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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 • ai ineij C . fl'7 ,', 2 Ce 21 ne Cii la) ney )cl Silo sHaptj .416 c__ Wie , UK K at h? -if" o ha v azY eik) z ej 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 • meat. $ear-- e---7 1093 ss �tv 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, � S a OLLARS PAYE 1J 1 +J :,, TO THE -- ro _ mP\ ORDER OF_____________ F�'� A 1 r pNG ANG rltli� COMPANY % - 1 BRANCH OnE NORTH CAROUNA, SHALL PeX r""\-- . , \ 5 L 9 6L 2 2---1. --- Fo o L�q 311 �' = _ W -