HomeMy WebLinkAbout19798D - Wilson -R-T. "I,'e '°.r i'`W i•Vr.'"Wr'.R' +."9--a —-yam ...,w.- "^'.7_ - .F..gw•,,
CAMA AND DREDGE AND FILL O
GENERAL Nti n19798 - D
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health, and Natural Resources and th,�.�pgstlIeggy�,rces Commission
in an area of environmental concern pursuant to 15A NCAC �� // ff--�� ! ll��
Applicant Nam C V" t s '7~ Phone Number
Address 1067 5 -6 P4v1 Qr-i✓ ( S .
City Lt State// A/ G" �g' Zip hi A
Project L ion (County,,St to R , Water Body, etc.) 6 '7 $'r• A v/ v,/�r' sr 7 pyz?/1 i.',c+
jr 0 rvelS6v, lA a. o A iW It' d/Q/
T cif Projyeect Act4ivyty '�� ���c -F AiX I). 1(/ w4 (� �( l b ' '�A -c� / A(/b�
oy ti.; n e Cq 4 (r weir c eet C n S /'.�e. �., I P 4 C4J /
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PROJECT DESCRIPTION SKETCH (SCALE:#a+ T. S0..,/ )
Pier(dock) length > rbl ...,+
Groin length 7'1 I
number ! Y
Bulkhead length /O
max.distance offshore
Basin,channel dimensions
q61
cubic yards
Boat ramp dimensions
Other t tit "' 1"'
'fl 0 5 '
1 f+ .>\-. /6 Fi- ..,..Lz: -"--
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any AX/14,/(44/
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
come null and void. J
)ttitt
This permit must be on the project site and accessible to the `/1 (117Clipermit officer's signature
permit officer when the project is inspected for compliance. �j /J - ���
The applicant certifies by signing this permit that 1) this pro- -I /
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 fromI �� /�
adjacent riparian landowners certifying that they have no - •
objections to the proposed work. attachments
GENERAL PERMIT - COMPUTER FORM
Pct,---((e/7 FIELD REP. APP FEE:
PERMIT NO: d CI I ' 15 - C) - COUNTY: Y? rnn- .ts LAr
AEC DESIG: • F WATER BODY: /VL
APPLICANT NAME: U Cm 6 S J h
ADDITIONAL NAME(S) :
MAILING ADDRESS: L / J v P.. 5 ONE: " -
- : CITY: �f 1'l/i�s STATE: A/C-- ZIP:
PROJECT LOCATION:
?t�C'LUD`Nr CITY `''? 'zT (WHEN DIFFERENT FROM MAILING ADDRESS)
DFV AREA: C) PROJECT DESC: P -Id, LAT ( LONG Y :
WORK: (eR (1-6- _ _ f - _ _) ( h _ ! _
CODS LENGTH WIDTH DEPTH CODE LENGTH _ `. WIDTH DEPTH
MNT: ( _ a
C: )•^ s, 'TGTH{ WIDTH DEPTH CODE LENGTH WIDTH DEPTH
IMP: pw 5Y .) (N 1Pk: bL /be)
BODE SQUARE FEET CODE SQUARE FEET CODE SQUARE FEET
ACTION EXPIRATION
DREDGE AND FILL REQUIRED: l h/-- j 9
y
LAMA MAJOR DEVELOPMENT REQUIRED:
**************** 4 *.**********************************************************
CODES FOR AEC DESIGNATIONS
"OH" —. Ocean Hazard 2 . - "CW" — Coastal Wetlands
"EW" - Estuarine Waters - "FC":- Fragile Coastal Natural/Cultural
"ES Estuarine Shoreline "PW" — Public Water Supply
"PT" b Public Trust "OR" Outstanding Resource Water
CODES FOR PROJECT-
"Pt : rivz te, usually an individual "F" Federal • -
"C" ccimercial • - "L" Local Government
"U" UtilAty "H" Housing Development
"S" State - "
_ . . O" Other - -
• _` CODES FOR DESCRIPTION :-
•"11" Bu)-kheads,_ Riprap j v "16"- Utility Lines
"12" Piers, Docks, Boathouses :• "17" Emergency Repairs .
"13" Bout Ramps • • - "18" Beach Bulldozing
"14" Wr9den Groins: = "19" Temporary Structures
"15" . ,inten . 'a of Basins, Channels, Ditches -
P
64�� 7 54/44Oil
i6 11/C. _ ,T
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
PIER/FLOATING DOCK
I hereby certify that I own property adjacent to
' s, property located at
Gf bnr
( lot , block, road, etc. )
on Try
alotdampianNia
(water body) on
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
oe215 feet from my area of
riparian access unless waived by me. I do/. ."-no ish to
(circ e one)
waive that setback requirement .
Description and/or drawing of proposed development : (to
be filled in by individual propsing development )
Siff at ure
Q
a
P one Number
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
PIER/FLOATING DOCK
I hereby certify that I own property adjacent to
�achn Ali 'd_/a s, property located at
( lot , block, road, etc. )
on
(water body) on 1/�}� ga�
North Carolina. He Has described to me as shown below the
development he is proposing at that location ana 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 drawing of proposed development : (to
be filled in by individual propsing development )
•
V?
S ign e /
Na� 76 -6 3 J-"7
Phone Number
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4)i X h
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• 2837
VARNAM'S DOCKS & BULKHEADS
86 VARNAM TOWN RD.
SUPPLY, NC 28462 66-112/531
)
DATE 1 - -
TO THE LAU I $t;tt)
ORDER OF
d( __ G' /nl a�S j 4i-A-i— DOLLARS 0
62101 BB&
.MN H MNnme Ano inner COMPArn
3228 HOLDEN BEACH ROAD SW
01
SUPP ,NC 28482
FOR i;L�n Id7u_kLcUG1/1 ^�
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