22568D - Goldston

CAMA AND DREDGE AND FILL
GENERAL N? 22568—c)
JY"
, PERMIT
ie as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7 0 . 13 O()
Applicant Name v "^,"fv,1 CrO IrI1-4^-' Phone Number Oct) 6-c)ir-310 U
Address 7 u �; 4-}3 Pn Ai m o c-is ,.. ./ Ai .
City $'l' 4i f '(r y/ State /I,/C Zip _(_-Y . U
Project Location (County, State Road, Water Body, etc.) A/ A ,%k 6'•
Type of Project Activity_ F F-, c/OA 0= i-Xi i PRI(. A�'�.4j'('t J I/.41" /VO t EV 61 f'N�11 e F X hj ,'a/f , r a R J m_s Atom/ roe. 60 ` '' C&C wM h/ v 'R
is .S//af-►`e-,
PROJ ECT DESCRIPTION SKETCH� (SCALE: / '. 60 )
Pier(dock) length p
Y i,)O - ' '(/!"D '°( f
2 ace
Groin length -- I
number \7-‘ 1 .
Bulkhead length 1, C,
max.distance offshore
till
......! , ....
Basin,channel dimensions I ;, p�
cubic yards
7U
Boat ramp dimensions c
n O
Other t.-►4E40 1')\Xlr! i.e.._ VA L
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This permit is subject to compliance with this application, site 1
er)71
drawing and attached general and specific conditions. Any J
violation of these terms may subject the permittee to a fine, ��
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void. .„ _,
, 6-y1,.—___
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- d
,.) 3-oo 0 J "_)3- 0
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 7fY-/ )U..-)
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that /Ai) 00 (/t /‘ �f
this project is consistent with the North Carolina Coastal application fee
Management Program.

i Lk.)ivi r ul'ER FORM
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APPLICANT NAME: lls4%,‘-
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ADDITIONAL NAMES:
-
!• 0 0 )-- PROJ DESC:70-ta.- •
DEVELOP
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AEC DESIG:. C (41 f ew , ,
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(Will only take I)
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WORK: r4- L(irg-i"
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(Will only take 4) 11u./ .
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MAINT:•
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(Will only take 4)
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IMP: c,LA, 15
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(will only lake 6)
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• • • ACTION EXPIRATION -,..
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DREDGE&FILL REQUIRED:
C MAJ OR DEVEL,REQUIRED:
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DIVISION OF COASTAL MANAUMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT/oN/WA/VER_ PORM
. .
. . .
Name Of Individual Applying For Permit:
...._
Address Of Property: 7
,
or treet #, ,St ee _ _ _Roe , -Ci EL
ty -County)
-
I hereby certify that. I.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 p ovided with this letter.
I have no objections to this proposal.
, .
jtvou have oblections to what is -beina lorboosed, Please write the
Dilds. ion- -of Coastal Manacement,, 127 Cardinal Drive Extkagisla„Wilminaton, 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
, .
_ -
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-- WAIVER SECTION"--—- ‘-
I understand that,'-a pier, cock, 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 approriate blank
below. )
r N
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I do .wish to waive the 15'setback reauivement.
I do not wish to waive the 15 'setback reauirement.
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Signaturec )e> _rj.„." / ,, DatV si v 0 . .,- •
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Telepho e Number With Area Code - , ' --- 1 • ,,, • - s
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DIVISION OF COASTAL MANAGEMENT-::;
"DJACENT`;RIPARIAN PROPERTY'. OWNER`"NOTIF°ICA ,'ION/WAIVER_ FORM
-
,Name Of ,Individual Applying For Permit:
Address:"Of,:Prroperty: (/-? ,LV.E442)
(Lot or S ee 4tre ad, City EtCounty)
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 r5?o ob,ect'Ions• ,10!,this prop os al.',._,.
fid .ct•:a.r }.,9
If you have obiectionss to what is beina Proposed, please write the
Division of Coastal Manage merit, 127 Cardinal Drive Extension Wilmington, North Carolina . 28405 or call 910 395-3900 within 10
days o receipt o this notice. No esponse is considered the same
as no obiection 4f you have been notified by Certified Ma -i
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 mus initial the appropriate blank
below. )
•
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
C7:1577��6 ,� c)/!.S °
Sign ur a
(/ / �' Cw S K( Date �w�•
e $:
Pri . Name 0 / C 1
Telephone Number With Area Code'
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