27447D - Tregembo

' CAMA and DREDGE AND FILL111
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GENERAL `PERMIT 1 `
as authorized by the State of North Carolina
)17,....- Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC TK 11,0-O
Applicant Name k .rt TRH QV-M O o Phone Number( i `7�4--i 8 P,O
Address V 33 a - c► t_l._ J .e k 1 bL
City Wt Lhnl 47",,.. State NC... Zip z. , i...
‘..;te...s4.4
Project Location (County, State Road, Water Body, etc.) -�,.e I pratt
1 11►1 Co . V
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Type of Project Activity �..D �p►v�T� t t'r.
PROJECT DESCRIPTION SKETCH ea \�J VV (SCALE: k tt .� d( )
Pier(dock)Le •�3 x L' .____
Groin Length »-.-.. M ,
number t ,`f,t •
Bulkhead Length ir-r-‘, e
max.distance offshore •,•
ww... ..,.,r..
.V _ ,_ _.
Basin,channel dimensions
III
...- ...- . ----.-— -. A/ 4 I _ .
cubic yards r NV — .
i
Boat ramp dimensions 1m ► i
Other f
CL ck-r 2.0 x
, Nt. --' IMMO. .
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f'tMGkb2 v rn .A f 2.,y
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This permit is subject to compliance with this application, site drawing iitilt.i\y and attached general and specific conditions.Any violation of these terms Yv 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- ( . —L -- Q I 9''— 1 Zj — O I
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 ?Pr \ atat>
have no objections to the proposed work. attachments
GO
In issuing this permit the State of North Carolina certifies that this project ( Cr/ GY • p(a9
is consistent with the North Carolina Coastal Management Program. T application fee

F
CODES FOR AEC DESIGNATIONS
"OH" - Ocean Hazard "Pr' - 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 ER FORM
APPLICANT NAME: PV(A— 1 I�� e U 1/4.,
ADDITIONAL NAMES:
•
AEC DESIG: EL&i, 1 DEVELOP AREA: PROJ DESC: P- 12, •
-
(vini only talce 6) (Will only take 1) •
WORK:: 111
(Will only take 4) ,
1_0 (6
MAINT: -
•
(WM only take 4)
�1&) •
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 6 ( 3 -© I C ..-t 3-0
CAMA MAJOR DEVEL REQUIRED: (0' 0 I Lt

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
'(FOR A`PIER__-_ - -
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' I , reby cer-L:it y than- -.--o -r-%_prape.-t-v adjacent to
e. h\e v- 1 y'g eve 1,+ s property loc'ated`'at
(Name of ProperOwner) .}.7:> • G,<< . : :I f
133 z I4 ft A � ,
,y'r_.,r. ,
. ---(-Lp t._..�S ER', Road--;—e-tc }----..9 --.;
s-7-� nn j / I I ' �/
on CI lO, Qri-1 0/1-� i.v�j/, t/`It'h.(�r ,e Alepl4/V' C4 S
i:, ev V. C .
(Waterbodv) / (To,n and/or County)
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He has 'described . to me , as shown---below;��-;the deve1 oitment he is
Proposing at that location, and1. aY-_nb object ons to I his
N'-'0 0Sai . I understand that a Par__must be set bar4' ,., min i mum
- di-stance of fifteen feet ( 1 ' ) from. my area of ria-ki an acrse s
unless waived by me . i ,
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: _ do not :J_S:. to waive that setcar.':1I1_ '/ __eme:'l- .
!� l I 0v. i s '1 cc '.%ai ve that
sec .�..,I, _e
} - — w - _nay �� _back r� _ _� gent •
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-_Ji -CN ^.N ;OR JR.- NG 1 7.O%OC.=.D ..,"cam'-102 ,7,7--N
(`_''.`'. be = ;l-lrled - _ cv -nC-v r w ;
, l -� -c'.:�- p_c_ os no' de�elopme:�L ,
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Signatu e
rint or Type Name
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Telephone Number

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LOC-411A-VP' ‘C.
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
•-- - .._.. __. - - Date : �3� 0 l
I. hereby certify that I own property adjacent to
okpev•� �re a VA, 90 ' s;property located `at
(Name or Propdrty—Owner )--
Clot, lock,Road, etc . ) --_
en -I `` ] , I �'
nAlryk C zi►iS�t C vO k�bW 4*-- _1 1--- f-lYn.LA, �0„� W,Q. R/4-J✓dJI(/C,) • C.
• (Waterbodv) -t- y -__
__(Tou6n_ana%or`��'C'oui:t�)v
•He has described to me , as ohawn--be-?-ow-, _,the ddmelopment he is
proposing at that location, and, __-11___11a Ve r'r n&'_O D jayt,O r S to h1 S i
proposal . _ unaerSta-no that a Pier must be se ac
distance of fifteen_ feet ( 15 ' ) from my area of r=parian access
unless waived by me. , ,f.
1 4
'�1' nol. N_sit ..o WG-`,e r.at .se bad' I:e e^,ler1- 1
117/66 ,� co, !` -�fir'{ { --- - .
I,�t ro d_...__ to waive I that_ Se '.^pack :e .:I' e ent . JJI
1, 1 - i r 1
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'.,,,, ,'-ON L N oi'_1' Dr.-.'N-Nc 0= r':-tOPOS=D TS`J•r C?'j\jm
(To be =- in- o' - C-��-Cua! propGS_ig ae ?e ii Jan ) '
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Signature
Q4e r, 661 ,--fe5,.DeAJ7 & N0�-intor Type Name
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Telephone Number

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ROBERT D TREGEMBO 0659
RITA G TREGEMBO !mil
PH 910-794-9880 66-7631531 CC
1332 HILL VALLEY WALK /✓,� /3/ ado WILMINGTON, NC 28412 DATE
PAY TO E,U IL / I $ / CJ d✓
rllEoaUFROF d ,j
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cod DOLLARS el bl:....
WACHOVIA
Wachovla Bank,N.A.
WiWiingwn,NC 28402
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FOR _le- ---1) r_, .
':0 LO ?6 331: B6 L8 4 ?0 LO20 06S9 �i -'�'�-
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