28216D - Altoonian

CAMA and DREDGE AND FILL
G E N E R A L 253216=
PERMIT GI. 0,_R(8,,,,g _
as authorized by the State of North Carolina
)0 ,....-' Department of Environment and Natural Resources and the Coastal Resources Commission
in an areatt of environmental concern pursuant to 15 NCAC , l , i 1C�G .
Applicant Name IA i k(-, A 1 *OQ Nr. Phone Number 110 802-(),2(^ 2...
Address 3iCirti UJ A V1, CVO r 1 ,1 ��fmri\eft) ±Jod knJ I"°ST')
City ►A. c-,f, 1,t.il State NC/ Zip .D8L (Q2_
Project Location (County, State Road, Water Body, etc.) I`z r ut>St..1� C k--- aU r 4-,A 3t9 1
W f4E..( \t t A J b c\ € i , ,�f p 1� t la w (oPF o� S s l�o r� I�c-,)
Type of f roject Activity N(a.,J IeAf ► do r.k- i t 1 o A-k,(\ dtxr L fc d k o 4 t Et
r-)nct, W.%V he Caveccd I
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PROJECT DESCRIPTION SKETCH (SCALE: UU T )
Pier(dock)Length 1 1 0 ) WI. I '
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II III
Groin Length .._..
number i
Bulkhead Length '
illi
max.distance offshore 11
•11111 O,Basin,channel dimensions • • . II t
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cubic yards €`
Boat ramp dimensions
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Other 1 O X 1� if-sr , . . . , f lilt -}._ 1
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This permit is subject to compliance with this application, site drawing// " / %/% i ' / ''j 1 ,,..,, ,
and attached general and specific conditions.Any violation of these terms ( ( a plicant's signature
may subject the permittee to a fine, imprisonment or civil action; ands
may cause the permit to become null and void. -IN') =? ( k
This permit must be on the project site and accessible to the per it of- permit officer's signature
ficer when the project is inspected for compliance. The applicant coi- 3 i v-7 0 i It 1 t i l 01
fies by signing this permit that 1)this project is consistent with the local i suing 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 I�1 • 1200
have no objections to the proposed work. �` attachments
In issuing this permit the State of North Carolina certifies that this project 0 . .r
is consistent with the North Carolina Coastal Management Program. application fee

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RIAN ' C?�4�FR �C)�'TF� A 7'i€1A� ; • _�� •, T �__
161
Name Of Individual Applying For Permit: / e Ai 4 Al
Address Of Property: A e Cc/ .�4� C.v
y f c
(Lot or Street ff, Stet Road, City & County)
I hereby certify that I own property adjacent to the above-referenced pr'�erty Tha individual
applying for this permit has described to i ie as sign on the attached
�, a the develop t� w` $' { C 4,uld. be provided �'J` th
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N I have no objections to this proposal.
if,you havelre-n nar3fied iTy Carrifrti Mail.
s� or sandbags oa a pier, da., mooring , or , b� house, lift be
.
ance of 1 ' from area riparian act =less waived b me_
wish to waive the acic you nue inrtia� b Y you
I do wish waive the setback requirement..
I ;to TtCg wish to waive the 10,41 setOack ru.
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Sire Date
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Prim - � ..,.x ; �w�.�
. ,off - 72 '�- eo NrtmEitaat
Telephone Number W tArea C`-ca V :,,, ,,..

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Name Of Individual Applying For Permit: /6' e • /.
Address Of Property: - f 7k' 7 ,rL44 E k/ De
ScJ
St( i r C6
(Lot or Street#, Street or Road, City &
Count})
I hereby certify that I own ro e p p rty adjacent to the above-referenced proper},_ The individual
applying for this permit has described tome as shown on the attached drawing the development
thteeyyrare proposing. A description or drawing, with dimensions, should be provided with is
this
le
✓ I have no objections to this proposal,
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1 Vnil h y h'�n nD1ifi .l L_ C rrifj d A/j it
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I undervand that a pier, dock, mooring "'
set back a � ems, br ater, boat house, lift or sandbags must be
minimum disa.nc of 15' from 'area riparian access unless waived by IDe f
wish to waive the setback, you mpg initial you
ppropriate blank below-)
. __ I do wish waive the setback requirement.
I dc' nn; wish to waive the 15' setback requirement.
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Signature Datenatu Al �
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zolL XARe,�,ep �►iayPefl ��—�1.
Print Name
7Sl _ NCDENR
Telephone Number With Area Code
NDRTly :.ARDJNA D-
NVIRNMENT AND N 'NT Q=
�57'LRAL FSOJR.^.ES

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MIKE ALTOONIAN 66-7549/2531
14 4 0
3197 WATERVIEW DR. SW
SUPPLY, NC 28462 21
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DATE
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PAY TO THE
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0 D R OF / "61
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1 36 /a°
411DOLLARS
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Coastal Federal Credit•Union'
:rrlid.80X 28843,CHARLOTTE,NC 282 I. tL A h . p
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