28287D - Autry

CAMA and DREDGE AND FILL
G E N R
FERMIT
as authorized by the State of North Carolina
)1 ,..-- Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 7y //Cu .
Applicant Name ( A. ) /3,�4/ (/1U Ali ,�..P -/ ekJ Phone Number `lku S 7 ) 7 /o
Address 7") /0 LA:4 r /2, '- -
City (it A,- ^-, State MC. Zip ) ,i -3./ c3
Project Location (County, State Road, Water Body, etc.) 1/ 1/9 9/1 '"" SGr, I C 6/1 y,
•
Type of Project Activity ") got(KL 4( i4e01kt.er7"49ti` ..
c;)1-- 4 1)lam; ('-,r 'N. ,..)fo p f -. '�-) c-/ ^`J j o c-(C tr R 7`.,/1-"—' n.G�-.
SK
PROJECT DESCRIPTION ETCH (SCALE: r 4., ,--• )
p,
Pier(dock)Length
Groin Length _ �j�
number
Bulkhead Length
max.distance offshore
J' AV
y
Basin,channel dimensions All
cubic yards O •(��
..-_..,.._ ._.._. .. . .... _ .... __. �v `r 0 _,. ...
Boat ramp dimensions I . :._-,
. -.-.--a...............,.... .. ..:.............—.,.. ......,_.,.___._..-•-_ .-.-a- .._.y_........_,......,.
I I
Other F 1i
. _ - pit.,,t, 1 . .._..... .
No
. '"71-41... 9 ', F . 1
This permit is subject to compliance with this application, site drawing , (/ <.��applicant's signature
and attached general and specific conditions.Any violation of these terms ;��
may subject the permittee to a fine, imprisonment or civil action; and �i
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
ficer permit officer's signature
when the project is inspected for compliance. The applicant certi- (r,e)--,4114
/ c.)/`/6- 6 eZ-
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//- /JO C,)
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project I/a.), Qv e f €3,1,
(,,,
is consistent with the North Carolina Coastal Management Program. application fee

CODES FOR AEC DESIGNATIONS
"OH"- Ocean Hs7ard "Pr' - 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 PROJDESCRIPTION
"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: C LIQU 1 S- /v- 11"y .
ADDITIONAL NAMES: f'h 1 1- c0A)
AECDESIG: et./ P-r S DEVELOP AREA: C2 0 l PROJ DESC: P-17
(Will only.take 6) i
(Will only take 1)
VORK: 13 t"r J 10
(Wif1 only.take4)
. 1vIAINT:
(Will only.take4)
Bop: i4-(1/ 0
•
(wall only take 6) •
� l,✓ 1i )-
ACTION EXPIRATION •
DREDGE.&.FtTJ REQUIRED: (0
CAMA MAJOR-DEVET REQUIRED: (0 SIC-v ( 0/-1(o—O

1
ADJACENT RIP SO STAL MANAGEMENT
Tx OWJER NOTIFICATION/WAIVER. FORM
Name Of Individual Applying For Permit :
��/s dIv./r
Address Of Property: � 0 S
(L Or treet # , Street or Road, Cit & Cou
Y nty)
I hereby certify +•tom, x own property adjacent to the above-
referenced property. : MO individual applying
described
Co me as _s for this permit has
e . on the attached drawing the development
they proposing. .4.4eecription or drawing, with dimensions,
should be provided Ivithfe letter.
I have Po ©bJections to this proposal .
r' z1 P oble - 4.
Divisicn cf Co- �., . , . •e n• .roposed, please write the
W�Im ' n• .` ,; _;" • • 7 ardinal Drive Extension,
ilof t-ec_eict • ." '': " c- 910 395-3900 within 10
days no_ objectior, i �'�: :. . - •onse ' s cons 'dered the same
beer rlgtifiedby Certified Mail
-
!_iVZ'iR $ cT I ON
T understand that a pier,' dock, mooring pilings, breakwater, boat
house, lift or sandbtIMMOSt be set back a minimum distance of 15 '
from my area of riper-34h access unless waived by me . (If you wish
ttolow waive the setback, you must. initial the appropria e blank
)
do wish to waive the 15 'setback requirement .
-•- ---• = do noZ wit& to waive the 15 ' setback requirement.
2 avv r ry/ --
n3 ur. Date
vvr /1 1 s AirA.
-Print Name - --
L zsi wTelephone Numbe_ Wtitar
fade L=3�HtVF1

1
1

DIV=SION 9F COASTAL MANAGEMENT
ADJACENT RIPARJAA PR,fl $ARTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: C4l/, j� 4/74ry
Address Of Property: V2) Y (
ct/ic-
(Lot or Street #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 me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal .
4460
•
If You have ob-iect dnk tQ. what is being proposed, please write the
Division of Coastal, Ifiinagerrignt , 127 Cardinal Drive Extension ,
Wilmington , North.9aro).i . 28405 or call 910 395-3900 within 10
days of receipt of th4AlOtiOe, No response is considered the same
as no obiiection it yo { 4vv joeen notified by Certified Mail
WA;VER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15 '
from my area of riparian access unless waived by me. (If you wish
to waive the setback, you must initial the appropriate blank
below. )
I do wish to waive the 15 'setback requirement.
_ I do not wish to waive the 15 ' setback requirement.
5ignat p bate /II •
Print Name
FtTelephone Number With Area Code

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ANTINORI CONSTRUCTION BANK OFAMERICA
896 HWY. 210
HOLLY RIDGE, NC 28445 66-19/530
[phone] -0/ B
TO THE o
PAY ,{�/
ORDER OF /t C_ P A //c $ /00
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Au-rtry .^'`� o 8 AUTHORIZED SIGNATURE M'
11100 29460 1:053000 L961: 0006505 2 L990o