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HomeMy WebLinkAbout18138D - Shank a CAMA AND DREDGE AND FILL GENERAL 11 018138 —D PERMIT as authorized by the State of North Carolina Department of Environment, Health, and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 F i 1 7 0 v Applicant Name NA-P-IZTcIJ -54til NJle- % �F"C-4 7e Phone Number vii/ 5 g G a 7 Address I ) a- 5tj Z s-t• Q City Lin 2.2.-4 State N C Zip Z54- f!v c Project Location (County, State Road, Water Body, e .) 5ti--•-.-c. Fi'gtiNi-Q- / b 14v1-5 Type of Project Activity � (.✓.c V , 7 C.R.„, PROJECT DESCRIPTION SKETCH �\ (SCALE: )�� 4(� ) Pier(dock) length j (� C� . ` Groin length \ `� '�\�( ( 0 olty \ • number \ `.y \ ,��� �/ Bulkhead length \ , w \ max.distance offshore \ ...../"..--" 1,\ ' v , Basin,channel dimensions . - V '� y / �, .,A - U' 4 cubic yards -" \ tl �1 ►'' �'" ace N oT� ?O 4 (r x Boat ramp dimensions /-1- 4 S�LK��f ��� ' y .�/ NOT T i Cc,31- 1/4Other r J/ Le;c4e, e-pe,•1 c.,3hriR ycleAD I X1a ar,R �frr��►Iia� to►cr 1t44 (D x II,/ Lzp41- SIN ki Lc,.' This permit is sultject to compliance with this application, site e."-j;2-----. drawing and attached general and specific conditions. Any violation of these terms may subject the perr. '-ee 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 mG p,F%e 2.-3sjc� permit officer's signature permit officer when the project is inspected for compliance. c w9 The applicant certifies by signing this permit that 1) this pro- I .- `1 B -- l j 3— (S 9 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 ,4 t CD objections to the proposed work. attachments . . . . - �. 4*it S. GENERAL PERMIT COMPUTER FORM APPLICANT NAME: tL,n-11��, ADDITIONAL NAMES: AEC DESIG: , (.l / G�j DEVELOP AREA: _ PROJ DESC: 7 - "Z (Will only take 6) (Will only take 1) WORK: -Pk )z-1 `( 12_ 12. _ �Zo (Will only take 4) MAINT: (Will only take 4) TZ IMP: & 4L (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: CAMA MAJOR DEVEL REQUIRED: J 2-4 .$5 140-c (IS' Zf( y,6,•a97 7,407 o uMor( k upli 4-r44,,S —4 uaaidrY) 49r ly' ,yo (..�adOid - .0 �,._✓a ALL to.do."0/ uo,) wd7 do (1 I I i A A- 7, ` 1 � A AN , 1' XOJJ0d t .1) /� u � 17 9• f 7 Ysa dtc! --f 4 - 4--,t t--s? I ,F • I 47.) S , o Z 4,1'7 IC&CC/ I R oZ = if ( a76/ S ( , • • " -11 j7 w9; r ri ,,,,u,, ,,, -tdaP' r4,7IE d.r4--,Z,--; f- Z/ --0 /8. - ,2 - I Ssvi 0.4 srv) 9 , 05 -C ,9 - a 76'/Y & S:4 6' '£+ 4 A II r r DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: LJ,,hyreri �.SA � 5,44a/( Address Of Property: )/Z sW 201-X V /n Ie,i9cA ,'/C 284 /(Lot or' Street 1, 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. W I have no objections to this proposal . • If you have objections to what is being proposed , please write the Division of Coastal Manaaement , 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 house lift g � boat 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 a below. ) ppropriate blank I do wish to waive the 15 'setback requirement. I do not wish to waive the 15'setback requirement. K2 Ze..,,P; ..i ure Date Print Name /- Telephone Number With Area Code H PI DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: (J,¢rre,n 0- SAhc,17 Shy)1H Address Of Property: 2-0,1 £e46A /VL°. 4 (Lot oe Street e, 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 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 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. 4fd" I do not wish to waive the 15'setback requirement. 8u.1s • 277 lopprA j anature Date ( NameJ!/ ' .47. �evai�c SA eu rc rA g Pr ;t NITelephone Number With Area Code FUNCTION=> A NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD16( PERMIT NO: GP18138 DISTRICT: I COUNTY: BRUNSWICK AEC DEIG: EW PT APP FEE: 50 . 00 REGIONAL REP: BROOKS APPLICANT NAME: SHANK, WARREN MAILING ADDRESS : 112 SW 20TH ST CITY: LONG BEACH STATE: NC ZIP: 28465 LOCATION: SAME WATER BODY: DAVIS CANAL LOCATION ADDRESS : (WHEN DIFFERENT FROM MAILING) CITY: LONG BEACH STATE: NC ZIP: DEV AREA: 0 . 01 PROJECT DESC: P-12 STATE PLANE COORD X: Y: WORK: PR 68 4 00 0 TE 12 12 00 0 BL 10 12 00 0 FS 12 8 00 C MNT: 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 C IMP: oW 446 0 0 0 0 0 ACTION EXPIRATION DREDGE AND FILL: CAMA MAJOR DEVELOPMENT: 12 18 98 03 18 99 MESSAGE: INV IMPACT, PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PF5=ADD NAMES ! • Ott 1 r s f �1... - ] r rti0 0E u O slit' • 7 .��Zb ,e.'o,��°I� ?IN fi`p __ _ ,� 1a/� �o tiaaa»o 1\�, —I ., 3Hl O i .4 6. 7 I ,- add "Y 1 Y 2 a �9oaz oN'1boaHlnos „ � 9 1 3-1-VG LL904 XO9 od La9a'Stia Hd ` o4'Idls Q 81"'Z boM�o 1 d0 ��' S� al�n�,SN :z. 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