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HomeMy WebLinkAbout27372D - Bayshore • °\P°R �, l i • .` . CAMA and DREDGE AND FILL ;GENERALL 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 NCAC )it J . Applicant Name 7?�yS�-fU,� OMR.NA (/v A-t OR, Ifv04,^+hone Number 3�% --) )k-) ' Address :,o,�r MAf' ,r`? [I b41 y}.- / ( I t^ t3 City C,Aft4D( 1—P( r'/ / State (Vr Zip )d 4' a Project Location (County, State Road, Water Body, etc.) 7.?„A v i1.-4 i .-' kW R('-$4 . A- JAc,,, r• i r,i, i r !r a 11 ,l )(` OK-K., CLAt, • Type of Project Activity 30A-11,0 A1c+ Jr.., --- = yiS-�,h-q9 Si,S/, p( 1' e1i/04r' IV �s i.A, -A.4- J , PROJECT DESCRIPTION SKETCH t 1//\U (SCALE: / . �v ) Pier(dock)Length \ / 1 _ _ _..,”_ r. _ . _ _ _.1 Groin Length IMMO 111114111 number Bulkhead Length — i i max.distance offshore 1 1 tr Basin,channel dimensions cubic yards _ ' 1111-- --.-11-11.1111._____Ill 1 - II TM. —— 1--'2.— :::m::1:: ramp 1 J 1 II �.. II IIIIIIIIIIII1 III J' Y1? . . 1Ij - '*- .. Pr .411 i , 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 7 i 1l,2 maycause the permit to become null and void. ��-¢Y1�- This permit must be on the project site and accessible to the permit of- t permit officer's signature ficer when the project is inspected for compliance. The applicant certi- O7 - /9- 0 t /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 '?hi -_) 0 v" have no objections to the proposed work. attachments In issuing this permit the State of North Carolina certifies that this project I/ oD . G‘, ( t�A51 1Th is consistent with the North Carolina Coastal Management Program. '/ application fee w , CODES FOR AEC DESIGNATIONS "OIL' - 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: cPck(S ho,r. VV1fS41.1 ti r+ 14.0. • • ADDITIONAL NAMES: 5TC V C Ar t N O k,+ AEC DESIG: W frr DEVELOP AREA:_O.Q I PROJ DESC: P - a U = only take 6) (Willbnlytake 1) WORK: (�L j ) �. . (Will only take 4) ► • • MAINT: . (Will only take 4) IMP: f�5 (will only take 6) �. a ACTION EXPIRATION " • DREDGE&FILL REQUIRED: CAMA MAJOR DEVEL REQUIRED:. • 0-1-1,-0 I /O /`�'-v ( $4r.'�sfTr`1.t4+? .. 7'�?�SY��:r'#.�irr,.-,:�Trr.^.>-,-c:'.�-�acrr_:a?^--�7^?7:�-err..--,Y-_ .__.. _ - __.srr._-,�-r_.-__.,..n-.-......,.._,.._...._--____...,,.._-.__•__ juV.I I Q ' COASTAL MANAGEMENT ADJACENT RI_ IA24; 'QP 'RTy OWNER NOTIFICATION/WAIVER-FORM 3 Name Of Indivioual. A yi,n For Permit: 'S �e �QJ 4. r s m...1. Address Of Property` (Lo ;or .Street #, Street or Road, City & County) I hereby certify •.that .,:1. own property adjacent to the above- referenced property :Ti .' individual applying for this permit has described to me as showy on the attached drawing the development they are proposing . A,•:description or drawing, with dimensions , should be provided With t:nis letter. I have-no objections to this proposal . -Jr" ?(Ddltle-TiLf '.?q. Pi/ 6q-,-SAAY-c //114eAtic Z2 If you have object '-° f ,� w t � . 3p being proposed, please write the Division of Coas7444:-4KAOlmtnt, 127 Cardinal Drive Extension , Wilmington, North ` f %2$405 or call 910 395-3900 within 10 days of receipt of tJ i< 1, .;Ce Nq response is considered the same as no ebject}on _ f '� b re•.:;been notified bV Certified Mai] WAIVER SECTION I understand that e:,:p.ie k dock, mooring pilings, breakwater, boat house, lift or sand.31e .m pt bee set back a minimum distance of 15 ' from my area of ripat ancows unless waived by me. (If you wish to waive the setbaok, -:. .you must initial the appropriate blank below. ) I dc. wish to waive the 15 ' setback requirement. 12!-___ I do not, was ; to waive the 15 ' setback requirement . "74.00.,........... �i � ' � _.._ TarTA,s natureg pate • Print Name - , Telephone Number with ,. r :Code • lliNI.SION..LIE.COASTALMAYSAPFWINT ,MIAC.ENU R LAAPILPROPERTY...0.1irN ,NitiliklribilbUINALVEILEDRM Name or trldividgai APplying:For Permit: (5021 5 (ii_Ar_e_ Mit\-7 :Noc"L_ Address Or Properry • • (Lot or Street #, Street or COunty) I hereby certify than own property adjacent to the above.4efetetteed.prciperty. The individual applying for this pemist has described tome as shown on the attitehed drawing the development they are proposing. /I description or drawing, with dirnerisions; should be provided with this letter. , dl I hi.ivo. no , lections to this proposal. Ft3 Por ,44-5/ 540,-6 49.4f) . if pi) .have prnrelciPA. plstrit .. th flivtjr rif Coastal Management, 12.7.Nar.M.C.azdinaLikimajtanungum.19rrth:ttAitiling;42114135 nr 910195. 320a.within.10.days.cif reasipuktleamingttictiespcinu it a:04144d'. sts_Po nhjention it you have been.noti.i.itd.by.teantstlidall -, --• insaaliaamatiataamaimmasammummavors INADER.SECTION I understand that a pit:-. dock. mooring pilings, breakwater; hott::_hoiiie,.,lifkor sandbags must be sot back a minimum distance of 15 Mini my area of riparian,i14.**Unl*:viiived by me. (if you wish to wa;vc the setbnk. you mug Initial the appropriate blank belOW.) : • 65 wish to waive the 15 setback-regliircinent ep‘4, 4„idoma wish to waive the..15' sethae,k;.requirement, . . 4:/rIe6 I ° Siecature Date — w,/hce Print Name P/ 783 "Teleptone Number Woril Area Code DEswenem air c NvotogiOttric AND turumat..Ruouptcza , . , ----d--) W?rici j ! / 1 / N\ - _ __ 'Am • IT-- --- 2767�. BANK OF AMERICA l ANTINORI CONSTUCTION 66 19/530 ^ / "v 896 HWY. 210 HOLLY RIDGE, NC 28445 �o (910)327 3475 $ a TO HE � `(,� -� � � DOLLARS ORDER OF /V Chi t� G�(r c"7 8 r--( AUTHORIZED SIGNATURE�J MEMO �n (� Ili 00276711' I:053000196i: 00065052L99011'