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Home My WebLink About23837D - Haithcock CAMA and DREDGE AND FILL . GENERAL ! - 23837—D PERMIT °°1' .' as authorized by the State of North Carolina Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC 7 H . 12.0o . Applicant Name )f\ f*N A. T1Pr t 4-•- L Phone Number '-fU J ,5t4<4 Address v y k i n 4-e—r Lc.\-, ,„ on d City t�C c-k.A) k 1 U State NCI) Zip cP 6 () Project Location (County, State Road, Water Body, etc.) C to rn Gt) t C� Lou n 1 I ao Gr C k0t- U krcC4 0k E= le \c(,, �tCi PIT u l J Type of Project Activity K)C'A.JJ VI e.f- , <4oC k- i e'r`d I`a�.�__ PROJECT DESCRIPTION SKETCH<--- ) 4 -- (SCALE: "h I ,t.' ) Pier(dock)Length 1-V 0 r +rrrrrrrrtilll�' i A �/ X Cr ■i■� ^� Itw[t.. i� iii Groin Length I._ t h1 .. I � IUII number �1 �. .��5111111111 -, ir�' ■IIII Bulkhead Lengthi mil ii y ISIIIRUIUIIUUI max.distance offshore rill . I „„„ ... Basin,channel dimensions ! iid 0 i illii , A cubic yards Il ;dlli IlIHhlIllII' iI1 Boat ramp dimensions EM MME OIMMIM■■ ■ 7herlC >< k lr r 11 �� III III I �Xf C'I C,�UCk.� ye I U, X (v' (.uvared) Hill IHlHHlI 1, , iii 1 . ‘ 1,,, . r _____, __Iii This permit is subject to compliance with this application, site drawing G;;yy�,� 'j� �� t,pmi and attached general and specific conditions.Any violation of these terms ;J applican si ture may subject the permittee to a fine, imprisonment or civil action; and !/ may cause the permit to become null and void. .t This permit must be on the project site and accessible to the permit o- permit officer's signature ficer when the project is inspected for compliance. The applicant certl (,t,,,C" Gj i 2U0() , (y,.� 9 )aoo 0 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 n�� UU been obtained from adjacent riparian landowners certifying that they / 1� ' have no objections to the proposed work. t) attachments In issuing this permit the State of North Carolina certifies that this project 0✓ is consistent with the North Carolina Coastal Management Program. application fee • GE ERALTERMTfi COMPUTER FORM PPL lC ICE N=i : DF1'el • f} ADDITIONAL NA.I\ES: AEC DrSICZ: PT, EIA) D✓I'�- OP A_k PROS DES C: P - 12 ieoR :. Co X Ieo' e, L- 8 �EL tOi- lCo' (WO only l r-4) • S :P: ctA) LOB 0 0 cA) 12 o(A) l (0 0 4CD ON °]=iZON PILLP3QUIP • 3 Do Go 'i 100 C i ANATORDEV DIVISION OF COASTAL MANAGEMENT } ADJACENT RIPARIAN PROPERTY' OWNER NOTIFICATION/WAIVER FORM • Name' Of Individual Applying For Permit: 1k. H'011 [Udc, Address Of Property: aa 6(u/151967rd (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 ate. proposing. A description , or drawing, with dimensions, should be prov '-d-ed 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, Wilmington, 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 understaad 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 do not wish to waive the 15' setback requirement. /: •-•A Si at Date £ 1c71 • Print Name r�w+� •..��• Cl17 — 4 `A-- q69.,(.. 1E3EHNR Telephone Number With Area Code _ • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit : (. OTAACOCIC Address Of Property: 040 t g-rccj 'JG(0 (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 . lc 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, Wilmington, 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 underste.id 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. ) X I do wish to waive the 15 ' setback requirement. I do not wish to waive the 15 ' setback requirement. (3/613 i/ ,UEL D t o • 4)611, Print Name 7/a — EI—INR Telephone Number With Al.ea Code Oc. Hal.--NcodL 3-5541. a09,.4 t)J,.n d,r l OC.GI d.n faci -69a. Nc. .3305 I 0 X ,o cou(,fa.d P1 la I VxlCI. A 9xIfo qo' 160 r-- 6 t 6-acosbora • • • • • • 7i612Mtss ,.`_L-....tdanhtmna:'_J_arks%rno.-_--:•anartnmlY.?..7.rRtvran ..._ r rrmmi ,.:! d�l¢19AK..-• ......rtr@NFmAM,..•._1->rtNl/255t4K_'7 .."•mG.Etinsic..`G 3: ht7IDf.4921W:...: .?drmtfatic.-_L-.:itreamno-..-_—c•rmrrn•.7iP__7 3409 VARNAM'S DOCKS & BULKHEADS ,t 86 VARNAM TOWN RD. r. SUPPLY, NC 28462 ? (} 66-112/531 _OD ( DATE —_ r` — `PAY J�a. TO THE 1 ' n ' I $ S� CO(� k, 1 v i ORDER F. ____- 61( '11: __ .,;(!) -- •_ - / DOLLARS CI .. ..,.., 62101 BB&T enwncrr ewnKmo wno nrvar co+r.wnr 3226 HOLDEN BEACH ROAD SW i , `JJUPPLNC2BJ 1FOR—fK—Y/—Yl �✓1VY ///1 ._ "!(,�1� __--_M' i 11.00003 0911' Gp(9.; r-�r_ M1�•A�5r " 1