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HomeMy WebLinkAbout22391_TIRRELL, STAN_19990701CAMA AND DREDGE AND FILL GENERAL N? 22391G PERM I T 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 !'' L`'t- Phone Number Address ' �' "z- City State Zip Project Location (County, State Road, Water Body, etc.) it- - _i A ti i 7) . . NF- - i�Ylf=;J i f\\ 1� C: Type of Project Activity 1 'i cc-, -L i tsJ 'L �_X �+�� Cam` � cam` C"E� Pt rl.'r L--�v` `" f--'!yG1- 1 �<-r-. ,,,_.(-i f'�.CJ<.���-.a `ji- .l�C.-1..�ITf`_ /�`�-r`��c2,1'1. -- r!GC(r,A C- E ,J PROJECT DESCRIPTION SKETCH -�Uy 7j5(�' _ �% (SCALE: ) Pier (dock) length Groin length _C Wit'a-c.-I number Bulkhead length O max. distance offshore —FD C7X 'fjlv— (v� Imo' VUr1,L-,A j iU %t c--'i-4 Basin, channel dimensions f'QZ cubic yards, ll'i(l Al Boat ramp dimensions lU` X,_x jrw L Other Iv3 � ►4tr.� C" c `� 1 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. r applicant's signature issuing date attachments 07 P "2U[ 50 permit officer's signature expiration date In issuing this permit the State of North Carolina certifies that ch CH .N6. _A this project is consistent with the North Carolina Coastal application fee Management Program. NLEY TMEL SH KERN T IRRELLL 103 PELICAN CIRCLE ORIENTAL, NC 28571 PAY l'O'PI IIi CD �I v ORDER OI 604 10-21220 $ cmuy ream..: DOLLARS Marir�idland Bank m MARINE MID D CENTER OFFICE ONE MARINE MIDLAND CENTER BUFFALO, IJEW YORK 14 FOR UCL c, tr&tl ur 'ECG— i:0 2 2000 201: 7 50B 7 5 5 LBII■ 60 4 SENDER: :O ■Complete items 1 and/or 2 for additional services. I also wish to receive the w ■Complete items 3, 4a, and 4b. following services (for an ar ■ Print your name and address on the reverse of this form so that we can return this extra fee): card to you, ai ■Attach this form to the front of the mailpiece, or on the back if space does not ❑Addressee's Address U d permit. Z y ■Write'Return Receipt Requested' on the mailpiece below the article number. 2. ❑ Restricted Delivery 4) r ■ The Return Receipt will show to whom the article was delivered and the dale f delivered. Consult postmaster for fee. a 0 v 3. Article Addressed to: Ld 14a. Article Number d d Cn LU p 1 r�ItIu+Li S 14IgA,crl 0 z 5. Received By: (Print Name) I g 6. Signal • (A ssee orAg , >. J Q,� r N PS Form 3811, December) 994 97-1 4b. Service Type ❑ Registered t!Mertified rn ❑ Express Mail ❑ Insured 9 y ❑ Return Receipt for Merchandise ❑ COD 2 7. Date of Delivery 0 0 a 8. Addressee's Address (Only if requested and fee is paid) t izcv� G�/i 102595-97-B-0179 uomesuc meiurn Hece UNITED STATES POSTAL SERVIG>? Cr First-, Class Mail Postage & Fees. Paid USPS Permit No. G-10 • Print your name, address, and ZIP Code in this box • t G3 �eir��tn rclP JV,C. -�s371 ■Complete items 1 and/or 2 for additional services. I also wish to receive the ■Complete items 3, 4a, and 4b. following services (for an ■ Print your name and address on the reverse of this form so that we can return this card to you. extra fee): •Attach this form to the front of the mailpiece, or on the back if space does not c0i y permit. 1. Addressee's Address eThe Return Receipt wiIt Write'Retum Receipt ll ow to whom the article was below delive ed and the date 2. ❑Restricted Delivery 0) delivered. .. K� to: '5G{veh V VAIAw4,te �t Gib �Pr !�� ^a,�a �s JCCz g,t. 3ej-3 z o= 5. Received By: (Print Name) 0 Consult postmaster for fee. a 4a. �iGe Number m ' c '. 4b. ervice Type 3 ❑ Registered 'Certified ¢ ❑ Express Mail ❑ Insured S , ❑ Retum Receipt for Merchandise ❑ COD 7. Date of Delive 0 B. Addressee' Address (Only if requested and fee is aid) f— F •n Receipt UNITED STATES POSTAL SERVICE 111 First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Print your name, address, and ZIP Code in this box • .� i►g.e t N c, li01 la u: 1:► J • 1 1 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: Address of Property: 1 6 9 {' ff C t P y� 1\ i E " T a h �le/�wc'Z'y (Lot or Street #, 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 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 being proposed, please write the Division of Coastal Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808- 2808 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. K--AD 1"9 Signatu e l a e C ��.�n� P r o P A Print Name 1 319 I tnc) Telephone Number With Area Code Moom'S SIX CERTIFICATE OF SURVEY AND ACCURACY •�..� m;y CERTIFY THAT TUM MAP WAS DR7tM UNDER MY DIRECTION AND $UPERvIs ON FROM-ADL-AC;UAL SURVEY. -OF T THE ERROR A f OF CLOSURE AS CALCULATED By LAYTUDES AND OE- _ E r, F'ARtpRES IS 1 U�e�:THAT THE BOUNDARIES NOT- SLNhfL E) ARE SHOW -AS MOKEN LINES; V M3(Y04'44"E—1.3._DAY OFF Y► AND SEAL THIS t t AP NO T4 NIREGISTERED SURVEYOR —.---__ ---- . 14 S22't t't3'E y REGISTRATION NUMBER 41 _ Q`' � �- m I s� )�• � N6" �,euuo�ua "U)� ._.., �L�,�L„ 8. 0 37 4r . Or.53 ACRE 36 aeJ. SET IRON PIPE /� ;7 LAP = EXISTING IRON PIPE E1P 'LS ter' 2� is r RJR' = RIGHT-OF-WAY / i J �� �, ,kt 8' O• Ski = SET PK NNL 'ie E - EXISTING AK NAIL CIA Q CONCRETE MONUMENT a 1NNIMUM BUILDING LINE a` D a WATER METER / n - /. / '0 loaf-�n9 K ID ' Oe X f6 by ream, 1�r° ecK l., A"t d 4�.7G//� W 4 lc<� �r�y J 0 C�z►'h5iny Gtl�n� O.tr�chca `' �elac;i-y_ �� JUN 1 8 1999 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit:�'� Address of Property: 1 U 3 — G 9 1 L5: /U 7-)9- z-, A/, L'. 2 & 5- -7 / —61d—A /— C 7 �- (Lot or Street #, 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 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. J P P If you have objections to what is being proposed, please write the Division of Coastal Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808- 2808 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 IS' 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. C�T I do not wish to waive the 15' setback requirement. 405-1- �- ---. - rm Signature 1,01 Date 1111111111 =-- AD Telephone Number With Area Code