HomeMy WebLinkAbout27418D - Hinson CAMA and DREDGE AND FILL j\+°` 27418
G E N E R A L
PERMIT PV30121 �
as authorized by the State of North Carolina
)01 ,:,...' Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC ' 1+1 . \< Uc .
Applicant Name lOt 1 A w ' --\'‘; r\''or\ Phone Number C1 1 u 64 2 - 7 I6C0
Address P • U . o c 5044 D
City Orr .Pr\r, 1 s i c '-' e--(\r State 0 U Zip c-)3 LI-C-_)9
Project Location (County, State Road, Water Body, etc.) -E r LA r1 s u1 t C L- (Uu r, . )1 CIO e-.1)% I (/ ;„
CAW"- F', 1 v.),W t� Mr�,- Mnr C- nA 1
Type of Project Activity l', tPr-
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PROJECT DESCRIPTION SKETCH th
- \ d _AmP,I (SCALE: k TP )
1l., '' . .,x.�.. -.,W,...
Pier(dock)Length LAU 1 S .._.. ,
m_ _. _
Groin Length11 ) P
number • �. ,
11
Bulkhead Length _
_ .
max.distance offshore
MONO '
Basin,channel dimensions 11 m iiii
....a......t.m. . ir i Pill i
cubic yards
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Boat ram dimensionsOther Y C) iv
111
111 lila II , ,, . ! , ---, „„.„.„_,,, -
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This permit is subject to compliance with this application, site drawing � (.
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. /, u l -Kk ,,a,sZ--�'C
This permit must be on the project site and accessible to the permit of J permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- : / i / t I Cr / t / U J
fies by signing this permit that 1) this project is consistent with the local fj 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 1 4-' . ) .<UL,
have no objections to the proposed work. attachments
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In issuing this permit the State of North Carolina certifies that this project �() l
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is consistent with the North Carolina Coastal Management Program. application fee
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A~'URN RFer,PT 4\ ON1aa
PLACE SUCKER AT TOP OF ENVELOPE 4 1STEn
TO THE RIGHT OF RETURN ADDRESS.
FOLD AT DOTTED LINE
CERTIFIED MAIL 34t
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s. ,HCEq�e
REFUSED
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7202 0600 0025 4284 0246 v' /----Ct fi e / / 0 -'' ''
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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 Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired.
• 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 ❑ Agent
or on the front if space permits. ❑Addressee
D. Is delivery address different from item 1? ❑ Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
k�nest &-rooms 5r.
c�a3 rnseLi
3. Service Type
�etOe u t 1', N c a 3 ❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
O Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
estic Return Receipt 102595-00-M-0952
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0 6°w-es+ -.)3 c.en, 4, 2,0 f, ec-I y 4 0 e c-0 is c 4,
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01/17/2001 17:03 9103780857 GSO ENDO PAGE 03
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ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
•
Applicant's
Address Of Psoxry' _ ' ---
Street#, Street Name, City & County
Applicant's Telephone Number 7 f" 4• M L tp l
I hereby certify that 1 own waterfront property adjs;.ent to the above-refeaenced property. The
ap ascent has ere a drg+v+tie of the the proposed development. Pleas the
statement below if you have no objections to the applicant's proposed development_ initialling
this block Ghej not cordstflute a waiver P,f'tha required IS'setback from the riparian carridor
Jrnss. •
fe/P_d have no objections to this proposal.
Aie49
Signature -- Date
q t 41'G., /oaa. 4974,4. cgoeciii. $ . ►
Print Name and Mailing Address
Telephone Number With Area Code
IIf you.have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Loos: CAM.A Perrot Officer listed beloww as soon as pouiblc t®reester your
concerns:
Teleph=e,� w —
,
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