27448D - Shaw

CAMA and DREDGE AND FILL 27448
G E N E R A L
PERMIT
as authorized by the State of North Carolina
)01 ,:,..•• Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC `) H . 110 v
Applicant Name w t Lt -e. S(r, -N(..r it) 164c. Willi -.-.1 Phone Number 6 it?) SQcf • ��..S-
Address 1 0 L(, f- bSCo S_ .P125.t YY1N1.i a--g•
City StateAtA,..._-.4 C Zip 2 $40 c1
s.
Project Location (County, State Road, Water Body, etc.) Serey..t2 - ' Q r a,�y �'c,. A mw,
(h1 pvc,cAr1 `-✓6 v 0 cS L3 4L l UQ1K 1( Q Q . `�
Type of Project Activity �4 - l �I,P r' � TL.t c--T( pc, (O-©S 1 1 1 (v A
PROJECT DESCRIPTION SKETCH (SCALE: I tt = , 0 t )
Pier(dock)Length • mow» A _ ....
Groin Length M
number S IIIII
Bulkhead Length 111111111111111111111111mon
max.distance offshore
-- 4.. Uri — I '
Basin,channel dimensions
cubic yards sailliiiiii
illilliiiiiiMilliailii arm 'v.-
Boat ramp dimensions -
L .
Other
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a , at Midi
This permit is subject to compliance with this application, site drawingXZiAl, , G
and attachedgeneral and specific conditions.Anyviolation of these terms z'
p � applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and 0—�
--)Q-al--
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of—
ficer when the project is inspected for compliance. The applicant certi- ram- - t-1 - C 1 S-- 1i Q j
Pies 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 f-
been obtained from adjacent riparian landowners certifying that they t , 00
have no objections to the proposed work. # attachments
In issuing this permit the State of North Carolina certifies that this project L rib� C I () I 0
is consistent with the North Carolina Coastal Management Program. application fee

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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: . 6
ADDITIONAL NAMES:
AEC DESIG: C*J p1.. DEVELOP AREA: .1 PROJ DES C: 7 - Is
(Will only take 6) ) -- — (will only take 1)
WORK: bt. ..1 D-L ` 1,
(Will only take 4) Z:
• r
MAINT: pfk x4b
(will only take 4)
•
IMP: 0 tA.1 ),`�`� •
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: —t 1 -® 'v(
CAMA MAJOR DEVEL REQUIRED: 5�t 1 g - t 1

. DIVISTON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
• Name Of Individual Applying For Permit: g), ,,,L, L 5NRw' �yZ_
Address Of Property: aS'e.
• - /a0/4/g-iTOAr c2No?
(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 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 . 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.
•
Sagna� e-97 • Date A! 'aA
•
5lfrN rYl
Print Name •
7/0 7 7 9 8' 3 $ '7 E NI FL
•
Telephone Number With Area Code,

rre : .win) . c.Y.r,cy w spry U9 Z QC 7 d 9 9 9 a`f
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVEBLFORM
• Name Of Individual Applying For Permit: Gt/L.Glr 4. 5e/,qui
Address Of Property: /O66 M2E2/4n) -
(AcrnvAJr.7 p// , A46. 21440 9
(Lot or Street #, Street or Road, City & County)
I hereby certify ithat 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 Manaaement. . 127 Cardinal Drive Extension.
Wilminaton, North Carolina, 28405 or call '910 .395-3900 within 10
days of receiat 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 setback 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.
•
✓ ✓
Signature Date A • A
Print Name
Telephone Number With Area Code
•

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' SENDER:
i • Complete items 1 andior 2 for additional services. I also wish to receive the
, • Complete items 3,and 4a& b. following services (for an extra
1 • Print your name and address on the reverse of this form so that we can fee): e.
i return this card to you. m
j • Attach this form to the front of the mailpiece,or on the back if space 1. [Ti Addressee's Address to
does not permit. I"
• Write"Return Receipt Requested"on the mailpiece below the article number.
2. ❑ Restricted Delivery •m
' • The Return Receipt will show to whom the article was delivered and the date
i delivered. ___ _ __ Consult postmaster for fee. o
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i 3. Article Addressed to: 4a. Article Number
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ED niu iD u C6 RD61-1 Z 7 c c' 9a z
i 4b. Service Type Ix
i �'I KIsG G�s D�UL ❑ Registered Insured n
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gI W it OA I A( G l D11 I ` 6 ❑ Express Mail ❑ Return Receipt for
C Merchandise
j r 7. Date of Delivery
r5. Si nature (A ressee 8. Addressee's Address (Only if requested y
D and fee is paid) 1
1
r 6. Signature (Agent) f-
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De c,...., ZR1 1 flo, mher 1991 r U.S.GPO:1993-352-714 nnMESTIC RETURN RECEIPT

UNITED STATES POSTAL SERVICE 111111 A.
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Official Business PENALTY FO' PR AT ��
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OF POSTAL , . ,.
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MAGNUM COASTAL GRO PH.910-509-2225 WTH COMPANY INC �� 1 gym' rrc��
1 I P.O. BOX 15084
WILMINGTON,NC 28408 1010 i
Pay tothe Date ^5 66-112/531
-Orderof 02506 I;,
i/7/ o ars
P
BB&T
BRANCH BANKING AND TRUST COMPANY 1�
CAROLINAEACH,NQR7H
L CAROLINA Ir
For <-
' 1:053 lO l L 21� 5 � 9 p43108� - - ----
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.._----- - GU RMANOSA:ETY BLUE NOEL