27443D - Rothrock

• CAMA and DREDGE AND FILL
`° 27443—D
GENERAL.......%.::::::
;�� ,jsv�„4e ��=
PERMIT o2 -015y- 0
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name �r'/'' i"t 1 is:).. -4'it 'c' Phone Number
Address 2 3. &0 X /' ' r e )
CityLeIr� //vtN ge-c-, "‘ State /VC Zip ,Z_ rYi-f ,�
Project Location (County, State Road, Water Body, etc.) %,D I !' h r I ci a /"1 .,e , 6 G t tn'4 4,
V61i. 14 + 1560/1 V ^ Lcr' //may Dcti %.. N !Ye LA, / 4 K - V( i'
Type of Project Activity Mutfltenunke (zire �,rn,i Dca,Or . 3a •) c J , qr]S as de3Crt it.d o,,
. t..ke ,. n /6,4, Ali e.rt cji it.- o f 9H ./ro D c A4 /1 `'/°/1
PROJECT DESCRIPTION SKETCH 5' �'rlu.4c i (SCALE: _ )
t . -. ; , - ; :..
Pier(dock)Length (��}f yyy ..a
�mm
__.
Groin Length 1,e
number
Bulkhead Length +� 2
max.distance offshore . 4 H 4, 4""""`�_. I a r,�—r sz 4.0 , X' 77 4,,y /4 t
Basin,channel dimensions 1 l /
) 1
cubic y ardc7 0 d 9 X (i CT:fr
`?� r y i i�aL It�,
— - -....__....._. ...,._. 1-....... ..._......_.... __. ,.._.:r....m. ...._._._-.. ..> .. .. ._
Boat ram dimensions �,. 1 �.0 '
Other t{ �h
7 s
.. . _ v .t f.44
' .".- 114 /',I ' c fp pi 4- 1,4 t,,,, c .4 /4-/6 4 k ' 'I' q 4.
S ��M
/ 0(c) A.,1, 4 • .;
*Aft _I U I Sd.+ h AC.:.M I ' .!"o ^.'.r....i.,... �.1u 1 yC ._ 1
r ,
� p at. _ _..1J14-1- J
IIII
This permit is subject to compliance with this application, site drawing $---�/�
and attached general and specific conditions.Any violation of these terms ` applicant's si nature
pS
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. - 0 c .
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- (2,17.-- 0 - 3 ! / C / A - J I
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 9/4- / -7
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. ,f C 0 4. a235-I- attachments
In issuing this permit the State of North Carolina certifies that this project n ID.1 _ p
is consistent with the North Carolina Coastal Management Program. application fee

•
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 COMPUTER FORM
APPLICANT NAME: m � R, r.2
ADDITIONAL NAMES:
P J
AEC DESIG: ( 1 U V DEVELOP AREA: 00 3 PROJ DESC: 1 - l S
, (Will only lake 6) (Will only take 1)
WORK: mil) g 5 D A C1 6
(Will only take 4)
MAINT:
(Will only take 4)
IMP: 5 t /Lj 9 t
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 1/-p 1 l D )` D I
CAMA MAJOR DEVEL REQUIRED:

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CAMA
GENERAL
DREDGE AND FILL N° 020159_J'
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coa tal Resources Commission
in an area of environmental concern pursuant to 15A NCAC , 15 DV
4---
Applicant Name ' /h �lh '� �'^ram`� Phone Number
Address . P, v • 13', �C / O• 0 r7
Q r
CityC' ro i i A V e c,t I rState An L Zip {,ck. g 4i2"a
Pro'e t Lo at' n ( ounty, State Road, Wate Body, etc ) . Fi- r L 4� rA ai �JJ�flt'YL—i '1 v
i4
il,
cr.;Typeoof'ProjectAc.ivity Ure (l'►'t,+i•vt(nYA4! etpp+'s• ;c- .3 c, 0 cvtiL di A,- Qiet( rI t b✓1.
Cl lTct.vkC., f J
ALt -ti.(,4-fj .1S v f' a,il4t�h.( J r2 1 - /sciv S pp )/
, c r[ 4t .
PROJECT DESCRIPTION SKETCHY /� 1 �tii`Le:/ - C. (SCALE: )
L7
Pier(dock) length •
1I �j T� I[ 1�/IP
f-1pA11c..,' I �a il is ( 41/Z! 6✓ (�fre XtT1-C Te
Groin length
!_f� _1i
J
number .— Pr0pos/ I s,2-C tvf Cf t cj1 cirect tj 'ipp r-- 1(
Bulkhead length TO 1 2 Ci •/—) C{ 01c p
1-4 -F v f ! 6 -F_,1-
max.distance offshore / ' ` i S?G'I 1 m4,'4-t rtc, I g it Gl b` p/clue_ —
/ j et.
Basin,cpannel dimensions Q5 1 3 v ' FT'ce - r''k Aecvvt A t5 t o,.e:c ' r-
501' ?A' " b�— ci 41 4-3 t de v t' c{ aW C- .1./(in C'S
cubic yards 3�0. C/ l 5-Li LL /
Boat ramp dimensions II
y' t'_J C t�ti,I-t' /AI al.(A.c ti '�t'.- .J,1 i.AA,,-t C t—,.v r oL t F
Other . z X 15 /-;1 i . / KA e t
—1 Ii ap 0 h (K Iz Cs. 2011tr- ., 5 a-F 17/7, ).SOD
qAd ( CIpp1l ,
This permit is subject to compliance with this application, site _.-- ,/
drawing and attached general and specific conditions. Any / L f �'
violation of these terms may the �- - '/1 --- '" ' ^`�- e`_= �subjectpermittee to a fine, --,!C.-
, _ � "� applicant's signature
imprisonment or civil action; and may cause the permit to by. g
come null and void. rA ., C7-4..
This permit must be on the project site and accessible to the ` perms officer's signature
permit officer when the project is inspected for compliance. T� " I
- v j
The applicant certifies by signing this permit that 1) this pro- 1 V / _ Li D
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 OP , �adjacent riparian landowners certifying that they have no j�15 "
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that G d C
r T" /yb 8
this project is consistent with the North Carolina Coastal application fee 6 C' d
Management Program.

Y/9 -• •
.:Fsw
7‘/*/
.t.t0

f r Division of Coastal Managemerit
Adjacent Riparian Property Owner Notification/Waiver Form
•
Name of Individual Applying for Permit: '- f !%�%� � -� �
Address of Property: Z 1) / iZ=
Carolin� a Beach, North Carolina 28428 7
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing, the development
they are proposi g.
I have no objections to this proposal.
(A description or drawing,with dimensions,should be provided with this letter.)
If you have objections to what is being proposed, please inform the Division of Coastal
Management, 127 Cardinal Drive Ext., Wilmington, NC 28405 (910)395-390o within io days of
receipt of this notice. No response is considered the same as no objection if you have been
notified via certified mail.
* * * • * * * * * * *
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift 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 space below).
I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement.
* * / * a� * * * *
qp- 9½ /oO
Signature Date
6 • C 6)3 n L�2`7.ZYl, oar'
Print ame 1
0/0) 45—&— 2 L
Telephone umber(with area code)

• Division of Coastal Management
Adjacent Riparian Property Owner Notification/Waiver Form
•' Name of Individual Applying for Permit 0 //�% /r•
Address of Property: /,7 / j/f�
Carolina Beach, North Carolina 28428 •
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing, the development
they are proposing.
c.3/
I have no objections to this proposal.
(A description or drawing,with dimensions,should be provided with this letter.)
If you have objections to what is being proposed, please inform the Division of Coastal
Management, 127 Cardinal Drive Ext., Wilmington, NC 28405 (910395-39oo within to days of
receipt of this notice. No response is considered the same as no objection if you have been
notified via certified mail.
* * * . * * * * * * * * * * .
* * * * *
WAVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift 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 space below).
I do wish to waive the 15' setback requirement .
I do not wish to waive the 15' setback requirement.
* * , * * * * * * * * * * * * * * * * *
Sig ature Date
NJ U A A,4V a7 /1 //Jz.t5 o/t�
Print Name /
Telephone Number. (with ai1ea code)
•

-_.. =z 2353 A
ROTHROCK PILING SERVICE INC
✓ ' `- f PHONE[phone] [phone]
0° PO BOX 1207
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