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HomeMy WebLinkAbout20053D - Patten r > ' ..+ CAMA AND DREDGE AND FILL GENERAL iN9 020053-1) 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 1744 . 1200 Applicant Name 1 -01 d Q R 4-e--tn Phone Number 3469-(97O1 Address 1311 -RtArC PtvJ '}"I► ktJerl City -AA C I—LO NU‘i 11C—, State IvU Zip Project Location (County, State Road, Water Body,etc.) (OAS iOUJ (014.,(Vkii I ' I Uii *1' 7" rt.C± I S uc c ,.', I _Nei , 1\Av}n- M Ads c 1brr.t, 1 Type of Project Active y U f\LQ\J Cote a bock 1;ct PROJECT DESCRIPTION SKETCH t V1 `�, V j\ y f' Add e'rn Al) (SCALE: Nor ` -0 ) Pier(dock)length Groin length number Bulkhead length max.distance offshore Basin,channel dimensions III 1o1 Lift < A cubic yards 0 0 Boat ramp dimensions Ck}S1•`^ b()C.-1- it( Other 101 X. 111 . 1 linvo1m'crJ C < , t. bit)Pk 1 tc+ It ria X r This permit is subject to compliance with this application, site 3AA4 t .,. `drawing and attached general and specific conditions. Any ��(/Wi/' �� ,L„1/41--) 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. 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. Rre2 The applicant certifies by signing this permit that 1) this pro- 1 , 11 1 ig99 jest 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 744 _ I Zoo objections to the proposed work. attachments nA PER_\7ILT COMPUTER FORM APPLICA.CT NAIv1E: (? Oft- d Pft+ ADDITIONAL NA1vES: • AEC DESIG: p T ` DEVELOP AREA:k PROJ DES C: P - --�Q2 (Will only ) (WM only take I) i WOE:take 4t 1_. I O X ti MAII`T: j ) (W'Zi]only lake 4) • IMP: 1 1 0 . (..pi only take 6) • ACTION EIRATION DREDGE&FIT.T REQ D: . (D f 1 )7 C C1.c I 11T-09 CAMA MAJOR DEVEL,REQUIRED. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM Name Of Individual Applying For Permit: /// —,117/ ��f- Address Of Property: 7/L1e (Lot or Street #�Stre �r R A/C' n�`��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. ✓e, I have no objections to this proposal . • If you have objections to what is beina 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 ob1ection 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. ) l/ 4/X I do wish to waive the 15 'setback requirement. I do not wish to waive the 15'setback requirement. jtv1 13 A(//e;,7„j ‘-‘ ig at re Date A . : TImo- I I i 'Ai Pr1nt Name .-�.ri 7T ? Ar a ��HNF� e ephone Number With Are a Code DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM Name Of Individual Applying For Permit: /L`'41,4A./6( /?5- Address Of Property: 71 Oa 7 f4 Lr (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. v/ 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, 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 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. ) ¢to' V 1..— I do wish to waive the 15'setback requirement. I do not wish to waive the 15'setback requirement. tPjl - , '�' � -1 - j Signature DateA •PrintN e �V �RIfJ.P �v gin ,r9 a 3-&-€) ��H N R Telephone Number With Area Code y ANTINORI CONSTRUCTION 896 HWY.210 �/ �L} � 858 t10LLY RIDGE,NC'28945 i' Date 6 / 7 C • 66-19/630 NC 6070 i Pay to the be..,-0 ,Order of 1 $ 2{�eL c 1It �� Dollars 0 � NationsBank I' NalionsBank,N.A. -t�,�,to 14, p0,2-7Jc37v 1 PorPO///NYC/, t/{iA '-er -- 1 053000 L96� -- ------ - o '� 000 6 50 5 2 19 90u' 01358 V C]u.kr Amr ken -.•.- .�. - - L?<allb_�1.�— —r•01�i.,�CJ{V�llirt S � •�.. r �MwAnlfnicraa- -' GUAflDIANJI SAFETY Ell 11E DrUL