28213D - Henshaw

CAMA and DREDGE AND FILL
G E N E R A L .. . 2S213-1'
PERMIT G PS Poe,H ib 4
as authorized by the State of North Carolina —"�-
><........„, Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of 1 _environmental concern pursuant to 15 NCAC ''1 0 . 1 2 '-'v .
Applicant Name 1 -A4 C'.A\S\ Prue Phone Number 91 U `i 'S—O
Address i QU 3 5 L Jc C c + S+ 4-e+-
City S A \ u 0-( State N ci..i Zip
Project Location (County, State Road, Water Body, etc.) r LA t\S L J t C L• C. O t•Ve\ l &uOS ) f_„
I ')") L., c r-k- 5 Q.e t 5W , 5\.A I\u-4 �--e. , ()o S Cf �--
Type of Project Activity N c J `t f-r d c L Jrrnd � 10A+, r\ cA oc
P � �
amuck „ , •, 'k CV,VT c Xr e r.d I/4- Wt&rk c( <) r-r\ LJA ' , t)r'tiss +o rjf f SS
PROJECT DESCRIPTION SKETCH r (SCALE: (�--r T )
Pier(dock)Length I1 1- P r 4 NC., IY t I `.. ° ' Is an 1
X 1-4
lA2 tdr. t
Iiii
Groin Length I ii
number ; II
Bulkhead Length o a ,., 4 UJ� '
II
Mill ..i
max.distance offshore
- R u� _
--- tri if
Basin,channel dimensions
‘114-
cubic yards V„... 14, 1 , ° '
. stv...v.„ vr i '
f
Boat ramp dimensions •---' "'._ .... __...._ .__.�. 4 .. .1� _. � »_........1� __...•.... ` � ,, ,
�,. tY -_'Irr _.�. ._ _
Other 8• X 12 r4 ;jilt` . ' 1 �t' m
Y Y
(.;1 & Ill MOAT --- ' ... .' '
MEI
M_�,..A......,... _.. _; _._.._. ._
This permit is subject to compliance with this application, site drawing fc%di, / / Ael
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- _ rmit officer's signature
ficer when the project is inspected for compliance. The applicant certi- IL( 10i i I j 14 k U I
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 p �_1
been obtained from adjacent riparian landowners certifying that they 1- \6`A� d !11 . ()-W
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project 4 i 00.
is consistent with the North Carolina Coastal Management Program. application fee

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ppi 7 r 7,\ ?�=��__ *Ilk ( J1wv- ) -4ecs)r4i&) .
DIT1oN_Ai N is:
AEC DF-SIG: P T 1 et-4.) DEV OP .P,�-:_�O ( PROD DESO: p - 12. . -
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WORE: . e c1 fo'X L e L. 8 X 1 ?- .
(WIfl Riy irt-4)
E L_. Coy X l 22 -
1 AINT:
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LM 38 0 `R
a
ACTION sMT3.1RATION
DP. .7—E EL_ P3QVIR, : • 8 -- I -o 1 I I 14—D 1
CKM_'-:? GAOP,DF.VE .P3QJTt'. 8 I"t`D 1 it I'7'--O

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOI'IF'ICATION
Applicant's Name: WI f//4w7 K, EA'S 4,460 --
Address Of Prope : 1'6"s ] � ICJ h/� / ve*
CLOT /) Street#, Street Name, City & County
Applicant's Telephone Number p- '-1)/Z
I hereby certify that I own waterfront property adjacent to the above-referenced property. The _
applicant has provided me a drawing of the the proposed-development. Please initial the .-
statement below if you have no objections to the applicant's proposed development. Initialling
this block does not constitute a waiver of the required 15'setback from the riparian corridor
lines.
I have no objections to this proposal.
Signature '' Date
Print Name and M mg V kook,
Telephone Number With Area Code Z
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
Era �uss, ZL _ - - - -
Telephone: r
p 3q��� g��t�

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
Applicant's Name: f gAin R, , /vile -
Address Of Property: /8 6i �S7�Sw s,��l/o7 ,0,el//U.SIi4t
LLOT z I> Street #, Street Name, City & County
Applicant's Telephone Number 1910 - 7575- Q/
I hereby certify that I own waterfront property adjacent to the above-referenced property. The
applicant has provided me a drawing of the the proposed development. Please initial the
statement below if you have no objections to the applicant's proposed development Initialling
this block does not constitute a waiver of the required 15'setback from the riparian corridor
lines.
I have no objections to this proposal.
Signature Date
F )4-- GAT /7X1 "
Print Name and Mailing Address
�� "l vim,,
,iJ.)9 Aiez �11'�� �L���,T S d �- 7-Tl t l 29, b 4
Telephone Number With Area Code
evil
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
ItAIVE
Telephone: *- (J0

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alligill.11.111111111.11.111111.111111"."....61111111.11Lill.11111111111LIILIVVILLIAM R HENSHAIN 1 942 l' \ROSE HENSHAVV PH.910-755-0126 ,
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WIDL H5209 NCDL 23938567 Oate• ‘34 /4:16-91 66-1121531 I 1
1835 EGRET ST S 62201 \ 1 i I
SHALLOTTE,NC 28470-5433 I i
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