27360D - Teleky

CAMA and DREDGE AND FILL 27360 —..
G E N E R A L
PERMIT
as authorized by the State of North Carolina
›r :„..-. Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 'It1 . 1 ac-C,
Applicant Name �KUb` r + -rt. C Li Phone Number 11) Co42 -Li 12. i
Address `')L 9 2- TQ C or. It '►J -(. ( ►._t{X•r'c `-,,if...., -\-A a
City Pt Sk-, State NJd.) Zip
Project Location (County, State Road, Water Body, etc.) 1 r Lkr S UJ't C V---- C U LA \ t `1Cri Z-
1tt ,pcur f ,..) 1 t IAtSh, Wetc i ftlA LtVC--f�' ,
Type of Project Activity NC.1n) `te- t c-o (ed AceCk- I t IIJA`t't f1c 0()C L--
PROJECT DESCRIPTION SKETCH (SCALE: ♦T . )
Pier(dock)Length 111
X 1J , IIIIiiiis ill?
Groin Length L^ _.... ,� 11111
number 3 •aMs
Bulkhead Length i aiiiisi'tIiII
; IIF
iiiiiho
ism 11 II
Basin,channel dimensions
161111111111
cubic yards ii lin 1 t'
ii s :
1 !há
, ,
Boat ramp dimensions o
Other f U 1 X, i(4: .. I
... „,,,L .1, ..
s. x ‘u ‘ k)tN.T- • ii - • Nil
r ‘ ONE . 111111-
V.
. . III . 1111111 la
This permit is subject to compliance with this application, site drawing x�7, 'i L_L7a6ant'i'ssr-sgnature
ific conditions.An violation of these termsand attached general and spec y �
fine im risonment or civil action• andi�
may subject the permittee to a p
may cause the permit to become null and void. V
This permit must be on the project site and accessible to the permit of- permit officer
'srsignature
ficer when the project is inspected for compliance. The applicant certi— QUO (��' r'll:2 -(,I
fies by signing this permit that 1)this project is consistent with the loc 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 7 ' ' /QUO
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project 4 10Q .f=-•
is consistent with the North Carolina Coastal Management Program. application fee

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‘O PROPERTY
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO 1'1F'JCATION
Applicant's Name: 'o b er T Te le k tj
Address Of Property: 1,q.L To p o n T 'er aTk. Cs et kS h'S‘ 4- ` -
Street II, Street Name, City & County
Applicant's Telephone Number f/ `h.Z
I hereby certify that I own waterfront property adjacent to the above-referenced property. The
applicant has provided me a drawing of the the proposed-development. Please initial the
statement below if you have no objections to the applicant's proposed development. Initialling
• this block does not constitute a waiver of the required 15'setback from the riparian corridor
lines.
I have no objections to this proposal.
•
o6o6, o1
i ature Date
I{enw Plc L ita l
Print Na�and Mailin iAddress
gib -751- 6°65
Telephone Number With Area Code
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
• Telephone:

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
`e-
Applicant's Name:_ ;
Address Of Property: PI 'A C 6 1h l V r C'.E 4.4es 54,
Street#, Street Name, City & unty
Applicant's Telephone Number q/ 0 -- ‘41 1 4( / a
I hereby certify that I own waterfront property adjacent to the above-referenced property. The
applicant has provided_me a drawing of the the proposed.development. Please initial the
statement below if you have no objections to the applicant's proposed development. Initialling
this block does not constitute a waiver of the required 15'setback from the riparian corridor
lines.
I have no objections to this proposal.
ja_,44 -14(te3-6
Ere1 ' Date
_ _ , 1(0 Lt 2- IA' (. e • 5X0-110-4-4€) `71-M6-9
Print Name and Mailing Address ✓
'lo - 7c4' - b9
Telephone Number With Area Code
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
Telephone: - "

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