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4111 LAMA and DREDGE AND FILL lik�Es621`�- '>
G E N E R A L
PERMIT
as authorized by the State of North Carolina
)011 ,•,„.- Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC )N• /SV< 'N . /.?..o(-) , 7t/•/10`'
Applicant Name /nA S ,t '��.h,✓ Phone Number (9 1 U ) 3 S d - S i9 y
Address i I (0l (, -‘-))1ic1ti/ CIS
City iz ,,,L ,,0v,1i -P i State ( i1) Zip a- )CBI 3
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Project Location (County, State Road, Water Body, etc.) t o-, y C +4 6 -i c (c At I2-P f n A. C inNii f
>A -DI TI g R`( q d j A.LL.. /W\ A' - v( n-t Cyi ( . o ti s hiL.,‘, C�t, -
Type of Project Activity C0A 1 �►si , � I/Il/el%) , .a r ,(.} t
PROJECT DESCRIPTION SKETCH (SCALE: / '. d U / )
Pier(dock)Length _ µ
Groin Length . „. _. _ ^ ...—.— .— _ I
number
Bulkhead Length 0 3
•
max.distance offshore
_t € _• ,
Basin,channel dimensions e U t
cubic yards 0 0 i iV
to .,
1 ,2... - \ '.5.1'.. : " iiiieVir I ii . __Al
Boat ramp dimensions I
Other L, ? V 7.1) 1 .__. .. .s *
w. .. .._ «. « J Y . .. . . i.....
, .e 1_, " 1111 1 1 .1 r • 2..,
11
....-...-..,. .., ,........., ......a ......,.,.s,. - ......,.,.....♦.,..,... .. ......
This permit is subject to compliance with this application, site drawing 7 '/-6/ M e �,r t �y
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
may cause the permit to become null and void. .-c ___(--(-- ,_4—,.
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- n 3- )0 - 0 / 0 b- ) 0 --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
been obtained from adjacent riparian landowners certifying that they ) N • /c) 00 )"/• 15'0 . 7'y///66
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project ,I/ b v , °" (,/eW
is consistent with the North Carolina Coastal Management Program. application fee
.
I
1
•
CODES FOR AEC DESIGNATIONS
"Off' - 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
"LT' - • Utility "H" - Housing Development .
"S" - State "O" - Other
# CODES FOR PROJDESCRLP77ON
"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: 1/1A14 0 i SO ti l K ►Nq • .
•
ADDc - .t". k. R---
- AEC T = DEVELOP AREA:_CJ. D� PROJ DESC: P - S
(Will o (Will only take 1)
WORK: 38 50, la1"3 gL l3i /1-
•' (Will only take 4)
MAINT: OR"
-
(Will only take 4)
IMP: f l . (7(O v
(will only take 6) , / P.M
ACTION EXPIRATION \titigh
DREDGE&FILL REQUIRED: p '2j—)-0--0 1 0 10-)-o--°)
CAMA MAJOR DEVEL REQUIRED: 2,'5—)v-o\ 0 1p D.C. 1
•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to_J_Son/ 5te
's
(Name of PropertyOwner)
property located at (- 0 t Sf. C )1A-DD,_k 6 kv 09407
-/ /1 (Lot, Block, Road, etc.)
on t f\ UC( , in UPS Uw
l 5 'eAJs `GU' — N.C.
(Waterbody) (Town and/or County) 7
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
p 4.lX/9d Propr./ly
L.:h'-( w, / k 4 ,P6-<<ss /yr /.� tf S,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
/ems
t` .. : ,
32
uSt r /
131k w n/(
Signature
Do'UM) Rio i/5o
Print or Type Name
5„ 7 325.E
Telephone Number
Date: ' - /
-29-
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03A20A2001 11:51 9197347354 PREMIERE CARPETS PAGE 01
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT':
1 hereby certify that I own property adjacent to 1`54 Ad /3't'V 4°
(Mena of Property war)
pity lama*at I 04 S pki
- (Let,IIKA
( tarbody) frownor Co ty)^�—�^—•31i
K'a •
lie has deneribed to mess shown Wow.the development hell proposing at that locetiod.
tatd.I have no objections to his propowl.
__ ttiANced' Pr'cfiy L 3f /Pr«Ss`o/ ,3 7" 5(;{J`
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lb br Jlll rl in by Lrdhamal proposing devakpmaiu)
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Siinatur.
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Print or Type Phone ,
9,1_1351- /9v.7
Telephone Number
Date: f 0I
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2`� , •J . nI•r•.1.1 n/�.-TI Inn? -f.l-iDa
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT':
I hereby certify that I own property adjacent to 'ra d
1341
(Name of Property Owner)
proicrty►located at �+;i f h/ C./I. A✓
91
. (Lot,Block,Road, etc.)
on_11A<Ar; in U+tlj��4.+
(Waterbody) (Town Armor County) N•C.
He has described to me as shown below,the development he it proposing at that location,
and. I have no objections to his proposal.
wt A 3
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPIVa,N
(To be filial Ls by indroldualproposing development)
•
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Signature •
Print or Type Name
c/ie 6 6✓1 -5-771 f
Telephone Number
Date:
-29- 1,4A c G — 6. (o
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THE BACK OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATER MANK•NOLO AT AN ANGLE TO VIEW e' - -O°''•-ar., l
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ORDER OF J--./______:,
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I: 102L00 ',001: 4006212327967611'
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