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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.) 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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 F i T