39053D - Keesee

CAMA / -;DREDGE & FILL
ENERAL PERMIT Previous permit#
1New (Modification liComplete Reissue ❑Partial Reissu Date previous permit issued
•rized by the State of North Carolina,Department of Environment and Na ural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 M /WO
❑Rules attached.//__
,
nt Name 4614 el �,,l/e 5,e- Project Location: County 4/u/C S '/`e K !
Co• OO7i 4)/, 4.Gil J/, Street Address/State Road/Lot#(s)
k II Q h!� State,t ZIP ?///{o✓ /sN e
- (lib) 195'—Z2ZY Fax#( ) //'' Subdivision
ized Agent .. 4Ortl/ng /k �7B +�c� r City ZIP
d -cw w EW [P [TA , s ❑PTS Phone# ( ) River/Basin
OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body , l t4 S e,ree A- (> i
PWS: ❑FC: �¢TCCvc./
yes / no PNA yes / no Crit.Hab. yes / no• Closest Maj.Wtr. Body G.�
of Project/Activity 601',Al p;e ir Y- ph 4/yrt
(Scale:
dock)length 'Qilk) 2810
rm s /V K /0
r pier(s) r 1 1`t I 1
1length
1 ! : i 1
number LI
ead/Riprap length 4 _-- -
avg distance offshore ._ , 1 I. ...... .. _ t 4 +. �---
max distance offshore F 1 ..1 .__. — __ it> • _ I -----.--—
channel P.,
cubic Yards t I ....f.... -.— —.. — 1 1 !.-._
. ■1111..._
amp -- --
I ij
louse!Boatlift —
i
i Bulldozing i_ , ! it „
1
# j
Length 571E- i-
linert ' rt _ 111111
lI
not sure yes • I I
I I 1 ;
lags: not sure yes
1 -_ _ — I _— .._ ;....._._. 1,---
_ —..'
:orium: n/a yes
I.....-... 1.-_. } ..-....__- 1.. . { _ ......... .. ..-_-_-
..... . - .......
r Attached: yes �- t'
(ding permit may be required by: tOii 1 /4 4 „oe1 I See note on back regarding River Basin
'i n---_L e__. /i'/!v /e- ...IL it A./ .s. ../.1.2 ..., ..4 / Li)

•
• 'GENERAL PERMIT COWL .` R FORM
N MES: /
AEC DESIG: DEVELOP tT
P°�=-z-�G.� . PROJ DESC: P-
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"-ORS I 2501c S�
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(W7ii Div
The: 01A) .‘04,-
• ACTION aATION
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C MA MAJOR DEVEL r?REQL r' :

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Jame of Individual Applying For Permit: ET;&n He S e e
address of Property: k'c 2 4i, Le' tb R91
(Lot or Street#, Street or Road)
R I l .1 4,7 d.1 ti e 2 4‘ gru ns jy/c A
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individua
ipplying for this permit has described to me as shown on the attached drawing the development the)
ire proposing. A description or drawing,with dimensions, should be provided with this letter.
PO I have no objections to this proposal.
:f you have objections to what is being proposed, please write the Division of Coasta
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
vithin 10 days of receipt of this notice. No response is considered the same as no objection i
rou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bi
,et bck a minimum distance of 15' from my area of riparian access-unless waived by me. (I
rou wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
V nn I do not wish to waive the 15' setback requirement.
iign N Date
n, l,, r 911 / A A

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Jame of Individual Applying For Permit: �/5 r; o n e
address of Property: 'G 0 2 G✓ L e 4c% �r.
• (Lot or Street#, Street or Road)
.-SZA 2 g-y`4 ®i f u n.slti :c
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individual
pplying for this permit has described to me as shown on the attached drawing the development they
re proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
r you have objections to what is being proposed, please write the Division of Coastal
lanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
ithin 10 days of receipt of this notice. No response is considered the same as no objection if
ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
;t bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
)u wish to waive the setback,you must initial the appropriate blank below.)
1 - I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Z7 zooy
gn Name
Date
• / Dir.
P.AL1�C to,yLs
l_�F �A ICiI�/.Ilr .. �( A-I. T) . _ A A

D ( .DV
REDUC
SCALE NOT PRECISE
PLAT OF SURVEY FOR
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LOT I, BLOCK 127, SECTION "WLB"
SMITHVILLE TOWNSHIP, BRUNSWICK COUNTY
OAK ISLAND , NORTH CAROLINA
x 0' 30' 60' 90'
ccmallMINMMIME MUM
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E DAVIS CREEK
BLOCK 127
MEAN HIGH WATER SECTION "WLB"
2,90 co +2.90' OAK ISLAND, N.C.
EDGE OF MARS n MB 2 I/2 PG 182 189 B.C.R.
6EIP cox 5,56 °,°
NMI
30' VEGETATION BUFFER
LOT 1
TOTAL TO
MEAN HIGH WATER
8409,8 SQ. FT.
0.19 ACRES
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N. 75' AEC LINLOT 2 Tj
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,ROPERTY SHO HEREON IS LOCATED IN °D �
QD
LOOD HAZARD'ZONE "VE • BASE ELEVATION x 8.17
8 ', REF. F.I.R�M. COMMUNITY N0375354 25.00
'ANEL NUMBER 0001 SUFFIX "D" L————J
IATED 4/91 . X 11.92 I
' LEC RIC BOX
ELECTRIC BOX
TBM = 12,17'
X 1274
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