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Home My WebLink About18084D - Ferguson 4 t •CAMA AND DREDGE AND FILL GENERAL !N 018084 - 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 F-I . I 1 U a Applicant Name ao I NI C-e r u S a-,., �/� Grc3 �-rw use Phone Nttm b r g/6$7 Address 3 0 1 (. 3 r ydt Dr. City 1_U Lija,a,ch-. State N C— Zip 1' b C Project Location (County, State Road, Water Body, etc.) S�"Q A- y -Q. f n Q�" kJ-lid t , Rf1Me•y.li..r'l c-1, Type of Project Activity ALWPROJECT DESCRIPTION ) SKETCH w (SCALE: 1 _ 30 ( ) Pier(dock) length Groin length , number =.NSTP �,L Ne9t.J V I�(/4 Bulkhead _ a i� i G4 P( 1 �A 75 LP max.distance offshore Ne.,A.) 4 i'2 iACK S r •S pi- I 1,64e r o� o� Basin,channel dimensions I I ! l is. , cubic yards I / Boat ramp dimensions Other . 3OIb W \)Ac(n4D This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any �_ C.�� violation of these terms may subject the permittee to a fine, J' applicant's signature imprisonment or civil action; and may cause the permit to be- come null and void. r-,-- /ti?------ 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- —i 2(F) lG t -7/ -2-, C 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 l,‘ , ( J o o objections to the proposed work. attachments _ t_ - GENERAL PERMIT COMPUTER FORM APPLICANT NAME: b ti Ca (,�s ADDITIONAL NAMES: `J AEC DESIG: S ( , -e-A-&1.) DEVELOP AREA: PROJ DESC> - 1 1 (Will only take 6) ——— (Will only take 1) WORK: BF+ 7 (Will only take 4) MAINT: c)A\V (Will only take 4) IMP: 52) _8 8 (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: 4"ag -"q - q5 CAMA MAJOR DEVEL REQUIRED: L/ � TL'� 7 8 •--/g J� • • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: c.3-0A4 F ' 'soh 3 d16 J Address Of Property: 49'0-g 6.1, v/9G 4i. Or 2.045 lch IVG. 2 '466 $ C� ea Cv�T (Lot or-SStreet #,'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 beina proposed . please write the Division of Coastal Management , 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 recuirement. • • 'Itgnatur Date .at`oA akrrj.5 A • A Print Name R Telephone Number With Area Code . N • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/W .IVER- FORM Name Of Individual Applying For Permit: ••--�� // n., 1150,2 VOi7v! Address Of Property: 30/o (,/, c 4 f ,/Jr. Zo i6 V ynS (Lot o treet #, 'Street or Road, Ci y & 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. XI have no objections to this proposal . • If you have objections to what is being proposed , please write the Division of Coastal Management , 127 Cardinal Drive Extension , Wilninaton . 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. • l r/'�iiaa / _ Date 1 • • �" `�rotii ,t `INt1.c mi,/? Print Name Telephone Number With Area Code . H N .*\.s 034 _ . COASTAL DOCKWORKS 1 93 'I P.O. BOX 10671 SOUTHPORT, NC 28461 PAY DATE `'t ' 9 `X' 66-30/531 TO THE //�� . _ `� 453 ; .t ORDER OF C79 PI ' •I DCi DOLLARS CIS it if; BANK CITIZENS 453 Fo Ah ', Bank d hust Company 7I 6ouhport,N.C.28465 q FOR 0 e f.14 1/ S :0 53 100 3004.00453 i 67611'