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Home My WebLink About22512D - Russ _a * i CAMA AND DREDGE AND FILL GENERAL N9 22512 —ID 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'i • i2-00 n" E 9' D �75q - 6,0.20 Applicant Name + G��c I' Ir1`r't.� U `� Phone Number Address P 0b) . a 1 ,'�/ '� City S P' t o k 1 Cam' State ►J�/ Zip a 8 0 4 cl Project Location (County,State)Zoad,Water Body, etc.) "'i t.,�SUJ►„_ C(DtA-(\* ,, �f t 283, P,+f A�'C./ 51�.�ccS -ceocv'Q , ( of{_ o{ Si �s\,vCc� D( �tnsu,l+Ck- . PiTu. vV Type of Project Activity J JJ P+ w+ k '�Ai flc 4 C! S k+ .E+- PROJECT DESCRIPTION SKETCH 411 ` N (SCALE: UT TO ) Pier(dock)length (: 4+ W X 4+ "r Groin length T number Bulkhead length jyFf Etch max.distance offshore () 1er\SA 15 l , 1C Basin,channel dimensions 1 \^c S L, I �AAC ,�r \V cubic yards �r \V- U '� ,, tt V 1� yV air V` Boat ramp dimensions i, Y le V �S Other r /� I • y �r �' v /p''� �l I°1 r n , Or V h, , Or k�f-'F L►ft ill \r V� ,' fa` `Y r f �` � V v I ( o' This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any r��CA/A/L 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. YY1 S1�.1 QQ 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- ��r,1C' V.a-�/ 1^1 \CI9c1 u I? 2COO 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 "Jt \ . 1,200 objections to the proposed work. attachments .. --. . eL -. GINERA', ERIMITCO NIP UTERFORM pp31C=.2. I''f1 Pr l TJA.S S DDDmON L Th A PS: 1�l GIe•A e 1 U S AEC DrSIC: PT es E LA) DEVELOP AK--- COI PROJ D=SC: P - � (V,3 cniyurs 6) (Wil)arati-snk_I) woR, : Pe 4x C4LI - NNer-) • - . ACTION =RATION DR C✓�FEL REQUIR u ) I-7 19,9 Z/ L 1 h-°°° CAN 4 MAJOR.DEV-M.RrQ ] V • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NO rIF'ICATION Applicant's Name:C. Address Of Property 8 39 ---t I 61-6 TNA iUc ��` �Z BiZwitisc.6 t c Street #, Street Name, Ci I8 CountyIS Applicant's Telephone Number t l t — 954 — (pO al) I hereby certify that I own waterfront property adjacent to the above-referenced property. The applicant has provided me a drawing of the the proposed development. Please initial the statement below if you have no objections to the applicant's proposed development. Initialling this block does not constitute a waiver of the required 15'setback from the riparian corridor lines. I have no objections to this proposal. Signature 1 / Date Print Name and Mailing Address alk i (/ NC L9-g`1'(c 2- 7/O ?a1)— /5-a Telephone Number With Area Code If you have objections to the applicant's proposal, do not initial or sign this form. You should contact the Local CAMA Permit Officer listed below as soon as possible to register your concerns: Telephone: • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION Applicant's Name: C • all CI�L N-Q�C 5.5 - Address Of Property: agj 31 41 KA-T- StilAk& Ri S kk o�.B�LZ Street #, Street Name, City &Cbu ty j. wriscv 1 Ch_ Applicant's Telephone Number 9 0 -- '7 s-4 —(oO,p-c) I hereby certify that I own waterfront property adjacent to the above-referenced property. The applicant has provided me a drawing of the the proposed development. Please initial the statement below if you have no objections to the applicant's proposed development. Initialling this block does not constitute a waiver of the required 15'setback from the riparian corridor lines. V I have no objections to this proposal. } &ttAht7 � *71u-3, ? 9 Signature Date 3019 .u ern sk i e t- Do _ (-Rga te. " DEC, 017 601 Print Name and Mailing Address q 14- 118 7- 6,1 C err C ca Va 5► a Telephone Number With Area Code If you have objections to the applicant's proposal, do not initial or sign this form. You should contact the Local CAMA Permit Officer listed below as soon as possible to register your concerns: Telephone:_ • • • MARY L. RUSS PH. 910a54-solo RUSS RENTALS 521768/531 �. it P.O. BOX 119 5217680621 1386 6 SHALLO7TE, NC 28459-0119 DATG PAY TO THE ORDER OF, A. b.: CC) if , 62k. ■�1�(X�w_T DOLLARS Q AANCN NAN ING,AND tgUeT COMPANY 4567 NORTH MAIN STREET P.O.BOr SHALLOT EXNC i l 30 g NJ I j MEM -G-T)-*ykAxo--.CX3 1:053i0i12i�: 5 2 1 76806 2 1u� 44-<------IVP w .A 386 • n __-__---- SAFE, PAPER l