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Home My WebLink About17574D - Martin C CAMA AND DREDGE AND FILL ,, .. 0�7 '74_` GENERAL PERMITT 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 7 4-r , l.) 0 Applicant Name 1)ACT AAA A l-,N �N L? /11 7 2- ( A Se ..n.. Phone Numberlq/°) 1/5--1-3737 Address So�J' 4Ilt 'iN,4 fYu1) � . t f 7*t d/E a4' '5 City /4/A1/44F61^-- n ,, State A/C Zip •? 709 Project Location (County, State Road, Water Body, etc.) 3 i 1 ,4 ti hA&C PA 4 L4Ni� / I__.1- 3/ A d;,c o f t,/h i c Ke y r f2 P PKt 4/i°.w NA/va✓1r Co Lk A..4 y _ _ Type of Project Activity Gj n.S f'd't C-A d^' p 1 A ( (/IA (e ,a; /-; for HEf4 0 / / 7C'1 r Anal dAt 1.11,,*See r..-P6 ,jL l 1 oL/ ( is.s(AP d aA. iii/L/93 I( Ail i A 1 or 71,E ./) 0C, fitAgt tvplY PROJECT DESCRIPTION SKETCH ^ p OE / OW6-e �` (SCALE: / tr, 50 ' ) Pier(dock) I�gth' `• X • afl' A • • Groin length (,.jPT wall 1 /21 x?0r FroAT number II !! /I1(pv Pred) N Bulkhead length ■I /DI(3, LK t max.distance offshore Basin,channel dimensions 1.231 X`1 P,ele cubic yards Boat ramp dimensions (, otherT-t4FAt3 /0 f ria t. i fr r/O4 r ?c, X6 ' .206' INeRliaE L;FT o')if/b' .2 14rl, „#4/ This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any 69?1,4/1 /.violation of these terms may subject the permittee to a fine, /.7/ 1 imprisonment or civil action; and may cause the permit to be applicant's signature come null and void. 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- .2 / 3/ ' 'e 57.73/54' 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 ,I 00 objections to the proposed work. attachments 7 r .>'J w - • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: ik/ Address ..Of Property: (Lot or Stre_t , , Street or Road, City & county) Ihereby 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. • i_f you have objections to what is beir..a proposed . please write the Division of Coastal Manacement . 127 Cardinal Drive Extension , Wilmi nctcn, North Carolina . 23405 or call 910 395-3900 within 10 days of receipt of this notice. No response is considered the same as no obiecticn if you have been notified by Cert' f1ed Mail WiAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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. #9 9/ Signa- ure •ate ' • cr,„7.4, e44 Pr in" a er 9/0" ` ��Fl T= i -hcne Number With Area Code • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM r�/ /� Nave Of Indiv:duzl Applying For Permit: /��-� �� Addressf r . \ ///��' .O_ Pr one,. ty, oil-a`i- �� -T� /, ))(;/ (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 drawings -with dimensions, should be provided with this letter. I have no objections to this proposal. • • If you have ob'rections to what is beinc oraoosed . please write the D?vision of Coastal Manacement . 127 Cardinal Drive Extension , Wilmincton . North Carolina . 28405 or call 910 395-3900 within 10 days of receiof of this notice . No response is considered the same as no obiecticn i= you have been notified by Certified Mail WAIV=R SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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 recuirement. I do not wish to waive the 15 'setback requirement. r G �� .�k�vn� ��{t,eua.k1 i fir, 1cci W Signature Da, e $ • • l-dna 11A01 iirll6trex Print Name OQ I- .f1.60co E I-11V 1 1 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: (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 drawingy • with dimensions, should be provided with this letter. I have no objections to this proposal. If You have ob-iections to what is be i n.c or000sed . clease write the Division of Coastal Manacement . 127 Cardinal Drive Extension , Wi lminctcn . North Carolina . 23405 or call 910 395-3900 within. 10 days of receiot of this notice . No reseonse is considered the same as no ob-iecticn i f 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 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. Zia, Sign ..ure Date • • d 42/ JVi, /' r' i•� HUM r Print Name 'VV� fV R Telephone Number With Area Code ��H