27328D - Story

' CAMA and DREDGE AND FILLciii
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G E N E R A L I�� 9 27328^
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 ?U . /. U
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Applicant Name t2n t2f Gl` Q'/ Phone Number aq t 9) ,,U<7 .70I -7
Address (!(a 1 1 I-1 v i\ter , 1--- Arm i..
City Vr `., t'\-r - State , Zip <-).`7 7
Project Locationl (County, State Road, Water Body, etc.) ( >I 3 Li L;jn.tN 'K'RR -c-Q / ct,4D4 ( r` i
Per fie- CZ • l dl c Nirs ( AeA N/,.,2-1/
Type of Project Activity PC •.A l2 '- •, e iQ
PROJECT DESCRIPTION SKETCH (SCALE: /'• "SO )
Pier(dock)Length !/
X 1
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ii .. .__. . _L. II _. 111 rill , , .
Groin Length ' I
number
Bulkhead Length a - - . mininno
max,distance offshore ��
I i
1.1 NMI
11111 Nu
Basin,channel dimensions111 --III VIII
i rang ,Ill
�_ s
111
cubic yards 11111 R
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Boat ramp dimensions
III
III
Other T4'- 4')/0 rX�O I
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This permit is subject to compliance with this application, site drawing 4 ,re f
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 A
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may cause the permit to become null and void.
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- '‘.. d 5 _ (Y O ! 0 1S - 0 j> 0 '
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 /"' ./..) U
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project /- dO. GO ri 1110
is consistent with the North Carolina Coastal Management Program. application fee

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CODES FOR AEC DESIGNATIONS
"Off' - 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
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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 PERIVIIT COMPUTER FORM
APPLICANT NAME: - �l:)-€(Z ! •
ADDITIONAL NAMES: L_ , 4t,---(R cA kN/P
AEC DESIG: PT" DEVELOP AREA:_0 P 1 PROJ DESC: P
(Will only take 6) (Will only take 1)
WORK: pR 4 ,
(w;a only take 4) / 1 C)
MAINT:
(Will only take 4)
IMP: O L✓ 1'0 C0
(w0l only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: C) -O J O/ Q&4 5J —p /
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FC'n4CTei ��s-. �
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Name Of Individual Applying For Permit !2 •
s7`o,2
Address Of Property: 13 4 c- c�
5u,2 cif C,-s
(Lot or Srreet #, Str t or Road, City & County)
I hereby certify that I own property adjacent to the above-referencedproperty.
applying for this permit has described to`aie as shown on the attached drw ng the The individual
they are proposing. A description or drawing, with dimensions, should beprovideda with this
letter. with this
have no objections to this
Proposal.
a
a 7
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itavn hen n�r;f;..i t,
HABZERSa
I understand ther a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags
set back a minimum distance of 15 from my area ofdba`s must be
wish to waive the setback, access unless waived by me. (L�you
�., you must initial the appropriate blank below.)
17--- I do wish to waive the 15 setback requirement.
I dam/ wish to waive the 15' setback requirement.
l/cg —
si Date
Printv -�...-..,�.
Name
NCDENR
Telephone Number R ith Area Code.od.
E�mRo►eAND � F`s

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Nance Of Individual Apply For Permit_: ---
Address Of Property: I 13 i3L „b 7.eR(2,4eE
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5 og F CIr Pei-6 -/z_ coDN
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property.
apthplying
for this permit has described tome as shown on the attached drawing Peny• The elopment
y proposing. A description or drawing, with dimensions, sho b p the
ided development
his
letter.
I have no objections to this proposal-
o ?
i .0,avP h n nnt;fi��1 3.., r•
I understand that a pier, dock, mooring pilings; breakwater, boat house, lift or sand
Set back a minimum distance of 15' from mybags must be
wish to waive the setback, area of riparian access unless waived by me.you must initial the approp� blank below.) you
I do,wish to waive the 15' setback requirement
I dna= wish to waive the 15' setback requirement.
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och
Signature • 1.'//-r d i A
Date
SI • .tv/Z•174./it Agisisiskillir
Print Name �� -----
Telephone Number with Area
Code NCDENR
EHvrRouM AND N� �'�T of
RAL FESOURCE9

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AWTorbitle I, (If I ills (To bat.k.if
LIGHTHOUSE MARINE CONSTRUCTION
SURF CITY, NC 28445 1170
PAY
70 ME
702
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