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HomeMy WebLinkAbout25113D - Robertson $ CAMA and DREDGE AND FILL GENERAL M.' 25113- PERMIT 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 f 1 . 1 1 UU • Applicant Name 1 e)r1 Ae-f+ - 0 jr' Phone Number \.J V`-1 '',a '}`0,6'9 I Address c I'6 I I kwc)d M 6 j e.. City E ' fi 1 b prS State U 1r Zip c '4- Project Location (County, State Road, Water Body, etc.) l n t( t ' o t C k u- C,p ✓•,4i j I a h,,, i 4-� stY'e-c.} +\oAr-k c te., , �1 , p n - QfNdCy rP Type of Project Activity 11,1 \‘:- f1d C-p`P1CeMfT-i--- PROJECT DESCRIPTION SKETCH (SCALE: No 1y ) Pier(dock)Length Groin Length number Bulkhead Length Al) max.distance offshore r PrOe-f Alt.) Basin,channel dimensions cubic yards Boat ramp dimensions of Other __ , .,..* ,5-p, L0.0-1- 4., _..,.?..roA). ... ___Aa.k.A.Ilaa.‘e„„ a .11 _ 1. — 1 ?(-- This permit is subject to compliance with this application, site drawing and attached general and specific conditions.Any violation of these terms 6�fi yt'.' Qom/ pli ant's signature may subject the permittee to a fine, imprisonment or civil action; and may cause the permit to become null and void. � This permit must be on the project site and accessible to the permit of 1 permit officer's signature ficer when the project is inspected for compliance. The applicant c- ' Al , aO0 U .-3 ' .2UVU fies by signing this permit that 1)this project is consistent with the It cal issuing date expiration date land use plan and all local ordinances, and 2) a written statement ha ��� 1100 been obtained from adjacent riparian landowners certifying that they • have no objections to the proposed work. �/ k' - attachments In issuing this permit the State of North Carolina certifies that this project �..xJ. CI* DU* at155 is consistent with the North Carolina Coastal Management Program. application fee C-I4 ERAL T ER COMPUTER FORM R.M `DD 0N.Li X_..) �.�S: . L�.0 Z.E51C: a P T 5 C u.)D E S DEI-1.o? _ _O l PR.D3 1-1E3C: f i i . . ,A7DFL`_ `j\ o X tZ rw =i_• x 4) 71 -RI ,OO AC I TON I i1ON s.-CF.::E=?P3QT3F • Co I i- 10 0 9 I 1- /00 ki 1 =JDR: =Z PEQ"..1.c'': 4E00 • • „r • • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying. For Permit: TC1 k® J+ ka- Address Of Property:. ' l C,h0X1.1901 • (Lot or Street #, Street or Road, City & County) I hereby certify that I own property adjacent to the above- referenced property. The individual_ applyingfor _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 nr000sed, • 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. ) I do wish to waive the 15 ' setback requirement. do not wish to waive the 15' setback requirement. • - -ricr • Signature. Date r Print Name .��. QE!-INR Telephone Number With Area Code FUNCTION=> A NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD160 PERMIT NO: GPD25113 DISTRICT: I COUNTY: BRUNSWICK AEC DESIG: PT EW ES APP FEE : 50 . 00 REGIONAL REP: RUSSELL APPLICANT NAME : ROBERTSON, TOM MAILING ADDRESS : 2181 BELLWOOD DRIVE CITY: ST ALBAMS STATE : WV ZIP: 25177 LOCATION: 131 CHARLOTTE STREET WATER BODY: MAN-MADE CANAL LOCATION ADDRESS : (WHEN DIFFERENT FROM MAILING) CITY: HOLDEN BEACH STATE: NC ZIP: DEV AREA: 0 . 01 PROJECT DESC: P-11 STATE PLANE COORD X: Y: WORK: BH 50 12 00 0 0 0 00 0 0 0 00 0 0 0 00 0 MNT: 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 0 IMP: sB 600 0 0 0 0 0 ACTION EXPIRATION DREDGE AND FILL: 06 07 00 09 07 00 CAMA MAJOR DEVELOPMENT: MESSAGE: INV IMPACT, PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PF5=ADD NAMES • • • • ---r Secur11M enhance d d o c n m ent. See beck or de 1a i Is 3555 VARNAMS DOCKS & BULKHEADS I1I PH.910-842-6007 66-112/531 a 86 VARNAMTOWN RD SW / Q Q 62101 SUPPLY,NC 28462-6044 DATE (.0 PAY C l� !`�— TO THE /��� I • r �) g(I ORDER OF.1 il ___6/1 t 1-1-u4 d red � � Q I a� /vr (/ DOLLARS ��-�°� 1 eaI ,, y' BB&T ,I BRANCH BANKING AND TRUST COMPANY /� �� ,� � �-. SUPPLY,NORTH CAROLINA t/V`!!.li!`�=��-- e c I FOR— III ��'�SL, � ,r 11 �- n'00355511' �:053LOLL2L�. 52L767607L ,aas.. - • .