28318D - Stines

LAMA and DREDGE AND FILL
GENERAL 2 318
PERMITS P ► � i �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 'MT\ . 1 10C,
Applicant Name �m .tZC'tt. e. rl . 5+ t n( Phone Number
Address t3t1 e-f\ 4\trf ) CiN11A I
City JLAPC 11 State NCI-) Zip o2t5 Li er 2.-.-
Project Location (County, State Road, Water Body, etc.) t k r\s_t,J i C L, Cc; v-(411 1 161 a E.-
A •:.),r-C1 Gr11Ak Wj 5 v,p0\tA Asu. Gta f'
Type of Project Activity Ne.A.,r) �A. 1 --� C;n J 5► �i (hi� Qr f
PROJECT DESCRIPTION SKETCH (SCALE: \y,-
Pier(dock)Length
Groin Length
- ._.__ » _. _...... * 7
number
Bulkhead Length `)3
max.distance offshore 1) t
t .. A ..
IftrY1t,Ard .1( M,nr .k _
Basin,channel dimensions I
.
cubic yards I
Boat ramp dimensions F --.:._. , _;__
s
Other
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{y{yam�.. Co, /+
This permit is subject to compliance with this application, site drawing ,t
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. 7 .,,f1<;c �,
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 cerli------" \\ ;,0 I 0 i i 1 I ..2,4,i I 0�_
in thispermit that 1)this project is consistent with the localexpiration a fees by signing 1 issuing date date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they �f /1 UCU
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project it
is consistent with the North Carolina Coastal Management Program. application fee

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AEC DESIG: ES D %~�OP AREA _ I PROJ D=SC: fi - II
WORK:. E33 C IZ1 _
(Val cally=kr 4) •
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Me: 14CT (103(0 .
(will ccaybikr.o-)
ACTION ION =IR4ITON
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DR Y€.I`- P,EQt7IREa - it J 30 b ( Z l 8 fo 2 . .
CAMA MAJOR DE .REQUIRED: I.[[ 30( o I 2 )2c5/u2-

Dr\1.IcIO LOF CnASTA1.M4NA-OEMENT
An•L"AcE T RIPARIAN PROPERTY OWNER.NOTIFICATION IW An'F.R FORIyi
•
Name Of Individual Applying For Permit: �1 ►��S
Address Of Property: ,rx (7skc
(Lot or Stre& #,Street or Road, City & County)
I hereby certify that I own prortrty adjacent to th- ab�.rp referenccd propel iy. The indi,iat
applying .:;i tress permit has described tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
yp e„ Aliave no objections to this proposal.
if you have objections to what is being proposed. _please write the Division. of Coastal
Mana,ement, 127 North CarditaLDriye_Wilmington, North Carolina 28405 or call 910 395-
3900 within 10 days of reipt of this nntice No response is considered_the_same as no objection
if you have been notified by Certified Mail
WAIVER SECTION
.+. .i. •.f• - :';"3 • • .. • ..�, .a}V... �.. _ - f'•.�til'.••'- lit �.! •,4,y�r r�JC.r.Cr yliast be
'Jack a.'..iztimuul ,lance of 15' from my area of riparian amess unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
i fie not wish to waive the 15' setback requirement.
pyca
icic•nlWA
1113-00Q- CfrWlY104--,u- 6 � 41 �'• a • j2 ___Signature Dat .y.
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Print Name)- 910 5 8- 3y NCDENR.
Telephone Number With Area Code Norm-i CAROLINA DClART,.mNT of
ENVIRONMENT AMC/NATURAL RESOURCES

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CARSON L JACOBS 1119 ` 1
NCDL 367729 PH.910-842-6978
1200 STANBURY RD SW )31 66-112/531 1
SUPPLY,NC 28462 2) 12 O ' 62101
'D E+N 1� I ro•=
/A0onI,/ ho
n��anare�l Rn� /&o -oor. e .$1 ,
BB&T ACCESS
BANKING
BRANCH BANKING AND TRUST COMPANY i
SUPPLY,NORTH CAROLINA
1:053LOLL2L1: 5L956452L51 LL
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