27093_ALQUAZAH, AYMAN_20010109

Applicant Name
Address
City
CAMA and DREDGE AND FILL
G E N E R A L 7093
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
State
Phone Number
Zip ? t Gr
Project Location (County, State Road, Water Body, etc.) u
M rLl;Mtri Nrt, A'j. E, Vf-
Type of Project Activity ' i�� X i r 4" a 12 ' Y ( 2 ' ' i a ► 7 J a s� E�•,1. �. !� T
PROJECT DESCRIPTION
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
permit officer's signature
tjti.f
issuing date expiration date
attachments
application fee

STATE EMPLOYEES' CREDIT UNION MONEY ORDER 02555
MOREHEAD CITY BRANCH
A 1_ 9_ O 1 66-7704/2531
AYMAN N �9ua Z�% �r�t�J7G% j DATE
REMITTER
PAY TO THE NCDENR $ 100.00
ORDER OF
DOLLARS IIJ
State Employees' Credit Union ID AFTER 180 DAYS
Morehead City, North Carolina
062 tir
i — — — — AUTHORIZED SI TURE
��s00 255511' i; 253 L770491:086 430 3a511'"

ADJACENT RIPARIAN PROPERTY OWNER STATE: LM
(FOR A PIER/MOORING PILINGS/BOATUFT/BOATHOUSE)
I hereby certify that I own property adjacent to AYI 1 F !y AL 6 k z c� h 's
(Name of Property Owner)
property located at rt-
kILot, Block, Road, etc.)
on �U��v�^ n�a �I_ G r �1 , in lU (4 /P If , N.C.
(Waterbodv) (Town and/or Countv)
He has described to me, as shown below, the development he is proposing at tr,at location,
and, I have no objections to his proposal. I understand that a pierimoonng
pilings/'boadift/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 da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWDNG OF PROPOSED DEVELOP.�IENT:
(To be fzlled in by individual proposing development)
i�2 Fr
ma(4 l y0
� /v-oft�✓�c,le T/
apG l \ Will
5,- l neGCrr6r
Print or Type Name
Telephone Number
Date: %- cJ V— 0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Al m F () P LaL't 7 's
(Name of Property Owner)
Property located at a 3
(i.ot, Block, Road, etc.)
on !W t-c),poa-I rnt:s l[C'r,F % , in IV& LGA) t4 abC �� U , 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 pierimooring
pilings/boatliftlboathouse 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 d_Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWPiG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
d yet sk,'� - L
r,
va _
/dd F+mWe
poor, w, // 13e Ceir�0,-
o, Lo-r- .Da-- k -'5
Signature
Print or TyMWM C 911"Im "T'
Phone (?c^i
New -
Telephone Number
Date: `�

MONITORING & COMPLETION REPORT
CAMA Major Development
[ '� p ent &State Dredge &Fill Permits]
PERMITTEE' S NAME: AY MEW A L Q - 2: 0F+i PERMIT # Z �T b q 3 - c
LOCATION: Z 3'a S Ho RE 1ZD FIELD REP. S A�WCP-
M I LL C Q EEp ARM, CA2T-fAWT 00,,... T- y
PHONE: 252.8 a$ .21615
DATE REPORTEDLY COMPLETE: Z I Z&/ o 1
1) Do the measured dimensions of the development differ from those indicated in the permit and workplat?
YES/1 Mcircle one].
COMMENT:
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized
all disturbed areas? �NO
[circle one]
3)
COMMENT:
action needed?
COMMENT:
one].
: Is further investigation or enforcement