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HomeMy WebLinkAbout18330D - Sirgo iLAMA AND DREDGE AND FILL ''1iIiI\ GENERAL lei fli8330 -4) PERMIT as authorized by the State of North Carolina 0 Department of Environment, Health,and Natural Resources and the Coastal esp rces Commission in an area of environmental concern pursuant to 15A NCAC ? ' 1 A,Do Applicant Nae Pr. - / t K 5)r 0 Phone Number Address '3to 0 LS4—A P (2deP ,� r City Ret I `{ I,) �1 State 'V C Zi 96/ X Projec Location (Countyy State Road, Wa er Boo�ttyy, etc.) 10 4 e- S ,^ RIL? f-o p.P Suid,0 5/S-• n C,Ar~ & ivi'lle i� ,gr�nSu.r. ,k L . e ,, Bransw'LK Je ( v('r— `` t Type/Iof Project Activityll Ca4S'�r`.c- 1 51 >( ))O' fr f — ,u.r-rN T Xewd. q 4- veg4f''Niu rcl .eAd)) ,41l Co4STr/..J .. AU I 4 q1L /eu s' /5 ft /Act rr f Pkt.,� rby trK,,. eo/'r i o' A-/1 eDn cj i ri o� ff��F 1-41c.�tf 93 S ,t lI cup/I s441/ .6( c1P5a1/1( �D P f Q vi de CLD�.Krl+� SPaLC r— !Yv M PC ( L AIL S4.-'H^l'S PROJECT DESCRIPTION SKETCH (SCALE:ivcrt ?., 5, c. ) .�' S'x ?l' Pier(dock) length �C �---_ At g�'✓/1SWIC' k � tVr'�Groin length 5-Of number 6, L,_ Bulkhead length max.distance offshore Basin,channel dimensions Poor cubic yards Boat ramp dimensionsLL �n Other/ �/ b ' /r 7"r . arc- ( ✓ 1/ ✓ U Y �v-- /Q a' Aa t 5 This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any) 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- r i...)come null and void. 0 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. 1Y-( �U/ q4 l _ The applicant certifies by signing this permit that 1) this pro- — l D 0)-- qX 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 n adjacent riparian landowners certifying that they have no / p /2 6 J objections to the proposed work. attachments _h , 11- GENERAL PERMIT — COMPUTER FORM FIELD REP: R .r• APP FEE: 50- v> PERMIT NO: ( / 3 fl `' COUNTY: (> 1--i� AEC DESIG: `� ,p - � � � � �� ESC�' WATER BODY: �/—�•1 S w1s f�- l APPLICANT NAME: INA tk ADDITIONAL NAME(S) ; MAILING ADDRESS: 3 lO cte _-. PHONE: - CITY. c. NcZIP: 7 `/v�. �, (� STATE:c ✓ n. ... �c. PROJECT LOCATION: 1..4 14_ Rtic e r fe nkq.r-' tYe (vi fie INCLUDING CITY OR LOCALITY (WHEN DI'FERENT FROM MAILING ADDRESS) DEV AREA: _ .Q 3 PROJECT DESC: P - 1 L LAT (X) : LONG Y n ( ) WORK: ( _ a� _ S . _ _ ( C� CODE LENGTH WIDTH DEPTH CODE LENGTH WIDTH DEPTH , /NT: (-- - - - --- - - -- -- --- -- - - (- -- - - - - --- - -------- --------- CODE LENGTH WIDTH DEPTH CODE LENGTH WIDTH DEPTH IMP: (OVy .L c7) �b D ) CODE SQUARE FEET CODE SQUARE FEET ( ) CODE SQUARE FEET ACTION EXPIRATION DREDGE AND FILL REQUIRED: " 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 FOR PROJECT "P" Private, usually an individual - " "Cn Commercial-• : : _ _ - ._- "Fit "_ _ . � - "L" Local Government "U" Utility R . - "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 • • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit : _DR . 10-CV -S(C.90 Address Of Property : Lo4' - t c E "`' 'z- „5€/ d v,s/ ,3 2.c� �� iZLt, •3e Lvi„If e,/ ,VC ( Lot or Street F , 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 as shown on the attached drawing the development they are pr osing . A description or drawing, with dimensions , should be ovided 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 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 blank below. ) I do wish to waive the 15 ' setback requirement . I do not wish to waive the 15 ' setback requirement . /-j---LciLA-1,.. Si nature Date L0 -e,� -0 , c.-u-�-•� S& �i� L. 5 E--rl( '5 [-LC, r Print Name w� a.mmumnimm AEI---INR Telephone Number With Area Code FROM : John Jordan PHONE NO. : 910 763 6821 JUN. 01 1998 10:33PM P1 06'0198 22:11 FAX 910371(1932 SOUTHERN LIFESTT 41U2 DIVISION OF COASTAL MANAGEI'1ENT ADJACENT RIPARIAN PROPERTY' OWNED. NQTIFICATION/WAIVER FOR?? Name Of Individual Applying For Permit: Vim. mig-icV 5,1 G-o Address Of Property : c-� - L J F?C4 ADE -5-44 r'v15/0Ai _ 1IC6 4015E, a1 i 3eLti'411 , rJC_ 2 `f"C1 Lot or Street street or Road, City & county; I hereby certify that I own property adjacent to the above- referenced property . The ir,dividua:. applying for this permit has described to :re as shown on the attached drawing the development they are proposing . A description or drawing, with dimensions , sou be pr^vided with this letter. I nave no objections to this proposal . If you have objections to what is be na oromesed, please write the Division of Coastal Manaaere^t , 27 Cardin 1 Drive E tension . Wilmington. North Carolina 28405 or call 97.0 395-3900 within 10 days of receipt of this notice . No response is considered the same e6 no objection if you have been notified by Certified Mail EALYM-EUZLIO I understand that a pier , dock , rccring pilings, breakwater, boat house , lift or sandbags must be set tack a minimum distance of 13 ' from my a-ea of riparian access unless waived by me. (If you wish to waive the setback , you wuat �nitial the appropriate blank: below. ) N..� �_ �c� F dp Dish t:r aai�.�e the 15 ' setback requirement. )r : W I do not wish to waive the 15 ' setback requirement. Ca--_a AvecpriA _Da _ vv . e..01/4.e v_.._.........,, rs 0 4-1 . ,-s .ar,.._ ...........-1/Y Print : ame w.•+ ,,;)-74.a -- -r- -. es ID E I--I NJ Telephone Nunoer. With Area Code --- --tiiififftWIn-.. ..-:-... -ritbalada. .., __ _ _ 7 - - --==miegiVIffs ..zattgassoA'A-;-:.,it' SOUTHERN LIFESTYLES, LLC 10 1 z P. O W LM 10476 INGTON, NC9128405 1518• DATE �' o o� ,�', PAY ___-�__-------- �.�,..... TO THE DOLLARS "°d W I ORDER OF L(SZj o�1. • 02501 R T / • - �7. eew1."e H 'MUST ror --- --_ 7 I NORTH N,3 NC 28402 ` WILMINGTON, __--4��d�_— y FOR 7LII. -;1:0S31011211: 521222085log u'0000 LO