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
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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
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PROJECT DESCRIPTION SKETCH (SCALE: o4 0 )
' Pier(dock)Length
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I El II II - III I IIII
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Groin Length .
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number 1 1. ►
Bulkhead Length /r)3 -1 i � � . Alai MI �r ,
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max.distance offshore �..�� ,. ■. .�..�...�1e
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Basin,channel dimensions II•roil
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cubic yards 1111111111 WZ.IA.M M E I�aa ii
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Boat rampdimensions111111 � ��� � '��
Other 11 III EMI
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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/
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p/yISION OF CPASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTZFICATIQNIWAIVER FORM
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Name Of Individual Applying/For Perm t:
Address Of Property:•
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• (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. )
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I do wish to waive the 15'setback requirement .
• I do not, wish to waive the 15'setback requirement.
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Signa - . Date
• Jn— L.PrAiSJ
Print . ame
Telephone. Number With Area Code
DIVISION OF COASTAL MANAGEMENT
MENT
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' 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.
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A ate I / W
< tlt/° 1itrrT
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Print e t 1 NCDENR�`f\ Q
Telephone Number With ea Code. NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
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.:•._ 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
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1 FOR --—
ii'0630 2511' 1:053 L003001:00453 L 2099 211' Oa5`1$q-q1
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