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HomeMy WebLinkAbout16876D - Lee . CAMA AND DREDGE AND FILL GENERAL )(*.f) - 0 O16S' -,� PERMIT Re -tc5,./ cr.) c C as authorized by the State of North Carolina 0 Department of Environment, Health,and Natural Resources and the Cost/� /al Resgccs5ommission in an area of environmental concern pursuant to 15A NCAC Applicant Na Qrr` hee PhoneNumber(33G) 6�y- �7� Address . 3 O K 1( b 5'0 City d rec.') S 60 ra State kJ C Zip r7 '1 /I 6 Proj t Location Count , State Road, W ter Body, etc.) ifiy/$S z M A�e 4i. 74C A rig'r e �4 A, c 14/e a /eK� 11 4 C) ace •. ' -1-- R r Creed a r.J.. s its I L.t C.�..L '/ T p of Project A tivityy Co is 1`r,.,* "Z' X 3 6 0 ' /{, ', -1" /- f I:, X 1 0 ' 4 t4 d d- a'a ' X /O . i .r. 00t.. R a4" wu'1-Prb rd , Alj co,isfr`�.,410. A (�44/Ihe 4,i X,.,, r ,p4rs CWrt di.r N r4'�i , ( nee ) Aber W.t i.v c /S A- reT4�1`, 14 ! ( Can 4,` ,a:,i . c 9 /". /� 03 Sha It a pp .� PROJECT DESCIIPTION SKETCH (SCALE: AI r < Pier(dock) lengt 14440 O� �,IX,w.�' �.►�.+,,.,.� i. P/ rI t� r'�� ^� _-� Groin length 61• 'a'kV F/ef 'ti D„r� t.. r. ---..._ . f V'X 1 O' 4— 4 c.a «_ : ., number — -`1 + �-,.� a j. .. .. ...........�. Bulkhead length ) r max.distance offshore _ i` 1 Basin,channel dimensions ' yf Jlit' _ . , cubic yards i �iri -�- ._t__—___ — ,-.0 i i Boat ramp dimensions Pr ceN V .'V OtherL'.�evd /alert°' 19`0 . - , 1 j ipo1o, -i K � x � r , � I - i __.-_ 83 i s3, I 1 1 This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any e-r____ <--paa,..e2 ----...__—___--- violation of these terms may subject the permittee to a fine, I applicant's signature imprisonment or civil action; and may cause the permit to be- ,Icipi1/4.„„k_ come null and void.• '6�— permit officer's signature This permit must be on the project site and accessible to the Y permit officer when the project is inspected for compliance. —� � b � / r1 0 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 n J adjacent riparian landowners certifying that they have no , J objections to the proposed work. attachments / .. Ck J59 � In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal application fee . Management Program. t • . •.7• sue. RIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM Name Of Individual Applying For Permit: )er- Address Of Property: 86 4/ .� P (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 me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. • /,/ I have no objections to this proposal. If you have objections to what is being proposed,_ please write the Division of Coastal Management, 127 Cardinal Drive Extension, 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 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. I do not wish to waive the 15'setback requirement. • • °5- 97 Si ArCITA ` Ic ,� ( ea a /� Da e ilfr • • Pr nt N�me w�''� V Vile) 8` 6-2 V y 1E�HNJPI P Tele hoe Number With Area Code RIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: Jeerlli Address Of Property: L'6 - ,4/1suir J A/c, avvyd&A (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 me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being_ proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, 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 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. I do not wish to waive the 15'setback requirement. • 4 _427:25 /__ Sigp.atilre Da P • eoh�� -ter vt0 h Tfr - I' Print Nafie �® I' 37)6' - S q""- Ei0EE1--INIF t Telephone Number With Area Code • TERRY L. LEE 66-112/531 15 9 2 LIC. 2230660 5212965601 PH. 336-674-6862 - L,_ •• 5825 HAGAN STONE PARK RD. Oats PLEASANT GARDEN, NC 27313 TAY CAMA I $ �tho , •3vo BB&T rT CM lANN,NO AND i A GROANY IIIII 2835 RANDLEMAN ROAD i G�JREENSBORO,NC 27406 o D KRZ,ChYd- 22/51 ('4)-ie 14.Y, A-41111i<\ Der 053L0LL2L1: 52L296560L11' L592 CAP I to2.144)