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HomeMy WebLinkAbout23791D - Wells ilii CAMA and DREDGE AND FILL G. ENERAL �3'791-� PERMIT as authorized by the State of North Carolina Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environ ental concern pursuant to 15 NCAC t7/" /100 . Applicant Name f r ' /( Phone Number Address 0 'Z j, yU ci k b r ( fC City 0 a k --T's/[,, a (' State NC. Zip � ./‘ S Project Location (County, State Road, Water Body, etc.) 1t) C) y w ) c 14 T b 1. al ctJ k ( P -t- A111/4, W 0A u k ----...Ls /4 A d r A s LA,r1. /; (0„etfi, Type of Project Activity h �-)r ,) C -4 / A O Av 1 K f t. ct l i°y n( d t w) clL /qA)JLJ() word of rd of 0 \a;,(11' t°u)-+5r -t' .,..1) cke.c aA, o Ere C1 L✓A-1(rWgr 04- o )o rrk+ WPJtSE a5)( J/ 4 't� PROJECT DESCRIPTION SKETCH (SCALE: o4 0 ) ' Pier(dock)Length 111111 ..... Z!1111111 .■ I El II II - III I IIII .1 � Groin Length . III number 1 1. ► Bulkhead Length /r)3 -1 i � � . Alai MI �r , �. as�t�..r..._ max.distance offshore �..�� ,. ■. .�..�...�1e r1111 1111111111111111111111111111111111111 Basin,channel dimensions II•roil HE • 1 E cubic yards 1111111111 WZ.IA.M M E I�aa ii r Boat rampdimensions111111 � ��� � '�� Other 11 III EMI , --. l�mum�� �.. i anaglilili �i ®� Iiii an i ..... . .L . .i .. .1. _ _ re," . . .. .. . ni - nu 1.10 EISIIIM ii — — . This permit is subject to compliance with this application, site drawing \� � �(4�� and attached general and specific conditions.Any violation of these terms lr� applicant's signature may subject the permittee to a fine, imprisonment or civil action; and n may cause the permit to become null and void. .— L✓ ---' 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- ) 1p14—) ',0)) () DO 2/ ,.q —.) t)`.J 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 y �j / l been obtained from adjacent riparian landowners certifying that they f/ have no objections to the proposed work. 0 attachments In issuing this permit the State of North Carolina certifies that this project S(i is consistent with the North Carolina Coastal Management Program. application fee American Fish Company P.O. Box 11046 (910) 457-5488 Southport, North Carolina 28461 74/ r v iAo ag ,� 6 • p/yISION OF CPASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTZFICATIQNIWAIVER FORM • • • Name Of Individual Applying/For Perm t: Address Of Property:• • • (Lot or Street , ZQ2f City & County) I hereby certify that I own property adjacent to the above- referenced property. The indivir'ual 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. objesli n to wJ ..s beina Qropased. please write the Division o{_oast_al PanNgement. 127 C l aj,11rjve EXtensiOn. Wilmington. ,Lc .th -Carolina. .284C5 or call 910 395-39QQ_within 10 . Lays of rec rir . oI thka notice . No ree.mQc nse is considered the same as no objection if you have been notified by Certified Mail • q SECTION • I understand that a pier, dock, mooring pilings, breakwater. ; boat house, lift or saAbags 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 roust initial the appropriate blank • below. ) • • • I do wish to waive the 15'setback requirement . • I do not, wish to waive the 15'setback requirement. • • • `„ ft • Signa - . Date • Jn— L.PrAiSJ Print . ame Telephone. Number With Area Code DIVISION OF COASTAL MANAGEMENT MENT ' • ' ADJACENT RIPARIAN PROPERTY OWNER NOTW1CATIONaygn FORIIj • Name Of Individual Applying For Permit:r - i/i7'...i �%� . Address Of Property: �f D?/ W/1/4k? �/L , • ,15,1,10y ,) / v (Lot •, Street#, Streei'orRoad, City & County) I hereby certify that I own property adjacent to the above-referenced property. The individual applying for this permit has described to itie 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 nbjectinns to what is being proposed please_ write the Division of Coastal Management_ 127 North Cardinal Driv Wilmin n North Cter �'1900 within 10 days of receipt of this nntic a 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 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 rip nor wish to waive the 15' setback requirement. • A ate I / W < tlt/° 1itrrT Si natureli it' Print e t 1 NCDENR�`f\ Q Telephone Number With ea Code. NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES • • .:•._ r Security enhanced document. See bock for d e t o t l o. ®1 — --- -- THE AMERICAN FISH CO. 63025 CHARLES H. OR KAREN Z. PERRY P.O.BOX 11046,WEST BAY ST. f ; - SOUTHPORT, NC 28461 El - _ O 66-30/531 I DATE I— 453 i '. PAY 1 TO THE � $ 15-0 • OO i �1 ORDER OF � ' t�e� ' 1 1• L4 d. .LLL o-4 Y`s cy-i`i DOLLARS 0 ; irfP FIRST CITIZENS 453 BANK SoWhplo N Ca1B 61 rucl Comp.ny [ 1 / _ _ � Y M 1 1 FOR --— ii'0630 2511' 1:053 L003001:00453 L 2099 211' Oa5`1$q-q1 • • t t r. ri . . f. ,. y