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Home My WebLink About19815D - Fornwald CAMA AND DREDGE AND FILL ' 019815 J �, GENERAL f-k : PERMIT as authorized by the State of North Carolina Department of Environment, Health, and Natural Resources and the Costal Resources Commission in an area of environmental concern pursuant to 15A NCAC r] • !zoo . 110 0 Applicant Name PPIL+ ' lrnkJA td Phone Number q 1 9 9 Li"& -9I4c Address 02 5-it° 4-IA I f+T Q, Lour•-t- City Tr,1c.. k State N Zip Project Location (County, State Road,Water ody, etc.) � w (Jou n`� 6n95" (0-ra 5f c'e-l' SU ,I fc - , t\Jc..0 , 1 Pvt.- M c_ £ ,nf, 1 Type of Project Activity 4 4- IAS�� bvl.1t ('4) to C.- 'f* r tAJ \f 4 uiAl` , tl kApti �V�ed bot�11►i+ , CMiM t it- �()u. C ao,lc_ i5 e x', 5 -Fhr 1 V )N . ct 4) bo M r Ate--. 1 e xt s4' P ci PROJECT DESCRIPTION SKETCH Mreln MAGIC < (SCALE: ) Pier(dock) length ' -- -- -----_"�� ' ai •Groin length .1(teN V' riC1 J number 3' � r 3' - yrf Bulkhead length r/ 0 �—! � + w,�vic\kIS 1 -- 0�.� — II' bnc�.. max.distance offshore ' �., C V Av lv� C) V a af,, Basin,channel dimensions (r46S4', r.ci QL, dock 7' cubic yards j L< 13 h ne1uE) `iL 1 Boat ramp dimensions "' V) o)du11 --. bo frk P6'D'4 c '---) o '!,,)'1+1, G ri! w>11 K- Q 2 - --R 74\ -bac K.- pre,d C tO k)fl 1 ks rnu.s-k' 1 y nub exceccl o�aopf PL- ‘3 5 ` 0T I 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," imprisonment or civil action; and may cause the permit to be lica( nt,ss ignat(ir come null and void. Ntry- ro..Q....cn This permit must be on the project site and accessible to the permit officer's signatun permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) this pr e"`.--\0?7 ��jgc'j cD- I 1 9q C' ject is consistent with the local land use plan and all I al 'I Issuing date expiration dal ordinances, and 2) a written statement has been obtained f m adjacent riparian landowners certifying that they have n 0 . \IUD e. , 12 00 objections to the proposed work. attachments ►Y' - cP GENERAL PERMIT COMPUTER FORM APPLICANT NAME: P Rtk. . r n kVA ICI ADDITIONAL NAMES: AEC DESIG: P T E(A) DEVELOP AREA: PROJ DESC: P - J (Will only take 6) ———— (Will only take 1) Vv ORK: 644 y-a' x 2' L.. l a x 23 (Will only take 4) MAINT: (Will only take 4) DViP: 5g 4 okJ C=2- 619 (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: l f 21 1 411 4 I (Di I 19 CAMA MAJOR DEVEL REQUIRED: i , f /11 01 Y$- - rel. 7174s } T371, xt 4 ... „. , . . ... ,....s - -4--#---7---'---. ----.,-.1- -, - -:-.--iv-i,»-siv .7).4019 ri ‘i'c.. '5 • ilv,, 1 bm mar( � 1 i,o a-s 4 ._-. 11 oy )fiOG ___ i • ,. r 4it :. :1 .. t yl 1 , 4 1. •Pitie , (I' 1°N - ) • FA. f� VANCE E.KEE,MAYOR • TODD N.THOMAS,IYArOR pRo ram r"'�� KENNETH 0.BATTS,ppyr��yEy�q 1,10/1101 j-itliRF C 1 / Gu6 C.MEDLIN,COUNCIL 1�pR .. : UONELL MIDOEIT,oouN�N R RICHARD B.TURNER,caw&mono NORTH CAROLINA 2 8 4 4 5 RoeERT KILROY,ATTORNEY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/UNCOVERED BOAT LIFT) I hereby certify that I own property adjacent to 'P,"L- g S0`1 Po P--tuw✓a-LX 's (Name of Property Owner) property located at a q, 5 (D `Q. S • , L_o i y t k- 40 (Lot, Block, Road, etc.) on , in C (T , O .,C N.C. (Waterbody) own an or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift must be set back a minimum distance of fifteen feet(15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. ,./ I wish to waive that setback requirement, DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) `) "QUA-cam, S w LL — t — .A) -EN sTY�L,� 1 o L- k FT. 1 . II i ! j + i { i i 3) ��STP�L •1)CC Ic />20uN I I1 I I ! ; i • F 1 1 . • 1 ! - l?j0A-T 1--lFr• III 1111 � lll ! ' I i /lj��(,y[� i I I I 1 1 i ' i i r I i , 1 / I l i I I I i i i I I .. _- / I { 1 1 1 I ' { looC K. 1 I I /,/ ( 1 c, : .,er I I 1 Si e it 11 � e 0ornti• i I I I i 1 1 i l l ! �' e)R. F t L. 11 F-�;�II -► l r 1, 1 i 1- i i I , Print or Type Name Ii , II 1 I , � , 11i � „- , 1 L ill . p I 1 , I 1 ' 1 i 1 1 : 1 , • liq - /34 - -1`lab I 11 , III iiIIi , it I 32 i , , 1 i ; 1 I I , Telephone Number 1 i 1 1 i lilt ,, ; I Date: 1 .�,, g - /`l l `fce 1 1 1 1 1 1 . 1 1 1 , I I eECc J No�SE I : I f . ''' 1:J,'•`�' •(~, r.r.. •\ _ -..ice_.�"E •r --ft�. .: a .,-�1T` . - • 7.7, P.O. Box 2475 • 214 N. New River Drive • Telephone (910) 328-4131 • FAX: 19101,328-4132 ----- _. wJul 01C14iwikuw roWr1� VANCEE.KEE,wroqTODDN.TNOMAS,HwrOR PRO TEMam..� � � KENNET}1 D.OATTB.OOUNC'a<YF11•[A�►OUHF DOUGLAS C.MEDLIN.OOum &�pI `po- UONEU-MIDGETT,axiom►E14e01 4 RTN NORTH CAROLINA 28445 REARDBTURNER.coUNCa.„mE„ ROBERT KILROY,ATroRNEv ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/UNCOVERED BOAT LIF7) I hereby certify that I own property adjacent to PA u L I oy --rzi R.w Pk-- -1) 's (Name of Property Owner) property located at (D 0 5 C9 S . ( 0 y t f 3 i„. L 0 (Lot, Block, Road, etc.) on , in E3'Cw �), , N.C. (Waterbody) own or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift must be set back a minimum distance of fifteen feet(15') from my area of riparian access unless waived by me. I do not, wish to waive the setback requirement. A ° a -1/4 I4,, wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be idled in by individual proposing development) I) ' ..EPLACE S CR"-'-'1;aL-L 1 , Inian1 i 1 1 ' ,v_At 1 ; ; , I BOA i Ll Fi, p ; ; .7-e, , 11 , 1 . 6 4 V)1 4-1 2 41i f . ,..'61 i 1 1 ! I I i . /Jr,///A, [ I t II Signature i � I ' ; � , I I I � � f� r� 13 l farNi� ! I ' t I i i i I �c v i d lJ z-1 a r r c Si U.® , `" _ 1 i T I Print or Type ameI", I I , I I • ! ! ; , '; [ 1 ; ' Iltiiii , i (-I i 3 'z-- g - 0 ,- s l i I 1 I illlIll . I I ' ' ! ' Telephone Number ! p ! I I , ! Iii i II II � I , II ! 1 ! I , 1II i , Ir ,. � � � i ) — 1 /i - ci � I . 1 r 1 ! . , l Date: . 1 1 1 I ! l . I . , i i , ; I i OE CK�Ni Jt. i I I I r •T•' ! ^+:�•.0 �\ •-J•�w• 'F!�>`r' ^fi `. ,,.y�..,� M!�� .. I I 1 1 1 •4 �1 - -4 .^- '.•'y�,}.."i•ti1 3R'Y"tiJ�,• �� •.,' �'1. �� s'.- _' �.,,V•'-rJ ... �•r...�. - •^s-• P.O. Box 2475 • 214 N. New.River Drive • Telephone (910) 328-4131 • FAX:79101=39R-di 10 ANTINORI CONSTRUCTION ss tsiaso r0 e oo� 1 896 HWY•210 Date i HOLLY RIDGE,NC 28445 vfl $ sv - Paytpthe �r� 1 9 Order of Dollars V_ dd A Na ' nsBank ' NationsI3ank,N.A. !, i'''..A.40....r......).., For v _--- sr p u■ 0 6 L 6 �^lp\�0 _ 52L '_ _ 1 O 53000 L 9 - : 0006505 0 0 6 5 0 �m¢3-z+1_ �' -- GUAR ...,EN BLUE DEB, aa,k, x'.