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HomeMy WebLinkAbout22685D - Pottle A- NIL N.Dut.rfl CAMA AND DREDGE AND FILL GENERAL 1 (a 226 2) PERMIT as authorized by the State of North Carolina 0 Department of Environment, Health, and Natural Resources and the Coastal Resources Commissi, n,ve , in an area of environmental concern pursuant to 15A NCAC 7-H 120C) `' • Applicant Name Q►N a�� /A i 4 s f N2.1 N€ Phone Number 2S 7 , - C.-Address 'Es a..n. City State t`i.C.. r. - Zip Z.rc- Project Location (Coun , ate Road, Water Body etc.) S(Y�Q- '� f.= ,-) � 1/430rNc_v_ cam,Type of Project Activity �� Ili6•0 0 F pI"o r-- dtCt Ly IA yry Ace'r P--.S 't--r'D '-'''44-k` r1 k-i '2e—J- e'r-A-1._ "1" -crvi-%_. ' Prig? BlAi^ 1CliCt ( ul Al I E H I a t btvRt- 41-11"1 j. PROJECT DESCRIPTION SKETCH (SCALE: (1--___ ) V Pier(dock) length ___I___—. V t / / . 1. l STcfs q Groin length X/ number Bulkhead length / l V , max.distance offshore t ' \% X '. r MI ,,ri\ Basin,channel dimensions -H '' 1 Icubic yards !/ V Nisi ! Boat ramp dimensions -t. 1 bV 1111 Other f V (o X(o 1- frist -- )'�. 1 O NEB R)uLkpce�' \ Y.) ....,_/--- ..CGJJ - (v Ce b tk . This permit is subject to compliance with this`application, site drawing and attached general and specific conditions. Any (H4 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. G---)51---` 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. 7 The applicant certifies by signing this permit that 1) this pro- —/ " te.'�cl i 0" I a.- ci 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 -7 1r1 I a-.1 0 objections to the proposed work. attachments ,�-•. t 1 . / tYN L t f i 1-L"\-i1 L COMPUTER FORM APPLIC_=.N NArVL: TO r,r. PO I f Le 1 ADDITIONAL NAMES: AEC DESIG: 3L _ I Z (Will�ytak 6) DEVELOP 4 OP AREA: _ PROD DESC: (Vial only take 1) wORR: /SE 4- .• (Wii1lonly take4 co • MALNT: (Will only talc.4) � IMP: ICI;: (wfI only talc . ACThDN EXPIRATION DRY"&FILL REQUIRED: CANLA MAJOR DEVEL REQUIRE): -( CAMA AND DREDGE AND FILL GENERAL N? 22685- D K.. :) PERMIT as authorized by the State of North Carolina Department of Environment,Health,and Natural Resources and the Cgastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 +I i 10-G Py-re.,-.-r \pplicant Name 1 10 it-1 .ROT' ' E 7 C P 1 n'm k--t hr-e Phone Number(citt) 2_S - � )(...D kddress C-.Pri r T s�ast :ity L ,'tt. kn i c:._ State I� C cE,4'D `� 'roject Location (Cou t fate Road, Water Body, etc.) ��L ��'-'e 7 A� -� Arttili type of Project Activity � t 6 ��� t^t tt A t. 1C: 1)1- w r ' kAx-t iQ c r 1 C\e eD rr, aL �.;hm-vt� ci--Ai IT, -+ bye- cArG PROJEC DESCRIPTION SKE CH (SCALE: ‘ u 7- S O ) Pier(dock)length t v _ Groin length .l� f' A-may n;C1vl�.(, t�h' e. number \ Zi Bulkhead length ( L (IQ. Gat.\-- 3j0 l F y k_ r 1%-'L __________1.)) i/ max.distan e offshore l \1\,„ ,,{, t. Basin,channel dimensions I , \� i act 'ir.' .' j j -tL � i cubic yards Li j Boat ramp dimensions �/ ,oRI . �\ S 9.A er A / , � n f _ `� .t., ,,,, L._, L is/ 1 - *Ist-p, -. — s rto This permit is subject to compliance with this application, site ,••47j//' - 17 _ drawing and attached general and specific conditions. Any }vim, �/�'"C 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. 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. (�� The applicant certifies by signing this permit that 1) this pro- -7 — 1 �C 1 0 r 4.-- 7"J 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 '7 C Cl objections to the proposed work. attachments • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM Name of individual applying for permit Dic . 14 L Address of property Ca iiy4f lrho e """�O I hereby ce that I own propertyadjacent to referenced property. individual applying rtify for this permit hasadj described the to above me as shown on the attachedThe 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.A-k,l1 pot w' 1,.,,nJ :'h, 71ffk I have no objections to this proposal. If yo 'have objections to what is being proposed, please write the Division of Coastal M nagement, 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. - Signature & Date c- Print Name '7/ -- 4/5_ 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 (910) 256-3062 d SENDER: .•Complete items 1 and/or 2 for additional services. I also wish to receive the a' •Complete items 3,4a,and 4b. following services(for an d ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. r d •Attach permit.this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address • • ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery o 'The Return Receipt will show to whom the article was delivered and the date C delivered. Consult postmaster for fee. r o < g 3.Article(A l resse\d`tpr^ 4a.Article Number 1 1 a orrvei �J 4b.Service T e co() ()j_ tr) , 11114.4 p l"'_ " ❑,�yteterg8 - Certified co ),4444i /�/ / �,�Expr---. ''=r ❑ Insured . QJ�f/vU v� Ion) /V �y' i R• 4 --.:'. . . . :nc\se ❑ COD N' J J (17. r�f= .f erq p z / 0 11 <. n 5. Received By: (PrintlV e) tik8. d4:ssee'�,�.r=.'�'al if requested i P= ) .3 fi-Signature:(Addressee or gent) PS Fenn Darartih1994 102595-97-B-o179—Domestic Return Receipt Ell . ----•••=smiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiimmi Z 024 952 339 ;; SE US postal Service I also wish to receive the •� Receipt CD •p No Insurance foreC9 Certified Mailed following services(for an urn this extra fee):0c Do not use for Intemation. > •P. F Sent to n Mail See reverse nOt 1. ❑ Addressee's Address CD t • S e J/� J6-,e hr er. 2. El Restricted Delivery c ate cber �/ Consult postmaster for fee. .11 C pY/+ Sta e,&Zlpte `ioz� 4rticle Numb r SI CU L 2 >�,�; , DC y Sa 338 a / Postage 2 Service Type o Certified Fee ``J Registered 3 Certified c w �� Express Mail ❑ Insured 1 Special Delivery Fee Return R ipt for Merchandise ❑ COD 0 0 Restricted Delivery Date I e 4 v jr-c,_ + Q F co Return Receipt Showingi z _ Whom&Date Delivere to Addre s e's ddres (Only if requested W Qa Return Receipt Stowing ro mom and fee is paid) .i CC Date,&Addressee's AddressI. p 1 TOTAL Postage&Fees y E Postmark or Date ISHI • 95-97-e-0179 Domestic Return Receipt O u_ co ,Z