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HomeMy WebLinkAbout17580D - Stovek CAMA /14.-Th GE ERALND DREDGE AND FILL1-44 017580-: PERMIT as authorized by the State of North Carolina Department of Environment, Health,and Natural Resources and th�gCoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 71/ ,/NDO Applicant Name SAMES V 7 0 M i NA-2 C.o'v t • Phone Number( 1 U) $44P—7.5 1 ii Address /e7 S bwR/i54M A41✓I= City 44i eet, R04-44 State . -C Zip ..Dev‘a Project Location (County, State Road, Water Body,etc.) __i.) S� 3u i'1444A OR, 8Ora .F...+ 441-N (.41.01 i / �I�y�-Ik,:re 'o Type of Project Activity (OKI/IR& a; a ?a/.tlh9-4D c7 _ t) d F max:.,-rim f-AcN(1tirfi * A`/ la/v-Oifie -1 v/= 714 •//aG S !/ .416"/Y PROJECT DESCRIPTION SKETCH (SCALE: / r 0 ) Pier(dock)length Groin length number A/ - /> tol f Bulkhead length /" max.distance offshore J r Basin,channel dimensions �i1, fiN4 gN 1 cubic yards . F Key FIFO B oat ramp dimensions pp.-SEAI T,�/¢ � — — —— - IL Other Sbi r 1 S Dot e/h4//l �rPiii6 I Q� 111"r , Q 4-- ,g6 i i l 1 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 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- / °AA 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 attachments /lUV objections to the proposed work. GENERAL PERMIT COMPUTER FORM , i I APPLICANT NAME: ,Nt,C S S'-kb V C t 14).11j ADDITIONAL NAMES: Pi c Z CO, 64 AEC DESIG: ES Pr I C(A) DEVELOP AREA: a() i PROJ DESC: P - I (Will only take 6) (Will only take 1) WORK: 73 (Will only take 4) MAINT: (Will only take 4) IMP: a S3 %O0 (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: 3 347 a (36/ O-- CAMA MAJOR DEVEL REQUIRED: 3/30/v th4/3„K__ • • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/TvAIVER FORM • Name Of Individual Applying For Permit: j-140Ae• Address ..Of Property: /,J5 iD L(R (Lot or Street #, Street or Road, City & County) I hereby certify that I own property adjacent to the above- refarenced 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 obiections to what is beinc proposed , please write the DTvision of Coastal Manaceme^,t . 127 Cardinal Drive Extension, Wilmincton, North Carolina . 23405 or call 910 395-3900 within 10 days of receipt of this notice . Nc response is considered the same • as no objection i= You have been notified by Certified Mil WAI'v^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. ///: mr, Si na u a Date A . . P_ Vra ae w+�- Telephone Number With Area Code R DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WiAiVER 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 far 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. L-��. I have no objections to this proposal. • if You have obections to what is beinc proposed . please write the Division of Coastal Manacement . 127 Cardinal Drive Extension , Wi lmi ncton , North Carolina . 23405 or call 910 395-3900 within. 10 days of receipt of this notice . No response is considered the same as no Obi ecticn 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 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. ) , • A_ I do wish to waive the 15 'setback requirement. I do not wish to waive the 15 'setback requirement. . -../// /e el7 z z( AA Signal r Date • ,,,,_,,,„ 7,5_,_____(„7„) Print Name / `r�0 3z 9S2 Cal--j NJ F=1 Telephone Number With .rea de c-, h ____