i, , . ,,.t,.,',I i, . . 0!',c',..;4--.1.•_ •-. 6i1- • - t\_A, _. _ * - . • 1 .., ,.-. . . _ _ „,..... . •• _ , ...... ,. . .• - - Fs- - . . , •i: L.,0\. - . , . . .., p. L . cA,) I LI., /AAA AD. InY,. mAl-frocvs5fi 0 . .,,- 7191 .06 .... .."/kripleriMIWIftr.nr'ft,T...F.'f.IWIWY..-- n. 11enirit;r a d .., . . . R. L. OR JANE WILLIAMS ,,,,::: -.4)--" 471 - PH.704-847-4075 • 208 BUBBLING WELL RD • MATTHEWS,NC 28105-5679 *L-vi 66-112/531 i DATE//,,•-,/9,., 6'e,/ 55626 . PAY . a ORDER OF I $ /e •ed I.' . El s......... 1 il eate..) ‘1.1.-1-77Cit“ ____CSA-e-1-.44-d--L-4 filleZ) "-----. _ _ __DOLLARS EB BB&T. It BRANCH BANKING AND TF1UST COMPANY 1110? i) 0, MATTHEWS,NORTH CAROLINA o L 6 • l' 41 ct/Idiao/e,. -2 •, FOR _ - • . 0 000147L1101:0SALOLIfligSLL00083 : E30 1.