26237D - Watson

CAMA and DREDGE AND FILL 1, `. 26237-b
GENERAL
PERMITS P oI3►10
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 '1 t` . 11(
Applicant Name ,..J IA C V-- it Wf; 11 S 0 r', Phone Number
Address P o --EUX s zG '1 ►
City - d°ri le 4 4'.,U t t i State KkiJ Zip r•8 3 v-.5
Project Location (County, State Road, Water Body, etc.) l)ru flSWt CL- ((Jur\ I 1 ►
(.N Pm 1 ut* E -1--r t r T 00 c-r e c k . i•k n--n— Pit(0 c) Cr-
Type of Project Activity le), t1 l� h�c,tAdi 'Z ,.plit r, "�"' - 0 r LOT (1' 12..1 A t l P.Cc
0-r 01d W A q
PROJECT DESCRIPTION SKETCH (SCALE: ii., )
Pier(dock)Length
INMI
Groin Length
number
Bulkhead Length .5() ( . _.
t r1111
max.distance offshore
Basin,channel dimensions
E. f\
cubic yards r
Boat ramp dimensions
t >
Other -- in.
.1
©rL��
it
I
This permit is subject to compliance with this application, site drawing :
and attached general and specific conditions.Any violation of these terms a icant's signature
may subject the permittee to a fine, imprisonment or civil action; and `�
may cause the permit to become null and void. j' 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- 1 itl 0 I , LI I 0 I 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 t,14 1 v
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project 4100 . l- Q- 1 1
is consistent with the North Carolina Coastal Management Program. application fee

L r f\-RAIL I ERMIL I C O_YEP O L E.R F O RM
Jcc : A • 1k)A--}sot'
ADDITIONAL �,}�'�.S: -
A C DrSIC- p "('1 Et,JI" E S DEE.OP QRT-14.: .0 1 PROD MSC: P -
( al osl3-usk.z.I)
WORT d ' 1 ' 50' x 1 -
(WE oan-vat 4)
•
•
MAN?: •
•
(WE cab-24)
•
Il�ZP: 1"1G- 15 O s 'J'-O
(wall ocih-saL o7 .
ACTIONPIR4TION
DRAM€FEL Tt..QUII EY. • 1131101 4 I --6 D D I
CA MA M JORDFV%T I�Q"JIP. 1 131 0 1

ed).. ,tee-55977
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIPICATION/WAIVER.- FORM
Name Of Individual Applying For. Permit:
•
Address Of Property: !22? ', /::1M "' ,
(Lot or Street #, Stree or Road, Ci & 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: -
I have no objections to this proposal.
If you have objections to what is being proposed, please write the-"
Division of Coastal Management, 147 Cardinal Drive Extension,
Wilmington, North Carolina, 28405 or call 910 395-3300 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 must be set back a minimum distance of 15'
from my area of riparian access unless waived by mr. (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.
Appr
Signature „Date e
Cow d 6l,fu—k, !rif
Print Name -- ``
alisiwommxmommmm
Telephone Number With Area Code ��� �`

C copy
DIVISION OF COASTAL MANAGEMENT jae Z.-44'�1.�' y���2�
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WA VER. FORM
Name Of Individual Applying For Permit: I i7--(7t)
AddressOf Property: //2 (//q,.A�l
/41f ita/. -( /7 , 6'.
(Lot or Street ,Streee
or Road, C1t & County)
I hereby certify that I own property adjacent to tl.= above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the de•,elopmen=
theyld be are proposing. A description or drawing, with dimensions,
provided with this letter.
I have no objections to this proposal.
If You have objections to what is being proposed, please write the
Divisior. of Coastal Management , 127 Cardinal Drive Extension,
Wi l:r.inaton , North Carolina 28405 or call91095-3900 within
i n 1
0
days of receipt of this notice. No response is considered the sane
as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring .. -
pilings, br=ak.�at�_:__ , boat
house, lift
must be set back a minimum distance of 15'
from my area of riparian access unless waived by me . (If •;ou wis
to waive the setback, you must initial the appropriate blark
below. )
I do wish to waive the ae 15 'setback require
I do not wish to waive the y ^y
15 se;.back re uire-nen'- `V `4
Jil " ZV`
- s '"g la L ure
1 11 O
1 '-c_) , �L .T �J 1/? ti 1-F Date
Print Name
Telepnene Number With Area Cade HNJ

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ok' DIVISION OF
COA STAL MANAG EM=

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L CDL 1618933 0 . � 2179
KATHLEEN F JACOBS NC L 367729 /
CARSON L JACOBS // ss ttz�63t
PH.910-842-6978 •
3 4 ^Q G2141
1200 SUPPLY,NC 28462RY R SW Date
NC
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Order of �Y �r pollarq' "
BB&T ACCESS
BANKING
BRANCH BANKING AND TRUST COMPANY
SUPPLY,NORTH CAROLINA s 3t ,,
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