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Home My WebLink About18327D - Yates .. CAMA AND DRyDGE AND FILL GENERAL )• Y.' 01832'7 _1'� -1� • U PERMIT as authorized by the State of North Carolina �/%� Department of Environment, Health,and Natural Resources and the Coast R sours 5nission in an area of environmental concern pursuant to 15A NCAC its or . / A J Applicant Name (..2 /e 0 �P S Phone Number Address `I ii LI, i 4 + °; S4-. A' City OLP-h 1Sl�e �P.Ail.t State Mc-- Zip " yLP"p Project Locakjon (County, State I�o�d, WAter Body, etc.) 9 y �, l 4�1-7^ �S� I'PA d ( eL-t 441e p �'t' Y�j 5 wiin K o . u � Mu -M � f/ C1 A I �/ Type of Project Activity 1 -($ L t.( 0 ( 1 r.4 A,p and al�D 4:/:,y 7►N J (i.v�� // 7L i1 /o') l,ir+A 3' ?'(Iu ,, -,t /0 .X /b' -0.4 �,n\ (1> K f�I-II C . d l f_ , b ?N• ll J: PROJECT DESCRIPTION SKETCH (SCALE: �,( / TD ��i ,� ) I x , (v ( fr Pier(dock) length 3 ,1 b Groin length number )G A — 4- (7`4 A" 1 —2..;;_,-- Bulkhead length - / ► /b' max.distance offshore /4D i Basin,channel dimensions cubic yards Boat ramp dimensions ~ xis �l p�L- Other ,4 A-,h „ D--K. /b" X /e�' 1.1\\ ',..1 This permit is subject to compliance with this application, sit */* (::?aM/ftl—ct (\c_? .,1 drawing and attached general and specific conditions. An violation of these terms may subject the permittee to a fine, applicant's signature imprisonment or civil action; and may cause the permit to be- come null and void. C?el ay\ --, 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. l The applicant certifies by signing this permit that 1) this pro- L-) -- _ q -3 7 - 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 '7l,1 • / a O� objections to the proposed work. attachments I GENERAL PERMIT - COMPUTER FORM Pa r FIELD REP: APP FEE: L'` PERMIT NO: 0/ ' 3d '7— 0 - COUNTY: S'r--4 I.AEC DES IG: p I I E- 1L1 WATER BODY: /41 u A 'A'. 4 r11 t l ,- ci / APPLICANT NAME: C 1Q H A. y u i-0 ADDITIONAL NAME(S) : MAILING ADDRESS: GPI I)/, /14 'r► . -, 5 PHONE: CITY: D C e-,- d_ /C' � gt t Ls STATE: ZIP: PROJECT LOCATION: INCLUDING CITY OR LOCALITY ,fl(WH DI'FERENT FROM MAILING ADDRESS) DEV AREA: — —. L) G' SPROJECT DESC: 40( LAT (X) : LONG (Y) : WORK: (---PO - - / ' 3 - - —) (t--- - - I - / o - - —) CODE LENGTH WIDTH DEPTH CODE LENGTH WIDTH DEPTH MNT: (- - .- - - - - - - —) (- - - CODE/ 4 LENGTH WIDT/�H DEPTH CODE LENGTH WIDTH DEPTH IMP: 0 w 'T 4 ) �? �N` / 6 D ) ( ) CODE SQUARE FEET CODE SQUARE FEET CODE SQUARE FEET ACTION /� EXPIRATION DREDGE AND FILL REQUIRED: o_— -I — , - CAMA MAJOR DEVELOPMENT REQUIRED: ***************************************************************************** CODER 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 FOR 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, Riprap• _ "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: 0, ■Complete,i ms 1 e»/or 2 for additional services. I also wish to receive the w ■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): card to you. j •Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address m permit. y ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery t •The Return Receipt will show to whom the article was delivered and the date c delivered. Consult postmaster for fee. 0 m 3.Article Addressed to: 4a.Article Number 2 �1�X- �C�)--I bc;c. a E 1� �L 1 1 4b.Service Type 0 i , 6-6 -(0O 0 Registered 0 Certified cn u 0 Express Mail 0 Insured o �('��\ - �, (\1 ( 9�9 p Return Receipt for Merchandise 0 COD a t k�`Tv{A 1 7. Date of Delivery 'z l 4 .1 l m 5. Received By: (Print amp _ 8.Addressee's Address(Only if requested W / e(-9 r d 1r: ' ,/ t. cJ l^ and fee is paid) 5 6.Signatur •(Addressee or n 0 PSm 3811. December 1994 Domestic Return Receipt r• SENDER: o ■Complete items 1 and/or 2 for additional services. I also wish to receive the rn •Complete items 3,4a,and 4b. following services(for an an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. < j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address d permit. : y ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery o E •The Return Receipt will show to whom the article was delivered and the date c delivered. Consult postmaster for fee. . D a D 3.Article Addressed to: 4a.Article Number a a 1,l eU�6 r`e �d e I1 Z ��—1 • � << �,j o E 4b.Service Type D ` , a D r Q (� `q.BC( 0 Registered Certified c n 0 Express Mail 0 Insured a c Return Receipt for Merchandise 0 COD Q e\ 7. Date of Delivery a. i \ , D - if requested i u x G I- 5 D a • De r,,...,%al1 nelne,n,ti�_.i��- nelmactir Rat!trn Rpraint . . ^ ' . . . ^ DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM \ � Name of Individual Applying For Permit: f-��J \ ==--�` --`--��----- Address of Property: __Q^�_ ��[�l �� t..-Q1z-xA � »^- � �_ ��-____ _ (Lot or Street #, Street or Road,' City & County) I hereby certify that I own property adjacent to the abovs 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. �0O. ^�' D!�'~_�� _ I have no objectives to this proposal . If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 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 sat 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. ______________________________________________________________________ _ __________________________________________________________ ture- ��\�� ------ stop � _- _ °�/_�� _ ~�~�_ C/^.--____-_____ Print Name � ' ____-^_+__�' ________________________ Telephone Number with Area Code r Cks • 7656 /' GRICE CONSTRUCTION 910-579-9095 6618 BEACH DR. SW OCEAN ISLE BEACH, NC 28469-4710 �} 66-112/531 DATE � %L !I, PAY ..:' �• TO THE �.. ,,�0. ORDER OF 1 el ,y BZZO, BB&T NCH OANNiNO ANO TNIIHi GOMVANY • HWY 179 AND THE CAUSEWAY ROAD OCEAN ISLE BEACH,NC 28469 ,.� FOR @'1� p --- 0� !wA - --"r ■ 5945 f u u � 12L . 52 �8L 765 6 .053 LO L 0000