28312D - Stilwell

CAMA and DREDGE AND FILL
GENERAL I ., 28312-J
PERMIT Plv.2_ -� 11fl
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 '7 f l I200 .
Applicant Name At C t �'�"iktA.)E' q Phone Number 1 r-1 :Ron- (el 9 7
Address 1 0 1 M' It f (a��C1 I-- r-c
City `�..�ere...', 1`i \', State Iv C_J Zip 07 7 l
Project Location (County, State Road, Water Body, etc.) --- C u c'Su. 1C.L L` U ( 1r7 :2,-7
Lo c1^.���tc 1bct,Jtom, SW. 3 I , 1 1I EC j NNC) , ATW l,
Type of Project Activity NC Ps%t=.C' , d cck. Rom ', t-k. coV:-XX'd dJ()AT I 't Ft C Npoic -lc.)
( Z� r1
r- r ,: t �1� .` ‘N -� t ` 1 U, (\} Lou� 11�'1� �IUy�C S Ivl f� 1�1 �
PROJECT DESCRIPTION SKETCH (SCALE: ii.,' l— )
1' ,
Pier(dock)Length .7y V t►A 't. . ZIEMI■ . : A... i
a 5 t .be_.,_._._l.1 36.. � ' .._ _.. ,_ _
I
..
Groin Length �4
1�,{0 r i.O u. � § ,, ^ f` I f
in
number A+. 1 ►‘ %M'. ",+ « I I 1 M�`
Bulkhead Length /a - . ti:0 1 iii A.rolownii s t Y 55
max.distance offshore _ Illaint i•"C C c `aS irt-r1
col
Basin,channel dimensions . 151 ¶el L— vokc Q, f ,801
C 4'li3 .
cubic yards I , r..•+....-._
• V
!.. _. r��c�,.l�u�.�. __.._ _ _
Boat ramp dimensions
r A _ ..
other It- 2 _... �_ c_.�.��.r._.r C3tJ� i s►.�....
III'.
t\n c v ve-rc d _. .. 4. . „*. ,, , _ . by . --k.. I I
-—• 1 -(5.---r\A an • 1— —ti31 i r, ...... i
This permit is subject to compliance with this application, site drawing A� ��i/ ,(``�Yi' Z�%�
and attachedgeneral and specific conditions.Anyviolation of these terms '�// �" / ` _ V
P � applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and '� �i
may cause the permit to become null and void. ` ' ± �� G_�'.:�
This permit must be on the project site and accessible to the permit oi- {{ permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- ! I I 1 i l v ;
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 tt
been obtained from adjacent riparian landowners certifying that they 't1 • 12 UU
///
have no objections to the proposed work. a,41 ,,,„,ttachments
C%' �
In issuing this permit the State of North Carolina certifies that this project f 7
7 � ,_
is consistent with the North Carolina Coastal Management Program. application fee

GENE ` -PERMIT COMPUTER FORM
DPP 1CANi?�=) : i 'Y'r -sT,I w€- 1
�171111 ONAL NAMES:
DrI OP AREA: _OZ PROD DES C: _ - 12-
CAm]c•li.s) (Wi7] iak:1)
WORK:. jr ' - ( OXCo l3 X 13
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4CIION4IION
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DIVISION OF CPASTdi.MANAGF.MP'NJ'
/4.I3,YAC.F.is7 IMAM.LiN PtOPgRTY OWNER NATIgckfarQbl(WAtVc:R MEM
Name Of Individual Applying For Permit: • ThLIC 54; J vti
Address Of Property: S(1
Vla° o
(Lot or Street , hest or.Road, City k County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described ter&as shown on the attached drawing the development
they are proposing. A description or drawing. with dimensions, should be provided with this
letter. /
1�/ I have no objections to this proposal.
If ynn huYe objectiow to what is_ heing...prnposed,please_saite_the_lxyllarLaLcoamai
Management, 127 North Cardinal nrivr.i. Wilmington limb Catcliina_ 9134f%or call 41Q 395-
'.{.1 ..• I-I • • a.. • •.•'. I I I) •1•. 1 I i1• ► • I. .10 .1 .,• • . 1•. I • •:• .wall.• g
if ynn have hewn notified!by(errifirsj, gj�
•
WAT4ERSECTIfl
I understand that a pier.dock, mooring pilings, breakwater,boat house,-lift arammilles 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 dint wish to waive the 15' setback requirement.
•
•
S. AIWA
��tt Datet,a.Lial� IJYc�
Print Name
rmt a-�e 754- HCDENR
Telephone Number With Area Code Sown.Cam• „roa o f
EMNRo/4mm'Amp NideVrtAL RL1OURCEi

MI-IN.17•LVCJL O'Jl7'•.I I1t.LL11I' /Y11�v •----- --
• DIV RIONCIFCn.tSTv—MANArEMRN'r
' AD.IACF.NT .1 ARI N PROPER1 Y OWNIER NalIFICATIONIWAIVER FORM
Name Of Individual Applying For Permit: oar Ta ,' �i--i Ltt
if
Address Of Property: ► o PI�5 _, ' P� , 5A, — —
(Lot or Street if, 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 townie 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.
•
•
Vtlll have—obi jrrt to whir is being nropn�o e
klana�eanent, t 27 Nrrril r, d_ i„a] v Wilj i ,_Nc CnrL 1 aa,•_2�41 call 91 n�395,
+ �j]Qt�, n T S jnn ;a ronci�a
y a heen no i fi d b ►Cerl' d M'it
I understand'that a pier, dock, mooring pilings, breakwater, boat house, lift asemiiiiijo 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.)
•
1 ,
I dO wish to waive The 15' setback requirement.
I d4tio,t wish to waive the 15' setback requirement.
/_ �,/ '3 7 -6/
i. .,:i. -z Date AllirfA,
Print Name
7 . '. 622-- i917 •
Telephone Number With Area Code E NoRrm G ieharwCt'MR M'OF
OTu'
hMRONMEM•AM Nall tAL RESOurvEs

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NOT FOR RECORDATION ri `- LLI '✓,'N. •11,•"/, t :a:'': ie''.,• ``, `° N A► .
CONYOYANCES OR Se gEs N ,.1 -
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Locality Permit Number
GENERAL INFORMATION
LAND OWNER
Name 1. &heeY Q rtC.c Srl Lw6Lt—
Address tot r I Li...e.RA G LN
City el State '- . Zip 2:1S I y Phone( t I]G6S 61g1'
AUTHORIZED AGENT
Name
Address
City State Zip Phone
LOCATION OF PROJECT SkAUoite OD eft toce... St.Ati t tuet \ Zwe'E'
8r+ ( t�0}trwn l")
(If not oceanfront,is waterbody natural or manmade?)
DESCRIPTION OF PROJECT ?r»p-C,.. Ytev Poi.J
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
PROPOSED USE
✓ Residential Commerical/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT-UPON SURFACES (such as driveways, etc.) within 75 feet of the estuarine shoreline, or 575 feet of an
ORW shoreline, or 30 feet of the public trust shoreline.
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING
SQUARE FOOTAGE OF SITE
OTHER PERMITS MAY BE REQUIRED: Zoning, Drinking Water Well, Septic Tank
(or other sanitary waste treatment system),
The activity you are planning may require Burning, Electrical, Plumbing, Heating and
permits other than the CAMA minor Air Conditioning, Insulation and Energy
development permit. As a service we have Conservation, FIA Certification, Sand Dune,
compiled a listing of the kinds of permits that Sediment Control, Subdivision Approval,
might be required. We suggest you check Mobile Home Park Approval, Highway
over the list with your LPO to determine if Connection, and others.
any of these apply to your project.

, ---- APPLICATION FOR
CAMA
i ,
• ,
: ), ..:- MINOR
1 ,
III DEVELOPMENT
a PERMIT
In 1974,the North Carolina General Assembly passed
the Coastal Area Management Act and set the stage for
• ` guiding development in the fragile and productive areas
which border the state's sounds and oceanfront. Along
4. •* with requiring special care by those who build and
t develop,the General Assembly directed the Coastal
Resources Commission (CRC)to implement clear regula-
- tions which minimize the burden on the applicant.
•
.- a.1 __ . , et P: This application for a minor development permit under
CAMA is part of the Commission's effort to meet the
• 1 '* spirit and intent of the General Assembly. It has been
""` designed to be straightforward and require no moreili
time or effort necessary from the applicant. Please go
1" I over this folder with the Local Permit Officer(LPO)for
the locality in which you plan to build to be certain that
I.
i , you understand what information he or she needs.
Under CAMA regulations,the minor permit is to be
issued within 25 days once a complete application is in
. hand. Often less time is needed if the project is simple.
Iiiii The process generally takes about 18 days. You can
$ speed the approval process by making certain that your
1 -144 '.4 w,,,1 0 application is complete and signed,that your drawing
7 meets the specifications given inside and that your
I application fee is attached.
I All fill I Other permits are sometimes required for development
9 II SPU IIIIIIMilli 1 'I in the coastal area. While these are not CAMA-related,
."" `:._ - ,.� we urge you to check with the Local Permit Officer to
-,- determine which of these you may need. A listing is
„amoialir
i included on page 2 of this folder.
4 We appreciate your cooperation with the North
a. Carolina Coastal Management Program and your
lipwlem _.. "a" ,t willingness to build in a way which protects the
„•, � resources of our beautiful and productive coast.
i saw-
Coastal Resources Commission
Division of Coastal Management

•
STATEMENT OF OWNERSHIP
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in
an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development
permit, certify that the person listed as landowner on this application has a significant interest in the real
property described therein. This interest can be described as: (check one)
✓ an owner or record title, Title is vested in Bari Pn�Mcee �'��'- , see Deed Book ly ,
page '3Sg in the gr.),.rsw .c-� County Reistry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of ;
probate was in County.
if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I
have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
a CAMA permit.
(Name) (Address)
(1) RuTH '$ru rr
(2) S. PtgoT T-
O)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may
be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This application includes: general information (this form), a site drawing as described on the back of this application,
the ownership statement, the AEC hazard notice where necessary, a check for$100.00 made payable to the locality,
and any information as may be provided orally by the applicant. The details of the application as described by these
sources are incorporated without reference in any permit which may be issued. Deviation from these details will
constitute a violation of any permit. Any person developing in an AEC without permit is subject to civil, criminal
and administrative action.
This the l s% day of 0C+ob e t ,200 l .
La f o ererperson authorized to act as his agent
for purposes of filing a CAMA permit application.

>ITE DRAWING/APPLICATION CHECKLIST
lease make sure your site drawing includes the following information required for a CAMA minor develop-
lent permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you,
requested.
oHYSICAL DIMENSIONS
1 label roads
label highways right of ways
label local setback lines
label any and all structures and driveways currently existing on property
'HYSICAL CHARACTERISTICS
draw and label mean high water mark
draw location of on-site wastewater system
f you will be working in the ocean hazard area:
draw and label dune ridges (note height)
draw and label toe of dune
identify and locate first line of stable vegetation
draw and label setback line under CAMA
draw and label topographical features (optional)
f you will be working in an estuarine shoreline area:
draw and label landward limit of AEC
describe terrain(slope)
)EVELOPMENT PLANS
draw and label areas that will be disturbed
if a house is to be placed on lot,describe location of house
note size of piling and depth to be placed in ground
draw and label all areas to be paved or graveled
describe composition of surface
note and list fully all trees and vegetation to be removed or relocated
show landscaping
DOTE TO APPLICANT
Have you:
*completed all blanks and/or indicated if not applicable?
*notified and listed adjacent property owners?
*included your site drawing?
*signed both application and statement of ownership?
*enclosed the$100.00 fee?
*completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued Exempted Denied Appeal Deadline(20 days)

•
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j_�„ �.4._.t�mume�„nmu�n-�rm-u� emrt � S e r u.i 1 Y r n N c n r r ad o r u' 1 e n 1. S e r b a c k (o r d r 1 a i 1 r ® �TS "T A
'I THE AMERICAN FISH CO.'
68177 ,
I'j CHARLES H. OR KAREN Z. PERRY
P.O.BOX 11046,WEST BAY ST. v� 66 30/631 of
SOUTHPORT,NC 28461 DATA ^ �" 463
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