27393D - Gage

CAMA and DREDGE AND FILL
41 E N E R A L = �' 27393-b
PERMIT
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 —1 H1r20[)
Applicant Name B%U HADJk 4t4 &\r . Phone Number 'R10 7c10931c
Address �f� 4(c, y 'EA A-rd L -1 -
City W 1�ni N �fN� State k)C Zip 2�-
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Project Location (County, State Road, Water Body, etc.) E-� A&rv-e_ / A--i -C,
Ii c-( I� S C�4. . , ,� 1-4-A- Sjve r Co . V
Type of Project Activity ).1VA11, p1r r (r")cA t F I04-71 cam^ 4 PE' t s5u.455 (pc-
GP -74o4-.. G 0 -o2a7aoA
PROJECT DESCRIPTION SKETCH 14 (SCALE: I it =- C.0/ )
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Pier(dock)Length 1=X'YCr" i • l 4,,._,2 a: [gm eili sial
v.
11
Groin Length ,r
1111111
number '
Bulkhead Length ....,
max.distance offshore � II 11111111111 flit a
._
Basin,channel dimensions Ii R . i ,-
III
cubic yards a �
T
i
Boat ramp dimensions ' II 1 1 'MI . ir, it ,I.,,,,, . ,...,,t:,,,fi-' ii
.1, , 1.... ,
._,,,
Other ! 112 --- - - (p r i £
',-t.c4T x ' - ..2_
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t
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_ . , _ _ _ ...._ a ,
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This permit is subject to compliance with this application, site drawing -Pi ( _ ` h(// ,e
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; and ( J
may cause the permit ermit to become null and void. -�r_ �U M ' "�
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- 1 — ? -- 0 I 1 0 - (r-, - c 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
been obtained from adjacent riparian landowners certifying that they —7 H i a-on
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project 1 c_44 7401
V
is consistent with the North Carolina Coastal Management Program. application fee

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PARCEL. ''A'

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APPLICANT NAME: ( f( ( ,'-z-•,----
..
ADDITIONAL NAMES: . .
...1
AEC DESIG: r- q..../0-s DEVELOP AREA: . 1 PROJ DESC: P _
(Val only take 6)
\c'aill only take 1)
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i WORa 1 S. (.0 • .
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(Val only% ...
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:::':;-.•.-....***:::1
MAINT: . • Z.L 4
(Will only tako 4)
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IMP: 0 0‘) 1d)--14 . •
; (will only take 6)
ACTION EXPIRATION
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DREDGE&FILL REQUIRED: -2-io -6)k I 0
CAMA MAJOR DEVEL REQUIRED:
2.;
r..-.*;

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• DJVTcION OF CO SCT 4I1 M AN 40EM ENT
' ADS 4 CENT RIP 4RI 4N PROPERTY OWNER NO'TIFIC 4'ZONIw 4IVER FORM
Name Of Inaividual Applying For Permit .'. �...�.-_r/-�;: F,-
Address Of Property: . -C '4(' L ki L f i A,
1.3 e,b0 i3 4 q
(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 to"iie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
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letter.
xI have no objections to this proposal.
If you have objections to what is being proms please write the Division of Coastal
ManaQlement, 17.7 North CardinalDrive, Wilminaton North Carolina, 28405 or call 910 195-
1900 within 10 plays of receipt of this notire No response is considered the same aS no objection
if von have been notified by Certified Mail .
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WAIVER SECTION
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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 me. (If you
Wish to waive the setback, you nmct initial the appropriate blank below.).
•
r'. I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement
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CirriAi
A .Pa� 05 („ U l A • �.
. •
Date
wit?'
Print Name
.9-6---2..3gq NCDENR.
Telephone Number With Area Code Nonni CARDLNA DEAF r -nrr of
ENVIRONMERT AND NATURAL FMSOUR-rc

- DIVICI ON OF CO A.C_T M 4N 4CEMEN T,
• 4DJ 4 C'ENT R rP 4RI 4N PROPERTY OWNER NOTIFLC 4'=ONlW AIVTR FORM
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Name Of Individual Applying For Permit: -- ''v I L IA�1.
Address Of Property: '. PA-6a ld,At2 L L I 1,11 4 L r n} C?;.,
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(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 tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter. . . •
I have no objections to this proposal. .
If• von .have o i 4tionc to what' is being proposed p1e2'a writth
e e Division o f C'[)astal
• • Management . 127 North rardmal Drive Wilmin� nn North (�aro1jp 2R�DC
,soh_
1900 within 10 days of rer�t of this notice No response is considered the came as no objection
if you have been notified by Certified Mail
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•
WAIVER _SECTION •
I'understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum disran 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.)
wish to waive the 15' setback requirement.
- N/4 I do not wish to waive the 15' setback requirement
��a � Nod t 1FX1FrAi „
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Si• •, a Date. itr
Print Name
• NcDENR
Telephone Number With Area Code NOP,TI-I CAROLIN DsnRTM=►rr OF
r_NVIRONMENT AND A NATURAL R:SOUROSS

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