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Home My WebLink About17590D - Clark ) • y CAMA AND DREDGE AND FILL 6 GENERAL -- ' r 017590 PERMIT as authorized by the State of North Carolina Department of Environment, Health, and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC -7 N• /?OC1 Applicant Name Cerl C/ K Phone Number (9)9 791 -J33 f' Address 5335 /-6/'4 /Qo4 I 1 M { 1 `i City G/r/f$ivb'i'M I State 4/C Zip ?h'YO Project Location (County, State Road, Water Body,etc.) 6 3 r IH Rd. / '4)5 i}tTit /1✓i /t/aV // /vaticR rbfy Type of Projec Activity N r► R • T' D� -) A L .P7. • PROJ ECT DESCRIPTION SKETCH (SCALE: /ir- i/p ) Pier(dock) length f f J ii KI 1 _ _ _ L L-4 - -_ 3570 Y (ra' Groin length goI K;�� FM;N. T) FL&F 0 ' b A' p C ti /Wt UA R i3o y number I 61/ 1 ! /� / i� E •� """ 1 - q-.. ' Bulkhead length �J/ /0 __ I L ono ; �_ max.distance offshore } +era WM. y'K 3 0' r iv4i I t- Basin,channel dimensions i i w s i 1 04.DI%'t' —I MI --t x ' j - _--- ; —1- --4. cubic yards �� D c� I , s i iv. Boat ramp dimensions Q$t4 316 — p; eR 6 X3obl f_. Otherr"ItFA O / Y. -- " -'"'"„' i I t , t i )L► I XI � y� 2 -+ - _- '__. —_ L. F1o41 9 ' Y.3 o� '` 2 o 7' L.7 5-3 .n. /16// Rcl /)/14 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- i applicant's signatu come null and void. This permit must be on the project site and accessible to the permit o ficer's signatu permit officer when the project is inspected for compliance. - G The applicant certifies by signing this permit that 1) this pro- ject is consistent with the local land use plan and all local issuing date expiration da ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no /) ocI objections to the proposed work. attachments li.t,%A,-t .. .-I " i r GENERAL PERMIT COMPUTER FORM 3 3 rG " APPLICANT NAME: Sco71Cj4 S als 3- ADDITIONAL NAMES: AEC DESIG: ES PTA /(A D/e DEVELOP AREA:_0.D PROJ DESC:P -/� (Will only take 6) (Will only take 1) WORK: eR , 3o e - 6 L6,00 (Will only take 4) t ^ \ MAINT: (Will only take 4) IMP: 0 .2 31 (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: fr* LAMA MAJOR DEVEL REQUIRED: `{/01?r 71/m e i • -;—` • DIVISION OF COASTAL MANAGEMENT . ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM Name Of Individual Applying For Permit: ,„ (- )qtA Address Of Property: 5 _f•T fjo i itle, ci UV' ; I*l ;N. tG' 4 Ai . (Lot or Streets#, 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 , Wilminaton, 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. — '7 ��% I . < " ' l / % / lurr/ 5ignature Date •• P' nt NameAN; �� 2/" n/ J E30 F-1NR Telephone Number With Area Code • • • DIVISION OF COASTAL MANAGEMENT OJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: e—C c'77 L, Address Of Property: _`) i3 2 -`) Lie, / (Lot or Street #(Stre9t 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 , Wilminaton , 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, e zo _A, Las, #(3N Signature Date c,,17, •wiN C.. Goai L 1N GTblo A/ -It, ftt,o da )..44.4 Print Name 910 -- e? Z — 3/sq p� HNR Telephone Number With Area Code (bi 7 '"'d / .2 •'(/ ..t S n,vfra ^% !// 1- 4i'd"() .6a---C iN I OZ �'"�; rrz „„It ccr7 1",N 71 dab' 9 l' 7 P"- 411:::)% I +! W ,„.....„.:0) 1 „.?v ywb ' �� a w. O I a of �- ,../ (VC' �� L MYf11{ TJJ�• I C.</I: V-�1/ - - --,-- A141 Z DIVISION OF COASTAL MANAGEMENT • ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: �c^c, Address Of Property: 5 3 Mc l T aQ 1 (Lot or Street #, Stresft 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 beinc proposed , please write the Division of Coastal Manacement, 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 ppropriate blank I do wish to waive the 15 'setback requirement. I do not wish to waive the 15'setback requirement. Signature - �� l(/� l.N� G�� • Date 9•/7. T• irArl Print Name 9/ o — 4Lz - 3/sq Telephone Number With Area Code H NI R /1Arf ii, '" , 5-70 ' _ ) Me,e �d,4h Oeterni,..0 6-1 'Z4 I LAMA ft 1 1 ; > /"1.r i fir,., 2 0 ' E so ' __—',').6-2-5-f I Flia.i;,,,, 4.c k --.....,--) if - — — — — cg2e6a 10 p€1, el 6 y C AMA y„ 1 64,,,,,..,:)), 11 / 6yCAr1A 1 ? � ,NOT Less Olan 2.A ri...n 2.0 1"-L/114rsA G,tfS MQ,sA a,sSs 4 s -gSf— 2 ► 0 � � 9 a� /�`r } 7 i r �� ,p...y y .T () N 6- W pie / f—c, /9,t,1 e4,0)0“, s sGelt c14 , A At 5 3 Z 5 Th 0/ • —=r-...�.,_4_. i-i i-a...,.-II jua_ gset[ logo in light gra)Wile Is nnl present on back of ducwncni-Do not cash. -u __ c�—_� rr__ecn. CLARK PROPERTIES 544311 4716 CAROLINA BEACH RD. 910-392-1212 WILMINGTON,NC 28412 l ( i s PAY A , C D £AiR �J / 19 88-191857 TO THE /v ORDER OF 16 OLLARS w NaffonsBankII NationsBank,N.A. (� 1 Carolinas -{\� ,�_ 7 FOR ' ' c./ �Q/4" 7 /7/' /� s 3 1000544311■ 1:053000L961: 0L8 0 L ? 5 5u■ _ •