The URL can be used to link to this page

Home My WebLink About18325D - Hyatt , • LAMA AND DREDGE AND FILL i GENERAL ikiu. 018325 _,b PERMIT 0 as authorized by the State of North Carolina Department of Environment, Health,and Natural Resources and the Coasts s urces Commission in an area of environmental concern pursuant to 15A NCAC t. / AJ J Applicant Name 1 0 A a Phone Number 3 36 176S - /94 5 Address 55 v, rJ-4 54- J City (V C P .a A �5 /E +1/4_ State C Zip -7 � �l 1� Project Lotion (County,State Road, Water Body, etc.) S 5 in,^ r-o e 5-1 0 C< .a, She 6 t ci Ch r� r,estN,� Cam. 0� M(.4 A 0( CA^uta I Ty of of Pro)'ect,Activity �'^5�(�'- a 1 ()it'. r I r Tti 4-1'.4."_1�4 4� L IC w I fk ►-� ?� 16 rq�Q e i� . n 04 sac , i1I r. A `i 4'io.f) p '7P. (Ao'3 SktiI q9P ) .� PROJECT DESCRIPTION SKETCH (SCALE:No,. eg S,y lc ) 1 Pier(dock) length 6 n I 1 Groin length MGM M C l c.A i+ 2-----/- number r- Bulkhead length I G XIS i',- ,"...0 MI 3 max.distance offshore --.Nlr_ Basin,channel dimensions cubic yards Boat ramp dimensions �-f — 6 X ,a,' other -k'" D b I r 6 5 Mot► ,ram S- - This permit is subject to compliance with this application, site 1 ;Z...? ) drawing and attached general and specific conditions. Any Xd. ' .-r-/Cr violation of these terms may subject the permittee to a fine, imprisonment or civil action; and may cause the permit to applicant's signature be- come null and void. a . c--) This permit must be on the project site and accessible to the v� permitbfficer'ssignature permit officer when the project is inspected for compliance. ` QQ The applicant certifies by signing this permit that 1) this pro- b q 1, q- - -!-? 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 1 l7 attachments objections to the proposed work. GENERAL PERMIT - COMPUTER FORM °C)° FIELD REP: f7a. % c� u APP FEE: PERMIT NO: 1 g 3)- "'LI} - COUNTY: 11r �). AEC -�- DESIG: I � L� WATER BODY: el 41. APPLICANT NAME: ui- • V'J ADDITIONAL NAME(S) : n�( MAILING ADDRESS: �� on / - PHONE:( 3 -- '7 C5 1'1 CITY: l% C ��.�. �Sl� feu; TATE: A/C_ ZIP: if PROJECT LOCATION: INCLUDING CITY OR LOCALITY (WHENlN DIFFERENT FROM MAILING ADDRESS) DEV AREA: _ —. D D 3PROJECT DESC: 'P — o� LAT (X) : LONG (Y) : WORK: � ' _ _ _ - -) (PR _ 1a, CODE LENGTH WIDTH DEPTH CODE LENGTH WIDTH DEPTH ). MNT: _ (_ _ _) CODE LENGTH WIDTH DEPTH CODE LENGTH WIDTH DEPTH DIP: -&4_1) ( ) CODE SQUARE FEET CODE SQUARE FEET CODE SQUARE FEET ACTION EXPIRATION DREDGE AND FILL REQUIRED: " '-� �( 7 a-.- - Gf. CAMA MAJOR DEVELOPMENT REQUIRED: ***************************************************************************** CODES FOR AEC DESIGNATIONS ' • "OH" Ocean Hazard "CW" — Coastal Wetlands "EW" - Estuarine Waters "FC" - Fragile Coastal Natural/Cultural "ES" — Estuarine Shoreline "pW" — Public Water Supply "PT" - Public Trust - ."OR" .- Outstanding Resource Water .: - CODES - . CODES FOR P PROJECT _ . "P" Private, usually an individual "F" Federal "C" Commercial : "L" Local Government • "U Utility - "H" Housing Development S State• - "0" Other • : CODES FOR DESCRIPTION "11" Bulkheads Ri ra - P P _ "16" Utility Lines „12" Piers, Docks, Boathouses "17" Emergency: Repairs 13 Boat Ramps "18" Beach Bulldozing "14" Wooden Groins "19" Temporary Structures "15" Maintenance of Basins, Channels, Ditches SENDER: a .Complete items 1 and/or 2 for additional services. I also wish to receive the c, ■Complete items 3,4a,and 4b. • following services(for an I ■Print your name and address on the reverse of this form so that we can return this extra fee): ▪ card to you. > ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address • E permit. y ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery i E •The Return Receipt will show to whom the article was delivered and the date m delivered. Consult postmaster for fee. . D D 3.Article Addressed to: 4a.Article Number L IO I 1 ` , e c 4b.Service Type ((��l k,01 �_ � 0 Registered Certified I 3-1u `� �"' '``q� 0 Express Mail ❑ Insured . J S j E 'Tietum Receipt for Merchandise 0 COD i yhtQl N C p��l 3S-0 7. Date of Delivery • z D 5. Received By: (Print Name 8.Addressee's Address(Only if requested • ki Q n e r �� e Y.S and fee is paid) ' 6.Signature: Addressee orAgentt 0 PC Gnrm 11 Ilcnnmhur 100A nnMPStir Rptl lrn RACAInt • SENDER: 3 ',Complete items 1 and/or 2 for additional services. I also wish to receive the n •Complete items 3,4a,and 4b. following services(for an n •Print your name and address on the reverse of this form so that we can return this extra fee): 11 card to you. • ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address • v• permit. u ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery f ▪ •The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. . 5 3 3.Article Addressed to: 4a.Article Number _ 2 '\ ,Z`i eDC;1 _ I9 0a er�4?„ti. .12, 4b.Service Type . i 0 Registered 10 Certified r jV O Q� ``1 413 0 Express Mail 0 Insured lQ�al % Ret rn Receipt for Merchandise OD � �" 7. dr I e � 1 5. Received By: (Print Name) `•13fAddre se ' ddress(Only if requested i a and fee is paid) C t• 6.Signature: (Addressee or Agent) a ✓ X 2 PS Form 3811. December 1994 Domestic Return Receipt ' MANAGEMENT TR NOTIFICATION/WAIVER FORM Addre :reet or Road, City & County) )roperty adjacent to the above- refer � � \ \ [�t-` �C� �� `��\�� Vl/� � applying for this permit has descr ached drawing the development they are p | /� /� awing with dimensions should be ` � -� ' ' provz lis proposal . If yo/ �~ - ~~ �ing proposed, please write the Divis Cardinal Drive Extension, Wi lmi/ 5-3900 within 10 days of receipt of this sred the same as no objection if you h mail . _____ ___________________________________ _____ _________________________ KION I t�nd. 'ing pilings breakwater, boat ' �� ,� , , house c�_ (`[� v~L8 back a minimum distance of 15' from / *ss waived by me. ( If you wish to the appropriate blank below. ) ______ ~� setback requirement. 15' setback requirement. ____------------------------------- _________________________ / ��r�� ----��-----------------�--�------- z ure Date ' y//�� ____�______________________ Print Name k )_...____ -�'=__-'- ''- ---------- Teleph m.er with Area Code . Urn GRICE CO- NSTRUCTION OCEAN ISLE B.. 6618REACH RS SW 28469-4710 7655 PAY TO THE ORDER OF yy DATE 66-112/631 X ezzoI SO ,� H �,.�„BMX o �1 WY 1 *ullYSZ��+v i • OCEAN SLOE BEACH,8 NC 28 DOLLARS �' FOR 28469A0 RS U e.d I • _2& °'0000 76 5 5u ' 1:053 1 .10112 1 :5 2 18 15 q y II' ' `t�---