8041_HAGEMAN, MIKE_19910530

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
(-8041
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 7// - / 26y
Applicant Name 9 r6' 1A1� �M lt�/ Phone Number 6 -?lD
Address , X 61;- �34X )
City f0'PP State %� Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH (SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other 0QdiI & Uzi, - _
4Zy 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- T
come null and void. ` G
applicant's signature
This permit must be on the project site and accessible to the v permit officer's signature
permit officer when the project is inspected for compliance. j
The applicant certifies by signing this permit that 1) this pro- v
ject is consistent with the local land use plan and all local issuing date piration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no ✓�� /2,
objections to the proposed work. attachments r
In issuing this permit the State of North Carolina certifies that �Q
this project is consistent with the North Carolina Coastal application fee
Management Program.

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GENERAL PERMIT APPLICATION INFORMATION
APPLICANT'S NAME:
m 1 1<
(First)
(Middle)
(Last)
Mir__.-.INC ADDRESS:
�'� (S R OX k
(PERHANirNT )
STATE /Y�.
ZIP
TELEPHONE: WORK (9_ ice` ) 6 ,? (, ) 4 S y
HOME (g 1 q )
p� �( �{ • O S 3s
CONTRACTOR'S 11AME:
r-6 ka y d- i"O L FY
TELEPHONE NUMBER
J/ C!- G3G-.25/S�
-r, SR l 1117
1 P.0,FEC7f LOCAT='ON:
N.C. Hwy. // 36(, SR li j,1-D Road/Street Name
Waterway Name &S'ArdI C'RcEeC
County iP- jgmi
AC-6
Town 14241219 ko
Subdivision
PROJECT ACTMTIES :
PIER: Total dimensions of pier from MM4 to platform
(Length)
(Width)
'T' or 'L'-head platform
(Length) (Width) (Number of Mooring Piles)
Water depth at end of pier
Number of Mooring piles
To&T HOUSE/BO ;T LIFT: Length p( W Width 1.2
Number of Piles (o Water Depth �•S
Blr KBFAD: 1/1 Total length
Average distance waterward MHW
Maximum distance waterward MHW
#2 Total length
Average distance waterward MHW
Maximum distance waterward MEW
RIPRAP: Total length _ _ liase width from M11W
EXCAVATION: [MAINTENANCE 'ONLY']
Length Width Depth of Cut
Adjusted water depth on MLW Existing water depth(s)
Es!imated Cubic Yards (length x width x depth/27)
'i'.. e of spoil: Sand Mud
Backhoe
O' ERR S'1tiUC U1L S:
Hydraulic

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1 AY 86 '91
09: 28 BOSCH SERVICE FAQ;# 191969E4456 P. 1i2
I hereby certify that Y own property adjacent ro G &',m AN
'S property located at
f�
t
k (lot black • road rtc.)
�t,rn t ► i Cc , N.C.
;�t•,;,,1
;�
(crater Cady) (town arid/or county)
;11; •j
has d0seri•bed to me as shmm below the development he :.;• proposing at
qqjj
;il� :�•:I':Ijj•
L
'
t,,;;..:i l�! • --
location and I have no ob ections
j to his proposal. I understand that
�:•.
, .�,j ' .
his ier lkhead structure must_ beset back a ndaim= distance of 15 feat
•.,.:•,..4•'
(circle One)
ram m areas of r1 parian access unless waived by. me. x do as not wish to
Pli` A ,
c i r r l o one)
•'
Give that setback requix
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' •
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J
� Description and/or drawing of proposed davelopmant: (to be fillyd
in ay . individual proposing dovolopmant)
j.
oil
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Nama

MA�Y -06 ' 91 09: 28 BOSCH SERVICE FAX# [phone] - - - - - - - - - - - - - - - - -' - P. c/2 - - - - - -
hereby certify that z an property adjacent to 1 K }�-A6 Ern AN a .
Property located at
flat, black, rpt+d, atc.)
trator 40dy) i. N.C.
ha$ described t0 n (town and/or county}
`ii: ti . �•: �1, • as sh0�an below the deve10jx n,t he i s- Proposing at
•=: i " that loGatim and r have no cbjectians to ius Proposal. Y understand that
' �•' � � ; i..!' �' . iex bulkhead � _�tructure .
1 ! mast beset back a minim= dis t
tx= of 15 fee
1'• '- �' I? `ram my area ai riparian access unless
waived by. n' e . z do do not wish to
+_:. t'.; . �? • c�.iv@ that Se (c i r c l o o n c )
setback requirr�nent.
,;.�, :• •. x�r�c>tr�c>rc�r�k*t#s�rx�rx�r�*xx�cic�r+r+r�r�rx�**�cxxx�r�r�r�r�cx'��x�*��r*�r**rlr+r�r�r�r�rsx***x�c�r�,��x:r
094cription and/or drawiA9 of Aropoend dnvelopmdnt: tta be fillyd
in by.individual proponiAQ dcvnlopmnnt)
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Ali
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