17558D - Adams

CAMA AND DREDGE AND FILL D1Jg l
GENERAL -
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 71/ •A) 00
Applicant Name Qeff D. Pl1R/Si( �4Yh s to JVi Q aC Phone Number C9/°) 35-0 —D 3 3.--
Address /3 9 s'il 574s9SA;/ DA Me
City 1.v%Mil'��J /' /� o State Ai C Zip /0 9'
Project Location (CCoounty State Road, Water Body,etc.) 6,1 -1 id;'v-f` tga A 1-
3As;N A /vd De A.rA;/AR;✓e , tie ao✓P C,e4ti1- y
Type of Project Activity Add;A U/` AP;I/ p e/''
it .4e /i 4 of rA',�r r 16>rr Axil. R; pAR;AA P s( -I Y 4 HN!' c
-( q/T ('6ticJ;..�;,µ..( da 74 'dO S,j ,t WO'
PROJECT DESCRIPTION SKETCH (SCALE: //r /D ! )
Pier(dock) length 7/ ?b,
X
Groin length '- jo( "D'P lu V b ' K 3 D ' {, �'
number �/ ~�
��/1
Bulkhead length r.....—
max.distance offshore
Basin,channel dimensions
, J3t 1J DcC1�
cubic yards pGr�F -7'�'�6 ' w-A kAiri
r 0 x' QN//vie41.)
7('/', II�1 4�aa)
Boat ramp dimensions +
`� %firs f/
Other \-- «-�"
a3 k l "` --- __- f
i
,.,-, ; ,
,,,.., .020
t ,
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms )-nay subject the permittee to a fine, I^�T
applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
8 J
b427),;-•,' .
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- / 36/9'a/ ti/3O/VI-
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 r') fY /� DQ
objections to the proposed work. attachments J /
. . . - _ -. . _ .. ..- „r)

6 8 `
WATER
FLOATING
N DOCK 0 1
EXISTING 6
2'8
1
RAMP
/
r
N RAILING _ ((.. RAILING
t.) (\
M RAILING FISH
if STATION
DECK
BENCH N
BULKHEAD --/-
1
I
SWING
?ii.11 _ LAND 7 Pi.

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: I PP2sk EflFrY)
Address Of Property: 1 3(1 4r5 ;50,I \ (�{
(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 appropriate blank
below. )
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
L(/6t/tz, / o'/q e
S ignatu Date/ A . A
Print Name J ��-�
`ll ,� 2 _'1V/0 a1HNR
Telephone Number With Area Code

F-
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: &VA/ D 2i,�h i m s (Fre
Address Of Property: 1 3q S)<co- - 1 r
(i Iv MC. PLC% I
(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. 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 do not wish to waive the 15'setback requirement.
44441/7
iZ/z9�97 - rSigne ate •
4 -L ' r
4
Print Name _�__
gib • IC)
Telephone Number With Area Code