HomeMy WebLinkAbout28267D - Lay CAMA and DREDGE AND FILL
G E N E R A L 2°267-1
PERMIT
as authorized by the State of North Carolina
> ....2 Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC it4 , 1..:-G(.)
Applicant Name t1 Ci L 1� 1-,iil Phone Number 2." 0 `7 �`) ._ i.�, I
Address �U t�t t~. ()+ �.LL.a ( I
i
City 1J1 1 2 Li- 2 - 7U i
tZ��- '�'h� U V..)� State �� Zip
Project Location (County, State Road, Water Body, etc.) Itr u r\S 01 c k (I u k‘^eN 118 -1)t)`r ktfi-ly
-‘-tee-' . a-\o k cc r\ e_.n c t Is \1 P,r\- tit n d c J C -t-N A 1
Type of Project Activity ' v 1 K-\K_C1 r c-t t.si r p,e.r C\D c k c kt P-- % eie 1 A r e,.r.+'
, \.,F�' t\c t -t a C\U s"0 CC. c-uA Y-d -A.-i A d\f\ r e,\t $_ I ora
PROJECT DESCRIPTION SKETCH (SCALE: PvV t i
Pier(dock)Length 1. % •
Groin Length
number
Bulkhead Length ZS 0
max.distance offshore
Basin,channel dimensions1 i i
_______,____.._ _,„. ..„..... ....._...
cubic yards __
Boat ramp dimensions ..t
Other 8 t K t (^ _.. �I r .. ..... � ....sy.- - ' >
1 X G11 --- .
�,`R Pry U f .-- , _ . _.. . s »- . .. . . _____ . IIIIIIIIII
_....'].._ Q.6.0 e `, r, 1 . . PQ c . ..._,.,..__... t-i
This permit is subject to compliance with this application, site drawing r 404
and attachedgeneral and specific conditions.Anyviolation of these terms f]n
F� �'I,t /.1 �, /1/A-11?‹-------
icant's signature
may subject the permittee to a fine, imprisonment or civil action; and - 'T
may cause the permit to become null and void. -Q
This permit must be on the project site and accessible to the permit off/ permit officer's signature
ficer when the project is inspected for compliance. The applicant certi -----1 q I I:1 1 o 1 )2/ l; "3 01
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 9 . 1 D-00
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project 'i ( 0 U'
is consistent with the North Carolina Coastal Management Program. application fee
(-O IYU [E Z FORM
?,3 CANT NAME-. -kd\( 1 _A mac - (A ce_,heiNt
ADDhlOAA?NM ES:
4=C D:SIG: I? l E U D O? a� P
(WE D*2.�r 4R= PROD D:SC:
(WE crthy azr.3)
WORK.:_ �- I -e e 16_
(WE o=ly,:r_4)
T E 9
•
L OW 128
6)otA) �o
ACTION EON IRAZTON
DRE�M&rTTP3Qu : Ii43101 1.2` 110
CAMA MAJOR DI-NEL R3Q_IP.ED: Cl I l 3 [ 0I. I�-- lI3 / o (
•ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2, and 3.Also complete A. Received by(Please Print Clearly) B. Date of Deliver
iter: 4 if Restricted Delivery is desired.
`j - r) 6 1
• Print your name and address on the reverse
so that we can return the card to you. C. Si,nature
• At;ach this card to the back of the mailpiece, ��� - 0 Agent
�
or•on the front if space permits. A -G- ❑Addresse
'a. Is.elivery add;-- different from item 1? 0 Yes
1. Article Addressed to. i( Es,enter delivery address below: 0 No
_{
a.AW r;
dialt„)„.b&?U J 1/G 3. Service Type
C2 /I,�t7/1 a:Certified Mail 0 Express Mail
Hl 0 Registered 0 Return Receipt for Merchandis
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number � (�� / 3 Z O o °`C / y ` /, 3 3 3
(Transfer from se i e a el) V V f 7 (J
S Form 3811, March 2001 Domestic Return Receipt 102595-01-M-14
UNITED STATES POSTAL SERV \ 16140 r—
M �C
' . _.uses-
Permit Ne.G-10
ii7 SEP
• Sender: Please print y me, address, and ZIP+4 in this box •
aorye5
C , tf
2 (Qz t 5-1-one (h im r)&y Rd
\5il-P(1) tiC 2046_
4,
•ENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DEL ERY
IN Complete items 1,2,and 3.Also complete A. Receive.,by l',:se Print Clea ly) Bh Date of Deliver.
item 4 if Restricted Delivery is desired. eI`IP-0 I
■ Print your name and address on the reverse
so that we can return the card to you. C. n
■ Attach this card to the back of the mailpiece, _/X� ❑Agent
or on the front if space permits. 0 Addressee
D. Is address diffe nt fro item 1? ❑Yes
er,,24...)
I. Article Addressed tocw.e4,t) :
S,enter delive address below: 0 No
PO &z33O '
9 /1 //' '�$�•l-1 - 3. Service Type
(/v c� r/ ��CC X Certified Mail ❑ Express Mail
Registered 0 Return Receipt for Merchandise
. 0 Insured Mail 0 C.O.D.
4. Restricted.Delivery?'"""''' (Extra
Fee) 0 Yes
?. Article Number ?DLN I\3D�� 5 2q3 I\ f
ransferfromseicelabel) U '`/``^'�)
DS Form 3811,March 2001 Domestic Return Receipt 102595-01-M-14:
UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage& Fees Paid
LISPS
Permit No. G-10-
• Sender: Please print your name, address, and ZIP+4 in this box •
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2 Ce 21 ne Cii la) ney )cl Silo
sHaptj .416 c__ Wie ,
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1112. 7541&
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
. Name Of Individual Applying For Permit:
��,n �^ U �,/
Address ' Of Property: ! IJ fJl1 r iGVYl�� d d— v'a ,fJ 28- /
fiailjtAtat,o« GO.
(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.
V I have no objections to this proposal .
If You have ob ections to what is being proposed . Please write the
Division of -Coastal Management . 127 Cardinal . Drive -Extension,
_ Wil.mincton . North Carolina . 28405 or call 910 395=3900 - within. 10
--cays of -receipt of .this novice. No response is considered the sane
..es no .ob1ecticn if you hed Mail '
ave been noti d by Certifi
T , c
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift mustback minimum distance be set a m_n_num d_ lance 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.
•
L40— •
nat - 9ia/j - ...^ . ... .
r
Print ame=
Telephone Number With Area Code
•
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STRUCTIoN s2ao2
roF IVIINTZ CON TE�`T`3���_l�
MINTZ P f{.910-842 75as 1'}
JAMS DA $ /iQG.'
•
S 262j 70NE CHIMNEY
28462 SW
•
4 SUPPLY,
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OLLARS
PAYE 1J 1 +J :,,
TO THE -- ro _
mP\ ORDER OF_____________
F�'� A 1
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pNG ANG rltli�
COMPANY % -
1 BRANCH OnE NORTH CAROUNA,
SHALL PeX r""\-- . , \
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