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
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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
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cubic yards ,
Boat ramp dimensions ` "
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Other f / _eo
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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(:)___
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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
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