28256D - Naylor

41 '54MA and DREDGE AND FILr ,
G E N -E-_R--- c > ,,,,y4 ik.lk, 28256
PERMIT
as authorized by the State of North Carolina
> .,:-.- Department of Environment and Natural Resources and the Coastal Resources ommission
in an area of environmental concern pursuant to 15 NCAC 7K , U,L.) 03 1" 6 .S . 1 I.3`JQ °J
Applicant Name LA� AJA t hk Phone Number (9 (°) S7 ' cr
G i/ �� f l ke1 C b/� 3��.-.'/3 6� ) n
Address ,� / /
City AJvt It I ' ,C4r 1 _ !V C � State C Zip D �2f to 0
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity �S / 3t I K4-(-01 r) ee, i, i.4.10 ,; F ie
l
PROJECT DESCRIPTION SKETCH (SCALE: / .70 , )
Pier(dock)Length 4 ',, v - CiA fyj(t G L4 taC d - . - _ a
3
Groin Length
number
. _--_____ —4 .... __ 7 . ,.....
Bulkhead Length '- MOB
max.distance offshore Mill _
Basin,channel dimensions t � i NI v /+ "�- ._..
flou
cubic yards /. ' , i
....._..._' J.J� `) , . A
Boat ramp dimensions � f�P __� � II
,4 it AA-, 1 i II
Other -l - -4 X'
.—. _. . _ nal s 1... .��f
------- - ----.....--- _ - ilk , _., . _ ....... .. __
____ _ .
. ,
,----, , . t - - , , , _____ , , _ _ ,
, _ , ,
This permit is subject to compliance with this application, site drawing 7
and attached general and specific conditions.Any violation of these terms n
4..../....z;.!1 applicant's signature
may subject the permittee to a fine, imprisonment or civil action; andmay 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- 6 7- /5-. 0 / /G / 7- U
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 / . 6 -2 U
have no objections to the proposed work. attachments
G ci
In issuing this permit the State of North Carolina certifies that this project e/0 - C >�
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_ -- —GENE L PERMIT COMPUTER FORM
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APPLICANT NAME: (j PIN f7(2
ADDITIONAL NAMES:
AEC DESIG: et.) , Fi5 DEVELOP AREA:_0.0 PROJ DESC: P .-l
(Will only take 6)
(Will only take 1)
WORK: 614 35 - �L 3
' (W M only take 4)
f R 3, 3?3'
MAINT: I(Will only only take 4)
IMP: S f 2-S , p v✓ U
(will only take 6)otr 315
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ACTION ! EXPIRATION
DREDGE&FILL REQUIRED: I,-Q I (C7�I,- O
CAMA MAJOR DEVEL REQUIRED:

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Dn%1S1O!OF Cn 4ST4L MAN&GEMNT •
41I1&CRti1RTP4R14N PROPERTY OWTTER NOTiWIC4TtON/W41'FRR FQRM
Name Of Individual Applying For Permit o b t/ cxY 10 if"
JJ
Address Of Property_ L-d T 3 Z. I T Y`ot,d e W iv d. )/'
N Tops-et eC 2a-' AU=C
(bat or street#, street or Road, City&County) C7 n s/e w e a.
I hereby certify that I own property adjacent ID the above-referenced property. The individual
applying for this permit has described mime as shown on the attached drawing the development.
they are proposing. A description or drawing, with-dimensions, should be provided with this
• letter.
A.FiI have no objections to this proposal.-
Jf you have objeetions to what is 1,eino mod_ please write the Divicimn of C'.craatal
Ma aP ,_l27 Ncnth arcimal nrive,Wilmin ton_, North C'amlma, �RA05 nr call 910�4S_.
3900 within 10 days of reesiptikthjszrnier No response is_considered thethe-same_as'm_ohjeathm
if you have hen notified by(`rrtifieli Mail
W4?VER SECTION
I tmdstand that a pier,dock,mooring prim' gs,breakwater,boat house,lift or sandbags must be -
set back a minimum disaance of IS'from my area of riparian access unless waived by me. (If you
wish'to waive the sethsri:,you must initial the appropriate blank below.)
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R,ki,-I do wish to waive the 15' setback requirement
I root wish to waive the 15' setback requirement.
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/*Ad" Afccv
, • A •
Signzm re Date f,_.
NCDENR
Print Name 30/ �2Z 7�/ g2

.. .. ..
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'' 4

- ' , . DIVISION OF COASTAL MA'•14GEMl NT •
4JL1ACRA'T RIPARLAnT PROPERTY OWR'F_R NOTIF!C&TIONIWe,IvFR_FQRM
_ Name Of Individual Applying For Permit eOto " 4,7
Address Of Property: 'J_ . 3 Z T tr,q, d.e_ 44- 40*:
/U io Qcl 16 c-4 ce, Oils 10-L„, Cc)
(Lot or Street it, 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-the as shown on the,attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with:this
lei
I have no objections to this proposal.
I f ynn'have ohjcrtionc to what 'c hoing I e�, nieac write the t)ivicinn r f C` w t l
lti�anacement 127 North C' final flrive,Wilmi gtnn North arolin 28405 or call 910 395-
3900 within 10 dams of receipts/If/his notice No response'c conciderred the same as no objeition •,
if von have been notified by Certified Mail
WAIVER SECTION
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I under-stand that a pier,dock,mooring piles,breakwater,boat house, lift or sandbags must be
set back a minimum distance of 15'from my area of riparian access unless waived byme. (If you
wish to waive the setback,you must initial the dpupriate blank below.)
I do wish to waive the 15' setback requirement.
-...�-
I wit wish to waive the 15' setback requirement.
ib
S' a
Q c ( CDaIe C-22-
Pnnt Name Fa) �J7,6 3—cgs
cgs NCDENR
Telephone N([nmb=.s R%rth Area Code =

4598
fig-770412531 `��
LOR NCDL 540692 / 0 Y
LYNDA yLOR NCDL 1B35511 !I,
BOB NA DATE
PH 910-564-2280 �
901 MCGEE CHURCH 26326 RD ! /Q-.� i.-° _-
rCLINTON,NC � DOLLARS©c.uu.ona'.. \'''
,
PAY TOR K `ORDER el _/
Vr � �I
r W
ees' Credit Union
State Ern 10 North Carolina n / r P
Clinton N // i; '�`_- --
54
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FOR Li ti g o a 60 s li t' la 2 s o 513
oMARWID
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