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HomeMy WebLinkAbout22622D - Pierpan .j wit L CAMA AND DREDGE AND FILL GENERAL N° 22622 - ►D PERMIT as authorized by the State of North Carolina 110 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC '1( I I OO 'k , )I00 Applicant Name -14evti^ P to r efl rl Phone Number t 10 ( " 2-- Address 320 StrrtY'ons 1r,aC1 ,/ City l )t. ref i n c\1 O A ?e 'r•C_ksr State � � Zip C9U4 I I Project Location (Count State Road,Water Body, etc.) (0 u_^ ` 3 20 5 It'"^on s 'briJf(JC o-E-E s - \'t\\ W,\rnt ion NC )_{ R t.�1 +� L Type of Project Activity e— 4'Ioni .nci Ck UC k , unC 00 rt bOA4 'if 1 PMd l\e ii b u I k.heA c 0-0' :% Lt-'t Pr,d f OC t k r s+ [Not ex(ee-. %- uu,c-atk og wA eocil - 9,'ri -ko 1re\s s PROJECT DESCRIPTION SKETCH A. O ( Jtrl(SCALE: NCaT TV ) Pier(dock) length 'a, f 1C ,___ dock_ Groin length - Yt F `/ * \ii, number la, I Y Bulkhead length VJ //__3-I I V- t� y max.distance offshore Q_c ' V i IRrdt.mr•d or we ( _, lv V. j �� Basin,channel dimensions . �% 1 V V cubic yards V vi J / `/ v t -�1' A,. Boat ramp dimensions 1 r V` i �_ to V Q 0 ft 1 t Other 5 1 X. I _,, -p 1 < EI P-',�A dock 6A.i lc� la` x I I ' ____.._---- 01 _________________ u t-N u„«<d I',r+ This permit is subject to compliance with this application, site n'4/ drawing and attached general and specific conditions. Any 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. a Ye'.., This permit must be on the project site and accessible to the n permit officer's signature permit officer when the project is inspected for compliance. -1,` ' (�. `(�� �\ --�-"A 's) I91 The applicant certifies by signing this permit that 1) this p � - 1 ject is consistent with the local land use plan and all I+cal , issuing date expiration date ordinances, and 2) a written statement has been obtained om adjacent riparian landowners certifying that they have . �..� .\ 10 0 c ' 110 v objections to the proposed work. attachments GENERAL PERMIT COMPUTER FORM 4PPLICAIN i NAJ E: Tt C4 r t l P i e c e ADDITIONAL NAILS: l .01 AEC DESIG: PT 1 E W DEVL.OP AREA__egg PROJ DESC:P - °niy'taks�) (Will only Tfk^I) WORE 8 %— 14- X 122 EL- S x 14 ,Rt-Il of rare 4) r y (O3X1u1 NLALNT: TvtTi oni�.tare 4) IMP: o 1&.) I to8 ot,,') '7o w11 only tar=6) H�1 lY v ACTION -PIRA T I ON DF,ED &pTr 7 F.=QUIR"D: j —IS—9 1 LOI,5 611 AMA MAJOR DEVEL REQUIRED: t DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER- FORM Name Of Individual Applying For Permit: e'i>t �h�,//lea /r°r,n; Address Of Property: (Lot or S ree #, Street or Road, City & County) I hereby certify that I own referenced ro Property adjacent to the above- property.P y. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawin should be provided with this letter. g, with dimensions, YLEI have no objections to this proposal. If you have objections to what is being proposed Please write Division of Coastal Management 127 Cardinal Drive Extension 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 ob 'ection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat from my area of riparian macceust ss unlee set sscwaivedk nbyume.distanceIf y of is ' to waive the setback, you must initial the yappropriate oublank below. ) I do wish to waive the 15 'setback requirement. I do not wish to waive the 15 'setback requirement. Signature A Date ( �..► 1Q 1 • •• Print Nam r a 1-1 R Telepho e Number With Area Code fD DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER- FORM Name Of Individual Applying For Permit: Address Of Property: (Lot or S ree #, Street or Road, City & County) I hereby certify that I own referenced ro ert Property adjacent to the above- property.P y. 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 beina proposed , please write Division of Coastal Management 127 Cardinal Drive Extension 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 ob 'ection 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/ I do wish to waive the 15 'setback requirement. I do not wish to waive the 15 'setback requirement. snatur fie) Da e JL� 1 • .A Pri Name „Iv /C - 186 '71,- 0 H PITelephone Number With Area Code . N • • \ /Cc 14 ' HJ d\ ,1L I -fc it kkrti-1 64- b 1,66 eta _ _ M t i • 'p • • • • • • • • • • • • • HENRY J PIERPAN III DDS NCDL 8372185 5031 MONICA M PIERPAN DDS NCDL 8597739 • 320 SIMMONS DR PH 910-686-1132 / 66-763/531 CC ` WILMINGTON, NC 28411 Date / /rri • liter Try The Order O4 i 47) 7 - - rnai,•u.e rump i Wl�l.11O Dnllnrs 0 a.r.u,, ...., Wachovla Bank,N.A. 11'181410gan,NC 28402 - • 11 // /� I Memo :�11`! /;./,44:(l/t�' 41/1. 4..q-(. .- _ ',...,. - a:053107633i: 8615 303815ug 5031 C-P-l-a n.nuno rave