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
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g 3.Article(A l resse\d`tpr^ 4a.Article Number 1
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co() ()j_ tr) , 11114.4 p l"'_ " ❑,�yteterg8 - Certified
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/�/ / �,�Expr---. ''=r ❑ Insured .
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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
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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
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cber �/ Consult postmaster for fee. .11
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a / Postage 2 Service Type
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Certified Fee ``J Registered 3
Certified c
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Special Delivery Fee Return R ipt for Merchandise ❑ COD
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0 Restricted Delivery Date I e 4 v jr-c,_
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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
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