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HomeMy WebLinkAbout22437D - Canady • . . • CAMA AND DREDGE AND FILL GNERAL To 22437 -0 \.lr VERMIT as authorized by the State of North Carolina 0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC -A • 121?0 ,l 5i9-y3?(.0 Applicant Name K 5 7 LE M . C rlfl r�LA Phone Number CIIU ')5— �j I _ Address i cl 0 ep,r 11 o UDC.-6 riv`Ci l.0 4 City 5unse r C1� State Nv Zip 6'1�'V Project Location (County, State Road, Water Body,etc.) 1Sc u n`-,uJ t r k. r 0 u Kim t 159 b Pen L 1ttd • 5u r -- `Fae-AfIc h 1 N\Cr) •t eje t:. o or k,A I I o t Z'i o — Tvoe of Project Activity N cAA) p,c_c , do C - A r\d -In t t` } (oA+ Shou\ei INA oc '1S4.ocs" nn ktA I CI r-\ Al.) ..c .k- (I 4+FJ (e\uiJ 8tt r',n ci IouJ --k;ciCi . PROJECT DESCRIPTION SKETCH (SCALE: QT To ) Pier(dock)length,14 Qr ctk • •• 1Ly0' % `+ lA)tCk_J NY Groin length _ _ ' \V 4 �\'. �O' no AT', 4 \Yvy number W \V W ,0 \V v ,l,, �,r r �If cif �fC �± I V `' FIu vc Mum Bulkhead length ()V-T �X(4'Qd 1 �1 max.distance offshore V. yt �� w I � 'r of C k n nn o Basin,channel dimensions V ,V ,y ,�( 1 V`�/ ,`` ,if CV�5`a v Jrn`�S , cubic yards nr 1�. f \ ( t 1/ �/ i ce sst--,'V\ a Boat ramp dimensions 1J \j Y r Other (OK. ' ' V ,/ \V \/ie�f \ c\ d 4 l,cr°d \V b� r ai�c k 1 ' , \It N0,,,,e� U /o' I(D! F IDA�' \ \I V irY 4 C" tiSk M onprk This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any O 72'��/�� violation of these terms may subject the permittee to a fine, i!�� 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 o the permit officer's signature permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) this pro- � 6- 09 -Z W 0 -1 &cl 2_00 Q ject is consistent with the local land use plan and all local I issuing date expiration date ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no r7 4---\ , 1200 objections to the proposed work. attachments In issuing this permit the State of North Carolina certifies that At 3 0 , -------- this project is consistent with the North Carolina Coastal application fee Management Program. C U ALV U L ER F O RNI • • ADDITIONAL S: - 1 EC DE5IG' P T C�W E LA) DEV 4Iak . O 1 ! OP PROJ DES C: _ J Z 0.vili may.*-`*°) (WE aaly lak._I) • P 1 LI O'X T, T-e CD >C I toy_ Ta M.kD T: . • (WE camlyinkr4) . The: I---► 5--Co O 0 (A) clfik (p (wil]oayc�z s) - 4CTIONIRkTION DRI�� FELL ISQTJIR_=D:. . o'�JLc1 / OO o C_wLA 2vs 3ORDEV R:QJIR D: 2 • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM . Name Of Individual Applying For Permit: VIjV CA040 Y Address 'Of Property: l�� 0 4-2L, Q t / a 3 -AAA: ctr�;�. nuT 1,41(.12 i J v 4G N I\1 (Lot or Street #, Street or Road, City & County) 2-C'968 C. VS r v"1/4 :C k Co.)•. / 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. • I have no objections to this ro os p p al. • • If you have objections to what is beinc proposed , please write the Division of Coastal Manacement , 127 Cardinal Drive Extension , Wi lmi ncton , North- Carolina, • 2840.5 or -call 910 395-3-900 within 10 days of receipt of this notice. No response is considered the same as no obi ect i on if You_ have been -notified by Certified Mail • WAIVER SECTION 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. X I do not wish to waive the 15 'setback requirement. ign ure D • - zifrerl d.y iv • . . Print Name C�r� �/yr/1 / 4YtG�Lo= ._; �; Telephone Number -With Area Code • • 0 • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORIM • _ Name Of Individual Applying For Permit: N4t, , e4ny A. 1 Address"Of Property: ll-A6 r S. W , ko+s 2 L3 S C (rO S .s.e4 LAAL, S o�La, at 9<4 .µ e (Lot or SLreet #, Street or Road, City & County) Z 44 Co vr44) 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. • 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 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. XI do not wish to waive the 15 'setback requirement. • 'Lie dcf_a„.� s-p-Qa signature g Date T p o G"A D �. ✓ t.Sli�v fe AligrA.Print Name 7(0 5 7 ? 6 (f3(5-' p R Telephone Number With Area Code $ t �o� bts s74fto[ c1- Oo aa,, ..� a Iti[ .s. el'? E . et te 2\ ._ ' I• . p : ot , nA z — a - v°' . �7L d - O. us r•. ti 0-11 re% •+ ea' 74, 1 h.ko .� a ,o NSF''a• u • w• ,,� a ffij a ro'-»r H 76 34 w •a L y �� Q cot N....23 w ..e • 1.'.'c. a -1 'w `0 ass' _ r,•, s,' �.. a 46 . eo fli..'.' AREA bt' •4t ti, PUiLIG '.'. r? OVV FJR PROPERTY O1 E LAKE MEOCa-F RS 4i�'"r f °terJ _- STATE OF NORTH CAROLI!!A i Brunswick County The - e Fo m regok CerLhcate of C.,r-l:•rn _AJLone.,_`etary s Ptih I i.• s certified to be correct. . • Recorded at ____L_1 z t ci. • i This the _i_ ._day of ,1p i.:41 7 Cab.n^t L_. Page -t:', _ �,.ilyrj,W. Gaither,Fieg,t 'of o'rs , i i F r:r iI�r r i .r i i !III r W� a, 17h/_.4a -_�= - L 1i i I �' i - - e . ' .air' e _ a • • MINTZ CONSTRUCTION 1514 JAMES MINTZ PH.910-842-7546 2621 STONE CHIMNEY RD., S.W. SUPPLY, NC 28462-5927 66-19/530 NC 1 DATE_-�� 6230 PAYTO THE 'v ORDER OF -bet.)f--. lJ T 1 4^A wawao D O Cr A R S NahonsBank NationaBank,N.A. • FOR _ - --- -- -------"'r I. 0 L5.L41 I1 '..053000L961.. 0006, 783898ii: C�� P