27336D - Rich

_ CAMA and DREDGE AND FILL c, ps- -,%� .4 .. 2'�336-
-� GENERAL 5 V (00 5) 6 A
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 Al . /,)C -'
Applicant Name `,: i‘ ./ t �o1JNA s,ci-1 Phone Number ter / DJ8
Address 3O q (e, 3' `i 57
City SLA/Q -( ( ,;.� ' State Ai e Zip -7i'yt/ S
Project Location (County, State Road, Water Body, etc.) A rr, r , 1l,-iJ AC r,.'( /k11 ev-44g.,)!=
,`.'t/S/O v t^-6
Type of Project Activity -4 %vtl fr' t'',- -
PROJECT DESCRIPTION SKETCH (SCALE / /T .a)V ' )
, — . , . , , , ., . .. : - - ,
Pier(dock)Length )1"/t)
Groin Length w
number
Bulkhead Length
max.distance offshore
Basin,channel dimensions I __,
, .-, --- -- _.._.•--• - - K ".-
_.... __............ _ ._ . .t_..,,. _ . _.._ .�,.
, -
cubic yards }j y
Boat ramp
dimensions ' 5
i
Other f-{"� f1 0 - /V 'r.Y-- -_r ._.. "-_._._. _.,,.,,. iv 111.1111
s -• -
1 .;,... ._ , , ., a o w . 4
1
/14 sµ 4 V
--7.. 4 A A I C......, # .
a p
�, Cum € �
This permit is subject to compliance with this application, site drawing K 1 ,p-i•L h.-, �,�
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. , :__ ��
This permit must be on the project site and accessible to the permit of- L,/ t/ permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- ce,- 05 - 0 / 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 //. /._7
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project _ /0U. 4--
W
" O Ofcli
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: , \Y ?'C -1
ADDITIONAL NAMES:
AEC DESIG: ( v..J FAA; r i DEVELOP AREA: (2_,0 1 PROJ DESC: r
(Wile I only take 6) (Will only take 1)
WORK: P eZ — i� !)
(WM only take 4)
'2yt,
•
MAINT:
(Will only tale 4)
IMP: n 2
(will only take 6) •
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: a(f —U o ( p 9'-0 c—p /
— i
Y,►.lSUMY_•YSJ+�,r.w-avti.vr.rr...�.�+YxObN xrertvhtsrvwry.•r•:-.-..-.-.,,....r..s_«,-ar:rr„n-..- _. _

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to {./.7)( -\�
(Namel Property Owner)
property located at 3 D (p d (1r- —
(Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
as
lD
Signature
d 2'/1 j) /J
Print or Type Name
Telephone Number
Date: j,y,/. ./
-29-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 111"0 S1'(`\
(Name of Property Owner)
party located at 0-to `))11- U A +, I
(Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
C)C
I _- C & E
Signatu
Pei( A- SIIEVes
Print or Type Name
7 3 2, 7<f
Telephone Number
Date: 2'`S 2
-29-

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THIS MOTE IS LEGALISM/DER1. '° AL 3 3 0 8 7 6 2/0 C ti,
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FOR ALL DEBTS.PUBLIC AND PRIWT[
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