HomeMy WebLinkAbout16884D - Robertson I
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CAMA AND DREDGE AND FILL �isb8 --
GENERAL -5:::) *.' 1.--
y PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the caitt l R9spu Commission
in an area of environmental concern pursuant to 15A NCAC r�i /AA
Applicant Name V r I V Q 43 11� he�4-$ 0 Phone Number
Address i / 3 Z w c /A T,
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City � A 4 ti� / State C
Project Lo tion (County, tate Ro Water 0 7 0 0 i'A 7 —0 k s
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of P 1ectActivity eo (1) (IL, '1' v/Ck ,i r wrH/
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PROJECT DESCRIPTION J SKETCH (SCALE:44. , (e )
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Pier(dock)length' D A�/ 4E.. f T
, Octus
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Groin length /P' , - . # ' - I
/ 1 ! s i
number • ,` 0 10'. - ,, - ` - -..-..—
Bulkhead length ,
max.distance offshore 4 1 /d
"I _ 1 I
Basin,channel dimensions �— ; I
; U —7
cubic yards r I
Boat ramp dimensionsk 7 ,..f 1".._. i:v- r- ik r
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This permit is subject to compliance with this application, site 30)1
drawing and attached general and specific conditions. Any ��
violation of these terms may subject the permittee to a fine, applicant's signature
‘ s=:
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the ( permit officer's signature
permit officer when the project is inspected for compliance. l !-'-(, D r�U r (�,
The applicant certifies by signing this permit that 1) this pro- -
pf l
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
1)/4 '
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that 7) l-
this project is consistent with the North Carolina Coastal application fee
Management Program.
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pRo;PF�Y- o PRoPERT OF TOWN OF Q. PROPERTY o.� . 7'All A'fi°A ',K
OAK XS►-ANp 7. N WTdAI RaAeRT ot� . . . 1fl036 NV OLD �tOWN WVND.
.j. .3 5.W. QU'tH STREET LELAt�ID, NC ••�8�ig�.
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QIVISIQN OF COASTAL MANAGEMENT
T,DTACENT It7,1711a.AN PROOERTY OWNER NOTIMATIOV/WAIVER- FORM
Name Of Individual Applying For Permit: Nliou4,1A RAN s•- on
Addrf.ss Of Property: S. ,J , D cT S+
C)G T- Lam 01101.2,ms & ak
(Lot or treet t, Street or Road, pity & County)
I hereby certify ' that I own property adjacent to the above-
refei:enced 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,
shou:.d be provided with this letter.
_. V/ have no objections to this ro os
P p al.
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Jf vcu have objections to what is being proposed, please write the
Division of Coastal Management, 127 Cardinal Qrive Extension,
Wilmj.na .cn, North Qarolina, 28405 or call 910 395-390Q within 10
days of receipt of this notice. No response is considered the same
as nc objection if You have been notified by Certified Mail
WAIVER SECTION
I uncerstand 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 oust initial the appropriate , blank
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
/iL. f 22-d D
si Date
Print Name
_ K/a- 22���1 Anmiliamsib F
Teleprione Number With Area Code
QIVISrON OF COASTAL MANAGEMENT
ia)3ACENT RintRIAN PROPERTY OWNER NOTIV7CAT Of f WAIYF.Br PORM
Name of Individual Applying For Permit: ket,i4,,
Addr€-ss Of Property: Ifs 3 5. (0 oc Q t 07 ,
Oak tçJoicJ N 9ny,5- �ruirvi2k
(Lot or Street ill 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,
shou:.d be provided with this letter.
XI have no objections to this proposal.
If vcu have gb-ecti_ons to what is being proposed, please write the
pkYi.s ion of coastal _Management, 127 Cardinal Drive Extension„,
Wilipj.naton. North Carolina,. 28405 or call a20 395-3900 within 10
days of receipt of this notice. No response is considered the same
as nc objection if you have been notified by Certified ?lai2
WAIVER SECTI0N
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.
._._.-)P.Vtl- do not wish to waive the 15'setback requirement.
7/
Signa=_ re Date /
Print Name
9ia - 37/ - o5/3
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- �a.auuuuuut��G1 Security e n h a nred document. See back J o r details. 81 — '__-._n.alsproyar.r_ V�� -'
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COASTAL DOCKWORKS INC
• 4398 FISH FACTORY ROAD SE
SOUTHPORT,NC 28461 01
PH 910-454-9592 n �) ss-3oi53i t
DATE ` v Q 45
PAY
oG
ORDER OF $ ��/
it R-4 Gw DOLLARS B
0:11-"FIRST CITIZENS 453
BANK FitstCikzons Bank d Truest Company
' Soulhporl,N C 28461 � 7
. FOR P ri`7 f 61 LJ y
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