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Home My WebLink About17670D - Valk . r • CAMA AND DREDGE AND FILL 01,�� 0 O VGENERAL l:.` PERMIT as authorized by the State of North Carolina 0 Department of Environment, Health,and Natural Resources and th Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ) 14 I 2-C3 C7 Applicant Name —DO qNra• a1—IC Phone Numbe 411 D 27 13-I E3 Address 300 CI A-14 so„-. Q . City Lays a State N C.— Zip Z 4-GS' Project Location (County', State Road, Water Body,etc. Sthw•n P,-IrbW,{, f C c 1 u N S 1.T, C C D • Type of Project Activity - 4 tk T PROJECT DESCRIPTION SKETCH (SCALE: I K_ % ) Pier(dock) length , bc; Groin length / er i 3 g t number _ ) I,—,--«. ,, ...,{ gE Bulkhead length J max.distance offshore I I Z' 1� -1 + b Basin,channel dimensions s� .� 1 / k3 •t, .� 6 cubic yards 4 'Eye s YI j� Boat ramp dimensions 30 i sOther 5 r .1's::544 t 4 .... , t t • . ... 4 , Lif X a! 4_ __ �._ 1 , .soa9 iat-Nizn-k) .11) . This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any (.....ii 1 Zillir'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. < � J \ 6 This permit must be on the project site and accessible to the permit offi er's signature permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) this pro- 4F37( "i Q 9 1 1 Z 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 ------7/4 I�'� objections to the proposed work. attachments ..n . t1 GENERAL PERMIT COMPUTER FORM APPLICANT NAME: C%N N a VA Ido Si-- ADDITIONAL NAMES: AEC DESIG: W P I DEVELOP AREA: PROJ DESC: p - (Will only take 6) (Will only take 1) WORK: 14 ( I- I� (Will only take 4) MAINT: (Will only take 4) IMP: C 6i 1 (4 (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: CAMA MAJOR DEVEL REQUIRED: 9) �� t ( 1 ) ,_. ` ti i.s Q1,4j,41 A i CAAAti'ez )u&1 o ft -ells x)7 ' Tc;___ y it ..._ z_ - ..c-: ----- -- Rem.+e --ens-tt„t- Pe ,(Re p,i,‘ Cli 4 10c1 .3 Rzi.,1,.: e "x" 3120ix-.4,1 D F ivid2ivS lnZC m k ,8047T ir rr e0A117 to 4-Jcliebc . f//14-K P&p-L.4 , 3oo 9 1/411464/ dk, DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: � (r- /). Address Of Property: Atirl h Lo or Street #, Street or Road, City & County AA( h-,a,;/1 C 291/Ats ic- ( y) 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 , Wilminaton, 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 rust 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. 1LL/ Signature Date AN;e (RLtiyi- I�. f-1 ENcI Rid Print Name �� Telepnone Number With Area Code , 1 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: (- 09viciA. IL/s Address Of Property: <25009 AJAI,1J 6 ` . V (Lo 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 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 requirement. 7-3(9-9' S ign � Y71y� Date Ai !' C!Dci Prin Name A 6//o- ,77P- 3.P' EEHNR Telephone Number With Area Code FUNCTION=> A NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD16( PERMIT NO: GP17670 DISTRICT: I COUNTY: BRUNSWICK AEC DESIG: EW PT APP FEE: 50 . 00 REGIONAL REP: BROOKS APPLICANT NAME: YALK, DONNA MAILING ADDRESS : 3009 ANDERSON DR CITY: LONG BEACH STATE: NC ZIP: 28465 LOCATION: SAME WATER BODY: DAVIS CANAL LOCATION ADDRESS : (WHEN DIFFERENT FROM MAILING) CITY: LONG BEACH STATE: NC ZIP: DEV AREA: 0 . 01 PROJECT DESC: P-12 STATE PLANE COORD X: Y: WORK: bl 14 12 00 0 0 0 00 0 0 0 00 0 0 0 00 ( MNT: 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 I IMP: ow 168 0 0 0 0 0 ACTION EXPIRATION DREDGE AND FILL: CAMA MAJOR DEVELOPMENT: 08 12 98 11 12 98 MESSAGE: INV ACTION DATE, PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PFS=ADD NAMES __paNNA-t._iiAi:K_---- = ---= - _3009_ANQE6S4L�1--.+s�___ - - --_-- $ j� Pay To Tile -_ , — —0rder Of — charlotte, _ ��— - — — I � Wec- -I Bank; =--- _--- — --- G7sSs1-- C�J�� 1 — _Memo L865 359440��' 1 380 _ . 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