HomeMy WebLinkAbout27426D - Parker CAMA and DREDGE AND FILL
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GENERAL
PERMIT 27426 -I
as authorized by the State of North Carolina
)11 .• Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 1 h, . 17 uO .
Applicant Name V.\., P frf k e Phone Number :-11c> .� r
Address 14 \ T-fon Woo d (ar.
City �u1'IJ +n State (Udi Zip a:Li 2-
Project Location (County, State Road, Water Body, etc.) Er tl r\S u)lc k Cut.A n+t 4 !
"TrurtJoo k I<,u ^, St r �sc1 --\t lyvr Iol., 114) LOa LJOOd �o Ili.} ( t 1
Type of Project Activity �►C.+,.) S7t=r l�Uck FIofN4 ` (\Aool ,r� 1j� 1 ��<�
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PROJECT DESCRIPTION SKETCH 1 (SCALE: ofr. )
Pier(dock)Length , Q ___ IIIII
(D' Wtac
Groin Length 41 „ `'_\'\
number ....,_... .
Bulkhead Length Ifil 1 f-. 1 M
max.distance offshore a
-�-�+
111
Basin,channel dimensions /�
..-, p . ___ int
, , ,
cubic yards 11 1
ismva-f ate
Boat ramp dimensions ri .) P• Kt r\'
Other ��.+. .. �� 11
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inems tamasamillalalt 411111
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This permit is subject to compliance with this application, site drawing J 'e6,4.4---
and attached general and specific conditions.Any violation of these terms plicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. 'IN'N
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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 cent-__ 3 )- -2jui C /2 1 U 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 1 `2��
been obtained from adjacent riparian landowners certifying that they i 1
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project 1 l(JV. r
is consistent with the North Carolina Coastal Management Program. application fee
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•ENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
IN Complete items 1,2,and 3.Also complete A. ed by(Please Print Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired. I i/C
• Print your name and address on the reverse t `I` t ��`1 J
so that we can return the card to you. C. Signature 1) 7-7■ Attach this card to the back of the mailpiece, Jl CI Agent
or on the•front if space permits. X `( / C u�G ❑Addressee
D. Is delivery addriss different fro a m 1? 0 Yes
I. Article Addressed to: If YES,enter delivery address below: ❑ No
WD & Roy Boling
423 Lockwood Folly Rd. SE
Bolivia NC 28422 3. Service Type
Er-Certified Mail El Express Mail
❑ Registered Erneturn Receipt for Merchandise
El Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) El Yes
2. Article Number(Copy from service label)
O4Q � n ;nO 07 c 10/ A /4,O
DS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952
UNITED STATES POSTAL SERVIC F' it
o es ad
M c hermit o.' =^m..
7AR
• Sender: Please pri yo.,y5 addressrali + s.E�
B &J CONSTRUCTION
998 Cypress Lk.Cir. SE
Bolivia,NC 28422-7900
Phone:(910)846-3228
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clear ) 13. at f Delivery
item 4 if Restricted Delivery is desired. VI. 3•h/
• Print your name and address on the reverse
so that we can return the card to you.
C. Signature
• Attach this card to the back of the mailpiece, X Lt ElAgent
or on the•front if space permits. �,.'2• • 4 ❑Addressee
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
Mona Faye Black
5553 Oleander Dr.
Wilmington NC 28403 3. Service Type
fig't';ertified Mail El Express Mail
❑ Registered d Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number(Copy from service label)
76t1q •Wn nob'? 9Jn. 33 %
PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952
UNITED STATES POSTAL SERVICE First Class Mail
• - Postage&Fees Paid
PM r _ USPS
.-G PerMtt_No10«
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• Sender: Please pri bra r , addres •.
m. - — -_.
B & J CONSTRUCTION
998 Cypress Lk.Cir. SE
Bolivia,NC 28422-7900
Phone:(910)846-3228
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Locality Permit Number
GENERAL INFORMATION -
LAND OWNER J'
Name /r /�<' ��.t�c e r
Zidiressg 4'3 f iva/0—- cL O - 5 E.,
City ,8(.> icA_ State /VC Zip ?y�� Phone`.// — 5)"(71.D—
AUTHORIZED AGENT -�
Name g C / �o t. /( s
Address 991 5;2/ ['ay,t'.: s 41
City l)f6/ e State /1' Zip -1 2 Phone (7/l-g"u�-
LOCATION OF PROJECT (beach address)
LD1•' c_t I/1,S[6/1 : 5c ef_/sf'7- 19/aJ r
(If not oceanfront,is waterbody natural or manmade?)
DESCRIPTION OF PROJECT — • r /l /9ec ' G y /3s
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AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Other
PROPOSED USE
k Residential Commerdal/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER I-MPERVIOUS OR
BUILT-UPON SURFACES (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline) -
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING
SQUARE FOOTAGE OF SITE
OTHER PERMITS MAY BE REQUIRED: Zoning, Drinking Water Well, Septic Tank
(or other sanitary waste treatment system),
The activity you are planning may require Burning, Electrical, Plumbing, Heating and
permits other than the CAMA minor Air Conditioning, Insulation and Energy
development permit. As a service we have Conservation, FI.A Certification, Sand Dune,
compiled a listing of the kinds of permits that Sediment Control, Subdivision Approval,
might be required. We suggest you check Mobile Home Park Approval, Highway
over the list with your LPO to determine if Connection, and others.
any of these apply to your project.
STATEMENT OF OWNERSHIP
I,the undersigned,an applicant for a CAMA minor development permit,begin either the owner of property in
an area of environmental concern or a person authorized to act as an agent for purposes of applying for a • z
CAMA minor development permit,certify that the person listed as landowner on this application has a sig-
nificant interest in the real property described therein. This interest can be described as follows: (check one)
--Van owner of record title,Title is vested in ,see Deed Book
page in the County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
if other interest,such as written contact or lease,explain below or use a separate sheet and attach to this
application.
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NOTIFICATION OF ADJACENT PROPERTY OWNERS r
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I
have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
a CAMA Der ;it.
(Name)
(Address)
(1) 7, �/ 4o,_ice S� S3 c/w� � �;- Dr. /
(2) ft/.n c- &,. �, �;'n;� 44,2 > / r i /� d s /t/C: - • ,
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may
be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND -
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This application includes:general information (this form),a site drawing as described on the back of this ap-
plication,the ownership statement,the AEC hazard notice where necessary,a check for$50.00 made payable to
the locality,and any information as may be provided orally by the applicant. The details of the application as
described by these sources are incorporated without reference in any permit which may be issued. Deviation
from these details will constitute a violation of any permit. Any person developing in an AEC without a per-
mit is subject to civil,criminal and administrative action.
This the 1 Lay of /ti?Gt t i /. ..
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owner orperson authori d to.act as his agent
r purposes of filing a CAMA permit application.
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