HomeMy WebLinkAbout20164D - Kelly ,,,, (,--- \ CAMA AND DREDGE AND FILL
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GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC )I •4)UJ --
Applicant Name LXnl-jb f r 1\�f Phone Number('if ?) �J �'S - `1SJ(,'
Address •O' SOY 799
City Phi • C)I4P , NC State — (VC Zip ;De36 5
�P �roject Location (County,State Road, Water Body,etc.) — 0 3 1 i 5-f Sf Qe e 7i?[lj A- 1. h/�A/- 1 A i _-Q
(34.A:fi l _ �(. ) C;-i y . o/t's/U w ,
Type of Project Activity jr1c- -1 i .) 4., A fi "�.)Nt I' j-1 �• LAt* �O(___K-
PROJECT DESCRIPTION SKETCH (SCALE: / i'. 1 ,) a )
Pier(dock) length L
Groin length CA
/
number
Bulkhead length
max.distance offshore _
Basin,channel dimensions
cubic yards
Boat ramp dimensions 1. J I(•- h j
Other L;•J-t 1 O y/o , Atli
/03 -7
i sf s r
This permit is subject to compliance with this application, site y ,,, ,
drawing and attached general and specific conditions. Any , //
violation of these terms may subject the permittee to a fine, ��� / / -' �i�'
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void.
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This permit must be on the project site and accessible to 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- �O K- 09- n'') / /- C)9 - (1 C:
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 -? 1-7 (-)p cJ
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that �u
this project is consistent with the North Carolina Coastal application fee /nG / ./
Management Program. /
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FF;I]Pt : INSURANr„EoAIJTHCRITIESoFURN1TUE PHONE NO. : 91981'10955 Jur. 2. 2000 10:1GAt9 P1
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AJVAIClL:N'I' RC AIUMI rrtoREitTY OWNER STATILN'L,NT
4 1icrob M certify that,I own property adjacent of_/i66�p4SA�_4.�ii
('Is' iue or Papacy-Owner)
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property Locat at 1 � mac •...o�0 ,
• (Lot, I3locA.,.R a , ate.)
oA , in /!4A, __I�Lf , m c
(We arbody) (Tows so e�f1 r CCUV Y)
H has escd'itd to me as shown below, the development bait proposing at that t*etion,
and, I ha a no bjections to his proposal.
. I� CRFP?ION' �/OR k�RAWU G OF PROPOSED AEYELOPVBliN�T ',4.
• (ree be/Iliad in by fn i t.dfoal proposing devabspmvtU
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Z0 ,3JY!d ONI S,h113A 066E899 EO:ZI 000Z/9Z/90
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A.U.(L1ncic r)GUY,JR.,MAYOR
sou.fao
NELVA R.ALf3UHY.COUNCIL MEMBER
71iF CIY DEXTER BLIZZARD,COUNCIL MEMBER
V
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DONALQ R.HELMS,COUNCIL MEMBER I DONALD H.LUTHER.COUNCIL MEUBER
Off. • `per DOUGLAS C.tv1EDLIN.COUNCILt.lEtaBER
*OW NORTH CAROLINA 28445
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• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to / J b vv + S H E f.1 FY =)/LJ s •
(Nafne of PropertyOwner)
property located at /D 7 S u 2,�' C i A-q
(Lot, Block, Road, di.)
on , in S ) 2 c C1 %-1-�// , N.C.
(Waterbody) (Town and/or Cbunty)
He has described to me, as shown below,.the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen feet(15') from my area of riparian access unless
waived by me.
• I do not wish to waive the setback requirement.
' I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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lezel4zviel A, f.
Signature
ic4t4Q N. L3Fs-F
Print or Type Name
• ( 911 ) 62 $9 - 3757
Telephone Number
Date: 7- 3 -a
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P911Ili .
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FAX COVER SHEET
From: ',Kelly's Little Mart, Inc. •
PO Box 794
606 N. Breazeale Ave.
Mt. Olive, NC. 28365,
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Phone: 919-658-4536 .:Garage
919-658-6105 T-Shirt Shop •
919-658-3990 Fax #
To al # pages, including cover sheet: 2
- , Send t ii .0", . ii: /110 t(i Fax #91 b 34) 1. 310614 .
Attention A 4
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10 30Vd . ONI S,A113X . 066E00 ST:GT 000Z/61/90
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f4 ie®ne- Look lot.green buck!rouml on the now of Ms elu>ek,unit the littagnti.tfe00 Ingo on back if not present,do not r ash. -_- _
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COASTAL MARINE CONSTRUCTION
1353
PH.910-327-1349
102 HILL LN.
I
ii SNEADS FERRY, NC 28460
PAY DAl-E S- 7 '" e0 ss is 53o rrc
TO THE f0i0
If ORDER OF `� F re
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, Bank of America. °0����s � ��
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"i n'00L3530' 4:0 5 3000 1961: 00065063358401 U _-
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