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Home My WebLink About18155D - Williams e 4 CAMA AND DREDGE AND FILL GENERAL i 918155 -1 PERMIT as authorized by the State of North Carolina 0 Department of Environment, Health, and Natural Resources and the Coastal Resources Commission in anarea of environmental concern pursuant to 15A NCAC 7 14I2.. •Applicant Name - Pr. W : "' A P* �o i ' A c4%— t Phone Number( k o� �S�— ' S( Address t 2 2 $.nn€ • Sr.�.,ST sr. City L..-(.J`en- 1 A. State N L Zip Z13 Project Location (County,State Road, Water Body, etc.) Sip lerv--.2, fe844.(-�+ V LS CA-NI Ir L. g1Z .k.ist _t c k. CD .�1 Type of Project Activity Bd •A *DI)(11 CNIld II) ` PROJECT DESCRIPTION SKETCH (SCALE: I t' _ ) Pier(dock) length V Ls C._ L.,,, —.—...------- Groin length • number I4 Bulkhead length . \ t3( A max.distance offshore I ` / 4� `' N It) .fir -�° 'Qi G l,.e S1D� 6� �103 �► C Basin,channel dimensions _ { i 3 it bovr n6 t?ter~ Flo ' cubic yards Boat ramp dimensions err SAC . '' I O • ��` "_....�-.--.� �% ._�' --------------- OtherBOcirt..1 F`r ( � 4R ` _ 13r>< t3 't� s I " 1 y � 60--" , • This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any 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. (SV 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. 5.S . 9 q s-c J The applicant certifies by signing this permit that 1) this pro- 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 - {-{ 1� objections to the proposed work. attachments �•c�c�/ _ . ,�- r r_.rat 1.1 L.; 1 L l-( t U ICC I APPLICANT NAME: , W c l( c S ADDITIONAL NAMES: AEC DESIG ("S / r t DEVELOP AREA . � PROJ DESC:"P - (2 (Will only take (Will only take 1) WORK: ) L. ( � (Will only take 4) MAINT: ' '- (Will only take 4) • IMP: O w 16 9. (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: CAMA MAJOR DEVEL REQUIRED: b ` S "59 tS9 1 1 r,* O) ,?iAg si { Hr1-/ ir 1 i Y 11 ( iii tog — 1 —Si �/ h� 1 �i c )foe.t�/, .02 V'.a 4..- ,ir #/ s,.►n Zr"r2 # .),14(/ 91,141 0:1 - v .d 'Y'r i'°8 ,47,E-4/ ./o .4. •/0' 4-147/4"1 c 1 -Y ,.7�/.s a DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: iFt A///„(/,g/y/S' Address Of Property: /..2.09. ,4/1.4 / 6 / 4A106%,e, ,1 P AYv- SGy.&w e. (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 ovided 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 Manacement, 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 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. I do not wish to waive the 15 'setback requirement. -t,,q---) inl-r"-44- Si nature DateA • -iii ri) 1-, W14. Efts P int Name 'V ' /- Ze/-Szri CD'V NR Telephone Number With Area Code DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: -%'�//.L ,� &4///J/775 Address Of Property: /,2 2. 7 C-' (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. I have no objections to this proposal. • If you have objections to what is being Dr000sed, please write the Division of Coastal Management, 127 Cardinal Drive Extension , Wilminaton , North Carolina , 28405 or call 910 395-3900 within 10 days of receict 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. I do not wish to waive the 15 'setback requirement. S gam- Date Ai; Print Nam �� (9l� 22e sof/ 1:3 HNR Telephone Number With Area Code • • • • JOE EDWARDS & SONS, INC. FIRST CITIZENS BANK 5269 PLUMBING 10454-P ELECTRICAL 8702-L &TRUST COMPANY P.O. BOX 507 910-278-9381 YAUPON BEACH,NC 28465 LONG BEACH, NC 28465 66-30/531 V/ /. G77" PAY TO THE Ac>Viet7 ORDER OF DOLLARS Security features 7 included. Details on back. MEMO 1 .//411.7_.---5 - Xs/47r 00052G go 1:0 5 3 /00 3001:4 5 L LO Lp elpims5 •