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Home My WebLink About20396D - Nicholson i 1 CAMA AND DREDGE AND FILL "J Q GENERAL 1 ?! 396 — �� PERMIT as authorized by the State of North Carolina 0 Department of Environment, Health,and Natural Resources and the oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7> //OU 7i/./�OG Applicant Name 4�t R V o y �' ( C'tW5Ot' Phone Number ( 3 G) 3 ' O(y5 Address y7U.) CXf(Y/eWOU(� D/4r(!E / City (�'.e�_et.S eo State N(' Zip _')'-2 y V 7 Project Location (C nty, State Road Water Body, etc.) LO/ /(.) / ( /9 Xt. ipf, -IVPS'l;7 (. ,4-7) (w 744-44me A cniA, 1 . Type of Project Activity P/P; ! ; 'r A-"t r) !3,4 /A-H-4dr° PROJECT DESCRIPTION SKETCH (SCALE: � �� 'l0 1 ) r r c� Pier(dock)length 4 ( 3° Groin length - .^r'"� fk'ir number Bulkhead length 30 , max.distance offshore 0 Basin,channel dimensions S cubic yards k t f-t"'1 Boat ramp dimensions ir) (...7(/14 c 'f" ` J11 V' i \f ( S FADS Other L i� f Lr 1\ P l�l 4 P L o7L /O P L This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any f 7O.violation of these terms may subject the permittee to a fine, iy",, imprisonment or civil action; and may cause the permit to be applicant's signature come null and void. 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- 0 - — Ov 3-0C--) 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 attachments 7a - //OU 41 2 H , /. UL objections to the proposed work. In issuing this permit the State of North Carolina certifies that 50� �� C'/C<- O/D y this project is consistent with the North Carolina Coastal application fe Management Program. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: tct«17 b, f f e L5DP# Address Of Property: (1 rI /0 (jg ySZ S� `dD S4 ; ! &A -1"k AJ (Lot or Street #, Street or 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. I have no objections to this proposal. If you have objections to what is being Proposed, please write the Division of Coastal Manacrement, 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 be set back a minimum distance from my area of riparian access unless waived byme. uf� i5 to waive the setback, (If you wish olow. ) you must initialthe appropriate blank I do wish to waive the 15'setback reauiremen.t. I do not wish to waive the 15'setback requirement_ • 1111, e Print Name (4'41177s Date Telephone N r eWith Area Code r " DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: Lcr r 7 Q. AliclutSivev Address Of 'Property: (,ot / o U'4t �. O 'L I 1 ee.Ac Nc- (Lot or Street #, Street or 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 diinPnsions, 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 M,anaaement, 127 Cardinal Drive Extension. Wilmington, North Carolinas 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 WADER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags mist be set back a ft17,,;mnm distance of 15' from my area of riparian access unless. w ived by me. (If you wish to waive the setback; you must initial the appropriate blank below. ) P2 i' I do wish to waive the 15'setback recruirement. I do not wish to waive the 15'setback requirement_ • • - _ Si �jture ,Date E�� 1 �Fyr d/a l G. Print Name f12 -' 32_ - 3g,S� Telephone Number With Area Code v L.-Are--W-r* -0. i4,t 61+0t--.Scitl ---T4-1- 1\-4,.\ - . 1 u i ts� I ZA— 4' ri 4-X l h'-I ril { Ea- 0 c 0 c - a— -ta +1 _I P N no c 0 - oa Z , 6,k 1E l i 1,Le yt LA 0r i-Mootuid c THOMAS E. NICHOLSON, JR. N.01 ai tk �j ,��- • JAYNE W. NICHOLSON * 1 4 4111 GROOMETOWN RD. _ GREENSBORO,NC 27407 ` , 2-3 CID82-15/311 Pay to the ( /� Dale 1 Order of atE -676,(/ /tey) AGEdwyrls • Dollars [] PNCBANK Wilmington,Delaware For I:03iL001571: /94 134984 06 pL 4--- - -v -- ---_� a