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HomeMy WebLinkAbout21164_STRICKLAND, JERRY_19990125O CAMA AND DREDGE AND FILL l`: Q116 _ c GENERAL _ 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 Applicant Name Address City State Project Location (County, State Road, Water Body, etc.) Type of Project Activity Phone Number Zip PROJECT DESCRIPTION SKETCH Nc-L-C (SCALE: ►.tiNc?. ) Pier (dock) length NCT_S.Z' LJCt3 �C, (�rivjv 1�-7iti Groin length number Bulkhead length CGNU 01L.1E P" i�jtilC�W��L �-?�r 'yid• i-' max. distance offshore Basin, channel dimensions \ r 1 ? 16 cubic yards Boat ramp dimensions Other "321 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, imprisonment or civil action; and may cause the permit to be- come null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) this pro- ject is consistent with the local land use plan and all local ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no objections to the proposed work. applicant's signature permit officer's signature issuing date expiration date O� I ` . \"7D0 attachments In issuing this permit the State of North Carolina certifies that -i (.Yo c,4i K)j h3� this project is consistent with the North Carolina Coastal application fee Management Program. 531 HODGES MARINE CONSTRUCTION ss 3oi4 z 884 NCDL 1999167 PH 252-745-7018 55 BAYSHORE RD MERRfTT, NC 28556 Date Pay to the Order of. FIRST CITIZENS <,z BANK Ortant�I,�N.C. 2B57d Tr t Company For------ i:0 5 3 L00 3001:00 4? L 2008 3 48ii' 0088 4 oao.w•nmeaa� $ �S3 a Dollars 8� ,Atter this form iS completed by the 1an,,,-wnei p►o, . .,nv the project, a +ropy is Even to his{heL- .Idj3Lt-nt ian,iowaers tux Ci]P.i] tunsent and signatures. the forma are -hi-it ret ,tr,ft;, .110119 wit-h Q Luilding plan and other applicable required informati,,p. ;fie Nus l<i���F. Inspections' Uffice fir huildinK permit apF ii-at;:�r�ipr.cessr'ng. i in/nf ADJACEN R1PARlAN Y:� lr'F.r.i'� OWFN. JF' : TATEMEN, LPNQ I heret . ._4r r : ty t' a' i own; pt operty ad, jacent L<, landowner -� proposing de4elopaecit body c,f I.a t rst!5e—r- z o t _ /./ If cooaunity Subdivisicx;, if appllc 7=os'Z- Tax Parcel 0_ off �JR //q3� Complete dt • Pt ',n locate thi c roperty: The propo _project, a BOAT odsr 4, and the location has been ' hed to •e as shown in tt.e draw;;rrg below and i "vt r,o ' actions proposal. ' FM A PIER, ;:HECK .%hF. UF THE F'CLLOWIh(;: 1 wish to waive the 15' m).cristua *hark froso my riparian, -. i DO NOT wish to waive the 15 - minim ac-k eql) i • sent *••fRtfRRRRRRRRR##tRR#RRR#RRRR#4RRRtt#pRt•,,.!►AlfOltftAtltAA�#RttRAAAR# Draw the proposed structure in the space provided below. List the size >f the structure and measured distances from the adjacent property lines. other structures on the property, and the road water, etc. /' / ; N /c? I .z ry C y�P I Jni Z Z X / Ci '574" t' i/lJJ Z )44 Ce' �S ,�• ��.;�5 �,,� ,r��l �,✓�-tS ,feu,/���s Cz � � � �45;� /# //y//\/ A /^/ C / / 1 e.ej� ✓Cn N_';- w 8.2/✓ z BsGz k(ILOING IN'aPt �-1I0N.,, (After thi-, form is , omp; �,y the landowner proposinE, the project, a copy is given tr> his/tie ,pnt landcwaers for their consent and signatures. The forms are -turned, along with a Lui',:.;g plan and otter applicable requi: mati.on, to the Huilding .cispections Office for building permit tonlpi-wessing.) ADJACENT RIPARIAN PROPERTY OWI► �r ?ATEMI EPN# I hereby ce.rtit r._)perty adjacent to J s eX-y u/. s 7-RV42,r<�/-0q-M-' ' s ..n !�? - of landowner proposing development body of Water in/near — _ _ iot_t►p3Jt Of L/L z� BUT �.e_ comour Ity Subdivision, if applic:able­ 7-osZ Z DS.�, Z Tax. Parcel d� o.; �R //Q3 Complete description of a. ,, locate this prcpe ty:FiesT1.o j- o TAWS - "ic _S "posed project, a RPAZ: �cJS�, and the location has been t:ki me as shown in the drawing below and I have no objection& .)posal. , F& A'PIER: CHECK ONE OF THE FOLLOWING: sh to waive the 15' minimum setback from my riparian access. 'SOT wish to waive the 15' minimum setback requirement. ••�AiAt•4tf*tf��tf*tirifRA••••A♦ff��Atf►tA}�AtR�'fRfAwf#Rfftf�t! t yr>poser structure in the space provided below. List the size the 6tructure and oeasured distances from the adjacent property other structures on the property, and the road, water, etc.. 1 01 �f��, =,� //���ys z� o.��lert - � Q� e fv 71LSditi /J 19 �GG tl"/L/�w 2 C• /� i 0 rj