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Home My WebLink About22652D - Long V . • Fr-44 CAMA AND DREDGE AND FILL GENERAL PERMIT i�T° 22552 -b 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 14- ) I O O Applicant Name o r �---l�'/� Phone Numb a) 2 7 S 1 I Address o I, . 2a(L -T� L"`�- . City 1.41L WI , tL State NI C Zip 2 a�-�?S Project Location (Countyate Road, Water Body,etc. O P. 3 4 ST - N • E . IJA-Cv ' A r-ki IJLI t R r w tJ S- c. z•r CC) • Type of Project Activity PROJECT DESCRIPTION SKETCH n—r I") , A l (SCALE: �� ) Pier(dock) length ' Groin length z number Bulkhead length w$ l.P- m distance offshore ae Basin,channel dimensions �/ VI V cubic yards Boat ramp dimensions 'EVI t y_ '•\j k—LL.. Other,- ^'� 1/ CPO 0t OJE . 1- s This permit is subject to compliance with this application, site < . .,, _. r, °: / drawing and attached general and specific conditions. Any 1� -� 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. L /� �q The applicant certifies by signing this permit that 1) this pro- ject 1 lJ l 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 —)44 tier-0 objections to the proposed work. attachments . _ PERMIT CO NIT U I EE FORM APPLICANT NAME: )6 8'P L4,16 RR,4'al; ADDITIONAL NAMES: ``•• ff AEC DESIG: �w l DEVELOP_AREA: .1 PROJ DESC:1-- - (WM only take 6) 1 I (Will only take 1) WORD: p• H- (Will only take 4) MALN'T: (Val only take 4) • IMP: • (will only takc ACTION EXPIRATION DREDGE&FILL REQUIRED: -c7 1 ( 0 - (1 - 9_c CAMA MAJOR DEVIL REQUIRED: -7 ? - 5 C to `9 -9 9 - _(oca (rricu. ►- .Lis -►l) Q37.1 s Cra C t a- +-A ,\nq e'r N c L ? Q1 WL -#0- Gr,r2k Q-b O -ar41rCi-J F-u-+I91'15 (c.I -- — sS =c,- h1-1{1 ), 03c4 -L---Lsc4crJ (I, I 1K-viii-4 T — , Rs . __ _ . _ H vic ,. ., Q � r►4l TI�I15 9cyLi-sly:3 471- 2 c-7)-0- N Of, IV cfNo r - — 6 v)c c (v I I DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit : Address Of Property: or Road, Cit & County) eatee— (Lot or Street #, StreetY Y 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. have no objections to this proposal . If you have objections to what is being _Proposed, please write the Division of CoasLal Management, 121 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 or sandbags 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 jnust, initial the appropriate blank below. ) I do wish to waive the 15' setback requirement . I do not wish to waive the 15' setback requirement . tbi-0444A . S 'gra ret4A les INac7t),\,, Date Print ame Telephone Number With Area Code . • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit : Address Of Property: 24 .02r (Lot or Street #, Street or Road, Ci y y) 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 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 bees notified _bY Certified Mail WAIVER SECTIO1 I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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 . V' I do not wish to waive the 15' setback requirement . • ACk 4Le ;t/_\91 v rAr3 �k5 " t1-b Telephone Number With Area Code etowivTOWN OF LONG BEACH WWI' 66 >>2 4601 E.OAK ISLAND DRIVE SOUTHPORT,NC 28461 531 LONG BEACH,N.C. 28465 (910)2785011 No. 033348 eEAcO DATE CHECK NO. CHECK AMOUNT 06/18/99 33348 $100.00 *One Hundred Dollars and No Cents PAY VOID AFTER 60 DAYS THIS DISBURSEMENT HAS BEE4N APPROVE AS REQUIRED BY TO THE THE LOCAL GOVERNMENT BUDGET AND FISC CONTROL ACT. NCDENR OF GOVERN, i . ORDER742,,,, rr// c________ AUTHORIZED 11110 3 3 3 4 8 II' I AUTHORIZED SIGNATURE .053LOLL2L1: 52L680L87 1 t a • • ti .