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Home My WebLink About22596D - Dickson • CAMA AND DREDGE AND FILL _ GENERAL No 22596 PERMIT as authorized by the State of North Carolina 0 Department of Environment, Health, and Natural Resources and the tt I Resources Commissi n in an area of environmental concern pursuant to 15A NCAC )/ -'4 / / ul-U Applicant Name 'RA IPi D(L' `5 ,:,' n [� Phone Number Address i 9iD S p � s Ci Jf �'Q1/ G!� � /��.1 M '� N C. Zip � 053 City �()— S / �, Project Location (Count ,State ad, Water Body, etc.) \ �""`� r' A SSG H 41.(ex. M l u/ ki i t b I'.J h S Gv i L, k Cc. 0 +_ Type fPro1'ectA tivit a fv c- 0 F"f' ✓/khe�t � t A- Sqm( c fe /1eiv+ ' 5 Qc.tt ICK'� hu11 Ie WI o �'l� S!C+U , I ( 0AS r.c, A,/ 1 wi C ler wit', 1 ,�' X 4 ' 1—,(rgr1� 0, c ADS r , V101 (n tl,.tt,k / )-' X,+ /3 04-4-/1-f- . j a4-ervvcrr—J ek}� . 4/ 11 (�4slr,C- r�#1 5�44 C q fn i- / 5 /n5 'c�( eck,4 rr r(yn Corn ' or (i11-P 4— q4 /,lug t 8a -'f' ro.. S 1 g � 1 PROJECT DESCRIPTION SKETCH 'ea 9t o i— C 4 n i1C I (SCALE: Air)4 40 cc,de ) Pier(dock) length/4 A/ '3' A 1 w w 2----7—' f Groin length A /p' • „__ I A'K f 3 1 • 5 [30q4/i 0' number �MC.Dv en'J/ A. Bulkhead length b f 1i x/oII max. distance offshore /// 1 Basin,channel dimensions Q7 / I i 1 CO A c1 1 .1-j ,1S 17 14, 1100 d' 9if, /d C cubic yards , Boat ramp dimensions il Other _ tK /t rr � — LL ��a4r�h �� /Ord(/� Ekt51'/h IN �'-Pro�afflcl (3u�lCl��y �' � f3u� / 41.4 f\/��a � r3)1 kb(.� c 6 0 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- ,1?- plicant's signature come null and void. neAl , Ct}1 .----___ 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. �f ---• r _ The applicant certifies by signing this permit that 1) this pro- /O'�) _' / 7— 9 I J — / f D 0 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 !,(�, 0 !� d V objections to the proposed work. attachments . . . . . . . -. ,. . 46 r— ,-1 (1n . ,L . --1 7!Nr: American Fish Company 1 P.O. Box 11046 (910) 457-5488 .� 4 Southport, North Carolina 28461 �t .7-- /- e , N f Ns 1L4,,---"It .,,,, Fola Doi f>I /olio ' - 4-57)(77 . 11.: kl w 1 a- i - i.A DIVISION OF._C7ASTAL MANAG£ME21T ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Al '.ying For Permit : Aid ,1 Address Of Property: , 4 J �%11L1_SdG (Lot cr ‘:.' reet #, reet or Toad, <:ity & 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 ublection;! to wliat Promo7ed. please wi i`.e the Divi?ion of Cepstql ManagIgnt. 127 CarcliD2,, Drive ExLennion, wi]. ington. Nc -III Carolina. V3405 or call 910 395 •3900 within 10 days of receir , of this notice . No regponee ie ccr idcred the same as no abjecti iave been notified by Ccrt.Lied M" 1 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. I do not wish to waive the 15'setback requirement . Signs u e Date • j ±hJ i3. 0 Lj -'U SJ Print ame . Telephone Number With Area Code DIVISION OF COASTAL MANAGEMENT ' ADJ&CENT RIPARIAN PROPERTY OWNER NOTIFICATION/s\rAIVER FORM a Name Of Individual Applying For Permit: A2/i `� Address Of Property: ,;/ WY-diet/1— 041,W o /1,A '/.-/46 42/2,at /1/'--- ' (Lot or treet #, Street or oad; City & County) - I hereby certify that I own property adjacent to the above-referenced property. The individual applying for this permit has described to the 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 ohjPrtions to what is being proposed, 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 asao 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 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 rlo not wish to waive the 15' setback requirement. 1.. Sigiiatdre 2wlfr Date �v Print Name NCDENR Telephone Number With Area Code NOR CAROLINA DEPARTMENT OF ENVIRONMENT ENT AND NATURAL RESOURCES • • • • • '' - ---- rn ha ncrd do cu mrnl• Srr B -�``—` THE AMERICAN FISH CO. I. CHARLES H. OR KAREN Z. PERRY 62809 P.O.BOX 11046,WEST BAY ST. ? SOUTHPORT, NC 28461 � � 1 PAY DATE �� 66-30/531 TO THE 453 ",g i ORDER OF $/4,--- ------ r • ' FiRS CITIZENS D O LA R s El"" < 1 953 [ Fir I.Cill Bank 8 Trusl Company f Sou h 7I Pol,N.C.28461 f •�f FOR i r Z - ''f __. _.1/ _.___,::) AP A II.0 El 2E10 Cie :0 5 3 /00 3001:00453L209922ii'