HomeMy WebLinkAbout20469D - Lewis i
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CAMA AND DREDGE AND FILL
GENERAL lv® 920469
-,� PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Cppstal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7 r7 • /...1-Ov
ert())
Q / ,,. Phone Number ( —
Applicant Name _ v" �"�-YA r `��^-",,�, ,�
Address 13 i�( 5 ' J00 51� ,1�y�
City C c� a
O act-{ State NC Zip
Project Location (County, State Road,Water Body,etc.) —,
nTaAc_2.'( Cd17) N� F( V
am;Nd , tVeAAJ ;ti-4n c ' C .
Type of Project Activity P --, ,.,,ett f, er
A!I (un ;-h) OF - #1, i -0 0 5 /4(( A-"P/y
PROJECT DESCRIPTION SKETCH (SCALE: J /1-:ti )' )
r Q
Pier(dock) length /b vy 1`Yt( I . am,:,,
l`'�
�.,, o k to 04.{{4 (
Groin length
number t
Bulkhead length +b1 •/p
/ p
D
max.distance offshore
Basin,channel dimensions +/1
t1
cubic yards
Boat ramp dimensions
Other r-1-1eaj I V� �" `--.___ - ---- — - -- _
r FtoA-t $' Nab' )314 6
li I
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any ��:; �0
violation of these terms may subject the permittee to a fine, applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
permit officer's signature
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance. ld/_ 5 G �f,
The applicant certifies by signing this permit that 1 this pro- I
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 7./ ' f10V
objections to the proposed work. Al
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: J,)P) J S
ADDITIONAL NAMES:
AEC DESIG: u! ( ,p T DEVELOP AREA:_. U ._ PROJ DESC: !"-f '
(Will only take 6) j ( / (Will only take 1)
WORK: e (Y
(Will only take 4) Clr
MAINT:
(Will only take 4)
IMP: 3 e LI
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL,REQUIRED: q-%1
TOMMY ROTHROCK (910)458-0907
(910)791-3689
ROTHROCK PILING SERVICE, INC.
P.O. Box 1207 • Carolina Beach, NC 28428
"WHEN ONLY THE BEST IS GOOD ENOUGH"
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• Pile Driving 13oa�GtsG • Docks
• Crane Work DREI) • Sea Walls
• Piers • House Pilings
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DATE: 7'1. /."-'
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DATE: -7/1 --
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GEN MASTER FORM 198mF
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DIVISION OF COASTAL AGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT O N WAIVER FORM
Name Of Individual Applying For Permit: Jos-CPy l�
Address Of Property: ���
(Lot or Street #, Street or pad, .CooloY
City & County)
I hereby certify that I own property adjacent to the above-
referenced property. ropert
described to me as shown on individualthe tt drawinghedyr this
permitdevelopment nt
they are proposing. A description or drawing, the mnn
should be provided with this letter, with dimensions,
I have no objections to this proposal.
If you have objections to what is being proposed please write t
Division of Coastal Management 127 Cards ne
Wilmington North Carolina 28 -nal Drive Extension or call 910 395-3900 within 10
da s of receipt of this notice, -
as no ob 'ection if ou have beg No response is considered the same
�n notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring
house, lift or sandbags must be set back pilings,
minimum breakwater, boat
from my area of riparian access unlessbum distance you of is'
to waive the setback, waived by me. (If wish
below. ) you must initial the appropriate blank
I do wish to waive the 15'setback requirement.
------ I d_t wish to waive the 15'setback requirement.
Signature
f_va�T,� /f��aN c Date
Print Name � M Pit
of/v - ��lS
Telephone Number With Area Coae
•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER FORM
Name Of Individual Applying For Permit:
Address Of Property: ,9b\ Sr . � Enl-
as�
(Lot or Street #, Street or oad C°01o�f'
458 - 5809 City & County)
•
. hereby certify that I own property adjacent to the
referenced property. The individual applying above-
referenced
described, to me as shown on the attached drawing developmentthes
theyare proposing. permit has
should be provided with this kdescrletter. or drawing, with dimensons,
\o I have no objections to th
is proposal.
If You have objections to what is being proposed p
Division of Coastal Management i lease write the
Wilmington North Carolina 28405a127 Cardinal Drive Extension or call 910 395-3900 within 10
da s of receipt of this notice.
as no ob 'ection if ou have been
response is considered the same
notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring
house, lift or sandbags must be set back a s' breakwater, b15'
from my area of riparian access unless waived minimum distance you of is'
to waive the setback, you must initialby me. (If lank
below. ) the appropriate blank
I do wish to waive the 15'setback re.���-4� requirement.
I do wish to waiVe the 15'setback requirement.
Si7 tur e ! �� 99
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Print Name
6 a-sG 3 3 5 Telephone Number With Area
Code
RIVE R
FE R OFFICIAL MAP
` APE TOWN OF CAROLINA BEACH , N.C.
MMI11. sc." I..,,,BOUNDARY r .
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AND VICINITY
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-- APPROVED BY
DRAWN BY
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DATE: 7.7-.%:;,. ....7"
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IDRAWING NUMBER
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DIE TZGEN MASTER FORM 198MF