HomeMy WebLinkAbout20249D - Holbrooks \ CAMA AND DREDGE AND FILL
GENERAL i'S10' 020249 .b
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the.Cu 1/V Voastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC i// ' •
Applicant Name C;(4 j P4I 4 r J -0 Phone Number
Address in 9 I1_ QceuP. ►S
I
City VI LA State 1 Zip a:s y�
Pro'ect L cation Coufnty, State.Road,Wat r Boy, etc.) 1 1 E E. Sip r n l A,r G
5L4 4.0f- 1-1'. c �r/w VV n f�.- , /dLc., c,�, / r✓vt PA)r(., n✓et4
Typpp of Proj ct Activity On. . I/�- 1 ' / //' !c1 r 4� 7 6,4/k e 0 °) tea n eq *r" �_
D0vndurl O �a x el // nmen�' --1 a is .P+ �g$1L a -
u i f ! 14-4 ale V r�s a ()t li w I r�'� �' 1r / f I P4.5 T' el:" c re lL
514.ewce lire oA &t- ? 3. '.( c� Ji 4,..,� ii›F rr/.. /l0o , 4IP VP /Y ,
PROJECT DESCRIPTION SKETCH`' 2., Q ' "V (SCALE: `I / 4 r )
' ` •!`'ter. /1/0 7- C4 I f
Pier(dock) length e , e- W , r riv
Groin length Y
i
Ni
number Q /
Bulkhead lengthTe�' I Ieet U '
i1i' e4r `+� i 4
max.distance offshore V 'L L /v
�! ...4
!
Basin,channel dimensions �(///47 i( f 0 4 C
• h
cubic yards
Boat ramp dimensionszr
i v ) 6videw.;r-e sake
Other •�1—
�� ,. .
—$+_ 11 11144
Ale
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, L
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. -3— cT 41 / ,4— .,�
The applicant certifies by signing this permit that 1) this pro- 1
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 IP, //00
objections to the proposed work. attachments /[�
r-- r, . 7 �13
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: o l _b' `. QQ C' tAit
ADDITIONAL NAMES:
AEC DESIG: PT. E DEVELOP AREA: Lao PROJ DESC: P -
(\ ill only take 6) (Will only take 1)
1UORK: EA-4
Q 1
(Will only take 4)
rvai
MAINT:
(Will only take 4)
IMP: 56 q 1
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: q-3- cr v . `i'1
CAMA MAJOR DEVEL REQUIRED:
•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
. Name Of Individual Applying For Permit: 3,.‘,0_4/.- Rdb ,{,Sam
Address" Of Property: Lo'f 2-4 Stu /4 6'Sirt il-e-�
s-itri_5 - c eoL ,
(Lot or Street #, Street car Road, City & County)Y)
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 objections to what is beinc proposed , please write the
Division of Coastal Manacement . 127 Cardinal Drive Extension,
Wilmincton . North Carolina . 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no ob1ection if you have been notified by Certified Mail
WAIVER SECTION -
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift - 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.
•
A .
gnature Date /
7"--0 h 11 0e 6- ile4-17 jc, •
.._..... r
Print Names_
4/a - �' �-,?7 111)
� ephone Number 1 Area Code L7 H NI R
e
•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM
ca_N .4„are6/6
. Name Of Individual Applying For Permit: Skc�Zo
Address ' Of Property: Lv 7- 5ea_ r-t �r S �
(Lot or Street #, Street 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 objections to this proposal.
•
•
If You have objections to what is beinc proposed , please write the
Division of Coastal Manacement . 127 Cardinal Drive Extension ,
Wilmincton . 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 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.
•
•
i na%Ir.: 1J
Date
Ira
, C,,4,d ' •
Print Name ��_
TelephoneH NJ R
Number With Area Code
il
,1 G. R. HOLBROOKS ROOFING 5883
y'' 1770 OLD OCEAN HWY. c��r G� ss-3o/531 �'
BOLIVIA,NC 28422 Date /� ��7 / ass el
Pay to the b E-[ \ 7u / I $ SD 'op
Order of ,''
1
4,-i4_, Lo)/ Y t �!� Dollarsi , e HC CITIZENS 865
BANK FlsCozoC.a2nBk4 d9 Trmt Company
'/
Y
ti
For --- _-- ------_ - ----, ______—"P
1:0 5 3 L00 3001:0d0000 L 2 20 3 31I' O 5 : : 3 ) , el., .M . A
— -- — — -- GUARDIANS SAFETY BLUE DEBL
' -TC'lar k<Ame.knn
I{
. •