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HomeMy WebLinkAbout22633D - Sasser L _ CAMA AND DREDGE AND FILL % GENERAL N? 22633 -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 . 1O, Applicant Name )'cj►d AS Phone Number Tr() 33UJ 6Address 1011 Old hL cs+o 'tD� City 61.1&t dS Fete(11 State Nv Zip c c W b Project Location (County, State Road, Water Body, etc.�) r1)Sl0t1,) COun'�,,1 LOT �j I yA;� Co,_ 1.-Ant-J r , 11 ds I c-rr M& AMyty--le5 Crre�k-- Type of Project Activity 1\J Aj `'er' i a O C k- Ptrsri u r C oV e-r d 100 Pt+ I si F-"'1" * -Tki S Ru4►•onzAi'ten t s Gon+', ne)&r\t LIon fQer nui F'tcPrftor\ of 'Dc r\A I d Cd e�S le j k S-f- s ra c+u cep i.. In ►s she II F, k q►A-rra elf • * M(Ix,o.0 r \ (4- a. bon-\s r,ti be. Moored (at)J -1-1,:►s S-I-r'a( Lac/ PROJECT DESCRIPTION SKETCH ? (SCALE: h iOT T.) ) Pier(dock) length --- 4c f-sA • -11 Groin length !('e e. IQ 1;0 num ber Bulkhead length Y S max.distance offshore ` 1 Basin,channel dimensions cubic yards (.91-I' Boat ramp dimensions Other 10 ' X. I 1) ' 1anNVe,rrd boAt I',PI- 141 \, 10' x a o' dnc k- i�l...•• 5Cn ► Le r This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any aWei247/zi violtion of these terms may subject the permittee to a fine, applicant's signature r,00,-A-7 imprisonment or civil action; and may cause the permit to be- come null and void. -�y) 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. ���� /�\C , �� The applicant certifies by signing this permit that 1) this pro-' ' l ) .C..t4V"" � L-� t(, 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 Z 0ri � objections to the proposed work. attachments A- VEIN i K A ! , PERMIT COMPUTER FORM APPLICANT N_Alvl : 'b AJid . Sf sse ADDITIONAL NAtvES: AEC DESK: f) E DEVELOP AREe• _01 PROJ DESC: P - 1 Z (Will oaiy 2 k 6) (R i�only lake 1) WOR • P L t4 f X (p qt c k 201 (Will `.t k=4) 6 L. lox ►D MAINT: cva miry,In.:4) 2 o aLO ZOo (vrT only t. 6) O logy ACTION E-XIDERATION DR G� =rT.T p.:Qv '7 Ito -9'1 10 - ((0-q 9 CAMA MAJOR DST REQUIR�=D: p . • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAWERFORM Name Of Individual Applying For Permit: T) 'JLb $A SSo�- Address Of Property: LOT � — -BEA CO tJ Atkl� SAL 9�-g 7-7gQte 4/ ; DxtSLoc.� (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 toitie as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. V I have no objections to this proposal. If you have objections to what is being proposedi, please write the Division of Coastal Management 127 North Cardinal Drive, 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 or sandbags must be set back a minimum distance of 15' from my area of riparian arrss 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. 0 feiziee-efrtie- I do not wish to waive the 15' setback requirement. 9-tc-or5 !I; • • Signature Date Ai D#9 Airfy "sy 1 c/ Print Name 9i9 - NCDENR 39 � iShO Telephone Number With Area Code NazNr+ NARouNA DEPARTMENT or ENVIRONMENT AND NATURAL RESOURCES DIVISION OF COOSTAL MANAGEMENT AI�TA(�N_T RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: "Ns\)1 I) sA SS'o Address Of Property: 4J 1 I — -zEiN,c0 ,J • SND )s iE Q /J d�Sc cri (Lot or Street #, Street or Road/`t'City & County) I hereby certify that I own property adjacent to the above-referenced property. The individual applying for this permit has described to irie as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. V I have no objections to this proposal. ,tg- /e, Av If you have objections to what is being proposed, please write the_ Division of Coastal Management, 127 Nor h Cardinal Drive Wilmington North Carolina 28405 or call 910 395- '1900 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 WAVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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. 0 T4 ,tic; I do not wish to waive the 15' setback requirement. c=(-1-1.4.c1L— / lirlie---Ad 9-5—h .7 7TrA A . Signatr� Date /�, 1. i'i s / u• Print Name NCDENR Telephone Number With Area Code N CAROLI"A DEPARTMENT'OF !O ENVIRONMENT ENT AND NATURAL RESOURCES pJVISION (IF COASTAL MANAGEMENT ADJACENT_ • • Name Of Individual Applying For Permit: 1)60I1 �5 's& Address Of Property: ��_ ' L, JE AJG 2 `fCO (Lot or Street #, Street or Road, City e3 La.) �J`5 I hereby certify that I own property adjacent to the above-referenced property. The individual applying for this permit has described to-rile as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. V I have no objections to this proposal. p oc.kc If you have nbjections to what is being propo�pl 2se write the Division _of Coastal Ma nagement_l 27 Nrnrt}LCardinal )rive_ Wiltninglon, Norihllarn1i_na ?8405 or call 910 395- '3900 within 10 days ofirreipt of this notice- No response is considered the same as no ohjertinn if ynu haye been notified by Certified_Ma.il Now roil. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian arrPss 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 • not wish to waive the 15' setback requirement. �'114 Tic!FA • Signature Date t iAL_p GDekls Print Nam 1 NCDENR 1 0 a gc Norm cAreouNA DQ.R7MEKT of Telephone Number With Area Code ENVIRONMENT AND NATURAL RusouRces b • • • • • I: 7 - '' - ^"' ,fllSecurily enhanced docurnenl.See back foe 4elai17- --p yg j`I D & B MARINE CONSTRUCTION 1935 ill PHONE(910) 327-2140 II 143 CANAL DRIVE P.O. BOX 369 i, SNEADS FERRY, NC 28460 DATE_ 1� �� 1Y99 66 30/a57 I PAY g ,, TO THE /> —Nie i ORDER OF N I -�,,,�, ._______„ • ___ ,,,,,x0,, ,(. 'j DOLLARS .,... 1 a ;! IIRSI'CITIZENS 457 i' N FIral.Ciiiaane Bank 8 Tru,r Company D'"•IC 6noada Fany,N.C.26460 — X 1' It FOR r ()AZ II II'00 L93511' 1:053 LOD3001:00457 L3 L 2 L510 )�