25193D - Forest

CAMA and DREDGE AND FILL
G E N E R A L N9 25193 —1
PERMIT Q 1 i I c/bf4
as authorized by the State of North Carolina
• Department of Environment and Natural Resources and the Coasts Resources Commission
in an area of environmental concern pursuant to 15 NCAC , o) 0.D
hi
Applicant Name F) C e ) -r 0 y 4v SC LiPhone Numbe / 11 5 5?- 57/
Address 1 ),0 D _5-/ J o Se 1 A 5 71,
City C.c:t rD / ice.. B'u t✓ k State A/ L Zip a . '-/2
Project Location (County, State Road, Water Body, etc.) Fore j-f 8 i/ M seti AI\ , r / n
ad 61,&,A4 -/t., y ( ti ) Bu h ,sCAi-� v /)
//na �&itL4 Ai( -- C' c_(H vrr CA„... .1�(
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Type of Project Activity A� � t �t�r- o ciA,t°( Of r WI-kJ". $. X1�4,,,9 Mu r /n (�.
1 o n t o/ c/(p A 5 A,. i 1 tit c I-1 u t( t�. PO I c. ,1 1 t-,., i - r)FL 7.,JJ 49 ``s h, ii u1p lJ
PROJECT DESCRIPTION SKETCH (SCALE: N -"' 7.0. )
Pier(dock)Length i k
� jr a+ .C._.Z4.-- _ 'D � a_ y
r nn. J
Groin Length
number �_ __ .._._
Bulkhead Length
_ [ s t i a I •
max.distance offshore _ m�..0-C..t e .. C4 -
Basin,channel dimensions .�..- _
cubic yards
..
----i
Boat ramp dimensions I
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Other n C r �l Q 1� �_.... , �, ;
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This permit is subject to compliance with this application, site drawing I
iand attached general and specific conditions.Any violation of these termslicant's si nature
may subject the permittee to a fine, imprisonment or civil action; and pp g
may cause the permit to become null and void. 4' �/1• c J
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— I — () J ) / 5- 0
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 p / f. d)0 b 0
been obtained from adjacent riparian landowners certifying that they . ` !'(
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project i
1 L) L'` O J C '����
is consistent with the North Carolina Coastal Management Program. 5 6,4. 7 application fee

CElci72.-r PERMIT - CC)X?ER =ORM
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RD,ECT LOCATION:
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CODE iLINi:':'H y+�''DTH DEPTT } ( =LE- NG- TH — ' )
CODE WIDTH DEPTH
IMITT: (CODE J LENuTE WIDTH DEP^_`L' ) ( — —
CODE ILE- NG.- *g D D )
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S�IIhPE _T' =� ) CODE — ) (- - - _ _ _
SITOILHE FEE CODE - - - - _
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SpUh?. FL-I"'
ACTION
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CODE T DE DRSCRIPTiON EXAMPLE,
MAJOR SPECIFIC INSCRIPTION EXAMPLE
CIRO31P IMP AC'.T
"AC" Access channel canal length,width,depth "AC 200,20,-4"
•"AR" A,rllllciarreef length,width "AR 200,50" '`WS" * Wooded stvnntp WS
"AS" Ai(Mein!seaweed
"CY" ri 450"
"I3A" 13enclt or estuarine access length,width "BBAS�500 100" ,,Olt„ Cypress "CY 150"
"1113" float basin,slip length, width,depth "BB 150,50,-6" },CE';, Cedar tar ;OU 150"
B11 •13ulkbead length SM Maple CE 150"
"I31." Boat lift " "SM 150"
length, wldlih DII 150
"13N" Dont nourlslwtettl "DL 25, 15" "J 4fi„ ** Pocositi "PO 250"
"O1"" 1)ea ramp length,width "ON 1500 50" „ „ Mghlinat forest "Lily "
1 length,width "DP 100, 10" .. High h Marsh "I IM 390"
M **
"BR" 13ridge length,widllt " ,, Jtiu us roeuterinuus r� 30"
"13S" Boat house '`BR 75, U" JR JR
length,width "ES 40,20" „ iblack iieedlerush)
"13W" Breakwater " "SY 60"
"CC" length IIW 150" S ' Sparlina giant reed
des Cable crossing length
g "CC 275" „SP„ (salt or giant reed grass)
"CE" Condo "CE 45,40 S a patens SI'35"
"CO" expansion #units new,existing '�
Cant)ground length,width "CO 175,400" (salt meadow lass
"CO" "DS" t. grass)
Condo #units,height "CO 64,45" Dis(salt orspie spicain "DS 50"
"(:V" Culvert length,width "CV 60, 15" spike t"DO"
Ut ainnge ditch length,tvldllt,depth `'DI) 900, 12,-8" '`$S'' Snlicornia sp, gross) „�S 38"
Dolphin number • "DO 4" (glasswoh))
"DS"
Drvslack storage length,width,height "DS 200,75,50" "L S" Li lav sp. "LS 0
EL" Pier"L"head length,width "EL 10,20" (see lavender)
"PD" Fill basin,slip length width,•depth `FE 300,50,-4" "SC" Scirpus sp. "SC 20"
'C" Fill canal,channel ength,width,depth "FC 300, 50 -4" buiicush of three square)
Fl1 Fish house ength,width "PH 150,75" "Cr'„ " Cladiuut,jantaicenso I "CI 27"
"1'I" Fill general engllh�tvllit,depth "
"FR" F for rood1 1'I 300,50,-3" "SA" (sew grass) •
�. englh,width,depth "FR 975 50,-2" SA Sparliun nlletrtaflora "SA 75"
PS Floating structure length,width "FS 20, 10" (salt marsh cordgiass)"(3R" (3rc►iu length,width "OR 200, 2" ,rTY„ l'y�talm I) "4'Y 32"
"110" I lotel/m otel complex length,Width,height "IIO 450,75,50" „ (WWI)
"11W" I lighway,street length,width "NW 1000,50" "I3I' I3ot ea oxeye)frutescens `'131:42"
"J!?" Jell} leapt width "JE 30,2" (sea •
"MA" Molina IF,#o slips "MA 5 " Iva l'nttescens "IF 76"
"1 lli" Marina expansion #slits new,existing "ME 15,20" (marsh elder)
"MI" Jvlitigation leuglh,width "MI 50 25" "I'Il" Phrsgntytes sp. "P116(1"
"MR" Mooring piling #4
"Ni'" Non-pier length,width "N tSpJ 30" rrLM„ t• Low marsh "LM 50"
"OP" Outfall pipe diameter in length "Orb 2000" Sparliva aus htcottl a ''SA 30"
NOTE: this is not a sewer line extension tutless it results In a discharge "110" t,t I •i('nll lunrsh card grass)
to slate wale's. 1?x:a WWTP effluent pipe would h � `O['' y• "OW" i t ggruuttd "l10 750"
"O'1" Ulhcri}eludes spoil disposal)
"PC" Pipeline crossing ", ** • Open writer "OW 900"
"I'L" Perking lot g dianteler hi length . "PC 450' (Use with piers,mooring
B length,width " L I80 50" pilings,etc. where there is
"PM" Peat mining acres � M SU't „ ,, little bottom
disturbance)
"PR" Pier or clock length,width PR 160,5" SB ** Shallow for bulkheads,ut "SB 550"
"RR" Ripralp Length,width • "RR 150, 5" excavation,Used for etc. where"SB" Sand bags
etc. there
"Si)" Subdivision #lots,total acres "SI)42,50" om)
"BC" #* is a major lilleralion to lh"De 150"
"SE" Subdivision expansion #lots new,existing "SE 20 50" , Beachuue "BC 100"
"'I'Is" 1'ier'f-head length,width "TE 20,6" "GB" ** Dime "DN 200"
CID ** Submerged grassbeds "(3B 75"
COE designated tvellnttds "404 75"
(Use}Olen othe•species •
•
are present,11U1 listed else}vlteie)
#*use these codes only tvlieit species lire not given

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: 1i4Go€)v►7 .f-7aw,y, LS Aso
Address Of Property: /ZOO 5� se4 �j z ZiOedi/a4 Eike/Ale
(rdR) ..r44A p e arts-E2 . IUTE�2E-STED 2.9 tr
�Q1-1 EDCc)i(JEipS
62 4 ST y (Lot or Street #, Street or Road, City & County)
rot .5 •
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described t me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
/ 1, 4(7f---7-17-have no bjtions to this proposal . •
61. Joe, r/4.c
-•6-i
If You have objections to what is beino proposed , Please write the
Division of Coastal Manacement , 127 Cardinal Drive Extension .
Wilmincton . North Carolina . 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no cb-iection 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 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.
•
•
fi-e.;/1/ 7/- c-z -
_ a Date
. ,
Print N'aine S 4. 7c.,:s 4j pAt<e,
/ r®
®� HIVR
Telephone Number With Area Code

r' N
tea`S,
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM
c itis74 r�� ,sea ,4‘.v‘owN,c,e31
-. iA
Name Of Individual Applying For Permit: CO a� �oraw�C.ts ,�so c,�,Qr'v`J
Address Of Property: / co Sr 544 sr,xiL 1,96A,,i,e) /iaf A/C,
0van, /y
cCo R) �SAi4 C 4IR yIO O 7�tE,e I3l1TE,eEsj E Zcf'YLe
62 4husr igy (Lot or Street #, Street or R ad, City&County)
7-44 6/4 •
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to eme as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, I
should be provided with this letter.
I have no objections to this proposal .
I
If you have objections to what is beinc proposed , please write the
Division of Coastal Manacement , 127 Cardinal Drive Extension .
Wilmincton , 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
, �
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.
•
•
sign t 4v � 4
y Date
•
Prin. Na ;
Tele hone umber With Area Code H N R

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JEFFREY EDWARD TERRY PH.910-799-6780 •
tieel
1340 NCDL 5868718
613 INDIAN WELLS WAY • /
g WILMINGTON, NC 28411 Date / — 66 1 2607
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I- BRANCH BANKING AND TRUST COMPANY 1,
yy WILM TON,NORTH AROJLIN + ''
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I:05310 1 1 2 11: S 2 L577 24 21n'
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