27353D - Caroon

CAMA and DREDGE AND FILL 2"�3�J3_D
GENERAL
PERMIT P091713fl
as authorized by the State of North Carolina
)0 ,,,,,' Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 9-N • 1 -o(]
Applicant Name U C A o o 'J Phone Number 4 J ri — 5(o3 I 60)
Address LOU L- c —6t -, S 'Pei-
City ' ou6-4.-,90 r}' State W, Zip
Project Location (County, State Road, Water Body, etc.) 15c t.l t\StnJ•t CV--- COtn 41 (o A1ST
bl,,sz_* ( so,,k-k .po r l 1 CAPE f—E frr 1 i u(--•i•
Type of Project Activity I 2-1 X I(t` \1T P OC3 t t O n E-5.>)/ e-nd •• dl ent.ns'ko n S 'Mu •t- be.,
erxtn or s 1st\A 1\ter- -4--i,Frn 44\c_• I z' ' Ito'; tri u t, no* cx<c d Pi +c+A 1 doc tcf::.
PROJECT DESCRIPTION SKETCH ► (SCALE: T) )
Pier(dock)Length tld,ra Irm !
I W x u t.,t., '.'
Groin Length 77,11
,,:u.ti1[ Q.t -
Lnumber1111 Nilo 11 P Iit . •
Bulkhead Length t3
max.distance offshore II III e IR II
i`
1111111
111 111. a iiE- P 5 am imum a 1 5'
Basin,channel dimensions II aim II a 5
• , imi is ,
cubic yards
imailli '
al
imiuminiims al
11 II I I Ilir
Boat ramp dimensions II III wog 111 11
1 i iron iminimp , ,
,:�, Pr ems- 'itIIIIdiIiiimm
n 1.t-{',or) ill. 11 .. L 111-111=11 ri :
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4 -
• IL 11.1 - 11111, "PI " mi
This permit is subject to compliance with this application, site drawing
and attachedgeneral and specific conditions.Anyviolation of these terms [� '
p /� applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and �
may cause the permit to become null and void. S (--I)
�1
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- -/ - I'Z-01 I0-• i 7-o 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
been obtained from adjacent riparian landowners certifying that they 1+1 • 1-2 00
have no objections to the proposed work. attachments
nv
In issuing this permit the State of North Carolina certifies that this project (00•
is consistent with the North Carolina Coastal Management Program. application fee

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ACTION EXPIRATION
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W3 DR_DE7i P3QUE 7) I'1 O, min lot

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American Fish Company
P.O.Iliot 11044
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Southport.Montt Wolin 211461 -SSP
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FOR.M
of-Z4411t7
Name Of Individual Applying For Permit:
J
Address Of Property: /Gf,jam-
(Lot or -treet ', treet 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 to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter. •
have no objections to this proposal.
If you have objections to what is beina pronosed ,• please write the
Division of Coastal Management, 127 Cardinal Drive Extension .
Wilmington, North Carolina , . 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same-
as no objection if you have been notified by Certified Mail.
•
WAIVER 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 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 do not wish to waive the 15'setback requirement.
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•
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Date Affor Zg4r*
Print Name 16
Tel'ephone . Number With Area Code

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_. FORM
Name Of Individual Applying For Permit: dr/5; ,fed;„„,,
Address Of Property: 17We s�
(Lot or treet , treet 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 to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
have no objections to this proposal .
If you have objections to what is beina proposed , please write the
Division of Coastal Management , 127 Cardinal Drive Extension ,
Wilmington , North Carolina , 28405 or call 910 395-3900 within 10
days of receipt of this notice . No response is considered the same
as no objection if you have been notified by Certified Mail
WAIVER 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 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 do not wish to waive the 15' setback requirement.
Si _ ature Date AA
JwI,(C i4cnr� /
Print Name �!
kc s--/ 113C, LDF F---1 IN] R
Telephone Number With Area Code

THE
CHARLES N 0ICAN FISH CO.KARE _/ r P.O.SOU N�RT WEST aAY S PERRY
Pay to the /\ Nc 2e461
�; Order of
�j��,� 7303
Date
�' 953
fre.e
00 ' r
FIRST CITIZENS 453
For G P,D Dollars e
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99 22u•
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