25251D - Pasin

CAMA and DREDGE AND FILL
•
. GENERAL T 25251 -�
PERMIT
as authorized by the State of North Carolina
)1 .,..... Department of Environment and Natural Resources and the Coastal Resourcejommission
in an area of environmental concern ursuant to 15 NCAC 17 (4 �-©0 • (�
Applicant Name t Cal PA S i N /� Phone Numb(0D © c is7 4`
Address 10 CI (...A) t N 0 (A-5 D Q . C
r Kt C Zi 7 � l
City w I LVv� t ��.-.. State p
Project Location (County, to Road, Water Body, etc.) Dm C VL (..1)i FO e. l Q c( vi t IUe-1 1A-S D P. .
nci‘ S cn r.,-6 Paw. - c k C2S,-,,,., t 3 O\ c Co .
Type of Project Activity U n J 10044 ( t 4 - f) i ,- x37,(1.71
r_l
. . .__
PROJECT DESCRIPTION SKETCH (SCALE: )Jt go/ )
3 - - - • , ,- - , r , i
Pier(dock)Length
5 6 s''daa
Q a i gel r•
Groin Length f
number
Bulkhead Length • �-
max.distance offshore _ ' ? � a j s i - •
M .•
. 15 ti'46 L
Basin,channel dimensions
.- - - - ta -.---. _ m -_.....
cubic yards c
laist:4 .. '.
Boat ramp dimensions
Other «. _ -,. �_r
f1te4
. r---bI_ , ..._. •---. _.._.. 3
This permit is subject to compliance with this application, site drawing ( dp
lor er
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 Lam)
may cause the permit to become null and void. ( Q3>
This permit must be on the project ite and accessible to the permit of- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- (0 — 1 S —0 ( 9 I ¶ - C
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 '� �,� Z.©� d
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. attachments
permitproject C-rJ-- (� 0 S ( b e %-�
In issuingthis the State of North Carolina certifies that this ro'ect y �
is consistent with the North Carolina Coastal Management Program. application fee

4
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: I P'5 t N
• ADDITIONAL NAMES:
AEC DESIG: Pr DEVELOP AREA: .1 PROD DESC:P -
(Will only take 6) (Will only take 1)
WORK: Q L- 1 ,\ 0 -
(Will only take 4)
•
MAINT: -
(Win only take 4)
Tl1P: 0 (K.) (,
(will only take 6)
ACTION EXPIRATION�1
DREDGE&FILL REQUIRED: V 1 — [ —i kS—(9 1
CAMA MAJOR DEVEL REQUIRED: (c) 0 Q'I 'KS-1

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JUN132001 lj /+---- \
DIVISION Or
COASTAL MANAGEMENT
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plECE:VE
DIVISION OF COASTAL MANAGEMENT
JUN 114$OCENT IPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
DIVISION OF
COASTAL MANAGEMENT
Name Of Individual Applying For Permit: \ � I
Q 1 , a as III
Address Of Property: � -1 yJ ,V\&'6 p i
\,JA
(Lot or Stilg- t #, 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 me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
yI have no objections to this proposal .
•
If you have objections to what is being proposed, please write the
Division of Coastal Manaaement, 127 Cardinal Drive Extension,
Wilmington , North Carolina , 28405 or call 910 395-3900 within 10
days of receiot 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 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 blank
below. )
W41462.2.77 I do wish to waive the 15 'setback requirement.
I do not wish to waive the 15'setback requirement.
gn ure . .)4).
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Print Nam -
fro / 3c S - Z 3e7 R Telephon Number With Area Code

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7 C E:V d � DIVISION T
,� OF COASTAL MANAGEMENT
ADJACENT RIP RIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM
JUN 1 3 20U1 . ..-
DIVISION OF
CCIA*WeekbANYVaatilifeNil Applying For Permit: R2,1,./9 Pn,s, L4
Address Of Property: I 0 CI , k 1.a I C Qj\,,LI MI AA_ 2 PP6)
(Lot or Strut #, 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 me 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 you have objections to what is being proposed , please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wilmington . North Carolina , 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 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 blank
below. )
I do wish to waive the 15 'setback requirement.
v\ I do not wish to waive the 15'setback requirement.
T
ce4/44-€44--1(20\- 4 0
}gnature D to II: . .A
LI9MSG5 Dj,✓ OW/A-2r1
Print Name witf r
9/e - ,35- -01 7L ® HNR Telephone Number With Area Code

804
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RICHARD PASIN r.►
308 BRADLEY DRIVE
WILMINGTON, NC 28409
6 li, 66-763/531 CC
Poy To The 1(1)
Ik�te
Order Of
17-1
AIOVIA
Dollars El a:g<'
Wachoria Bank,N.A.
Wilmington,NC 28402
Memo 64e b 2So2 S\ ��
i:0531076334 8617 1121
Li 1n 6 408 WP
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