HomeMy WebLinkAbout16878D - Baker CAMA AND DREDGE AND FILL Oifi8' S-�
LENERAL _ "
PER a
MIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and thg pg4staal ources Commission
in an area of environmental concern pursuant to 15A NCAC "?M Jd. ��yy n /,
Applicant Name ^V vt{ I -1-c r u 1C/ Phone Numbe( qi 3) W /o - /"/ 5
Address 4 r. l 0 v.,cf r ck, 1- 6 c� jc6
City kr 4 /H S e w J State NC Zip
Project Locatir .) Wur J 1 id an /OPS a r l
(County, State Road, Water B9dy, e�
Cret APur 14,40lp5tea- j l� €' o v ^ +41
Type of Project Activity C On S/r�L 6' X 43',Q irr t,N,({-A 2 '11X/6 ' �"104 Ci 1c , CA /0' -F%4)lr—
pic -)� "- B ' X /D' o4T /1JP+ 9 �- Wq-4-erf„✓4rd 'Ac+. All Lon Strv(. l,"A Skin �►e a
l�y S'f' I; c+ to , j c. CL+ riP4rtgr C� r- ri.( JT' /ii1P - (on S4Tat..4t;A /t- 'f- P Ctrd '/y
wtd. 4-�+ ,) F wn ,4trb nc' r jm , cue nta11l 4 'rio/� , A-I1 Con C� t I-,a�J eF 171i./) S��II
PROJECT DESCRIPTION SKETCH 9 pp// (SCALE: 4 /a S, /,)
Pier(dock) lengthA (7127* ., TT- ,
Groin length- - -- :—�c'� pDSy 1 (��� -"''-
f
44
numberA. I
I, do r And. ' - ' '
Bulkhead length \ ,.. , „
�,
i iy .
N , 1 .,,,. ,
, I . ,
max.distance offshore4 - . f-3,.1.-fri r r
•
, , , , ,
li-
Basin,channel dimensions 4,f�
f -r----: �,
r e y
cubic yards 1 4
Boat ramp dimensions r }
r� I r
Other F cs41" I)01-- , / J f/ I it f • I
7` x /6i.7 , I IY 7 1- 1
I3o4+IrTt `i 'X { # .' 1
This permit is subject to compliance with this application, site *_--,
��drawing and attached general and specific conditions. Any6'(/�
violation of these terms may subject the permittee to a fine, ,,,i-
r
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void. G . /�G , J
This permit must be on the project site and accessible to the per icer's signature
permit officer when the project is inspected for compliance. 3 - — DO 6 _ _ l] D
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no 0 )- _ /
ok D Jobjections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that5 O D-D MM )
this project is consistent with the North Carolina Coastal application fee 1�Qc.1�w��Q. W AID
Management Program.
' • , DIVISION OF COASTAL MANAGEMENT
: • AI)JACFNT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: \W A LIE 0_ l_... , BAKEL
•
Address Of Property: (8 z- kO w A iz DIS L AN:1)1 rv,G iZD
HAM('cirfAbN C_ P Gene iZ)
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to-tie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
X I have no objections to this proposal.
If you have objections to what is being prrg-tsed, please write the Division of Coastal
Management, 127 North Cardinal Drive, Wilmington, North Carolina, 2R405 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, Iift or sandbags must be
set back 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.)
OH A I do wish to waive the 15' setback requirement.
I cio not wish to waive the 15' setback requirement.
aotfcs:•,, ��rirc.C./c Zod6 A711741S,Signature , / Date
0 a4a r`�ocvard 45-,c/ s
Print Name
Flo - 5?2 - 7' NCDENR
Telephone Number With Area Code NORTH CAROLINA D NT OF
• ENVIRONMENT AND N,grURAL RESOURCES
• "P. , ' DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
Name Of Individual Applying For Permit: W A L TL(L
Address Of Property: (. g L i1 P1.0 1 N G 1Zlj
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to the as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
X I have no objections to this proposal.
If you have ohkrtions to what is being proposed, please write the Division of Coastal
rt ardinal Drivr, Wilminvtnn North ('arolina, 28405 or rail 910 39S
3900 within 10 clays of receipt of this notice_ No response is considered the same as i.o 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 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.
)0N I do not wish to waive the 15' setback requirement.
101;
Signature Date DO NA-Lb m. do 1. 2
v14D Ai,
Print Name
2s2 6:33 4-789 NCDENR
Telephone Number With Area Code NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND N,�URAL RESOURCES
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WALTER L. BAKER 6�71I4,� 0 5 1BARBARA F. BAKER ?Niel 13 '9,Lon
NCDL 2556151 NCDL 251549 PH 919-791-5235
430 BROOK FOREST RD. 66-763 92
531
WILMINGTON, NC 28409
Pay To The no
a
Order Of 4 1J G), t c r
ii ceti-ez ,4 4 1 (4(.1) ,.4tv e-e y,-6 Dollars
W hovia
Wachovia Bank & Trust Company, N.A.
Wilmingt;,NC 28402.1170 àIe
Menlo l`1411.E ,f >c'-� c____
I:053L07633i: 86L3 L254470 05L6 6Pli%9V
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