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GENERAL
CAMA AND DREDGE AND FILLo201g2 —D
\s,17,___) PERMIT 00 ii s ) 7 6.
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Co st I s Reso rc Commission
in an area of environmental concern pursuant to 15A NCAC 1)Resources
s4' 9 H. lc, 0 D
Applicant Nam ) �on 1 Phone Number
Address 0 t o k 12/� I ,J
City D 4 K �, S /G 4C State Ai C. Zip `�"� L5
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Pro'ect Location County,State Road, ater�!ody, ) VJ 7 s !�/ 3' 44) S Lit(_4Ct t�
1) q,ir5 tCt.Acc ( DA 4K ,slGAci , er K,Sla,/comic c vfrt4-
T e o rQqj1ect Activity �n 5-�r� vl- 6� �" b.)14 ge�, /n 5 4n4 e a it A lr+t.- A tS c ku l�"t
y1)v/f(A"-ct ans 51 v—a COns rd �0 «r w P.A p / -f' /D ' Y/ ' 1-4e /
1' x I'D' c�u oct 4 d.7 -k a f wil ti.u-cl Icr, e'. el , " l/ par r'c 4le c C04s 44,,
ct 11 6r el /e a I- ' t rm.., e.,L ca r.,--‘ 1.— r 6A, cr 5 h4 !! e.y+r.t d ,m nr.re 14.,,
PROJECT DESCRIPTION SKETCH J/kt ./..4e y,„et4 , oV 4-he %AA,I-cr bti d/ (SCALE: L
NoT 7a Sc4 la 1
Pier(dock)length
6 `X a.3'
Groin length -D,, , ,,I c„„„, _ 1 _ re.r,„--
i _
,_ _________
number
Bulkhead length by J
max.distance offshore /A e X/O—^�„4 " 43 ' X /0
Basin,channel dimensions t 1 f — Pv
1
cubic yards
* Al C,1 it d t 1'1.1Hj
Boat ramp dimensions xti t,^i I� / ..., Prop rye_`I khek.t.c t. 04' /)ll/. I PO 6 +OA i)C
Other k-heK.,1 101 Xi o_ 13(d kAead 1 5 i74 1! 4//p 1i
F1-.-J D 4. 7 'x 1°' -
0.
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any !l0-'t „N��79-
violation of these terms may subject the permittee to a fine,
G....,..imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void.
? e..."—Ar..-- 0 - .
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance. — r O/ n - ��
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 from
adjacent riparian landowners certifying that they have no `) d , 1 l b b a )r l ) 0
objections to the proposed work. attachments
e A1€-rr7L°
In issuing this permit the State of North Carolina certifies that / cn r� �Dt-
this project is consistent with the North Carolina Coastal application fee (/ (J
Management Program.

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DIVISION OF COASTAL M4N4GEMEN'T
• ADJACENT RIPARIAN PROPERTY OWNER NOTTFICATIONIWAIVFR FORM
Name Of Individual Applying For Permit: yl4,• L to ��r;.
Address Of Property: /e, g GJ 3 d f 4 S f;
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
_ I have no objections to this proposal.
If you have objections to what is_ beim,
proposed., please write the Division of Costal
ManaaP.ment�177 North Cardinal Drive, Wilmington North Carolina ?.8405 or_call 9i(1395
3900 within 10 days of receipt of this notice_ No response is considered the same as no objection
if vow.have_heen notified by Certified Mail
WAIVER SECTION
I understand t'iat a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
v I en not wish to waive the 15' set
back requirement.
/ --C-/C'
Signa e Date r
t Name
h
NCDENR
Telephone one Number With Area Code NORTH CARO,,,,A oE�p.v.ra of
ENVIRONMENT AND NATURAL RESOURCES

DTUSION OF CO4STAT,M4N4GEMFN'T'
ADJACENT RIP ART&N PROPERTY ONIta4TERNOTIFICATIONLWAIVER F )gM . .
•
Name Of Individual Applying For Permit yy/,'L fi&I �(1- •
rr r
Address Of Property: /D g S w 3o f-4. S f
C' T JcL4,1d /vc 2 e ,G
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced ro e
P P rt3'•_ The individual
applying for this permit has described to'the as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to_ what is being proposed, please write the Division of Cnacl
Managemen , 1_27 North Cardinal Drive Wilminion, North Carolina_28405 or call 910 395-
'3900 within 10 days of rs,,erot ofthis notice_ No response is considered the same as no objection
if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings; breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me_ (If you
wish.to waive the setback, you mutt initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.._
I do not wish to waive the 15' setback requirement.
f ltcpp
Sig tore Aw
Dat
PrirrN e
2_ 7e- %..s z- NCDENR
Telephone Number With Area Code Nei CAROUNA DEPARTMr+r OF
ENVIRONMENT AND NATURAL R=OURCFS

:4,
11,
y
r'li
SHORELINE MARINE CONSTRUCTION
GREG PREVgTTE n..`.
PO sox 10671 �• _
SOUTH�RTr NC 28461 /14
' Pay14 . ,1,
Order�otfe C'' Date �6 _d
t / 56-30/531 1
`I �LcJ No 463
, Fin '�
K CrT1ZLrr it,
Flr�tCiti=ons 8a��15j •
t
i So'AtWort.N.C.ZB%I ruq Company o ars
For � h'
I0 5 3 lOD 300i• Ie
10 0147
`' ` GUARDIANJSAFETv GREEN WGN'f