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Home My WebLink About20676D - Forbis w'sw.141 CAMA AND DREDGE AND FILL � • GENERAL l • O2�1F,� b (71,-- PERMIT 0 as authorized by the State of North Carolina Department of Environment, Health,and Natural Resources and the Coa t I Resources OQmmission in an area of environmental concern pursuant to 15A NCAC H- / oZ O`- Applicant Name Ar i AC r;r 4.f� Phone Number Address 4 A /\J(e^ t� f S'�p City (2c P a ;.t S !C /? c i State N C.. Zip IT L/S 7 Project Location (County, to Road,Water Body etc.) '4 C< 45 /4'k/C 0 A N`' —M d d A t Cci' i'," r � aSwLc.- * C., ,. t J/ Type of Project Activity I.r'q�( 2 ' > a 0 1 Ft,4 4 ,r, ti O k. I( IA,f 4-H L ' k /E' L —4 e' cJ w++. /1 ' )Ct7' boa; /rrf At wc.4-Crwtrd, tA- i4. Ali r-Ai l—ruL. T%�^ 5h...a/ he a4- (e...s -I- /r T . IA$ lilt° r„.., A 1— /,Hrl.w .n COr'r , 4 ./' /„,, e Ail c%, ci /i,,.. 1 PROJECT DESCRIPTION SKETCH / (SCALE: Nf r s e. �4ft, ) AlPier(dock)length 9'11 ,M '1 CI{ C c t A Wit I 1 �•Groin length o o n /y. ' 0! number / Bulkhead length L .1' ., max.distance offshore \ pr-, O o f fc,.IAr bd(,+ ; i Basin,channel dimensions C _..Xt. 4-,rt-) k 13,, / A C4 *.-1 .L._ cubic yards r ( ---- j ..... Boat ramp dimensions , ..,.. Other /' AC`'i d / ' ' . k. /7' x P.,/ ��,K) �v This permit is subject to compliance with this application, site )6i drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine, /�'►'� imprisonment or civil action; and may cause the permit to be— come null and void. p0 1.J� ` - This permit must be on the project site and accessible to the permit officer's signatunpermit officer when the project is inspected for compliance. O' Q / /Q t� c/The applicant certifies by signing this permit that 1) this pro- ject is consistent with the local land use plan and all local issuing date expiration dat ordinances, and 2) a written statement has been obtained from ^ i� / lO( o o adjacent riparian landowners certifying that they have no r (J objections to the proposed work. attachments — �( ....r.....1.�—�., _�.ti•_�J. — L:c�r.�UT'iR FORM FIELD ••REP: ParKC,-- APP FEE: .,.►� PR1,TIT NO: (�.�- .,�/ - .. COUNTY: I- L-IkS�-t `'� :.= AEC DFSIG: l , `= Vr WATER BODY: q n ' /K (. CY,-4 ;Pr-,ANI 7 _... wi,.(R( n r4 l 5 ADDI1 ZONAL NAME CS) : • • MAILZYG ADDPJ SS: • a( PeA,ci t r .S„� - PHONE: - - - _ - CITY: (DCC A ' I ( 8C` :-`' STATE: I��, ZIP: 2 7'9 5 PF.DJECT 'L- CA'LION: IN - ,UDING --" OR LO: L:21' . (WHEN DIFFERENT FROM MAILING ADDRESS) DLV AREA:: 0'b?PROJECT DESC: P (pL LAT (X) LONG Y : WORK: E _ _ LL, _) (R� -.l n l d _ =- CODE LENGTH WIDTH DEPTH- CODE LENGTH _: WIDTH DEPTH ). CODE LENGTH WIDTH - DEPTH CODE LENGTH — WIDTH • DEPTH _ IMP: p� (dt 23i - CODE SQUARE FEET CODE SQUARE FEET ) ( ) CODE SQUARE FEET ACTION/ EXPIRATION DREDGE Ala) FILL REQUIRED: I 0-` Tj — —e 1— 6 -- 7 y CAMA M2,43-OP DEVELOPMENT REQUIRED: ***************************************************************************** - - CODES FOR AEC DESIGKATIONB - _ "OH" — Ocean Hazard "CW" Coastal - • Wetlands "EW" - Estu,rine Waters -- "FC".- Fragile Coastal Natural/Cultural "ES" — Es��...a.ri ie Shoreline _ "PW" - Public Water Supply "PT" —. Pu .li Trust "OR" - •: -._ ._ Water ;_ Outstanding_ ' - -- -CODES FOR PROJECT _ : sually an individual F". Federal "L" Local Government "U" Util�;ty - - "H". Housing Development "S" State---_-_-: - - _ - _ _"0" Other - --- - - • CODES FOR DESCRIPTION . -"il" Bulkheads ' Rira _"12" Pierce Docker PBoathouses . -j � - • `-`�15'•'=UtilityZines , _"17" Emergency Repairs . "13" Boat Ramps - "18" Beach Bulldozing "14" Woode -. Groins _ - "19" Temporary Structures "15" Y.-.°''-ex "n of-Basins, Channels, Ditches - - 1 , ADJACENT RIPARIAN PROPERTY OWNER STATEMENT PIER/FLOATING DOCK I hereby certify that I own property adjacent to orb ` 's I , property located at Lic 2 aQ (— . J( lot , block, road, etc. ) on rYl 6,� . m C�C C ►� OCciG►i 1s l r, (water body) on Beach North Carolina. He Has described to me as shown below the development he is proposing at that location and I have no objections to his proposal . I understand that a pier must be set back a minimum distance o9f 15 feet from my area of riparian access unless waived by me. I • •/do not wish to (c rcle one) waive that setback requirement . Description and/or drawin of be filled in b g proposed development : (to Y individual propsing development ) IU X►7 �oa�-I • • K 14 Wa►kway Lf g P d r �-F- Sig ature Nam Phone Number ADJACENT RIPARIAN PROPERTY OWNER STATEMENT PIER/FLOATING DOCK I hereby certify that I own property adjacent to located at ILs: , road, etc. ) on ry� �� C a✓�., C�C�G,� �sl� (water body) on Beach North Carolina. He Has described to me as shown below the development he is proposing at that location and I have no objections to his proposal . I understand that a pier must be set back a minimum distance o9f 15 feet from my area of riparian access unless waived by me . I do/do not wish to (circle one) waive that setback requirement . Description and/or drawingof be filled in b proposed development : (to Y individual propsing development ) 14 X l 7 6)644 9 m� • ( x Ik, —r- ++Co d 4 X ly Walkway L{q ()cad r .+ Signature !Nam 7 Pho a Number FUNCTION=> A NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD16i PERMIT NO: GP20676 DISTRICT: I COUNTY: BRUNSWICK AEC DESIG: PT EW APP FEE: 50 . 00 REGIONAL REP: PARKER APPLICANT NAME: FORBIS, WAYNE MAILING ADDRESS : 49 PENDER ST CITY: OCEAN ISLE BE STATE: NC ZIP: 28459**** LOCATION: SAME WATER BODY: MAN MADE CANAL LOCATION ADDRESS : (WHEN DIFFERENT FROM MAILING) CITY: OCEAN ISLE BE STATE : NC ZIP: DEV AREA: 0 . 07 PROJECT DESC: P-12 STATE PLANE COORD X: Y: WORK: to 16 6 00 0 bl 17 14 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 1 IMP: ow 96 ow 238 0 0 0 0 ACTION EXPIRATION DREDGE AND FILL: 10 06 98 01 06 99 CAMA MAJOR DEVELOPMENT: MESSAGE: ZIP REQ, INV ACTION DATE, PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PFS=ADD NAMES • , '`...7. _ , .,-Z ' --- i i 2 7 0 9 i VARNANPS DOCKS & BUS 86 VARNAM TOVVNLKHEAD RD SUPPLY, NC 28462 66-112/531 ,i 1 1 Ili PA Y ), i ill TO Z-T/7/ er tti II q/0 / • _ ----------------- ___.D 0 L L A R S '' : 13 . , 32.24-467.17grgizTierigzz.s Iv : I • ,SUPPLY,NC 28.162 1 FOR 0'614 fil-- G i / 2/9 efloci:Z 00000 2 70 911' 1:0.5 3 1011 2 it:5 21 ?G ?GO ? llis s, 0 4.-..,...,MIL44144-4..r.'N'.tal4aftw4t".t.,-Aq.---Lidytt"...L2.:- .34.-7,21Z., -4,741... 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