26231D - Tennent

, CAMA and DREDGE AND FILL BPS _ 2�231-D
` GENERAL �,,� s ��s��
--�
PERMIT
11-
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 fl • 110v
Applicant Name ) "rerloteervt Phone Number "=7,v/-` P3-/Yit 3
Address 1 y 1 0((1 V;l( (An/'f
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City /t f f)) -rbp54, 1 * State (VC zip 3 irV Y5
Project Location (County, State Road, Water Body, etc.) / 1/9. jl t-I (f r//4-6- ' Ltd t ,'V' e7N/
- f( I "cACK. a f‘.%ia k,..- Ct,
Type of Project Activity Ara-hoe— 6 F 1;?`y14 ( E_/047 --rb y xr.C7r,t6 1)0 GK,
PROJECT DESCRIPTION SKETCH (SCALE:� t ".p 1 )
Pier(dock)Length _ *or
Groin Length
number
Bulkhead Length
max.distance offshore
, t
,..- Pa•- t I��
f
Basin,channel dimensions
!Ii.C.
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cubic yardsZ
Boat ramp dimensions 15
Other 0(1�'� I�\.fist( --^-._»-_....,_._.._,-'._...«._ r._ • _. it f�^`_
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This permit is subject to compliance with this application, site drawing ! Al A k
C
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 .
„ &571.
may cause the permit to become null and void. Tr
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- 03_ 1 5-01 U b-- «_b 1
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 r) N . 'J oL)
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project / ou,In
(.. r .:-1 - I t 3
is consistent with the North Carolina Coastal Management Program. application fee

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I understand bsethat a pier, dock, mooring pilings; breakwater, boat house, lift or sandb
minimum distance of 15' from my area of riparian access �s must u
wish to waive the setback, you must initial the appropriate
waived by me. (If you
app opriate blank below.)
.. • I do:wish to waive the 15' setback requirement.
I situtot wish to waive the 15' setback requirement.
. A A
Signature ' _ Date o , . 4 . . •
Print Name
URee it..) aiq , NCDENR
Telephone Number With Area _Code
?/B 3.1 *.` .7 O / ENVIWONM`NT qpt N�LIRt RCFS

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LIGHTHOUSE MARINE CONSTRUCTION 1132
P.O.BOX 2532 910-328-4852
SURF CITY, NC 28445 DATE -/ / 66-19/530 NC
702
PAY / l ��/,�J 1
. 1 TO THE
ORDER OF v '\ , $j /Q°
O� `
CV AtiO DOLLARS
Bank ofAmerica.
10" FOR f"I4 -Art"- � U` ' : ( qCr4)
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11'00L132111 1:053000L961: 00065L3LL367n'