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HomeMy WebLinkAbout19814D - Wood i' • CAMA AND DREDGE AND FILL • GENERAL N 9 019814 —D PERMIT 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+ , 15 DO c • 1?00 Applicant Name W `1t c M • Wood � Phone Number q 1 q e9 4 -478 Address o7441 M e- Cross ror'Ol S -enteNCI City Four OA K-S State 01-) Zip 0--isay' Project Location (County, State Road,Water Body,etc.) 01#\ S I t)t..) Cou.n In 9 rru II 16,de J 6(v i\d 3 -,rr t,{ , 1`lU N1 frn- M nde_ C P,A1 ( (AA 1 ( ( r Zit�,✓� Type of Project Activity1 g AG verp u 1 K- R (1 +i.e W,em A,rn u r•el PROJECT DESCRIPTION SKETCH (SCALE: i \ y ) Pier(dock) length Groin length number MfNr - 0Adc. C7 nA1 f __._- ---------r.._->' — Bulkhead length jR:ft11C 6 o' to u tl`he Q_1 max.distance offshoreAl Basin,channel dimensions t IAcC. (XiSi; rc{ cubic yards V �1t: ft S ncr essar`-,ty -11 ;� n WO Boat ramp dimensions 4,U V -H-L,1 -�t .0 (OU"�� RIP Other ( X a V 1 0 a)7 i -;.' bow 5t, p 14`1" �^ i owl " -, w t\ `'` f� `_ „ i i \,\ i li t F 1 1 ( ' 5or ) C. 1.___ �...4+ 1 rc----it, . I_ pL- is permit is subject to compliance with this application, site t ^ drawing and attached general and specific conditions. Any � �� D r ry( J• violation of these terms may subject the permittee to a fine, /� imprisonment or civil action; and may cause the permit to be- applicant's signature come null and void. permit o i signature This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. 1�� The applicant certifies by signing this permit that 1) this pr a al nq q 1 ject is consistent with the local land use plan and all I cal is uing date expiration date ordinances, and 2) a written statement has been obtained rom adjacent riparian landowners certifying that they have ....** 1 (.)(� FI 10() objections to the proposed work. attachments 0 GENERAL PERMIT COMPUTER FORM APPLICANT NAME: CUi I 1 iC_J Ciooci ADDITIONAL NAMES: AEC DESIG: EtS DEVELOP AREA: .003 PROJ DESC: p - (Will only take 6) Q Q (Will only take 1) WORK: 6 �"� �O X I S6 /1 'X ap_1 ('•'ill only take 4) 8 � l� X t41 y. MAINT: Y (Will only take 4) IMP: NG 50' c a a a (will only take 6) t() /S ACTION EXPIRATION DREDGE&FILL REQUIRED: • // a i 1 a c] /al /9q CAMA MAJOR DEVEL REQUIRED: • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM jrp VS 11 e Of I i ividual F lying For Permit: iij��� 01 e� Of, 1999 Ad•ress Of Property . /i 7OF COASTAL DIVISION rAP AGEME T A ,e - ('Lot or Street #, Stre t cSr 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 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. 1 I do not wish to waive the 15'setback requirement. /.4n 17 Signa re // ate V Print Name AMINIP. -,36. 7,,_ ,„, 111# R Telephone Number With Area Code H N DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM 1 Name Of Individual Applying For Permit: je),,,L4e__-je _ Address Of Property: /0 7 (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 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 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. ) V I do wish to waive the 15'setback requirement. q . I do not wish to waive the 15'setback requirement. Signatu e Dates • Nr C. TH& ps�1 11C�' Print Name .��... 1►o- 4s5 -37/2 Telephone Number With Area Code H N R 1 1555 ' 1185/53 WILLIE M. WOOD NCDL 2360162 66-6_ 185/53 , I 05 EDNA ELLEN WOOD DAre _��' 2 41 ALENSALS PH.CROSSROADS 4-4761 FOUR OAKS, NCC 27524 J $ �'D O a PAY ER F / (� , ORDER OF 1�.L— O `/ DOLLARS 1 _____7/24.. ..., (4_ IA TR ANGLE PINNACLE BANK GOLD -�-`DAN�` ACCOUNT .�.r Benson,NC 27504 /��[`� FOR I:053LLL8521:0 50 24 20 76 W L555 ( PI ct(lt.l,