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Home My WebLink About17565D - Greene CAMA AND DREDGE AND FILL 017565 GENERAL -1� 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‘,/ • /.kou 14'6s1_N/I Applicant Name'N•L. (PREENE 0/0 ( A'E4 yo/dP).- Phone Number6/0) fs y.2 - 973Z Address 31 50k" . .3.st(• A1deh al VI . City 14/4-41-Cvt*U.f State NC Zip c7a?t/'7 _ Project Location (County,State Road, Water Body, etc.)iT 5/S t;'P/'P Sti/ /O /e ,T,[!PR &-siete S, /gA-ce. Li fr ,r1010/,P ye,v tar y 60't iCK ?OKA ty. Type of Project Activity PdF f-•!-i64C7`iv a C PR.tAi r px-E/e ic pzwz S J!! i3E c ie v,4rr 0 <l7 4j .7' A C ef-16• / , r 4674t FF t 4'c,2 * All row,)-}�Jn 1 0, 7,(4 •io' 544,1 Ap1ir PROJECT DESCRIPTION SKETCH (SCALE: //'- w I Pier(dock) length 2o I!/ ,ii A' ff/4//d'4' •m4tor Groin length /b, number Bulkhead length 0 pq r max.distance offshore /j,1 Basin,channel dimensions EW yqR Di, G 55 r RA cubic yards Y �y `!, x y� Boat ramp dimensions Other F/u4T t X/6 . rl 7--,0e40 /)'/C/L' K Nil i Ijit: It loo ' Lop 60-ys C;Hie S/ Qr This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any n / /�,� violation of these terms may subject the permittee to a fine, ! K 4 " imprisonment or civil action; and may cause the permit to be applicant's signatui come null and void. This permit must be on the project site and accessible to the0/44 -11/ 611,1 permit officer's signatui permit officer when the project is inspected for compliance. _ The applicant certifies by signing this permit that 1) this pro- b2 1 ►3/ gO/ y//V 9tfr ject is consistent with the local land use plan and all local issuing date ezp'iration dal ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no '/ U objections to the proposed work. attachments 7l`� r/�U ° . . DI O F VISIN O COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit OLO'-A Rive '.............. (Lot or Street IT, 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 osing. A description or drawing, with dimensions, should be 0(-J, with this letter. _ I have no objectives to this proposal . `~ 1f you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, , 910 9Wilmington NC 284O ll 3 90 ithin 1O 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 or sandbags must be sat 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. ) do wish to waive the 15' setback requirement. not wish to waive the 15' setback requirement. _.........___________ ..._....._ Al , ~ � Date F ' ^� c ��___��.��_��............ ��. �� Print Name �� - --�'..............'..... ....................... Telephone Number with Area Code nim SAhUi4 r , e)/ n.',j a /7/.7y frp �' ow ' DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permi 7e Lve ry\ (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. � A ��____ I have no objectives to this proposal . If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 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 or sandbags must be sat 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. � �y _ �__ Signature te Print Name _I1____IS________1._-....................................... ___________ Telephone Number with Area Code L,l 4 '31gj /4iG 7tea-tipio,4g 00 0()fie` k /2 i� •AA ha/ we, /_,,