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HomeMy WebLinkAbout18202D - Wood Al LAMA AND DREDGE AND FILL GENERAL 018202 PERMIT 0 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 14 • / av +, ��! o 109—6317 Applicant Name \,./rr WOOC Phone Number 19 77 _I -v/0 Address 7a 9 Cor be "To City G1 A� State (' OCII Zip a 7,5a o Project Location (County, State Road, Water Body, etc.) dk—J IO ✓ w� �n{l 9a�g �+h fre ef, 6vVc c ,i1 , kid), AAr-,-MAdci e'A-nA I Type of Project Activity Ale4AJ byA-+ AowSPA c..Jl CA Uhl 1 _' /6 ' x 'r' dock_' Acid'1+'to r. * 6oA-E two f-rd dock. Addl.-bun _inus-F not exceed Va. CanA I UJidfh Cif e )(tee( +ham e5+f1 I ;.Aed QI� hend llneJ On -fh,`5 c/4n' 1. PROJECT DESCRIPTION SKETCH (-MAn ;ftfc=4 1 (SCALE: ^' T ,r ) Pier(dock) length .c /' �• ! Iv A. Groin length Pro posed 7' d1 o r) number ,.. ~ A Bulkhead length ( 44 E X i44\r,cl max.distance offshore A,� I tv\ �P� o�K, 1�' Basin,channel dimensions l(! ` Q \')C), J lof cubic yardsI Boat ramp dimensions i 1 �-- c C.Att nJk,----7' `1,, Other b01 4 hotA S ./ V \ CZ. l!n' X 7' d oc�K' ' Add Or1 , < 3rJ'1 .\ pli 9 U(o5 9 et PLas This permit is subject to compliance with this application, site L' ` `t ����'►rj drawing and attached general and specific conditions. Any "'� `'' �Z'1/.,-• -� &I,A{, 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 C come null and void. 11)1 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.The applicant certifies by signing this permit that 1) this pro- Q,t,C,L, i -1QQ q&_" `J ' s j q io 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 714 . 'aO° objections to the proposed work. attachments wf)Ck•B(II+9 GENERAL PERMIT COMPUTER FORM APPLICANT NAME: e-, r Woodbi? ADDITIONAL NAMES: AEC DESIG: VDT E DEVELOP AREA: O I PROJ DESC: I - I a (Will only take 6) (Will only take 1) WORK: E L '1 ' Y. I Go I t ( `P x a(01 (Will only take 4) MAINT: (Will only take 4) IMP: D1J 2-- 0 w 3 04 (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: ‘C)Prfr.k 1U lot,re� S�)96 CAMA MAJOR DEVEL REQUIRED: Qe_ wood — qlq ?9q --8 //0 roo Pc-ci i 3 /2V / ' � � F-o^ NU ! \ 13p" I-6 USE / Add d n 1\ sfe-, daunt 17 2` 52 O NCEd 'To cic+is-/,s4-6,4cA \ Err o6c6 A w r+ved. so' 7 1 3wr (�OGk -1 I i i ___. . -, + T 1 1 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: ,JL�'{^ 'i /1R� L N A/ Wood . (' ) y � y Address Of Property: qo 1p S 1ti� � ,dThs o 1 ' 1 G,��J. (Lot or reet # Street or Road, Ci & 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. XI have no objections to this proposal . If you have objections to what is being proposed , please write the Division of Coastal Manacement, _ 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 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. ) 24 I do wish to waive the 15 'setback requirement. I do not wish to waive the 15'setback requirement. • eeL,. k ;),,guv cht,, 3-/- 171 Sisqature Date • A r 50,v K ( cad/SR. Print Name %�-V�_ Telephone Number With Area Code DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM Name Of Individual Applying For Permit:/ c T ( ')0 L Address Of Property: QQ(prj kLat AL Or � -1 o cv— (Lot or $ reet Street or Road, CityCounty) 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, 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. • is aye Dates • � Print Name - 32.S- HNR Telephone Number With Area Code • thi II i S 66-1 5 21531 I y ®e 13a li..40 Z3 3 322-357/ 3- 9 ,9y� I PAY ORDER OF L . '�Z I $ 50.....1r r/ ,' ',/%/`/ /B� DOLLARS i e�"a oa.u.o NACHO m, Wachovia Bank of North Carolina,N.A. Jacksonville.NC 28540 FOR>�,!`deIz'i, 'f m. 1:0S3LOL5291: 4L86 L3393 /Lu`' t�%y�/"