27460D - Carroll

CAMA and DREDGE AND FILL
41
27460,. _ ,. :L.;
G E N E R A L
PERMIT
as authorized by the State of North Carolina
)1 :,....- Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC I �(•-) I •1 10 0 •
Applicant Name R0 COIt-DU— /c7 1-y-,A-Ctiti-C Phone Numbe O -acksaili
Address (. 1 C1 C-Pcy.rxr-kt2-,ram VIA Ll-c CA YaE,
City e9 r'c c.JS OTh o r d State N C Zip D--7 4- i O
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Project Location (County, State Road, Water Body, etc.) Lai 1 f :T 1 RA . / F\ C, . 5 1_--si ,q-,t p
A-WC.—t i'F ct -T FL ©Ec CWTh— -1 —, 3AA JQrG3
P RwAru ` C' 1tl�L- i$�C{
Type of Project Activity s pre
PROJECT DESCRIPTION SKETCH CANAL_ ' �,. y (SCALE: ( 't . v )
Pier(dock)L gth €
Groin LengthM
number ... .».»...... _..,.i.gy... . ..
Bulkhead Length 25:1 LY
max.distanceoffshore
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Basin,channe dimensions 1
cubic yards i
I
Boat ramp dimensions '. .
Other / /
FLAT -2-. /sf-v-k V) 1. : x. a , 4 li : ,
..... .......
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B6311-FT i L4-x (a - __»._. . _.... ..-4 -
s,
This permit is subject to compliance with this application, site drawing L1-f ( t;
and attachedgeneral and specific conditions.Anyviolation of these terms
p applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
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- 9 (0 - Q 1 I a- (Q 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 w} ` p
been obtained from adjacent riparian landowners certifying that they CO ) ;�C�
have no objections to the proposed work. _ 9'rft attachments
In issuing this permit the State of North Carolina certifies that this project ��� O C
is consistent with the North Carolina Coastal Management Program. application fee
1 ciI

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APPLICANT NAME: 2_, cAi- t--e-esz
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ADDITIONAL NAMES: . .
AEC DESIG ( li`-) PT DEVELOP AREA: . ( PROJ DES C: P _ a • ..
(WM only take 6)
(Will only lake 1) •
WORK. ( ;•i-i gc:i .
. .FS
(Will only take 4)
-?, • PR' 3A.) C-
i ,_ 14(--f 'Pi— :•
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, ...
MAINT:
• 1-7-1-.
, (WH1 only takp 4)
...
. • ...
inViP: 0(A.) 4t --,: . . • ______,___________L______ ..
(vra1 only take 6)
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ACTION EXPIRATION
• ...
DREDGE&FILL REQUIRED: 9 -6 -el 11-a_.---Co -0-1
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CAMA MAJOR DEVEL REQUIRED:
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for permit g/- - /j ( /iA246'
Address of property 4-/ Jl Q ltl• �'�' �'�`` '� `� Nc_
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. A description or drawing, with
dimensions should be provided with this letter of notification.
Please initial below if you have no objections. �� A�� gi/CftiJ
v I have no objections to this proposal. A C04 /y/ioN'k„i
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 28405 or call 910-
395 3900 within 10 days of receipt of this 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 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.
I DO NOT wish to waive the 15' setback requirement.
Signature & Date
` o A/sT0/✓ Print Name
�Z3- 3 Fs6 -3�"f q 7AJ H*,F_ Telephone Number w/ Area Code
/o - 68f - cites nic_
PLEASE SIGN AND RETURN TO; F&S Marine Contractors,Inc.
P.O. Box 868
Wrightsville Beach, N.C. 28480
Phone/Fax [phone]

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applyin for permit /"h 1 fit C14 1. /r
#1 J`a a vi(44)
jg
Address of property ) �C
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. A description or drawing, with
dimensions should be provided with this letter of notification.
Please initial below if you have no objections‘*(/ t fr~0 &diet)
�,. - I have no objections to this proposal. ,4�LAM� xij�A )
V/Ina REQO1rS,GO AU'DI-riC,NdF SIDE D)Mc1.i' Ic
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 28405 or call 910-
395 3900 within 10 days of receipt of this 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 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.
I DO NOT wish to waive the 15' setback requirement.
)T
1 F
_ - -yp,I. " - Signature & Date
PAD I. fc-,STrr'. Print Name
910 - CSG-o3(.1. Telephone Number w/Area Code
PLEASE SIGN AND RETURN TO; F&S Marine Contractors,Inc.
P.O. Box 868
Wrightsville Beach, N.C. 28480
Phone/Fax [phone]

F&8 Marina Con,}reof0P8, !no.
Complete Marine Construction Service
_ Z.) , For Over 25 Years
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] Ab),19 CAPT.ED FLYNN �►iallf. DURWOOD SYKES
4) (44 t / C Piers,Floating Docks,Pilings,Bulkheads,
) Grp 2 N Repairs,House Pilings,&Boat Lifts
P.O.Box 868 Phone/Fax: [phone]
Wrightsville Beach,N.C.28480 email:[e-mail]
(641
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