23896D - Pollard

CAMA and DREDGE AND FILL
G E N E R A L i= , 23896 _p
PERMIT tR6'S0 ieA
as authorized by the State of North Carolina
)1111 .7„...- Department of Environment and Natural Resources and the Coastal Respurces Commission
in an area of environmental concern pursuant to 15 NCAC 0/i' . /a ��
c..„Applicant Namer PO //61 ,--d Phone Number
Address 11 0 L, _ a L 4 f Dr
City �� S(" ;t cj State A/C Zip g 'C i3
Project Location (County, State Road, Water Body, etc.) /q(7 6 E. )/ ts Al- 0 r ct c J G CP r7
/ i &iW , Qk T- 4,4
1
Type of Project Activity 0 ns-�r^.. /A/ /5 6'� ,t.-4 f// F- on w eased o exo 4.11
,_—I(, c , 14-EI 60ndt -)-13,t1 -6-F 9/-1, tA0D 54,4 4pP/f ,
PROJECT DESCRIPTION SKETCH (SCALE: At)4- )
Pier(dock)Length
It i
Groin Length 1 ,�
number - 5 '^ -'ir �o�r ,
Bulkhead Length
max.distance offshore Pr-4 f)agc c , Z = ` t j4 S./�N r �.�-l:1r f�
Basin,channel dimensions ,
#.�1.„,.//� S1.. r /1.�A.. r ..r.
cubic yards _ ��
e`J fa4 c ,. '+
Boat ramp dimensions )11' di C.-#(7 . , > , -
otper 6p,t_Li��r _ m . _ t a < —1--,
3
..••••k( 1 /...31 / l 11 iri
_ __ �i
fifill
l/..lit A.,i,je/r `-'••
This permit is subject to compliance with this application, site drawing 1
and attached general and specific conditions.Any violation of these term applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. 9 .( a - ,
This permit must be on the project site and accessible to the permit of- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- 15 '-Y"'D / //- 7' Di
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 n // r 1 D J
been obtained from adjacent riparian landowners certifying that they //-f ! 0�
have no objections to the proposed work. e
d. attachments
In issuing this permit the State of North Carolina certifies that this project / 0 �') v ���
is consistent with the North Carolina Coastal Management Program. application fee

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CODES FOR AEC DESIGNATIONS
"OH" - Ocean Hazard "PT" - 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 PERMIT COMPUTER FORM
APPLICANT NAME: . a ri P014,,ci
ADDITIONAL NAMES:
AEC DESIG: P ' E W DEVELOP AREA:_o® ®y PROJ DES C: P — /
(Will only take 6) (Will only take 1)
WORK: U 4 r )
'4 (Will only take 4)
MAINT:
(Will only take 4)
0 U1/4/ o2't3 •
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:

ti 41 ' ...
Name Of Individual Applying For Permit:
rk. vic0
Address of Property: ' fJ ,
r • , k
(Lot or Street f, S eet or u vas t c
C� � Cvun YI
I hereby certify •that I own property adjacent to the awe,
referenced property. The individual applying for this
described to m as shown on the attached drawing the d ip
theyment
t has
proposing. A description or drawing, dissensions,
should be provided with this letter. with dfaer�r;ioxrs
>4 I have no objections: to
this Proposal.
•
s:.Cl •t .t , t• .t.•
• f • i t.
I understand that a pier, dock, mooring pilings
house, lift must be set back a wy' breakwater, boat
from ay area of riparian access unless waived i distancefy of is•
to waive the setback, you a me. ;It you lash
below.) initial the aPpraprf ate blank
.
_.....�,._..,,_ I do wish to Waive the 15'setback requirement.
-------- I wish to waive the 15 mo d[ r. -
•
S e Jam"
1 Date
i ant AtiA
_ _
elephant' r• v •
area a ismingi
I

x
Maw
Name Of Individual Applying For Permit: �cfi y Pci I I11cQ
Address Of Property: Noc,
Qom.: "Ictav4 1-tk.ris iu i&{�
(Lot or Street s', S eet or Road,"C�. y & County)
I hereby certify 'that I own property adjacent to the above-
•
referenced property. The individual applying for this described to me as shown on the attached drawingpermit
has
opment
they are proposing. A description or drawing, the dime lions,
should be provided with this letter. with dimensions,
Aff'" I have no objections to this proposal.
•
av= •• • ,_K • • : to tel• t is
.,, :S nt 7 .1
Carolina. 2841a or pa i aurmDA team �p
von have . �1 f. •._-. >• t>= . __
n nQ by s .t-rsnted
IOm
I understand that a pier, dock, moor
house., lift � pilings breakwater, boat
from must be set back a mf nimua distance. of Is'
ny area of riparian access unless waived -by me. (it you wish
to waive the setback, you put initial the appropriate- blank
below.)
I do wish to waive the 15'setbaek requirement.
• or
dp not wish to waive the 13'setback requirement.
imiummemuswaymmimmr
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S 9 �ur Date
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Print Name
Tel 'pux. ea C a "ZZ / E i��"

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< u t sill!LE e r d d o c ji n r n 1, s.r_.-b ac.-k or ._Ae l F_ rcW+>?`. g a. s[;rumwwr 4r=..,
COASTAL DOCKWORKS INC 2682
4398 FISH FACTORY ROAD SE
SOUTHPORT, NC 28461
•PH.910-454-9592 DATE `� �Q / 66-30/531 453 ,I
PAYE (1/4_,_ /r
.,, ,0 ol{n�oFCJ
I .1�/ DOLLARS oy.:g
it i
F FI RST CI'I'III:NS 951
[3AN K FIiHL,iirons ee 6,,�.1.;on,oa„y
Sa�ahpon.N C YBJ61
7J
- FOR��- a /�P ���
II'00 268 20 1:0 5 3 L00 3001:004 5 3 I. 2 3 L09 ?II' -1
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