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HomeMy WebLinkAbout18141D - Funderbuck i CAMA AND DREDGE AND FILL GENERAL ---Y 018141 - D 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 7 14. I to 0 L Applicant Name WAyNE F �nl Lei er I t.r F- % CI- .JPa S Phone Number A NT �1(2) CYAID-1::› 7 e, Address 41 0 Sr, E.( Vac L- --r Dr. City L4P 1'1QaC-L State . •C . Zip zS4(sS Project Location.f.c.brinty, State Road, Water Bot,;tc.) SANS e K1 d , i Al?). TDW Type of Project Activity • IV PIZr PROJECT DESCRIPTION SKETCH IL/ (SCALE: I ) rPier(dock)length i`2t L_ ((f 'C la ' iro uci- g8 k 4 Groin length I2/ II./ number "may tii71r SYCQQS Bulkhead length I,ear.0--)n 4 �osc... C--A: A�fl�f1 � max.distance offshore �T�(A3 CkAAINt..(( Basin,channel dimensions cubic yards . .a Boat ramp dimensions Other T—I4-ead — I(0/x I2/ _ . - -- flc + - I LA( fa-/ C 'oo 50, 4 ; - )4) IZ' 4705 ..•YacL+ 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, c" applicant's signatun imprisonment or civil action; and may cause the permit to be- come null and void. * . KG `K OO KS 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. g r _ 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 date ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no 7 } t a o objections to the proposed work. attachments GENERAL PERMIT COMPUTER FORM APPLICANT NAME: 'A) y Fu N(Le r h t�- ADDITIONAL NAMES: C/o C L TA-ce Ig` AEC DESIG: i�J , P j DEVELOP AREA:_ . _ PROJ DESC: P - ( 2- (Will only take 6) (Will only take 1) WORK: Pa e%: 4- (Will only take 4) r I L , (a- c5 MAINT: (Will only take 4) IMP: C( — -SS ea— (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: CAMA MAJOR DEVEL REQUIRED: S -4 -5 O r4- • GE-D '(oO DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: Or� „t. /`u,,c%r-hu,. X Address Of Property: 410 Er G. (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 Manaaement , 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. (1),YJ , ignatu Date A • A Ablgon 6)tre -J 1.:04 5Jo., Print Name Telephone Number With Area Code H N R w 6A,rt o eAr S[ a`1�L11/� DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: (,)G,,, ee %z r e.i4 Address Of Property: 1-11 o- f h i-- (Lot or Street #, Street or Road, City & County) I hereby certify that I own property adjacent to thr: 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 910 395-390Q 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 •'ou 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. S ig t Date 7 Print N2 rt^ — --,�- ‘J Telephone Number With Area Code �� 0 li-'l I I 1.0 .!!)// \ i Na�tionsBank' Official Check 36267 35 �iig:li�t �<4r 11 5111 l .;l! 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San Antonio,Texas ORIGINAL MARINE CONSTRUCTION U31°912 2 Remitter(Purchased By) Authori 1 Signature ill 36 2673511' 1: 1 L1,0000 L91: 16Li L0004 2 Lii' ■ THE ORIGINAL DOCUMENT HAS A REFLECTIVE WATERMARK ON THE BACK HOLD AT AN ANGLE TO VIEW WHEN CHECKING THE ENDORSEMENT • 4