27335D - Davis

CAMA and DREDGE AND FILL 9 p5 F% /�'- 5° 5 ��' �A'� �
GENERAL 2�3 3 _
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PERMIT
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 7 / /..) Ov
Applicant Name L A-12 pq i A v , S C/) &'PE -i '`Phone Number =>')v- 375- 7
Address ► i L/ '3 N . Pkni81 R Su
City --+h Pc.,A • -p i4-t t-I State Ai Zip Di `/v 3
Project Location (County, State Road, Water Body, etc.) ii\e'r-'' 4c4 t ill-� :V .Y f ( ti -1
PfJA4 CO J
Type of Project Activity ��k, LA lc P, ei2
PROJECT DESCRIPTION SKETCH • (SCALE: )
Pier(dock)Length ti Y I0 0 �, I
Groin Length
--
number .._ .._.............. ,.�.,,...., � _._�....._.._..., . .... _. 11.
II
1—
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Bulkhead Length111
max.distance offshore 1116 III III 11111111111•1111111111,"'
111
II _ illalitifim
Basin,channel dimensions
cubic yards s . _ iI!111iIIU '
Ohl' b . .. I i s. _.emu.... '
Boat ramp dimensions
Other liA J7n) !'H _ t
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This permit is subject to compliance with this application, site drawing ( A.., ,`�
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 ( �l may cause the permit to become null and void. / SL -,
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- —,..) y— 0/ ,r;,t J — o /
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 7 P ' /0) Q
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project ,:// () 1 • Q " , ''o
is consistent with the North Carolina Coastal Management Program. application fee

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: / may •
My S
C
ADDITIONAL NAMES: G R�iG
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AEC DESIG: G v✓ mt / DEVELOP AREA: C .c-) PROJ DESC: P(Will only only take 6) (Will only take 1)
WORK:
q
(Will only take 4) ( (J
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MAINT:
(Will only take 4)
IMP: 0 ' qt
(wll only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:

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DELTA
DOCK AND BOAT LIFT
• LTA DOCK & BOATUFT %..-
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WILMINGTON.NC- 4. Ph
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one:-(910 686-9700 • i
WILMINGTON, N.C. 2844 I , Fax: (91()) 686-7700
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BOAT LIFTS • DAVITS • PIERS • DOCKS. • BULKHEADS i
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•ENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1. 2, and 3.Also complete / ,Da5jeived by(Please Print Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired. 14 A.R- A-. 1--ctj $e'
• Print your name and address on the reverse MAY 4 :, 1V11
so that we can return the card to you. C. Sig`�C �• Attach this card to the back of the mailpiece, ` ❑ Agent
or on the front if space permits. X Et�t F-1'�a-.4. aW El Addressee
D. Is deWery address different from item 1? ❑ Yes
1. Article Addressed to: I04S,enter delivery address below: ❑ No
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Prey 6.0 1-1A 3. Se e Type
C/ L�l Certified Mail 0 Express Mail
�/ / /f ii 0 Registered 0 Return Receipt for Merchandise
0 (�J (1 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number(Copy from service label)7a`T'7 3 --,";-p 0003 7, %6_ 3q 5 7
DS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952

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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. Also complete A j eivedby�aase P"n Clearly) B. Date of Deliver
item 4 if Restricted Delivery is desired. !/) c
• Print your name and address on the reverse / 7
so that we can return the card to you. C. Signature
• Attach this card to the back of the mailpiece, X .� El Agent
or on the front if space permits. ' ' .— 7 J ❑Addresse
D. Is delivery address. ent m item 1? ❑ Yes
1. Article Addressed to:
If YES,enter del . address below: 0 No
f1R Cri A fiLES f-1A1Gf-I
( /12 1 D E YAI N E 5/- ��`LE ,
rAy€fc_ i ( lfL • . i.� •/ �, 10. Se' ice Type
IY0 I% Certified Mail ❑ Express Mail
ElRegistered OEReturn Receipt for Merchandis
❑ Insured Mail CO.D.
LISPS 4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number(Copy from service label)
7 OCI CI 3:2 n Coo 93I5 3LfCLI-
PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952

UNITED STATES POSTAL SER'MISE Fir -
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• Sender: Please pri you ame, address, acid 2 irrt l
LAuREays C. .1)1 1./'5-
ba.0 orde Po + nrt Rd
(44xipsfea.d N.Q. 028443
x = :� 11,1f ill I 1,,{,i,,l„I1I„1

___. _ --7: _----0,p p _ .",--7,_33 5.________________ _
280
LAURENS C. DAVIS 0000004323708
NANCY S. DAVIS
620 OLDE POINT ROAD PH. 910-270-3757 7 Z(j/Q 63 831712631
HAMPSTEAD, NC 28443 &owl
DATE_..5-- l— Ai
1'AYTO THE /�� �Q $ I(JO
ORDER OF (� �il-V -- --is �— ^^
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04 . f1t -. __viOU .. _ _DOLLARS
all7�TYNDALL FEDERAL CREDIT UNION
PA1IAMA CITY,FLOITIDA 72412 01G�
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