20265D - Stibble

CAMA AND DREDGE AND FILL
GENERAL N 020265--Di
PERMIT
as authorized by the State of North Carolina
10 Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 94 . 120U
Applicant Name u0Tht1 a SA-% bko1 tJ Phone Number i"4t'A &3 19&0
Address (oO(o wir\} {` \A Ue-r, 't.('(Jc..)
City 5y\Vp,r,a State U}{sib Zip 24356 b
Project Location (County,State Road, Water Body,etc.)
era's kJ'l CV- CUun4 i() I 4tJt'• 5 met
urn,,, , -te,-nc k , Ncl) C.kevrr.e.l cA P Q F AT u)
Type of Project Activity Me AA) pYe-e IA,(\d cj c L..
T3TA 1, S-hruc,k-u rc, rnu st not exc..e-cl Y44 td4k aC chTrir .c 11 Nitres h car n ..As -t o
Mom- e;SrnSS . )11uSt e.ileMs-k tct uF°F ¢-1 Co(r .(40r 1;^e_s
PROJECT DESCRIPTION SKETCH 6tI�,r�r,T� (SCALE: �T To )
Pier(dock) length 150 _
41
Groin length 1n{-f•arrN
V
v �` 4 iirn(xr d ir
number Bulkhead length* coy \Ir' T ir �}�
L' X \4 •
't S�` nct V \r \- Nt`4' \I s T '4/ r
max.distance offshore ` , ut l{ r
\r j
Basin,channel dimensions Y r ir i t ir
cubic yards V
F
Boat ramp dimensions — jj V
Other 6 10 . E.46i t^a
f
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Anyci4-- l/X� 4A,te_e_
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.
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.
The applicant certifies by signing this permit that 1) this pro- 2,_,0 ,I9cfc! d7--(X'7rtbe-1_/ ,_-_.U, \99(
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 )t1 . 12.00
objections to the proposed work. attachments
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AEC:AP-SIG: E 4) ES IP T DEVELOP � PROJ _
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ACTIONIRkTION
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CAMA MAJOR DE M.R:QOIP, :

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^ DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
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Address of Property: _
(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 objectives to this proposal .
If you have objections to what is being proposed, please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wilmington, NC 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 sat 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.
_____________________________ ________________________________________
____________________________________________________________
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Signature Date
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Print Name '
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_______��_
Telephone Number with Area Code

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property: _��=�� iL/__._��L!��.�= -________________
_
(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 objectives to this proposal .
If you have objections to what is being proposed, please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wilmington, NC 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 sat 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.
____________________________________________________ _________________
____________________________________________________________
Print
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_ GRICE CONSTRUCTION ��
PH. 910-579-9095 DATE i
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