HomeMy WebLinkAbout20372D - Beasley • CAMA AND DREDGE AND FILL
4. GENERAL N9 020372—D
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Costal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 71I /.b0
Applicant Name F: /e S . Phone Number 0 OY) 33- //0
Address /5-)0 S • ( 4/Y/lion- s3/l/0 • V
City «'A'�Pa/i r State �� Zip 8-08 >/
Project Location�rounty, State !load, Water Body,etc. / 37 'L-5 L 47vf / v 44 f /-=—P,fry
�)4 C ✓7 hut, A vie.e a n-s/���. Cv
Type of Project Activity ? " i4 d^ U 'UA-/ '-. r —7`) � I7�rt , ';4,1t,17 / er
a(-a< 1111 Co", ;'fio, C 0i 71/ . />oU Sq,/ f1--iP /t/.
PROJECT DESCRIPTION SKETCH F (SCALE: /
Pier(dock) length fV`eijj
V
Groin length
number
Bulkhead length
max.distance offshore peor°91-
Basin,channel dimensions -t►`?�
A ‘
cubic yards - \
Boat ramp dimensions
Other L - 1B rY/U 1 Ck
•:bik
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any x
violation of these terms may subject the permittee to a fine, ` ,
pplicant s s ure
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 to the permit o icer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- '7- j—Q0 /0---S —0v
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no ') .1.2 00
objections to the proposed work. attachments
In issuing this p ermit the State of North Carolina certifies that J
this project is consistent with the North Carolina Coastal application fee C50 r U C 41
l(��
Management Program.
•
UI:VIsION- OF COASTAL MANAGEMENT
;, ADJACENT RIPAR ANC. . OP RT OWNER NOTIFICATION WAIVER FORM
ii.ihe, ,i(?' ,9SI : .
Name Of Individual Applying For Permit:
Address Of Property: / 7 .,Z) ' " .
(Lot.or Street #, Street or .Road, City,.& County) • •'
I hereby certify • that I .:.:own
referenced ro ert Property adjacent to the above
P p y -.The °individual applying for. this permit has
described to me as shown on =:the attached drawing the development . :.
they are proposing A .despription or drawing, with dimensions
should be' provided with -thisletter.
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I have no objections to this proP. sal'. . .
o
,If You have objections to:what •is being proposed please write the
Division of Coastal, aha
ge) ent, 127 Cardinal `Drive Extension.
Wilmington; North Carolina "°28405 or -call 910 ' 395-3900 within : 10 -
days of receipt of th's "
i notice '`No response is considered the same
as no objection if you have been,•notified by Certified Mail
WAIVER ,.;S=ECTION
f ,
•
'pier, ,dock s moorin �
I understand that a '
r gpjlings;- 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, your41ust initial- the appropriate blank.
below. )
/off_
er I do wish to waive the 15!setback requirement: -
I I do not wish to waive the 15'setback requirement: -
' / - /rye/ , •
Sign ture. /
Le�ess' �y/.-. - Date " hercipA.
ePrint Name _
91!-s�3--3V9d R
Telephone Number. With Area Code
--7•11111111111111111111111
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z DIVISZON OF COASTAL MANAGEMENT .
i ' ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM
•
Name Of Individual .Applying For Permit: 7/56f� / //
Address Of Property: ` � �, /
4c� -
Lot .
Street ,�, Btreet Road, City 1/4.& County) -
•
•
I hereby certify ' that I • own property adjacent to the above-
referenced property. The individual applying for. this permit has
described to Inc as shown• on,:the attached drawing the development- .
they are proposing. - A de�rpi tion or drawing, with dimensions, .
should
provided with this >:letter.
I have no objections :to this . proposal: .
t •
If you have ob-ections 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 or sandbags must Abe .set back a minimum distance of 15'`
from my area of riparian access ;unless waived byme:
to . waive; the setback ' (If you' wish ' '
you:;}jnust initial the appropriate blank below. ) ,,
I do wish to waive the 15'setback requirement. • ‘ _
• I do not wish to• waive the 15'setbackrequirement: • :
•
uprvii-
., .
Sign a •
Date . .
e r
Print Name
Telephone Number With Area Code t� ..
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ANTI1VpRI
1 896 H i\ 210 CONSTRUCTION � _
HOL[Y EDGE,NC 2 _. I
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