HomeMy WebLinkAbout27352D - Tri-Beach I.
• CAMA and DREDGE AND FILL j 27352 --i
GENERAL
PERMIT P0n ' U ' /c.,
as authorized by the State of North Carolina
)017„,...- Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 12oC .
Applicant Name'17', Ietrlc.4• ff_e--1a �`1 ",A Phone Number G IQ eg 2-2002
Address ` Z L4 0' U - - 1\\)Ck )s'•U(Sk
City . 1t>\c .Ciro mo. e.\Ci. State IN)CI) Zip . 4( 2
Project Location (County, State Road, Water Body, etc.) u rl-, U,;► C - C Dig 1'3 ` (35
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TypeofProjectActivity N( P4ec , a,Jcl<- t cloc-\, n�- do(ki .r - s--� l`t�-i-
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PROJECT DESCRIPTION SKETCH (SCALE: pr 7 )
Pier(dock)Length �t t .��- `� (� T
..4,1. :arc isom ,
CD vJtdc
Groin Length 111
number
Bulkhead Length gt a i
max.distance offshore r
IIIII
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Basin,channel dimensions ��A17
1
cubic yards ` - R
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111 Cs
Boat ram dimensions ` _ ,__ _
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Other i X. — -- M i III R ,
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This permit is subject to compliance with this application, site drawing 4.,& ��Gr�2?'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^
may cause the permit to become null and void. j' y� T Q. -'LQ
This permit must be on the project site and accessible to the permit of- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- r)- 1 0-U ( 10 - 1 U -o I
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 r� `
been obtained from adjacent riparian landowners certifying that they 1 12 00
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project ti> 1( (), �v
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is consistent with the North Carolina Coastal Management Program. application fee
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INawammirw 'tYLSVO3 3O NOISIAIO
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DIVISION_OF COASTAL MANAGEMENT
ADJACEkIT. RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER-FORM
. Name Of Individual Applying For Permit:
Address-of Property: /`5
•
(Lot 'or Street #, S reet or Roa , 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.
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I have no objections to this proposal,
If You have objections to what is beina proposed. please write the
Division of Coastal Manacement. 127 Cardinal Drive Extension,;
Wilmington. North Carolina. 2$405 or call n za5- 900 within. 10
days of recel.ot of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail
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WAIVER sECTIQN -
I ounders and that a pier, dock, mooring pilings, breakwater, boat.
must be setback a minimum distance 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 notiwish to waive the 15'setback requirement.
Sig atur
a t r::�=.' .
Name ter 1
� �c -108
®ehone Number With Area CodeFR •
T .4 S T e6atvac T S HUM W3EIl0H AO WM0.L e
ZS=II TO Sz unr
Z 'd STE62i7BOT6 H3b30 N3010H dO WM01 BES :60 IO Ea Inr
back or dclaflr.61
y
®S c c u r i t e ee__•__.-L—_ —^—"— 3 ,- ,
If'3> IS
' TRI BEACH REALTYINC• -3o��i
, T PH. 842-2002 sss
t, 114 OCEAN BLVD WEST DATE cXJ
HOLDEN BEACH,NC 28462 �11
I PAY
` oRo R o LABSni
1! 111 FIRST CITIZENS 865
BANK Frgagrn.9anh aTrual company
t 5ha11olta.N C.28459 --_.p7p
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FOR �- _
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