28204D - Deal

CAMA and DREDGE AND FILL
GENERAL � F 2 ?®4 -L
PERMIT Qor?3Ia 'oA
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the C st Resources Commission
in an area of environmental concern pursuant to 15 NCAC 7H H. / •Z ` ..) .
Applicant Name Si i I b e`a f Phone Number !�° Lf) 765- U a C6
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Address U�5 �3prrn� ,..1 Le L.Gh e,....
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City L_Oq) -4n',N `J State ,V�- Zip � �
Project Location (County, State Road, Water Body, etc.) 5 9 6 Uy . 8,'(4� 4 Dr-. a ,.)e.4 Le 4- 4,
SIC, ,jr+� ,
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Type of Project Activit Coo S it J L-fr '/ x 57 in A' fie ( IN t - I r x ( �- r ?.—/ 'c v'.
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PROJECT DESCRIPTION SKETCH 0 (� v 44 7 " ,1 .„4,7 (SCALE: Nh '4 7; _ i
Pier(dock)Length -7/)(3 !L'` . NIA
.._ _.._ .
Groin Length .., r �. t. Q.1 A..3:1) ,i;',_I . I 11•
number
IIII - Ell r,
Bulkhead Length
max.distance offshore Aai 1 .I 11 y
__:,
Basin,channel dimensions
„AT ON
cubic yards i
Boat ramp dimensions
III
Other T—R eK, 4
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Flo 4/ij vc.K MI _ 1 pm
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This permit is subject to compliance with this application, site drawing lJ
and attached general and specific conditions.Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; andpp g
may cause the permit to become null and void. Vt 'C- -C-?)\---,
This permit must be on the project site and accessible to the permit of `, permit officer's sig�tature
ficer when the project is inspected for compliance. The applicant certi- r)... 3 a/ / U f / ' 1.)
/
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 0 /'"►J . / o� J ,)
been obtained from adjacent riparian landowners certifying that they 1
have no objections to the proposed work. v , c ; 15-3�f attachments
V J.,.In issuing this permit the State of North Carolina certifies that this project 7 I �•
is consistent with the North Carolina Coastal Management Program. application fee

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CODES FOR AEC DESIGNATIONS
"OH" - Ocean Hazard "Pr' - Public Trust
"EW" - Estuarine Waters "CW"- Coastal Wetlands
"ES" - Estuarine Shoreline "FC" - Fragile Coastal Natural/Cultural
"PW"- Public Water Supply "OR" - Outstanding Resource Water --
CODES FOR PROJECT •
"P"- Private-usually an individual "F" - Federal
"C" - Commercial "L"- Local Government
"U"- - Utility "H"- Housing Development
"S" - State "0"- Other
# CODES FOR PROJ DESCRIPTION
"11 Bulkheads,Riprap "16"- Utility Lines
"12"- Piers,Docks Boathouses "17" - Emergency Repairs
"13"- Boat Ramps "18" - Beach Bulldozing
"14"- Wooden Groins "19" Temporary..Structures
- _ "15"- Maintenance of Basins, Channels,Ditches__ ------ - --
-GENERAL PERMIT COMPUTER FORM
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APPLICANT NAME: (// J e ct
ADDITIONAL NAMES:
AEC DESIG: P 1 l W DEVELOP AREA:___ PROJ DESC: 0 - /d
(NVill onlytake 6) (Will only take l)
WORK: PR , W) 3170 'YE [D,
Owal only takers- 1 o, l
MAINT:
(Will only take 4)
EVIP: ' OW 0'Al 0 cv . f2D -
(will only take 6)
ACTIO
N EXPIRATION
DREDGE&FILL-REQUIRED: 11 )) -0' (I7 ^I —a 1
CAMA MAJOR DEVEL REQUIRED:

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DIVISION'OF CO ARTAL MAN&GEMENT
ARIA CENT RIPARIAN PROPERTY OWINITILISIDIDZICAnay
Name Of Individual Applying.For Permit: / L L V e fj L .
Address Of Property: 1-7 26 6t4 / e,c,4 ;2c•
671-X CZ-
gnG2l A/C 2 S2/4
(Lot or Street#, Street dr Road, City & County)
I hereby certify that I own property adjacent to the above=referenced_prooe
— — i in for his`___ � rty---The.individual —__,--- _
aPP Y g 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_
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I have no objections to this proposal. •.
If you have nhje►rtinns to what is being pmpncerk please write the I)ivisinn s,f Coastal
• = Management, 127 North Cardinal Drive, Wilmington North Carolina- 28405 or call 910 395-
3900 within 10 days of receipt of this notice No grsponse is comtidered 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
be
set back a minimum distance of 15' from myarea of riparianmust you
_ - accessunless waived-by--me:• (If wish to waive the setback, you must initial the appropriate blank below.)
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I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
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Signature Date AVA
rs h. o,a 6 RA-h
.
Print Name w o ►1� 5>>oa
'3 36 ��s-- 1t, Lt �D
R
Telephone Number With Area Code Nonni Gu.ouNN Dicriuroijoir or
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ENVIRONMENT Amo NicrLsuu-RotEs

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DTUSION OF CO&STA! M AN AGFMFNT
AnJACFN T RTP&RTAN PROPERTY OWNER NOTiFIC'ATTON/WAIti'F.R FORM
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Name Of Individual Applying For Permit: id,-L L I2e4L
Address Of Property: 5-72 G 4i. 6 )d r,
UQIi JSLA-4 /VC
(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 toe as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
0/1Y1 have no objections to this ro osal.
P P
If you have _objections to what is bring proposed please write the Division of Coact
Manaoement, 127 North Cardiial Drive Wilmington North Carolina 2g405 or call 910 39S-
'3900 within 10 days of receipt of this notice_ No rtspon_se 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
be
set back a minimum distance of 15' from myarea ofmust you
riparian access unless waived by me. (If you wish to waive the setback, you mutt initial the appropriate blank below.)
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I do wish to waive the 15' setback requirement.
1_rlo not wish to waive the 15' setback requirement.
7/0/
Sig tine rA_
r--' 7/7/t/e/e6.-
Print Name
23cy, ,� NCDENR
Tele one umber With Are
a Code Norm,G,,,fl„P4A omurnawr of
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ENVIRONM_NT AND.NIZURRA�RESOURCES

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SHORELINE MARINE
RE AT CONSTRUCTION =�r. 1538 h,
PO BOX 10671 ,/ / 66-30/531 ?,
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SOUTHPORT,NC 28461 Date / ) dl463
Pay to the Q n
691.421, ILC/24ssed
Orderof c, 1 /9 I $ JD�1 G�
' "` oG ``Dollars 6 yam
FIRST CITIZENS+S� 1
BANK FphGpaortzmCu &Tru Compny '
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