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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{ . •