25249D - Ezzell

/I 0CAMA and DREDGE AND FILL
GP EE NR MIT E R A L 25249 —ID
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 `714 12-O0 _ •
Applicant Name it L/ z41 I Phone Number (310 - .3Ci a- 13 l
Address 13' M t l-e, eik k.5 .. .
City L& IL. -t: ' State I`)C- Zip 2
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Project Location (Cy, State Road, Water Body, etc.) SAr �. y e I16`...%A-C�...__�j
CC.-4 t.,V-4__tr (7..Q...cez v _ 1 t...) ---(1,3 1-'65k-r-.10v-e r Cci,
Type of Project Activity
+-c—ootE '© I )34-
PROJECT DESCRIPTION SKETCH (SCALE: I __,„4_6 / )
Pier(dock)Length I♦
?Six(,/ m II 111 11111 II�ET " ',.� P
Groin Length `�.,�..�w�� �ssi
number iti,
1111111
Bulkhead LengthIlliffitiliNI.om :101111S41111 A III o ra
_ or si
ouni
pow
1 amiamis
max.distance offshore a_. sartaid II NIB
Basin,channel dimensions
II ----1-- --mpg 1 mi
1 . II ,....
... ...,
cubic yards
Boat ramp dimensions .. ................... . ..
NM III II II II
Other ■.IIF �� r Kr I .
III I II III NNE 111111111
III II 1
t, gi
it m
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t MIN t .,M awl
gyThis permit is subject to compliance with this application, site drawing `%fJ
�,�
and attached general and specific conditions.Any violation of these terms j4 applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and irmay cause the permit to become null and void. Ole)eS
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- .) 0 I I l - 1 ,-- 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 `--7 `
been obtained from adjacent riparian landowners certifying that they ` r . I 1 00
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this projectt(00Q9—
'' 3
is consistent with the North Carolina Coastal Management Program. applicat n fee

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'• :: .—APPLICANT NAME: ".2-4.1 •-• _..,-2.2. ..,LL
ADDITIONAL NAMES: .
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AEC DESIG: ---L.3 et
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t I DOP ARE_Az L PRO).DES C: _
..., ... ony ink=9
(Val only take 1)
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.:.. ..: 0.,only take 4)
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MANI':
-..., •:-. (Will onlytake 4)
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... ::: IMP: 0 LL.3 I a- •
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ACTION =DIR_.A_TION.
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DR.,... &FILL REQUIRM:. 93 - k _XS, k - - ( ( - ‘ -0-1
• •
CAMA.MA..TORDEVr-T REQUIRED-
.,
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: ,��� f'eV,
Address Of Property: /7 3 ���/�=- ,t, f '1
"• (Lot or Saii/ iw,- -0-///),r;
eet G� 6
#, Street O "Road, City & l:ounL
y)
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 propo ing. A description or drawing, with dimensions,
should be p vided with this letter.
1. I have no objections to this proposal.
If you have ob-iections to what is beincr proposed, please write the
Division of Coastal Manaaement, 127 Cardinal Drive Extension,
Wilminaton, 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.
I do not wish to waive the 15'setback requirement.
•
b3a,,/ ,
?„,,,,,., i1 2.,
Signature etc
_ Ia'
WA L E1 El: k EME - L
pPrint Name
Telephone Number With Area Code

V/
DIVISION OF COASTAL MANAGEMENT
:':'r;// ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
;f
• a' Name Of Individual Applyingr 1 Z Ze
For Permit;
Address Of Property: \�Tj 0(C G� vD r
c t/k,„,\____ LI __.L__________________Q c__ )-8,4 0-
(Lot •r 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 me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be p ovided 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 9 -3900 da s of receipt of this notice. No response is considered with in 10
as no ob 'ection if ou have been notified by Certified Mail e same
WAIVER SECTION
• I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum
from my area of riparian access unless waived by e.distancefy of is'
to waive the setback, you must initial the approprIiateo blank
below. )
_ Z
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
•
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te
Signature77b(a/
ie) -er'71- r- e(4.11&Q'
Print Name
C?) 790 -� 7o y
Telephone N er With Area Code

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—46531
BILLY WAYNE EZZELL 6
GLORIA CARROLL EZZELL g 3 4 g
5
532066196
133 MIDDLE OAKS DR. PH. 910-392-1349
WILMINGTON, NC 28409 � �7�
n at c i .-"
Pay to the "0,a„/„.":„.fr,K,,,,
Order of
—4U-:__/14,e., __— ,� — J_ T)ollars
C CB Central Carolina Bank
and Tnis�Company 531
C-40144_ Wilmington,North Carolina 28403
1:053 L00465i: 53 2066 �, 98u� -��'_ _-- -