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Home My WebLink About23768D - Womble CAMA and DREDGE AND FILL G E N E R A L Is 23768— D r-.- 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 'H • 12_0O • Applicant Name n A kw.) ()Jo r\b\ Phone Number Address h 05 L d End COL tt City H 1 t CI h State 06 Zip 7600 Project Location (County, State Road, Water Body, etc.) 1-Br u e s tAl t C k cil1J t.k f\Al , I 1 50t., CHN ho('C-) ,J C-i i 4\0 ct c k N CJ 1 A e _ ,M,r c_ 1 Type of Project Activity Kk J -F-t O PA t en 'DU C L— PROJECT DESCRIPTION SKETCH - n,. (SCALE: N ) —re ) iiiPier(dock)Length 111 ism .:_M_.11 IM ■ • u•MO ■ ■ Groin Length . I', number /_ i' Bulkhead Length 1 .1, Iii max.distance offshore`� . � Basin,channel dimensions I t#1 .■• . - - - limit a S ■O • M� _ :_ cubic yards IIiiMI 1 Boat ramp dimensions ■ MII _ MMMMMM l u. _ mums Other /.0 �j(. I 0' mi!NI ra M �7 ammo ■ I i1111 'icniiiiii ima� 11111111111111 II _ Ai Minumammiommaim uuauu. uu This permit is subject to compliance with this application, site drawing 4A 7 ciO ' )/Z and attached general and specific conditions.Any violation of these terms =ppl;cant's signature may subject the permittee to a fine, imprisonment or civil action; and �( c may cause the permit to become null and void. •� 5) This permit must be on the project site and accessible to the permit • \ permit officer's signature ficer when the project is inspected for compliance. The applicant cert, ''" Ail oD ,r", ('1 t ) )5} Q 00 fies by signing this permit that 1)this project is consistent with the local I issuing date expiration date land use plan and all local ordinances, and 2) a written statement has keen obtained from adjacent riparian landowners certifying that they . !zoo have no objections to the proposed work. attachments Irissuing this permit the State of North Carolina certifies that this project �Q c.�-- . is consistent with the North Carolina Coastal Management Program. application fee tit-KiAiT COMPUTER FORM a-Cbm ON.A T NAMES: . A.rC D.SIG: EsJ PT DEV OP AREA: .UO�( PROJ DESC: (W �� — - (Val only s+i�I) wolK:. �— ( (d cvym .-:.c 4) MAINT: (WE only tii=4) • f : Did 62 fu-Zi c:rvlaL D� . ACTION n x nON DRM. &FLL P.SQUIRED: • I I '16 100 10 l 3s100 Gams MAJOR DEVM.,R3Q IR 7l25100 J0/2-S/00 •ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Deliver item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so tliat we can return the card to you. C. Signature • Attach this card to the back of the mailpiece, X 0 Agent or on the front if space permits. 0 Addresse D. Is delivery address different from item 1? 0 Yes 1. Artr.le Addressed to: If YES,enter delivery address below: 0 No W ldh '22a 6I 5 3. ice Type �I /9 � ��/1� Certified Mail 0 Express Mail 4114 / /U (� Registered ❑ Return Receipt for Merchandise 0 Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number(Copy fro service bel) '7o4r1 220 DOD 7 9/d 2 /f is PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-178.c UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-1,0 • Sender: Please print your name, address, and ZIP+4 in this box • oft94z2 dirt', ;64 ///e .r</' 7 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) 8. D e of D iver item 4 if Restricted Delivery is desired. />C� • Print your name and address on the reverse so that we can return the card to you. C ure _ (� • Attach this card to.the back of the mailpiece, X Jnu�, ❑ Agent or on the front if space permits. Addresse D. Is delivery address different tern 1? ❑ Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No W V :1" 53.22 W A ,LL j 4) C ^ 7 3. Service Type 421-21:54, Lam) f/Q/5 y❑Y,/Regisie Registered DReturn Receipt for Merchandis El Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) 7D9q 3, L o oar 7 9/62 iR) ' PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-178i UNITED STATES POSTAL SERVIClF \ -- first Class Mail P PS sta9e&Fees Paid ! " Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • • • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM . Name Of Individual Applying For Permit : j 9/4 .4t1 1.44 4 Address'Of Property: Ic? ;;u h S/( -c7(dam Q (Lot cr Street ,_', Street cr 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. • )447 I have no objections to this proposal . • If You have objections to what is being proposed . please write the Division of Coastal Manacement , 127 Cardinal Drive Extension , W_ilmingtan . 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. I do not wish to waive the 15 'setback requirement. S '' ature !%? 'bate Te, t° A, /lti//e, A • A Print Name Telephone Number With Area Code Doi H N R • ' DIVISION OF-'_COASTP_L .MANAGEMENT.':'. . ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- '•FORM -: . Name Of Individual Applying For Permit: j Address' Of Property: ___ <A4 !A ___ (Lot or Street #, Street or Road, City & County) I hereby certify that I own. property adjacent to .the above- referenced: property._ The =indivi.dual -ap.ply.ing fort;hi s` permit has described to me as shown--oh-.the'-attached-drawing the development they are proposing.` - A- description or drawing, with dimensions, should be provided with this letter. • W cm I have no objections to this proposal. • • If you have objections to what is beina proposed , please write the Division of Coastal Manacement , 127 Cardinal Drive Extension . Wilmincton , North Carolina , 28405 or call 910 395-3900 within1 _ days df receipt ar _ - _0 - 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 a below. ) ppropriate blank • "� I do wish to waive the 15 'setback requirement. ..W I do not wish to waive the 15 'setb_?ck_recuirement. • • k • G. Si nature //�� Date PriNye � 9� (077-023D C4e.t.) 1 78 -�IgB (�Telephone Number With Area �oae 6 � � " ��HNR • • • • Rank()I America _ :IS�1 ► �� t ht•ci, 4659603 I a.19(J(I l ilq Ir,.l} N 11 �•�IE t sr., O1'1J1.'1• ()I Y yy y. .:;.*?(.?:l*** *a!Y v, -. c x f. X# .* x#k v 14 . K. X k.K.1E}!•a(.Y Y.x N M a.r-,.M al K ..y�.. x .x a y.1c{y Y..y M y. T Y.s.*a.,�at . >}f x a x i Y.**I.* .k 4.,�... FIFTY AND 00/100 x t?! ris 1t 't.**-T Elt. r'rtr Y r?sue} th't L?{9F?�'R '�#.r tr3e t#?�?�+cx Y t erx:M-:wary r y. I)OFIa l s NOT VALID IF OVER $50,00 Rank of,%mc,ica. 1. San Anhalin lugs JAMES r9)r,f :NINT' CONSTRUCTION L • 1 I 01 t — -- �iit!i, i�. I Signature Itelnitter(Pulchasef ny) 111146596031" 1: L40000191: 00164 L0004 2 LII' GP013.14•3 • THE ORIGINAL DOCUMENT HAS A REFLECTIVE WATERMARK ON THE BACK HOLD AT AN ANGLE TO VIEW WHEN CHECKING THE ENDORSEMENT ■