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Home My WebLink About17921D - Mundy , I CAMA AND DREDGE AND FILL GENERAL 1"' 017 621- -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 E4" C7 Applicant Name 4 1 ( 7 01 ar 4- P VY Phone Number 6:4 o) 1r Address — I01 ^ ITLIJoeD • City 7Pt1 1 IJ--Q r" Sttatel K1 C Zip Z7es' (�' Project Location (County, to Road, Water'Body, etc.)�1U S•VJ . 4 -�& SST i �—(N.- �cJ pioi rick.' DA�1 tS C lr. r � h Co.� Type of Project Activity • P c� 3oa ( ,-r-k- Go cav42 re 1 r,1 s us P PROJECT DESCRIPTION SKETCH (SCALE: 1 I' _ .2-0 ) ---b Pier(dock) length ( V ( S L Groin length number lie,i1J b--4�.114 • (2,r • Bulkhead length t1.1111 t 8 f m6 '�r}ittvv o r max.distance offshore 04- @. (31 i ... .11e� ) i , , Basin,channel dimensions f_ S1 p er —J , cubic yards a Ion Boat ramp dimensions Other . ict. a3 ► � � 2 / i __ �i 1 This permit is subject to compliance with this application, site , ^ drawing and attached general and specific conditions. Any l,� V �( \\CAda.."... violation of these terms may subject the permittee to a fine, imprisonment or civil action; and may cause the permit to be tpes......1 applicant's signature come null and void. This permit must be on the project site and accessible to the permit officer's sign' ature permit officer when the project is inspected for compliance.The applicant certifies by signing this permit that 1) this pro- ( 3-14 .JT . 44'-99 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 -71^'t 20a D objections to the proposed work. attachments ......0.„ (1 GENERAL PERMIT COMPUTER FORM APPLICANT NAME: ADDITIONAL NAMES: --C N rn t.vv1 AEC DESIG: IAJ DEVELOP AREA: . I _ PROJ DESC:p - (Will only take 6) (Will only take 1) WORK: 1 ( �- (Will only take 4) MAINT: a (Will only take 4) IMP: tr GU I C (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: !1 CAMA MAJOR DEVEL REQUIRED: ( " } -°1 Z'��1 r'f43 , ✓ The American Fish Company P.O. Box 11046 (910) 457-5488 1104)—I44"8°( Southport, North Carolina 28461 C p`(\.),5D1, O 0 G Sw + � IW (,rky\i,. - )( , H: ,z4 ' , i, 04-i. i \ . .$.‘r) ..\ x- Lit 1.)y. '''‘, 0 0 . II 'it I ‘,, , )t. \,,> , 1_< left ) 1 \ ,,, ,% N \ 0 • fiii; e/%14 4/ Yi I%api i t t il Avutit 7i, gt-7.5',2 .J 3Onlon915 pau6Te ccalJn pTlvnfo sT Pi .141 'P,00. T4t uBTS• 'f e 1 usual,rube, But a JOr sJ of BUTUT.a Jed NORTH CAROLIN.q WILDLIFE RESOURCES COMMISSION vuoiwfnoe, Joy apjno ..Jeuao feog of J.101 CERTI=ICATE OF VESSEL NUIBER hoes, a BUTAIOAOT fU.O723e ale yo .sea e4f uI 'q 'ITLEC "lessen yo fuawuopuere Jo uoTfan Jgsep EXP: 2001-02-28 sseJpFe 'dTysJeuno yo ea8ueyo 'sAep ST uTUTTM 'e Y 46T.I.G 'uoTssT..00 a2TIPITM vuTtoJe) 4i,oN au; rf smettoy se T.Jode6 'I DAVID W MUNDY STATE OF 'fuepTas. use uT penlonuT yT PRINCIPALaouve , eTsse JapusJ pus doTS '2 7010 'Iassan a4i uo ir0T$TTJes •T4f AJOJ 'I SCARLETT LANEUSE 11WHS 213NMO 13SS31 3H1 O6ti3 NOIltl21..SI038 &IOA SI SIHl GARNER GARNER NC 27529 NC • VESSEL NUMBER MAKE OF VESSEL AHD YEAR LENGTH NC-5221 WO BAYLINER . 1997 026 TNOIINNC2 J3d DNO Itl �,1bd :OJa„mo AJ.puoo:,5 HULL IDENTIFICATION NUF9ER HULL USE FUL PROP TTPE - CNI:.JtlB 3AOW3tl ION 00 • Z Z T 2 SL1A835BB 2 797 2 1 1 • 7 C6Ltl85B68J5n 'oo 1UT nMTTV.BACKING FOLD'ALONG PERFORATION 3d11 dOBd 13 id 35n 11nH 838E nN NOI1831313N30I lino, Secondary Owners: TIFFANY B MUNDY • CZO L66I B3NI11BB CM 20b0-7N I H10N31 Ntl3A 0..1 13553A 30 3NUW a38WMN 135S3A 1 JN 1 THIS IS YOUR REGISTRATION CARD. THE V�_SSEL OWNER SHALL: 3Sn 6ZSLr JN 83N8s9 '1tldIJNI6d 1. Carry this certificate on the vessel. 2. Stop and render assistance if involved in e{n accident. d0 31tl15 3AIB0 OOOMB3HLtl3H TOT 7. Report as follows to the North Caroline Wildlife AONnw 7 AbN3H Commission, Raleigh ; A a. Within 15 days, clang.. of ownership, ad,dres., 0311I1 i 0£-60-000Z :dX3 destruction or abandonment of vessel. b In the case of an accident involving a ,'easel, 836W.1N 13SS3A JO 3J DIj_1?J30 refer to Boat owner's Guide for regulations NOISSIWW00 S3D6fOS3d 3JI101IM d:JI108U0 H1210N pertaining to rep5rting requirements. 4. Sign this card. Thlp card is not valid unless signed. SIGNATURE r DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORD Name Of Individual Applying For Permit : ` �17 01,/,#1 /// Address Of Property: /X / 45 ,57/4P/ (Lot or reet #, e or oad, City & Coun 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. t' 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 SECTIO1 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 b below. ) /5; 2/ I do wish to waive the 15' setback requirement . • Y I do not wish to waive the 15' setback requirement . ( \-- 14-----qci Signature T Date Print Name Telephone Number With Area Code • • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit : � 1/1/ Address Of Property: j /�r i �.� ''f (Lot or Street #, St e 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. 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 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 appropriates ban} / - below. ) a , 0¢u-'lam I do wish to waive the 15' setback requirement . I do not wish to waive the 15' setback requirement . • Signature Date Print Name Telephone Number With Area Code FUNCTION=> C NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD16C PERMIT NO: GP17921 DISTRICT: I COUNTY: BRUNSWICK AEC DESIG: EW PT APP FEE: 50 . 00 REGIONAL REP: BROOKS APPLICANT NAME: MUNDY, HENRY MAILING ADDRESS : 101 HAEARTWOOD DR CITY: GARNER STATE: NC ZIP: 27628 LOCATION: 124 S .W. 12TH ST WATER BODY: DAVIS CANAL LOCATION ADDRESS : (WHEN DIFFERENT FROM MAILING) CITY: LONG BEACH STATE: NC ZIP: DEV AREA: 0 . 01 PROJECT DESC: P-20 STATE PLANE COORD X: Y: WORK: BL 13 12 00 0 MNT: IMP: OW 156 ACTION EXPIRATION DREDGE AND FILL: CAMA MAJOR DEVELOPMENT: 11 24 98 02 24 99 MESSAGE: ENTER DATA YOU WISH TO CHANGE PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PFS=ADD NAMES 0 S c c u r f f y e n h a n c e d d o c u m r n f. S r e hack f o r d r f a i l s.® .. THE AMERICAN FISH CO. 60548 CHARLES H. OR KAREN Z. PERRY • P.O.BOX 11046,WEST BAY ST. SOUTHPORT,NC 28461 . PAY DATE , . 2 L�-�(� ss-3oi4� TO THE —D 6 Ni ti ORDER OF ��f il., n�LARS I jrITJZENsR �•N K First-C tizens Bank&Trust Company Southport,N.0 25465 it FOR M 006054811' 1: 11 53 �0030 �.00453 0 i 2099 2 2i� t • •