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HomeMy WebLinkAbout17602D - Price . • • CAMA AND DREDGE AND FILL GENERAL ` - 0176��2 PERMIT ,^ as authorized by the State of North Carolina �'�J`� Department of Environment, Health, and Natural Resources and the aoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7'`l • ii") Applicant Name '' b P/Q1 CePhone Number (//V) 3 j..) -7 s O Address /'/Y ?Jkl,4/e14.0 2:14i•/e City i•''/#11,,) fp' C � ICJ State A/ Zip 0'0 y Project Location ( ounty, State Road, Water Body, etc.) S e - 467 ati sT�-, /i.A./, /y►�sb N echo-ci Sv vttt,c l / / -04_,ff id v1/Q G-O . Type of Project Activity to^S' LLVC7Pu^ d' /7/frs v/f-Tp 'I//task -•4 ,4I// C',..,n!1.'7'-;vn / v,' 7.t/. //0 L. i/ , //i PROJECT DESCRIPTION SKETCH (SCALE: /i".r- 30 / ) Pier(dock) length = CAir+. 5 rPiee —"'-' mot/ �`�' Groin length number Bulkhead length 83 ` \k ti ? by ,,, V J- max.distance offshore-s "' ��' '�� �`V '��� ` ' -r/— 3 `,4-vrr,4G.p 1t4,A) Basin,channel dimensions 1 fithA/ 5 Noimmilii ` ,, cubic yards �11111111 Boat ramp dimensions \ �C Z111 O4er A [iyA`r PO/,9 d • p=tK This permit is subject to compliance with this application,Cote ....'''' ' PT drawing and attached general and specific conditions. T violation of these terms may subject the permittee to a _ 1r.-- imprisonment or civil action; and may cause the permit to, be applicant's signature come null and void. �/^ 6.e.p..., 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- (Q/3v/ '7 Q,3VV- 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 objections to the proposed work. attachments 7E,, //Ov GENERAL PERMIT COMPUTER FORM APPLICANT NAME: tj (RI c_Q ADDITIONAL NAMES: AEC DESIG: FT E-S 0 R DEVELOP AREA: (J 0 / PROJ DESC: ( - 1 ( (Will only take 6) — — (Will only take 1) ►VORK: }-1 3 VIII only take 4) MAINT: (Will only take 4) IMP: 5Q 1 ( C' (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: 1p 13/ 9 i 3J/�ci— CAMA MAJOR DEVEL REQUIRED: ( (3c)/ á (3/ 9(f r DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: Zr4C6A'✓) , Address Of Property: /(2`f /446L.e ICI 411jjac _ (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 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 a below. ) ppropriate blank I do wish to waive the 15'setback requirement. I do not wish to waive the 15'setback requirement. Date(6,7 -- c(44 43/1_0 c_4. 4.." AN AMe Print N Z 2C 1:30EH R Telephone Number With Area Code DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: . Address Of Property: / /4lyJ64 c'Ard /\(C giie V64-- (Lot or Street #, St'�eet 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 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 a below. ) ppropriate blank I do wish to waive the 15'setback requirement. I do not wish to waive the 15'setback requirement. 'ZVA:-F ' t . Sigqature b0 q Date <i crZ i . CIS 1' AtirrA, Print Namey 1/0 Telephone Number With Area Code H NI R • ; = DAVID R. PRICE 66-46531 3430 SUZANNE W. PRICE 531 NCDL 198131 PH. 910-392-7589 532066066 4209 FORWALT PL. 6/0)a 19 F.4) WILMINGTON, NC 28409 Pay to t he AIC bErne CZI a I $ Order of icr °X°`) _...............111111111110111111110111.11111.1111.1n Sig, r CCB Central Carolina Bank and Trust Convemy 531 Wilmington,North Carolina 2840 Yank& e ( For PL54-6-14-1 i:053 /004651: 53 2066066116 3430 GP rik:0Q- - 4,44,01-ri",-44+44:',044,0Azr:- `4"-Oik-e , • ' •