HomeMy WebLinkAbout26334D - Cote r -
CAMA and DREDGE ANC FILL 1' �' 26334
GENERAL
PERMIT (-�1� '3 c) ,ao3r7I,
as authorized by the State of North Carolina
)111 :„...-. Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC `) H . I U) n ,
Applicant Name i C) t ` L L . C vi'C., Phone Number e,143 2Z-i- (-2 Z(,�
Address 5 Utz U i7 C.A. Li r 1 Lekn
City '(�...\k a;•k-c J t.1f1C k State JU Zip c.? 1J11
Project Location (County, State Road, Water Body, etc.) brLA Yes t c (v t U v.--r\-h 5(.`
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Type of Project Activity k CA_Ai c 't A-' fr(-k c I u 6 "'
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PROJECT DESCRIPTION SKETCH (SCALE: I.1— - )
Pier(dock)Length .., t __ ..... ,. 11 : . if ■.
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Groin Length • i
number
I ill ! '
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Bulkhead Length
max.distance offshore ;O ry ,I N:,C.—// I[
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Basin,channel dimensions � � ` [[ I
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cubic yards - rtAc1'''�rC4- I 5_ .
Boat ramp dimensions ^ 1 ^ 3
Other 8 Y. 1 U 01 u ► !miiit
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CX 1 I I _ _..........._........-m ...........-..-. ,. P _
U P.+ _. _ - mani i
This permit is subject to compliance with this application, site drawing z!?,y, ,� Z. "e- -.0
and attached general and specific conditions.Any violation of these terms a plicant'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- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi u I 3 1 ()O I ' v f U I
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 ,-.1 iA ' I;ZUU
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. attachments
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In issuing this permit the State of North Carolina certifies that this project 4 I . .
is consistent with the North Carolina Coastal Management Program. application fee
`sue i o r`1 1. r U I _tit( J U I<JVI
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AP PLI CANT NI0hn
ADDITIONAL NA S: \
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AEC DESIC&. P 'r' E DEITM.OP PEA O03 PROJ DES C: p_ I�...
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ACTION EIRATION
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SENDER: I also wish to receive the follow-
o Complete items 1 and/or 2 for additional services. ing services(for an extra fee):
Complete items 3,4a,and 4ti.
❑Print yourname and address on the reverse of this form so that we can return this ai
card to you. 1 ❑ Addressee's Address 0
o Attach this form to the front of the mailpiece,or on the back if space does not E
permit. 2. ❑ Restricted Delivery rn
0 Write'Retum Receipt Requested'on the mailpiece below the article number.
❑The Return Receipt will show to whom the article was delivered and the date G
delivered. di
3.Article Addressed to: 4a. Article m er w
tc
-- Z .-�`, G`�� 1(Dr
Q` \l `� `�� 4b.Service TypeZU
❑ Registered Certified
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❑ Ex ress Mail ❑Insured y
GG r\ ,Q. (C 2` I Return Receipt for Merchandise CI 3
Iv o
7.Date of Delivery
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5. Received By: (Print Name) 8.Addressee's Address(Only if requested and c
Ca
fee is paid) t
t-
Fx Sign r (Add s or Agent
ID r.,r...1 11 n.,..,,...1,,,r 1 non 1ris s-oo-R_n)o' tlnmeefin Rptiirn Rpr:pint
UNITED STATES POSTAL SERVICE L( First Class Mail
. V ( P-restage&Fels Paid
AYE"f7EVtILLE N �C 1:3 OgY18 i = I- _ P illwrume
• Print your 28 adcfre , and ZIP-Cedinn this-bex-•
GRICE CONSTRUCTION
6618 BEACH DR. SW
OCEAN ISLE BEACH NC 28469
(910) 579-9096
L.. . ......
4613 47i0
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: _ _ \_�-
\___ .
Address of Property: ....to����__� �4�0 � �_\__________
�_....
~ (Lot or Street #, Street or Road , City & County)
1 hereby certify that I own property adjacent to the abuve -
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
pro id with this letter.,
I have no objectives to this proposal .
If you have objections to what is being proposed, please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wilmington, NC 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
`
1 understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be sat back a minimum distance of 15'
from my area of riparian acness unless waived by me. ( If you wish Lu
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 .
---------------------------------------------- ---------------------------
_________________________________
�z t Date
________________
Prznt Name
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Telep� ��hone Number with Area Code
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I
I , GRICE CONSTRUCTION 5795
1 PH 910-579-9095
I 6618 BEACH DR SW
OCEAN ISLE BEACH,NC 28469-4710 // 66-112/531
DATE l Q r' 3 "Q� 62201
j PAY
3TO THE .ORDER OF �, iI
DOLLARSCI ,y:, 1,1
k'
B&T
BRANCH BANKING AND TRUST COMPANY
iOCEAN ISLE,NORTH CAROLINA i1
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FOR— _
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