HomeMy WebLinkAbout23282_MIMS, HOWARD_19990929CAMA AND DREDGE AND FILL
GENERAL N1012 328
PERMIT ^(/t(
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources pCommission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name Y Phone Number '� � •� `� % ?, jf
Address
City ���: State 4 Zip ' ` " 0 f--
Project Location (County, State Road, Water Body, etc.)
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Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH
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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.
(SCALE:
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applicant's signature
�, s f� ,1�rJrta►J
permit officer's signature
issuing date expiration date
attachments ("� I J, i iu',
In issuing this permit the State of North Carolina certifies that 11
this project is consistent with the North Carolina Coastal application fee (A A i Vt l)
Management Program.
Tuesday, September 28, 1999 11: 08 AM Carol Mims 919-8457795 p.02
5EP-2B-1999 TUE 09t30 1D:
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00/27/110 IK:41 �'Pa %5�72H4tlt'L
"Fin Whom It May Concern:
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T. D. EW WNSTRUC ON CO.. JW—
1 NOR[1iE11D MY, NWR CAFAMM WW7
I f%ward give permission �+,oweroies -- to
art as agent in my behalf in obtaining a CAMA General Peru to place sandbags as
a tcrnporary crosion c;cmtrnl structure in front of my operty locntc�
9 a i l.»c )cc in the town of fnr �t%� S rrd
at ��/ /`i -� �/
i have read the speaifm uunditions in 15A NCAC 7H.1700 and understand that by
receiving such a permit, l will be responsible fnr the rernnvai of renwants of rill or
portions of any damaged sandbagK, awul that the sandbags may remain in place for
up to two / .five yeas after the date of permit approval. Once the temporary erasion
control structure (Aentlba#g) is deterrnitied to be uwieeeRsary due to the Telocstion or
remnwsit of'the house, the baga muAt be femoved within 30 days.
i 0190 understand that the removal of the sand132gf3 shall not be required if they are
covered by &nes with vegetation sufficient to be considered stable and natural two
years from permit approval dole.
Date
AuthOn7ed Signature - _
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIA100RING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to
property located at / +
ac
(cN�ame of Pr% erty Owner)
%o4 Z l 11i1 L f4i w(& 7(a r ,a .
(Lot, Block, Road, etc.)
on �71 ih�,7"i z oC6W.4/ , in XiJ E c��Pi, N.C.
(Waterbody) (Town and/or County)
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/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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signature
Print or Type Name
3 3 (, �L -� y — ` 2-1-1
Telephone Number
Date: 9 — ;- '� — 1? 5