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HomeMy WebLinkAbout18131D - Campbell 1Pr rR1T�`•tlo►4 s i"�R7�7Y t s _q... — . . CAMA AND DREDGE AND FILL GENERAL .t 01813 -D PERMIT as authorized by the State of North Carolina 0 Department of Environment, Health, and Natural Resources and the Coastal Resour s Commission in an area of environmental concern pursuant to 15A NCAC -7 R • ( I 80 . 126-0 C_ h S na►TN� A-6 .4- Applicant Name CA n,pt t- fc) l Phone Number `kO 2S 3 06 D. Address ' 'ifi AC N t'-( . F5 1-5 L.-nr'i( City L J �C 1 r,.; tn! State (•-1 C. Zip Z 0 C + Project Location (County State , Water Body, etc.) S -4 •-•2- A O\!-e / Type of Project.Ac&y r-- D( c U T4k_ D. ilt c< Cri 1.V U-A k LOA SI_ PROJECT DESCRIPTION SKETCH (SCAL : ) Pier(dock) length / sh x6 P Groin length I`tOUSE number i Bulkhead length left I L. O y,- �;r 1-0 car+;[iNaE 1i`)� max.distance fshore I -- ' Basin,chann dimensions t"t IrW 1► - - - - - - - . - ti cubic yards 1/ ?sbXI. I Boat ramp dimensions v NY Other l 1 ai This permit is subject to compliance with this application, site (i462.:.-^ir drawing and attached general and specific conditions. Any i 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. q The applicant certifies by signing this permit that 1) this pro- ( - ,Z '"-)CC /`q ` . - I D- _9 1 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 It OO . ( ;-00 objections to the proposed work. attachments . . . . . . _ .. . _ .. ._. . FST\ -4,. GENERAL PERMIT COMPUTER FORM APPLICANT NAME: J -Q ADDITIONAL NAMES: AEC DESIG: F.W l PT / DEVELOP AREA: P PROJ DESC:? - I Z (will only take 6) ---- (Will only takel) WORK: H' 1 If IIL (Will only talc MAINT: )V")°) (Will only take 4) IMP: o cio I &0 (Will only ( 4 ( ACTION EXPIRATION DREDGE&FILL REQUIRED: CAMA MAJOR DEVEL REQUIRED: I " ( 2- 9 9 I Z- �j G DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM J Name of individual applying for permit / S S' /' P dam'/l Address of property /' BA-Lie BA-Lie Ai RT- 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 of notification. Please initial below if you have no objections. 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, N. C. 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 or sandbags must be set back a minimum 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. 0/*- Signature & Date /f. & I 1 t( Print Name q/(,o � -g.91 Telephone Number w/Area Code PLEASE SIGN AND RETURN TO; F&S Marine Contractors,Inc. P.O. Box 868 Wrightsville Beach, N.C. 28480 Phone/Fax 256-3062 • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM Name of individual applying for permit 05 S� -r ei ,p4ei/ Address of property #7/ 734714.rn A/rl ,' Att.( ('id>t(' 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 of notification. Please initial below if you have no objections. 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, N. C. 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 or sandbags must be set back a minimum 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. , . .,7Z-7— l Signature & Date �v d l r __Print Name a l C( 3 ?z >-. Telephone Number w/ Area Code PLEASE SIGN AND RETURN TO; F&S Marine Contractors,lnc. P.O. Box 868 Wrightsville Beach, N.C. 28480 Phone/Fax 256-3062 frIp5k‘Ciortipl f&S Marine Contractors, Inc. 0/1'e are pN ti,‘ P.O.Box 868 ///dim ,. ► ,u4 Wrightsville10Beach, 256 30 2 28480 J ;Iwo tL/ P` ,Oaf 1,)&L OliF/vv / n -- — -- -- / 8'),.D• 1 7 )luI r - -� - rcaAf«6O �L�S 7-firtalic , / J ; /L ! ' ! / I I, / / i ,______ / . .A �J 137f ply ofF AT CP nIll Ai9ni.o+r #/l&atrt'P,•,J 1 / 7-- --vit CO —''- r 75 23 A -� 19 � of • • � �w://Q!@T,..'IIHl -i��lll4n..t'1➢lti_. 1_3�--�-�411}ffi �ti F AND S MARINE CONTRACTORS, INC. [ P. O. BOX 868, TEL. 256-3062 WRIGHTSVILLE BEACH, NC 28480 DATE / ` q? 22951 66-85/531 ,. 0272005609 PAY TO THE f i /} dr IZ :;€� ORDER OF �� 1 9/D I lywalfriti A do J n,-- �= B DOLLARS e; j Centura Bank, p Wilmington,NC 2840r �� FOR • II'000 2 29 5 111' 1:0 5 3 1008 501:0 2 ? 200 580911 _ .5 i ., , ...,,;, • •