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HomeMy WebLinkAbout23795D - Buffin ¶ AMA and DREDGE AND FILL GENERAL0 23'795 - P PERMIT as authorized by the State of North Carolina > ,,:„..- Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC 7 l-F.1 2.0 0 • Applicant Name W ILLJ-ref t3uFr 1 N % J it IviNLy Nog'r44 Phone Number0 I 7CR- Earre Address -.2c:1' 2. ?? c) CI)(Apt City t UnnI ►.1' State t) C— Zip 240gt Project Location (County, State Road, Water Body, etc.) S ie / Pt-C�-w. J_L)L 1L4 ' 7 ekit ItY)Ar IN A trA-mac- . C h aki i_., M'l j HI e i-o U4. c (� it Type of Project Activity !D► l T7(5, 10 5e&.IST1 ►s.O1 p ce{2. PROJECT DESCRIPTION SKETCH (SCALE: I t I = 3 0" ) Pier(dock)Length lk% mm - > a M Groin Length number N Bulkhead Length o a max.distance offshore types—Y^ ,`` i Basin,channel dimensions i, !3I / iI _... _... I _ 1....�..., cubic yards , Boat ramp dimensions ` " , ... - IN '', iii "3_ Other f / _eo ,Goy-4 II - 0 i ,s a Der-r-t .. .,- !.._,_ ......._ ,,„,„ :,,.,., This permit is subject to compliance with this application, site drawing / s and attached general and specific conditions.Any violation of these terms �� applicant's signatun may subject the permittee to a fine, imprisonment or civil action; and may cause the permit to become null and void. 6--)--- ' This permit must be on the project site and accessible to the permit of- permit officer's signature ficer when the project is inspected for compliance. The applicant certi- t (- I s--I _Oc) fies by signing this permit that 1)this project is consistent with the local issuing date - expiration date land use plan and all local ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they 71+ Ia-C]d have no objections to the proposed work. `` � attachment! In iscuingg this permit the State of North Carolina certificc that thic nrnior�t (' [L/\_, r ' `..r19(:)___ Ilott4 u-f-Ck :• Lc 34, _L3. 1e4 Po,Ai [44 ribou.r acl.q _ Pillt,79q.-fne°)E° C).(1511i‘ c,d. Eutitl-k %a • 1 • ex.% ; /1433 6x 3a peck sTA.)3 jec 1 1 111 1111 1 1 1 Pr Op06ed PlocA,0,3 Doc. • • • - Proposed .3e4 sero- .-F P/63 to,g bcpc_k 31 Pi DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: kLL4RD 5. BUFFf</K Address Of Property: LOT 3(a , .INLET PONT /IAiSEYJK WILMINGTN t . C. 078409 (Lot or Street #, 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. M/--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, Wilminaton, 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. (t. 1J I do not wish to waive the 15'setback requirement. j/ ) q Si ture Date 'A761Name �� Teleph one Number N With Area Code ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delive item 4 if Restricted Delivery is desired. ,' -4 I Print your name and address on the reverse C. Signature so that we can return the card to you. Agent 1 Attach this card to the back of the mailpiece, x � / ❑Addressee or on the front if space permits. D. Is delivery address different from item 1? 0 Yes . Article Addressed to: If YES,enter delivery address below: ❑ No E�4LE 9 '3Wp/roeWO. e. 3. Service Type //1/� .,v,/ T�/ Ar/ Certified Mail ❑ Express Mail 0 Registered ❑ Return Receipt for Merchandise 28s/o 9 ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes ?. Article Number(Coy from service label) z ,�z607 029A yei 'S Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY I Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired. c I Print your name and address on the reverse so that we can return the card to you. C. Signature I Attach this card to the back of the mailpiece, X 0 Agent or on the front if space permits. . . ❑Addressee Article Addressed to: D. •elivery address• •erent fro i',-m 1? 0 Yes • S,enter delivery address below: 0 No )..ADD N -1,50ki /17 Okke7A DRr(!E 3. Service Type 5 i{CT�ORD /�• a7ao 3 �[Certified Mail 0 Express Mail 0 Registered 0 Return Receipt for Merchandise 0 Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes ?. Article Number(Copy from service label) Z ZD7 029a qSo 'S Form 381 1,July 1999 Domestic Return Receipt 102595-99-M-1789 •ENDER: COMPLETE T."CIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. pate of Del' erg item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. Signature ■ Attach this card to the back of the mailpiece, /J CI Agent or on the front if space permits. X 1 - e �� ' ❑Addressee D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: El No C gc&5 eR/B� 64Sr14c -AVE. wrcm/A7 Fr!���/I/ 3. Service Type Certified Mail 0 Express Mail 0 Registered 0 Return Receipt for Merchandise C2igct ❑ Insured Mail ElC.O.D. Q/ / 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number(Copy from service label) • 2- a(7 a�a c/8a PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 nta �. 44g8 Nation3Banh Adva 66 �9� �40` UFFIUN,�R' n°� �� B g10 7N JO. $ S,i�, WILI,pRD g9. PH 1 �.�°� '' 229 GAZEBO C it: 2g409 Do a �� INGTON, W 11 N� 1 0., 9943008 Po�geor ° ? 1 � )' (' NP SBahk Ha N.�. - G�, a3 N�UOIlSVi°III. 3?6 4� 50 n' 4�,g 6 .sl �� Memo CI Lqr �: 00004 �:053