23793D - Curtis

CAMA and DREDGE AND FILL
(1. -GE • NERAL ' 23793 ~...
PERMIT
as authorized by the State of North Carolina
)111 ,..- Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of env' onme tal concern pursuant to 15 NCAC 04, //00 .
Applicant t L,ttr
li ant Name is Phone Number
Address / ? 0 "( 14 4,_14- Or.
City l/ CC/1 4e State ►v L Zip a,ir L S
Project Location (County, State Road, Water Body, etc.) 5.<,rn ( 2 4L 1 4 I( 0" A IA W#
/ .. • f: r�'4 ?I 1.
Type of Project Activity I ._ r-tk,,,. o f il CJ h(t.
PROJECT DESCRIPTION SKETCH (SCALE: V. 7 lit-.14 )
Pier(dock)Length '
-11t - 4 i , 4*4 ' ' i ,
Groin Length f "
.
number � r � ......._,., .�—......�...,..,
. . v _
Bulkhead Length
max,distance offshore i
4 .„.„... -,..._.., _ _......._ .,..�..._._...
Basin,channel dimensions
j• _ I
cubic yards _
. El . , , , 11••• --4. -
:lot 1 - 4
Boat ramp dimensions
ti\,)
Other
4(..... A-4 le' _ .
This permit is subject to compliance with this application, site drawing At el.71and 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. "6L'}-- a. C?c,..---%..._..._.___
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- t ii-- " 0 i l — !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
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project cO 0 , C " !DS 4b
is consistent with the North Carolina Coastal Management Program. application fee

j
+,, DIVISION OF COASTAL MANAGEMENT .
-ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
.. .' Name Of Individual Applying._._For Permit: �...- C w r '1 Ti S'
t
,Address Of Property: J f D Li y4-c h t ,i r
o/tY .T-SL/PJ, it/�-2W26
- (Lot or Street ft, Street or Road, City. & Count )
•
I hereby certify that I own property adjacent to the abov -
referenced property The individual applying for this permit h .s
` 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.
____IL I have no objections to this proposal.P P
If you have obi ections to what is being proposed, please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
,: • Wilmington, North- Carolina, 28405 or call 910 395-3900 within ]J0
- days of receipt of this notice'. No response is considered the sane
as no objection if you have been notified by Certified Mail
. WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat.
house, lift or sandbags must1e set back a .minimum distance of 151'
from my area of riparian access unless waived by me. (If you wish
to waive ''the setback, you must initial the appropriate bl-
below. )
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
/ V,..z. c-
Si _ •
gna ur - Date
A/ 4 / c,�✓
Print Name
GI/ c/f r9s% y) J )
. Telephone Number With Area Code

•
•
r DIVISION `OF--COASTAL MANAGEMENT
,'ADJACENT RIPARIAN PRO7ERTY OWNER NOTIFICATION/WAIVER FORM
•
Name Of Individual Applying For Permit: ii9 Coc ti
Address Of Property: 10 W. 4-ch t 19r
•
0,0 �Sl�n 6e , =
'' (Lot or Street #, Street or Road, City & Count'
•
I hereby certify that I own property adjacent to the abo
referenced property. The individual applying for this permit s
}, described, to me as shown on the attached drawing the developme t
they are. proposing. A description or drawing, with dimension
should be provided with this letter.
I have no objections to this proposal.
•
If you have objections to what is being proposed; please write t e
Division of Coastal Management, 127 Cardinal Drive Extensioh;
Wilminaton, North Carolina. 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock; mooring pilings, breakwater, boat
house, . lift or sandbags must be_ set back a minimum distance of i
. 1 from my area of riparian access unless waived by me. (If you wi h
to waive:. the setback, -you must initial l the appropriate blank :
below.)
I do wish to waive the 15'setback requirement.
I. do not wish to waive the 15'setback requirement .
- ; //17/ozaPv
Si. ature Date _
d L tCn9�1=r,l e-r .,__u ,fi
Print Name �• .
q/ -d-5'3. - S OA.
Telephone Number With Area Code

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