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HomeMy WebLinkAbout22417D - Eller • ,. CAMA AND DREDGE AND FILL • i GENERAL _ , lv 2241 '7—I -Y" PERMIT 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 rli-1 • 11 UU r . I zoo f , j QO -' Applicant Name t` NOM r EA k.-4' Phone Number 904 �3 Z— 149.7 Address P O Zox 1`l 5 6_ _ '_ City SA \1 SbU r State N Cl_) _ Zip c '+J 51 - s17 eU Project Location (CountX, State Road, Water Body,etc.) (Dr)S \O Lk) OUP 1 ?0 'TrA(it-AU'i \d S Dc��eJ , GA1\ca f ► )0c4-{ 'T'o�sta'►1 i' E 1-1./ , 1\Aft ,- 1\AAdc l7'Av,flI Type of Project Activity U \ .--/.Carr,{) c EF \A C e-a('^ -- ( I` (nh A- -�C'1.11ft ) ne'vJ d O C.- , Pt'+1(b hoA4 CAtrc Ce.AllAre.tr,e.* * Clr.t C V-- So \-c-1;t1' r\ c ove,-Nc I\S o f\ dock-- , PROJECT DESCRIPTION SKETCH (SCALE: ) N01 Th Pier(dock) length nv� �_ 1�)► Aa,� ( ' Pr,A' Groin length `_` ' ` 'v\ �> number n 1 Bulkhead length + \d•,r1G\ 1,,) A t t max. istance offshore._— IA V(i'(in CI t`/ Basin,channel dimensions cubic yards {�.- Boat ramp dimensions 1*--. 1 ��1 —�� IC xw` 1AI 13' Other B. X a`1'1 r M d uck L-k'xay' 06. wta\\ Y -- ___ ,. . - Pi ^P ) r u r- C 1 89' LOT > ,This permit is subject to compliance with this application, site / jdrawing and attached general and specific conditions. Any j( P�violation of these terms may subject the permittee to a fine, �l h-1A /�'���d-L � imprisonment or civil action; and may cause the permit to be- (--- come a plicant's signature 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. q The applicant certifies by signing this permit that 1) this pro- 1l Wat 3 \ n9 1 -+`).Q,vr�,l.- -�� )1G ject is consistent with the local land use plan and all local D issuing date expiration date ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no I0� I �� , t200 ?' , 1- 00 objections to the proposed work. attachments 1 PERAUT COMIPUTERFORBI ..p.?, )C_ANT N-1 : [onor\ s ADDITION.A_L NA1vES: AEC DESIG: PT- ES E l•J DEVELOP AREA: .O3 PROJ DESC: P - 1 (Val onlyukr (Val only uks I) "WORK: . U X f tc 9 (Val only lake 4) Lb P l3x �p MINT: - (WD3 amh•Iakr 4) ntIP: o W q to 4-1 C7 6 b (.vim ofll lake s) . 44CT 9Co i4C- (ob ACTION 'pJR4TION DR DG .r rr L p QT.3=. • 8 ( 3 ) °I 9 IL 131 (1 C CANS MAJOR DEVEI. ,REQUIRED: rN `4 Z -7 "'.. F ,or Jrfit r 'b ,1 t4!o c {ia4Ndd* -}, �' I. it % Sr: 11 ,h h+VA f11 X ,01 rA iC3 17-o csol ,0 o1,%2 xN' X,4t 411400121 )prii7no) Ae t.)r'o i/ ?I t/I NO 1A 71 NCI hz, X .2) '10 ,a) ('"CI) ) J.. Je?)4N1 'Ix' At) „g1 pivt.-1/ c*1 Srf) oaf, \\ i ' 2t, Ita)dA ,50 91,01 -(ff tt 10000£ )+t1)N 07 I G2Uflr se 000i, ‘- b z•x,t e r .Z sTia ch182 -: { j 1 ; i_ A. bA! - f - '►0,L , ✓s�/,7 Lilo , . DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM Name Of Individual Applying For Permit: 'nrn-c 6'- LIL-61L Address Of Property: 76% -7A s0f G?IwjS (LoT / 1/0x.41 Vb f 51ii . , 'Fe- (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 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 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 appropriate blank below. ) 6 I do wish to waive the 15 'setback requirement. a), i e ac 2,6Lea_31, A .A Si t r 7/ Date • Print Name Y 7 - s !s / FI-INR Telephone Number With Area Code DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: /D Address Of Property: '7�,`� '(ret, w 1.1. s f-4 . r� f o r-h— 6.0 s /Ss:2e- . _ o�S-L/ (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. r1' I have no objections to this proposal. • If you have objections 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 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 appropriate blank below. ) V r I do wish to waive the 15'setback i re u q rement. I do not wish to waive the 15'setback requirement. \L-)14- 7 O Signature Da e frA k • /Y N SFr phr�U t�N Print Name S-2 2 S-6,6 ED F H R Telephone Number With Area Code • , 1 ANTINORI CONSTRUCTION • -- _ _ - ,-1 896 I I WY.210 j HOLLY RIDGE,NC 28445 962 Date 68-19/530 NC I Pay to the ) sago Ord of Lii /�� v dp NafionsBank ii. Dollars (]o'^`^°°• NationsBanh,N.A.0 " For 1 ' �: 5 3000 l 9 6�. - i 000 6 SO 5 2 L 9 900 ------- ' CAP �� I� i' ---- SAFE _. GUARDIANS SAFETY BLUE OEBL