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Home My WebLink About20215D - Wilkinson I EDCAMA AND DREDGE AND FILL I:A20215 -1) PERMIT GENERAL 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 7-4-I . 12_Q C) Applicant Name �• A . wt t p 5i)r Phone Nuvber q ( 9 s5 6, `U 6)90 Address . 1) CD (' tne cl P 0 lox Co0co0j City A \e.icll^ State NQ Zip .27b2-o Project Location (County,State Road, Water Body,etc.) ( n S (O tJ C u tx 1 -3- 0 I d '''r t i A9 P LA r v, II An1n v{' Si LA m S r`d , t•c)i'4-(- T� r \ � r,t c k k1 J i Sy 1•-�t a 50 u n� Type of Project Activity Ng� 'U (1Co cec bAr* ttf-t- 11' y. 1 I. PROJECT DESCRIPTION SKETCH d4A,A. m i) (,.)u n 6 -r(SCALE: IJOT ) Pier(dock)length Q Groin length number / eX;S� • �/ Bulkhead length - �p(" max.distance offshore I/f / 1 0 Basin,channel dimensions CX i S4, 1 cubic yards 1D(e,r-- Boat ramp dimensions Other ( (i yC 11 tAt1GOk)P,no d 1 i t' + V cr , C,/ r ,r r v 7-- This permit is subject to compliance with this application, site / drawing and attached general and specific conditions. Any � ; ,Gr.0 violation of these terms may subject the permittee to a fine, y � '1 �-E}"1—\ imprisonment or civil action; and may cause the permit to be- r� applica signature come null and void. This permit must be on the project site and accessible to the permit icer'ssignature permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) this pro- C,.'(.•_ ) I 1119 ,��%c_s;�,,,_L�E.� j i 15r,( ject is consistent with the local land use plan and all local issluing date expiration date ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no 9 4-1 `ioo objections to the proposed work. attachments G .NER L ERMIT COM MUTER FORM 1C.L.NT N M� Ira Pr. (A); n so()_ - ADDITIONAL NAlvES: A...0 DCSIG: P T E D� `T Op 4R=°�_—o0 2 PROJ DrSC: f - 1 Z- �, ,%.rr s) ) (WE Da;�•,-r-1) WORK.:_ (6- L.- U X t � - c c t*rr 4) ( -a, 4) • • pp: 4 kJ (4;: (win ,.r ACTION E°IRATION DE F.. G EL FELL U]P. : • -11II 2 q1 1 lI 1 .�P.=.Q • CAN 4 MAJOR JOR DEV REQI=: DIVISION OF COASTAL MANAGEMENT :ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: J� J ' // r�,� �1 /' / j�/ • W .as �f ioscryL /rV',1dre- WA/Kills, Address Of Property: / j Q/pt lla e i I rf A 7;is&AI (VC,' (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, reJ�S should be provided with this letter. I have no objections to this proposal . TS , If you have objections to what is being proposed, please write the Division of Coastal Manaaement , 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. ) I do wish to waive -the 15 'setback requirement. I do not wish to waive the 15'setback requirement. 7/%° Jy .cure � Date • r. Print (Name A lam/° i4g - 6Pe6 a LDFHNFR Telephone Number With Area Code - DIVISION OF COASTAL MANAGEMENT -ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM Name Of Individual Applying For Permit: !'J,4 �{„ i 11�- M (dr w k Address Of Property: /55- Q/4 V if i401 IVI (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, �� c&d should be provided with this letter. C 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 , 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 - I do wish- to waive the 15'setback requirement I do not wish to waive the 15'setback requirement. /21//Itt://) ignature Date v Print Name (7/i) yy3- d/ rs Telephone Number With Area Code H R • • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: OJAI U: Address Of Property: ( 52) U /Q V1 U� 1v (Lot or Str et #, 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 tc 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. ) I d� :rich to waive the 15'setback requirement. I d_o not wish to waive the 15 'setback requirement. l �- �n ure Date �u �.� b /% T4� Soy.., 4 r Print Na e _ `S P Cho 32_ - '> Telephone Number With Area Code cn i S a i • z ,ry w tv pt.l"� '� s 4t,w M ! � • 1 c'', ,v,e • �L .�- . ti� ,„ r bi 1 E a r i f J, • • • , • 1B3O 3018,d33VSi[NVIQtlV,,0 an An. .F u�u .tl 02 0 2 5 05 9 000 :�9 6 t ❑ODE 5 0:� j M.10,4 \,N`)lu f18"°1/uN )IU n UI 4qN -p I/Y (4/2_1r2 72Sh saslloQ Q f /1 $ ;o aapap all;a;'cgd f i 0[09 a�EQ i 3N 0C9/6I-99 ji �� S639Z DN'30Caiu]1OH V O1Z"tMH 968 OZO L NOI DrnFx 5NUSA RHONJIINV• } r ro 4 � r 4 w