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HomeMy WebLinkAbout19789D - Palone ���+ 1.R.. .s, r�w�TMTAP{R'R�IK`.A4a PP•1TTR7`P6®, ___ �..P�� ��'!�YWWr�rFYf�Y�'. �� (11) CAMA AND DREDGE AND FILL GENERAL ,4 019789 -b PERMIT as authorized by the State of North Carolina 0 Department of Environment, Health,and Natural Resources and the o tal R w5es Commission in an area of environmental concern pursuant to 15A NCAC , //V V Applicant Name r ' pc, ta,, T4 Phone Number Address4? ,5 L D'h h `C. -. 7 it t 7 . City c lC ( K Se,,LA State N •v it_ Zip Project Loc tionA ounty, .jte Roa , Water Body,e 0 co-Fa .9 i¢ n `r —/r`4 J u A jr /4-o (Q( � ISP4ll i t brvn w l. r a , tt � / • Type of Project Apitivity C UA -�r✓c,'4'` net /Jvf kr1 I 1 /p s//4 M ( Ohl 401(.4 ' 0 S 2 f5fi' D/ec' O� 5•rv+A Sl(1( -a- .4'� P-� LA,(44(r64,0r-4 o- -Z h,S/7'/n') -�r(r o^ � (' f . '/I Con 4 ( 4i,,,1 O f G CA LA( tt 2 f h o 0 �k_1J A ppl,r � PROJECT DESCRIPTION SKETCH (SCALE: ,,"._ Sc,„ /( ) Pier(dock) length Groin length -4' V �' 9106 —MOVIC cC("C4 1 2/— . number Bulkhead length�° /a' A/ ! InP,,r ,( 'r ek, sk.., 1, ` max.distance offshore Basin,channel dimensions cubic yards )CS�°9 to/ 'Ar Boat ramp dimensions - 21 fr'\ 1—y„5f d 3oikiitut Other • This permit is subject to compliance with this application, site A ` (.....„ +rawing and attached general and specific conditions. Any 4---4°' Ration of these terms may subject the permittee to a fine, j applicant's signature -isonment or civil action; and may cause the permit to be- null and void. .fitikr , . ( 5 CIA ur, lit must be on the project roject site and accessible to the ��// perm' signature -icer when the project is inspected for compliance. (/ D^9 C /�C�4 /O ^ / 't certifies by signing this permit that 1) this pro- Vent with the local land use plan and all local issuing date expiratio date 2) a written statement has been obtained from landowners certifying that they have no 2p, iro-c7 1posed work. attachments l •VCtt �: :_:. PERMIT - COMPUTER FOR_NI �.1111111111 • FIELD, MEP: P� ("� r" . AwpP FEE- •/ . PEAMIT NO: U1 G 9. I "'� - .. COUNTY: ru - AEC ?3�'SIG: P A •�S vt%t �) j WATER BODY: .Lf n APPLIC21.N. T I : :- ,. ADDITIONAI, NAME(S) : . . - - 1.MAILING ADDRESS: - • .J_ / 4� yt /��_.. .. - • Lam` EJ � � , V�: •CITY: 1b C y•, - -€•w STATE: :ZIP: -�•_ PROJECT LOCATION: ,.Z1'3CLUD?NG CITY OR ?Ac7=LZ t •• .:. ;. � _ • •c`::•2•`='. -••- _ (WHEN-.DIFFERENT FROM MAILING ADDRESS) - PROJECTDESC: - : LAT (X) : :• • . WUR (�j ._ — _ LONG (Y) _ _.. -) ,c_ _ -) CODE LENGTH =WIDTH DEPTH '- '•" ,.CODE LENGTH WIDTH DEPTH CODA -LENNGTH WIDTH DEPTH ) : CODE , LENGTH ' .•, WIDTH DEPTH • .. . . CODE •. . � ) � — SQUARE FEET.- CODE SQUARE FEET CODE SQUARE. FEET . • '- ACTION :_EXPIRATION DREDGE AND FILL REQUIRED: `� f'J f __• _ LAMA MA C OR•DEVELOPMENT REQUIRED: . *** ***************************************** *********** ***4** *i* i**` CODES FOR AEC DESIGIUkTIONB - . .. .Ocean Hazard n „ _Y_ "�":- £stuaririe Waters. • :. - ri�": ._. Coastal WetlBrids - _= • ,:�`E5`'-� Es tuaririe`:Shoreline _ � �FC,',•_:_ Fragile;Coastal:Natural%Cultural Public-Water: Su _;,�T'_ '4�'" -.P�.tblic .Trust`- � . , __Si_ pill.' _ � - PP1Y: .. .. -:- - • {. _ Outstanding Resouirce Wai : 3 - CODES FOR PROJECT - • i ?: N p" �:a�r�te, .:su311y an -idual - _ " -= •-7_: _ -�VI _ ,{ �• ,: C" .'cnaarci indiv- ,- F Federal x "U" C' • _ "L"- Loca1- Go.' '�I7tZZl "Sn State - _ • _"A`-f; BD.using Dev punt - = - _ _ "Ot O ,f.." s. L - - _ -- CODES FOR DESCRIPTION:,IPTION •"I1" 3ulkheads,: Ri - F" .- „ _' .,�-_ -- n " .Prap -- . s _-��K."16ne Vtii 12 _•Piers, Docks Boathouses l'-• ;4, . _ - g- = -- .Lin-es - - n13. _ Boat• 2;D6c - -� _ :"17.":-• ner`gen Repairs n18 n<. cl -n14n. Wooden-Groins __ � - : Beach: Bulldozing.- • • "19 n, Temporary_Structures "15" If azntenarce o€ Basins ,, -= Channels; Ditches -- _ - : . . DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROP[[�� aE//RTY OWNER NOTIFICATION/WAIVER- FORM "eug i _Se e Oder Sio% Name Of Individual Applying For Permit: 7/(1 /9 Address Of Property: j9q �C GC - . Aid-lc&A___ b 71 (Lot or Street #, Street oi- 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 p vided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, 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/-� I do not wish to waive the 15'setback requirement. 71 /- 7natuce ` •/� _� "� Date � •rat/a- ed ilaweef)k , !'Name +���� Itanc.( (h . Co le_ 0 )59f--/ Vs--2 Co Telephpne Number Wit Area Code DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM d{�evs�dz Name Of Individual Applying For Permit: ,. Address Of Property: /0 9 �C'' � Pd-0-7 /_e_f- -, ic13-edei4 72)E-a- - 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 objections to this proposal . If you have objections to what is being proposed, please write the Division of Coastal Manaaement , 127 Cardinal Drive Extension, Wilmington , 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 rust 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. Ido.111. wi _, to waive the 15' setback requirement. s1 j 0�