27358D - Wilson

CAMA and DREDGE AND FILL .
1F4 27358-D
GENERAL
PERMIT p09I21f)
as authorized by the State of North Carolina
•)111 ..„ Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC •i f-\ . I20G
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Applicant Name 16u1r, C �fk rrr 1UJ 1 5o n Phone Number 3( y 1 - 31,7 V i4M
Address 1 o O C)F)Lr&T vt 12)r..1 cc-..
City Pr_ L A State IA) \J 6 Zip 2-51 S 9 - cj(r'17
Project Location (County, State Road, Water Body, etc.) l'_:).-u IDS t c-k— 6-)WrN41 I 18 3 1
4.\Pi,r 6-,k t r Lickie e.d SGJ , ` •I S-k--f` e.c ut t r t ' ul p l , !_'t OlV t o i tc-7(Ut,r
Type of Project Activity IV E-vJ \t E--C 1 t('id A UcL (nu 6.44 ,S1tp5 vro )
t (- COMntNe1, t', iAF1rtpr. CVtf,duf SU r 01 cor £- Q, -y— Ps1,Cir, r,*
PROJECT DESCRIPTION SKETCH (SCALE: N( J T) )
Pier(dock)Length i 1� I I rI ,
'\�(�Aflitit� X Cri a
Groin Length I _
number
Bulkhead Length
O y �.... p
max.distance offshore \vjr�
. . .
, E
Basin,channel dimensions �t y �/ •
I - . ,— - i ;
....
cubic yards \ ! ( I 4/ l
y
_ ._.. _
Boat ramp dimensions
Other 12- NA14 dy ...�_ '`_. ., . . , T_,_._.._1 .m.._.. .. .t. —__. , , e,,t
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kg"
, i•-- -4, 4 I
_ _. " . . -. .....� r
_III 1 _ \
__ �... �_-_4..w_� . . ....._.__
This permit is subject to compliance with this application, site drawing iti_IGLig-t-e 'N„fo.
and attachedgeneral and specific conditions.Anyviolation of these terms
P J ap licant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. "t -`M ^'��-Q
This permit must be on the project site and accessible to the permit of-
ficerk
when the project is inspected for compliance. The applicant certi- _-/.-7 1 9 / U i ; o ii 9 ()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
, /2 co
have no objections to the proposed work. attachments
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In issuing this permit the State of North Carolina certifies that this project 4)00.
is consistent with the North Carolina Coastal Management Program. application fee

GE..SE?ALTER IT COMIPUT R FORM .
pP, ',ob W aso n
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DD1T1°NAL RAJ PitNel (Aft ts�,^
CDESI0: 1 ell DIVE OP la:- _ = O2 .Pilaf DISC: 1 - 12,
wo :. fI� 111 xCo' 're I2xI4
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ACTION _SON
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CAMA i L1iDRDEVEL .QUID,r�: "17 tq-0 I l o- l t-o L

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I/1Y!SPA r kit, t'lLASTAI, MA\A(IEME.?
.&D.IACENT RIPARIAN PROPERTY 0.3iNTR NOTIFICATIONLWA.TYER.J OR)1
Name Of Individual Applying For permit: T O1jprf f Nancy ' se,„
Address Of Property: /e 3 9 Ha i- bar keI G e ka n e 3 Li:
r a sjapp 1 y IV c -g4I1,
jpI�ltTIQrt'�"""(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 toAte 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 you have hje tnnrte to what is ng bei nr. �t ntaace wrier he
-a r�� s „1�i11cinn of Cr,acrrl
Managem , 127 firth C2ettinai f)rivi. Wilmingirn., North_Carolina_'8404 or call 410395-
39f10 withinEl_days_of=eipe of this notice_ No response is chnsidrmi the craw 24 nn ohjtalon
if you have hrrn notified by f ftril Ma it
•.- __.
WAYVER.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 a x s 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.
'?4`-- I (10...not wish to waive the 15' setback requirement.
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YAS-ignature Dine 4 F (th��k //iio '�`r"`-r
Printit,"
Name Pe - C)-6(/Via?-?-- NCDENR
Telephone Number With Area Code NoFrn4 *mnwr or
EmesRowmEher AND Nano ik Rsesouaac..!.

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