27440D - Bolding

CAMA and DREDGE AND FILL P`i 27440-)
eGENERAL
Qo&J3B
PERMIT
as authorized by the State of North Carolina
• Department of Environment and Natural Resources and the Coasta�l��Resources Commission
rt
in an area of environmental conce pars �lnt to 15 NCAC )/-T- / A '-J-.)
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Applicant Name ‘. r 00 i d j 0 Phone Number
Address ct 1 ttz 4 � �-� rj LI o b vv - D o r /0 j IA
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City t Q K JS�/U K l� State /v C Zip 2
Project Location (County, State Road, Water Body, etc.) 5j 4 a 4, Vie •D,. l p 1 fi" a `)C4 t-
10r+rw)4 CI -1/1 a.1 t l
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Type of Project Activity n5 r4 / 2. 1 Y 13 / 6 4 lr ( 14 c-t Ric(1-(r`4/4r
0 i axis Ti' pier- 4 d.c. ks . J /I c .)nd. 1 til .).A_S 6 0/1. /0?33
PROJECT DESCRIPTION SKETCH�cj 1-7c, if A (J (SCALE: )
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Pier(dock)Length .._. -w
._.. ._...._ .....a,.._......r .,.m_
Groin Length 6— — • 21ire-WY" /
number i I r
Bulkhead Length {r.1 L1 O L/f f (c
...� a
max.distance offshore •
3 .---V --,..
—.---* m . 524iii.1 ..- . 4 4- - 1
Basin,channel dimensions -
cubic yards j t
i - . r_ 'Lt._ .-- il.
Boat ramp dimensions 2
,. _ a m ,
Other r{,1�^ .44 1_( --tl` _ - - ,
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This permit is subject to compliance with this application, site drawing !r C,
and attached general and specific conditions.Any violation of these terms pplicant's signature
may subject the permittee to a fine, imprisonment or civil action; and ry - ��` t/"
may cause the permit to become null and void. Q.t �'(
This permit must be on the project site and accessible to the permit of- / per/mitofficer's gnature
ficer when the project is inspected for compliance. The applicant certi- A-1 — �f Q / ')— 0 ` 0
fies by signing this permit that 1)this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has u J 2 ��
- been obtained from adjacent riparian landowners certifying that they 0 / -
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project t 0 ,.) , C
I. b 6 7
is consistent with the North Carolina Coastal Management Program. application fee

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1?LSLII.ILCODE 7'Yl'L'.(tl?_I11iY1?1.QI' 7 U-1,tuepslolis 11i s(l•41. ,ItllesS 'Ih iWt?ustaled) s.I?,1S
II0I1 EXAMPLE
MAJOIt SPECIFIC DE51~t1Il_'1'iQN
"AC" Access channel,canal MOUE IMPACT GXAt�II'1..Js
"AR" Aciecinfreef length, width,depth "SC 200 20, -4"
-"AS" Ai fillets!seaweed length, width "AR 200,50" i'W$„ 1Vn ress swamp "11'S 15U„
"AS'' !leach or estuarine access length,width "AS 500, 100" 1�"CY"" LY1)I•CSS " t „
"I111" Boat baste slip C3uul i,Gl I50
•"Ill l" 13ulkbend ' I length,width,depth "1311 150,50,-G'� f.Cl='t Cedar �,p[) 150
"111." 13on1lilt length ''DIIl50 a C13150"
leuglh, will r, i`PO" *kl„ Maple "SM 150"
"1IL" Desch nourishment [3l.25, IS" "MF" #t l ocosiii 1'j'O 250"
"111'" )tool hnm► length,with 1 "ONMai iliumlni forest "
1 le►lgth,width 1500 50" r`ll�hrA1F 175"
"1)R" Midge length, idth "DI' 100, IO" itJR,l High iltnrsht "iiA'!390"
"11S" 13on1 1o,rsc "BR 75,50" h(uctls roctllerlamp 1'1t[30"
"11W"IS" 13resk\Vnler length, 11'jdlh "I3S g020" (nine!Ileedlerush)
length 13 �► l50 "SY"
"CC"
Cable crossing length. ,� W ,� Sporting ayuosuroides; 1'S1'GU"
"Chi" Condo expansion CC 275 "SI" (sell or giant reed grass)
" „ 1 I/units pelt',existing "C$a15,40" S1)r11'lllla patens "Si'35°
"CO" Campground length,width "CO
"CO" Condo #(toils,height 6 I Sg5110 „1)S" (sell nlcflduni grass)
"(-Y" Cnl(erl length, width pi still is splenlll "OS 5l1"
"1)1)" Cmie' a ditch "CV 60, 15 sell 11 spike grttss)
l)O„ Blength, width,depth "SS" $g(8iaSsiu sp. u 38"
Dolphin 1 U0 " 12,-8" ,SS
)O number „Up l„900, ii „ glastini a)
Ur;ystnek storage length, width,height „"El," Pier"! "head "EL 200, 75, 50 i S j.inlauiunl sp. "LS ((Y'
"Fll" Fill basin, sii ► length, width "EL 10,2U" (sea lavender)I length,width,,depth "F13 300,50,-.I" "SC"
"1`(=" Fill canal,chnnuelSc.„).si . • " „
"17I" Fish fin ellgllu,width,depth "Fe 300 50 -4"
SC 20
euglli,width " C1, (hullrt►sh or three$c(Ilnre)
"VI" Fill general FEI 150,75" cladhi l Joyisicensa ''Cl 27"
"Fl " !'ill a englh,lwidth,depth "FI 300, U -3" (sn)y grass)
or road cool',width,depth I;S Floating slruchlre length,width.. I "FS 975 Sl� -2" '�5�,, S1)nrllp(1 nhelrinflotP "SA 75"
"Olt" (3rohi "FS 20, f0"' ,i,1,1 (salt marsh cot((gross)
"I IO" i IulcUnwlel complex Icuigil(,width "Oft.20, 2" j yf ho s),. (, 32"
"I1IV" lion:I/ o street 1 length, lvldlh,,height "1j0 450,75 50" ► l l
length, width, „�1;,, (t illoll)
11 Jelly oFlllt si(Ilh r`IIW 10(U SrU" j3orriehia ftvlescel s
F "six 30,2" ' 1 ',131; 1 z„ •
"MA" MUMS „Il,„ (sap oxeye)
Atli" A(nrinn expansion '� iv(un,s it eider)
"IF 76"
"A�l" Mitigation slips view,existing "ME IS,20" ,l(tus sit eider)
"Alit" Mooring piling ng�li, width, �Ml 501'25" "NI" l .uPbnty les sp. "PH I 60"
,l11," Moat her l width "MR 5 „ "jl4„ +t
'(il'" (MUSH pipe length, "NI!50,30 I.1►11`ninrsli "[.fit 5(l"
diameter fit ",length "O ' 2000" • "SA"
NU I li: this Is not a sewer Huge extension unless it results in a discharge ge i,jlQ• „ S!►nrlltt'nhcrq,t(lorn ''SA 30"
to stale\Valets• Ex:a �VW7Y effluent pipe would be"0i„ ($flit IIIarSh Cord grass)
..11.1." Other illgglt ground '' „
i�OT" "OW" #t (Iiicluaes spoil disposal) 11C1 75U
"1'( " Pipeline crossing diameter 1i1", length "1:0
450" Open tYgler +�(y`Y J(1q„
I'I " 1'ntking legth,width (, (Ilse with plcrs,mooting
"PM" Peal n11c11 lot 1 I8U, 50" iilin6s,etc. where tht,ee)
"1'I[" Pier or dock acres 1"1V150" „SO,, * little hollnul disturbance)
"Ill(" It I'iprn t length, width "PR 160, 5" Shallow h(►lloui "SD 550"
"Sit" Send bags
Length, Width "RR (50, 5" ([Jstd for I,etc. ads,
1111" Suhdlvhsl°n {{lots;total Hares "S!)q2 50" excaVoliun,etc. where there
"'�I:" SnbdlvtsI ii expaiisioll !{lots, t new,existing "SE 20,,5O" '`I3C'i 13encltl�llll(�r g11c1•gllap to the bottom)
"l Ii" Pier'I'-I►ead length,width • „ 1`UN". "130 I511
Ir 20,fi "011" Nile „t)ry 200"
S•
"Wf,a f# Submergedgt'assbcds "tijl 75'1
COO(lesigpate,,by Ilnpds "40 75"
(Ilse wlien other species
Pr(%present,hell lisie,l clselyherc)
•I‘t use these codes only when spegle§ilrp not given

American Fish Company
P.O.001' 11046 1910) 457.5486
Southport,Nord,Coolies 36461 -6551
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DIVISION OF COASTAL MANAGEMENT
DJACFFNT.RIPARIAIO' PROPERTY OWNER NOTIFICAT_IONI AIV_E F ARM
r f �
Name Of Individual Applying For Permit:
•Address Of Property: •
(Lot or Street , Street or oad, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described toiiie as shown on the attached drawing the development
they are proposing. A description-or drawing; with dimensions, should be provided with this
letter.
I "
proposal.
have no objections to this
If you_ have objectionc to_ what is being proposed,- please write the Division of Coastal
1?
•
within 10 ay of receip of hie no i No re nse is o rid _r rl t _ am a nn object,_�on
if yop have been notified by Certifier! Mail
W MYER SECTION
I understand thata 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 xo
wish to waive the setback, you must initial the appropriate blank below.) oecZe"/
-*;
I da wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
� = / ,i6V err- AVA
ignature Date
.5-30— ot
Print Name NCDENR
NORThi Telephone Number With Area"Code. ENVIRONMENT ND SOURCES

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DIVISION OF COASTAL MA. AG _MEET
.DJA("FNI.RIPARIAN RDPERTY OWN'FR NOT3F1CAT1ONIWArug_ FORM
r �r /
Name Of Individual Applying For Permit: i , if I •/
•Address Of Property: . r ii/ •
/ / • — ` l
(Lot or Street , Street or :oad, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described toilie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
v T have no objections to this proposal..
aje�tir ns n w 2t is heir@ er plP wr to the_Division _of c st l
u = l:.... 4 f 11.7 •)..1 4 1•f: •. 4 • 11.1 ? I • • I.: _ 1. } •.. •
'" 1in 1�d ys of resin f chic n cue- Ne res n� c -is r, cid�rerl: a an nQ ohjPrtinn
if y w hs4v,e b'jn nntifie d_hy r;ertifje d Mail
WATVF.R SF.CTmay
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 . (IL '
wish to waive the setback, you must initial the appropriate blank below.) �
•
I da wish to waive the 15' setback requirement.
I cice..nat wish to waive the 15' setback requirement.
7.;" ��I5V-4:9/ ATICIFA,
cure Date f•......`„�
1]t lV�I71E
N.CDENR
Nawe++ C+AOueu Dtx+rertawr or
Telephone Number With Area Code. Euvnt0e1e4e•rr mei NanstAL Rrsouweas

�a�►.°f1M�J'e� v. 'W�L--t,irgp;rat➢ .6 s M S e c u r r l y enhanced d_c u m e n 1. S er 6 c ( r d t a i l a.
THE AMERICAN FISH CO. 66439
CHARLES H. OR KAREN Z. PERRY
P.O. BOX 11046,WEST BAY ST.
SOUTHPORT, NC 28461 /I I_ _ 66-30/531
DATE Y r �P - 453 ;1
PAY f/11
I OR THE DEROF_ ._C —. 1 11 I $ 106 . 0D
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ORN�r . O. (L
r tiwt - - DOLLARS e Indtalwa...
I'i RST CITIZENS 4"
II, I;A NK Soulhporl,N Ca 8461tuct Company
±7.
QII FOR
1160664391' 1:053L003001:00453L20992211' 6 i
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