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Home My WebLink About20039D - Dobzyniak ,• 111 CAMA AND DREDGE AND FILL ism 0t139 • GENERAL PERMIT as authorized by the State of North Carolina 0 Department of Environment, Health,and Natural Resources and the Costal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 . )2OO Applicant Name •SUSPi f b0647_+i n, A Imo- Phone Number 31 3 a78 -b--r't,9 U Address 62 8' I Go tF C re s'!- tr`t,/ , City bP.e.trVoCr\ State MI,. Zip 48 )014 Project Location (County,State Road,Water Body,etc.) On s IOL i (D LLf41 , f'SCOhA Lo-r .50c ) Merl 6,r . `Ntt Jr— , "> comas f eri , M C/J, Cllwlec, ree_V.,— Type of Project Activity NkA,U P,t e_— 0 r h- A R tt1RX,t,,,u t,-. n F 4. bop+s mw 1 ke rn poreri & -i-k'i s S+r'ur4-k.t ry ( e2 include Je4 st:, boi 4c' PROJECT DESCRIPTION SKETCH (SCALE: NJOT T ) C4nii>-leS CCeQk--- Pier(dock)length 3 l ______.._._.._.-----_> � tom!tdi Groin length number Bulkhead length - l \c"a ' f (QOt + jr � fir--• `J1tP max.distance offshore 2 j \ ��:t ii d A Basin,channel dimensions r cubic yards _ goat ramp dimensions ,, pc.,,M oo r".r�q p t 1',nc15 cl A 4ru.f' + \ hot 'ii r�e._..J 1 105 t �r --�`\,p(Q,t, , 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 plicant's s' nature come null and void. permit officer's 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 pro- � t,,,,,,,1 J I , I9`1 t �` , ) ) I99 q 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 4,I ( 200 objections to the proposed work. attachments GENERAL PERMIT COMPUTER FORM APPLICANT N_ : 31.S r .Tbo bz 1, 11;ADDITIONAL N A 1v2S: �t A C DESIG: PT E .A J DEVELOP Pa& .00(WM only 2.71k6 6) PROJ DISC: P - f Z /n� (Wi l oaiv=•r_I) WORK: P!v �r X 322 i C= (P' )( only ia"s=a) 2 Mma) miry lw z4) IMP: aw lzo Q(n) r72 (will only w-6) ACTION 1-72 R4TION DP GE&PZ.L R. QUIP, : __<411Aft_ CAMA MAJOR DEVEL P:rQUIP.:�?: DIVISION OF. COA; 4AL MANAGEt3ENT ADJACENT RIPARIAN PROPrRTY OW ER NOTIFIQATIQN/WAIVER FORM Name Of Individual Applying For P. rn5it : cii,54/t) tiD6 Zy4/;61./e Address Of Property : 47 in,!/r/G//dN /jc. CSGO& ` i Aiz ad 5 6/'/ , Ag, 2 2 V 6 D / (Lot or Street (Street or Road, City & County) I hereby certify that I own pOperty adjacent to the above- referenced property. The individ al applying for this permit has described to me as shown on the attached drawing the development they are proposing. A descripti'. n or drawing, with dimensions, should be provided with this letti .r. .p x14 I have no objections o this proposal . If you have obect Qps to what is eina proposed. please write the Division of Coaszral Management` 127 Cardinal Drive Extension. Wi'minaton. North Carolra, 2840_5 or call 910 395-3900 within 10 days of receipt of thisr_.ptice. Nc resp.QUIS is considered the same s no obec ion Lf yQu have been i 2t1 ed by Certified Mail WAIVER a CTION I understand that a pier, dock, mt )ring pilings, breakwater, boat house, lift or sandbags :mist be se . back a minimum distance of 15' from my area of riparian access un ess waived by me. (If you wish to waive the setback, you must initial the appropriate blank below. ) I de wish to waive he 15' setback requirement. 2( ltj'?c r . I do n . wish cc waiv, the 15' setback requirement . --A ,__ 7- .,. Y Signature Pits /' , .; -7- CL. 21:3-.! -- . ---74 , ‘,/f/ , - Print Name X --s—Z4 — 44- / — y_z8-e Telephone Number With Area Code , I —i J.�� i :\,A) gAG • .1 • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWTER NOTIFICATION/WAIVER FORM Name Of Individual Applying For P rmit: f &) De (e Address Of Property: D J P t r i C�rgii Dr. L 5 c.0 bcct, 1v�ci,6ctir-q i' . 0 . 9 o (Lot or Street 4, St eet or Road, City & County) I hereby certify that I own property adjacent to the above- referenced property. The individLal applying for this permit has described to me as shown on the Ottached drawing the development they are proposing. A descriptin or drawing, with dimensions, should b vided with this lettir. Y - I have no objections lo this proposal . If you have objections to what is )eina proposed, Please write the Division of Coastal Manaaement„ 127 Cardinal Drive Extension. Wilminaton, North Carolina, 284U or call 910 395-3900 within 10 days of receipt of this notice. Nc response is considered the same as no objection if you have been i tified by Certified Mail WAIVER S::CTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be se : back a minimum distance of 15' from my area of riparian access uni.ess waived by me. (If you wish to waive the setback, you must initial the appropriate blank below. ) I do wish to waive .he 15'setback requirement. I do not wish to waiv; the 15'setback requirement. . fX ----L----.----- - ' S:_ azr-99 32 , i,,�nature )ate X. J/J .,J K. s Z,,ix.rs Pri Nam k 12 T-ca- oN C'`'c(U t /D -.2-) - / ? / ,Q Telephone Number With Area Code D� lt4 4\-- (� Mf i4 y ea t .� " '' s till i yi0$I� av :r .M 4J O. 3 Z. `iwr Qp .iii* i 4) e..•• '4 j • ., ti it, •tt'�'T o �i % ••.►' w t� '4 0•N SO 8 Ors. ►3y, �* '1 .� �, Ins II')II') % •M c\ov \ t. a* onr ��a �.. _' 1 etla-- 6, N W0,2 40 4 . yk J —• ./ . T r. r Z ...?,$ ti isi\e„,.4 n.,41,411,...!!\• ► 7... .411 w ► Arf M . .. 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QC_� n4/svr , SENDER: - I also wish to receive the 9 •Complete items 1 and/or 2 for additional services. following services(for an rn •Complete items 3,4a,and 4b. w ■Print your name and address on the reverse of this form so that we can return this extra fee): i card to you. i > •Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address a permit. r ■Write"Return Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery 0 _ •The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. i 0 3.Article Addressed to: 4a.Article Number lo i?5 �'f ,'/j Sil✓tCi Cvr?• c EL 4b.Service Type • E G- / CI Registered El Certified c g • 0 v7A�.9-A/C "/�/ ress Mail El Insured�_ /,no-al va 1��jr� ceipt for Merchandise CI COD a /1 rc�+ � �s. � 2� My 7� •f D ivery 2 5. Received By: (Print Name) el ddre Address (Only if requested N� {�p(�nd �� aid) w 7 I. x 6.Signal re: ddre or QNO 0 X ./I� y PS rm 3811, December 1694 102595-98-B-0229 Domestic Return Receipt a; SENDER: I also wish to receive the v •Complete items 1 and/or 2 for additional services. following services(for an rn •Complete items 3,4a,and 4b. al' •Print your name and address on the reverse of this form so that we can return this extra fee): i card to you. > ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address a) per•Write " 2.❑ Restricted ritite"Return Receipt Requested*on the mailpiece below the article number. Delivery u Y • Tne Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. i 0 3.Article Addressed to: 4a.Article Number < t1 rs(, o 1re /r.- Oi,$ T a !J j� 7 •f'tCt b. Service Type E �j /�. /� ,g� ? Registered ❑ Certified u•76v Al IV 54%9 - r dwq Express Mail ❑ Insured o vtiAJA, 17,9/4 A/ 1/, .� .r ❑ Return Receipt for Merchandise ❑ COD • co 5�-�� YAW b. Date of Delivvery > .i. to // /? /Tl i . Rece' :(Pr' Name) f3.Addressee's Address(Only if requested ��s /(� and fee is paid) H j h X .S gnature: Addressee or gent) oX t1 �-.---....--"" y PS Form 3811,December 1994 102595-98-B-0229 Domestic Return Receipt — —1 822 ANTINORI CONSTRUCTION 66 19/5G0170� x I IO ti 896 IiW Y.2W Date LLY RIDGE,NC 28445 t]I to the $ '� Pay '' � Order of < Q-D d Dollars R.EF::, \‘:\ Na • ank �I NalionBL3anIc,N.A. l� I t'ct r°'• Oil' 06 2 2 �� —� I' 0 0 0 6 5 0 5 2 L C1 0 5 3000 L 9 6 GUARDIANS SAFETY BLUE DM 1 1