25175D - Ansley

CAMA and DREDGE AND FILL
G E N E R A L .rj 9 25175 ~ i )
PERMIT lop Li 1 -3 A
as authorized by the State of North Carolina
• Department of Environment and Natural Resources and the Coastarl,Resources Commission
in an area of environm ntal concern pursuant to 15 NCAC t , I
Applicant Name Vt i(1 n Phone Number
Address i 610 "1 ( D l"-T 3 4/ /I 4.--), PI' I,
City V W i JM /�1;. o State ,V C Zip r 7 �'�o
r Location C State Road, Water Body, etc.) l 0 q sC D //S �, /l 1' QN 4-4)ut (,, Tu
Project o ( CC ty1Pe, c'
� � I4c.I, Cr' � `n eo i- near-• SC-2 d S 1 11.
1 41 ' w p-p. i o ' I-X # . ' k /6 '
Type of Project Activity�nstr���' sII X �tt /(�� I�r t � k� �7 �/ r/Y �1 "�
-rlouL-tnA �at-kt Gr Wkli'rWsarj -'aG• All CanJ111.4 ► c, f / A, ! t0a . - / /I cipp/
PROJECT DESCRIPTION SKETCH (SCALE:/. '-o )
Pier(dock)Length
ivic=02
5 ' x' & II kd I1II1I I 1
R I 'lIau�ti 1'y III ,�IIiLin
! U
Groin Length , Ir ■� t . i - La
number • m. Ll♦. :fA �t`51.1HPMiN
Bulkhead Length 1 ,j .4niminsamimaii 1
max.distance offshore al
�� IN 4
Basin,channel dimensions s r r..t�_'f t' .^. ._L' t
g1l.1 1i!ini .
imilii
cubic yards m -
r� m111111 %�� r��� �_ �i!`1W- fib 4) 14�
Boat ramp dimensions
MN ammo
tem al imanaini
otherf...- ,d I). i x /t III i Rs iiir ....
il .. .,,, d� '.2. . i ■.
cr-1,2,1„4 OKI,x i l 'ir/ I1flIY4III !N1IIIIIIIUII
� C' I
am in in i itail ai kimi
This permit is subject to compliance with this application, site drawing . '
and attached general and specific conditions.Any violation of these terms /t ��
applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and /
may cause the permit to become null and void. QRA.k
This permit must be on the project site and accessible to the permit of- perm. officer's signature
ficer when the project is inspected for compliance. The applicant certi- /0 <l_ Q (7 / - "1— 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
been obtained from adjacent riparian landowners certifying that they qi-),
/
have no objections to the proposed work. attachments
jD0 0
In issuing this permit the State of North Carolina certifies that this project r
is consistent with the North Carolina Coastal Management Program. application fee

GENERAL _ -1• - `oV TTE FORE
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PERMIT IT No: S 9 • - .)
AEC DE SIG: PT- Ulf CIA/
i�_ C.zfi'?' h" uW. WATER3DDY• ,� G C Fee
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kDDTTION L, Ems*' CS)
KZ ILING ADDRESS: 0 -/I I 4 /
C.Tv: G na.r1
STATE: ���
_TR_,I7DIA� ^T. OR I.O=A:._�Y - -
�' `_`?' -� • n 2 ""' �+ r+. (WHEN DIFFERENT FROM MAILING ADDRESS)
' D�J� iyI T �; LONG (Y) :
ii0?=:: i l ie 13(/ `F_"'s --
CODE LENGTH WIDTH DEPTH
) t-`-L � /p�
yH CODE iENG'T'H WIDTH DEPTH 3
- CODE NL^_'E WED D
I.�: Ev'* +) ( - - - - - - - -
CODE LENGTH ;CIDTH DEPTH )
="='= QC2li! 3010} Ow Ld.1S} - ©O
II
ODE SQuL E PEET CODE S
SQUIRE _.rET - - -
ACTION
1 1 �`
,,,A .KA OR DEV LO__EN TTP.EQUIRED: lJ
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CODE 1'YLCIIC (Dimensions►ii set.it. miless utjlel-Ivjse slated)
` `I I,OL 1]ESCRIP11014 EXAMPLE MAJOR SPECIFIC
SCI3IL'T10I1 EXAMPLE
")�C" Access channel canal length, width,depth "AC 200,20,-4" •
fly ', IMPACT
"Alt" Accesinl'reef length,width ``�'S"
"AS" Ai lilieinl seaweed "AR 200,50" *Cl,,, Wooded Cypress swamp "WS 450"
"HA"AS Bench or estuarine access length,width "AS 500, 100" "CY 150"
"GU""BA"
"1J13" 13on1 basin,slip „ Gum "GU 150"
"[III"11) Dulkben 1 length, width,depth "BB 150 50 -6" Cedar "Cis 150"
"111." Danl lift length "OH 150" «PO„ t*M" Maple "SM 150"
"DN" I3eacli nourishment length,tvidlli "DL 25, 15" "+ 4.t l acosin "PO 250"
"13N Boat ramp length,width DN 1500 50" ""JIM" * flight
Maritime forest "h1F 175"
"131t" Ilridge l length,width "DP 100, �0" „JR,, I light sioch "ItM 390"
"hS" Doat hawse length, width "BR 75, 0" •]totals roetuerinuus "JR 30"
length,width "BS 40,20" .. (black needlerusd
13W Breakwater " " Sparlina giant reed
grass) "SY 60""BW 150" SY
"CC" Cable crossing length "CC 275"
"Cl;" Condo expansion ',Se„ (salt or giant reed
",CO„ #units new,existing "CE 45,40" Sparlina patens "SI'35"
Campground length,tvidili "CO 175,400" (salt meadow grass)
"CO" Condo #units,height CO 64,45 "'DS" I)islichlis spike ti DS
", 50"
"CV" Culvert length,width "CV 60, 15" (salt or grass)
"l)U" Droinage ditch length,width,depth "DO " "SS" , ,
"DO" Dolphin gI 900, 12,-8 Sa icornia sp. "SS 38"
I number ""
"U,S" Uryslack storage "DO 4"
„ (glasswort)
g length,width,height DS 200,75,50" LS Li(sea sp. "LS 40"
"EL" Pier"L"head length,width "EL 10,20" (sea lavender)
"I"D" Fill basin,slip length,width,depth "FD 30 ,50, -4" "SC" i
Sc rpus sp. • `"SC 20"
"i'c" Fill canal,channel length,width,depth I'C 300,50 -4 (bullrush oi•ceus square)
"I'll" Fish house ength, width FIl 150,75" "CJ" �l(saw jamaiceusc "CJ 27"
"PI" Fill general Ienglli�width,depth "FI 300, U -3" (saw grass)"Fit" Fill for road length,width,depth " " "SA'' Sparlwn alienist-lore cot urn "SA 75"
"!'S" Floatingstructure I I R 975 50,-2
"(lit" rain length,width "FS 20, f 0" (salt marsh coldgrass) •
length, "OR 20, 2" "TY" Ty Mitt sp. "TY 32"
"110" I lulel/nlotel complex length,width,height "IlO 450,75,50" �oalliul)
"IIW" highway, street "BF"
"JL" Jelly length,width "IIW 100 , (1" Pol(sea
fnitescens "13F 42"
"MA" Marina Ieuggllii width "`aE 30,2" IF,
(sea oxeye)
#of slips "MA 5 " Iva ailescens "IF 76"
"ME" Marina expansion #slips new,existing "ME 15,20" (marsh elder)
"MI" Mitigation length, width "PII" Phr nl Ics s 1.
"hilt" Mooring piling #o `ce S,t25" ag S I "NI 60„
"NI" Non-pier length,width NP 0 30" �h1, * Low marsh "SA 50"
"Or Outfal!pipe diameter in",length "OP 6, 000" "SA" Sparlina arshm cord
"SA 30"
NOTE: this Is not a sewer line extension unless it results in a discharge High
marsh cord grass)
to state wnlcrs. 1?x:a WWTP effluent pipe would be"OP' "JIG" *� 1ligh ground "I10 750"
"O7"' Other "op (Includes spoil disposal)
"OW" **
Open water "OW 900"
"PC" Pipeline crossing diameter in",length "PC 450" (Use with piers,mooring
"I'L""� Parking lot length,width' "PL 180, 50" pilings,etc.where there is
"! M Pent mining 'TM 50g
"1'R" Pier or duck acres �" "SB" * little bottom disturbance)
length,width "PIt 160,5" Shallow bottom ""RR" Ripra 1 Length,width SI3 550
"SU" Sand�aSs "RIt 150,5" (Used for bulkheads,
"SD" Subdivision excavation,etc.where there
#lots,total acres "SD 42,50" "BC" is a major alteration la the bottom)50"
"SE" Subdivision expansion #lots new,existng "SE 20,50" #* Bea chi "DC ISU"
"'1'1s" 1'ier'l'-head "UN" *#length,width "TE 2 6" "# Snbie "0 3 7 "
' „WL,, �,� Snbulerged grassbeds "013 75"
COE designated wetlands "404 75"
(Use when other species •
are present,not listed elsewhere)
• **use these codes only lvjlell species Hp not given

r
Name Of Individual Applying For Permit; ::
t .. - A .k.‘') e. A
Address Of Property. 0
it:, t \� ..vc • 1
_
•tor Street
tr.. or • . . ., ity • •unty)
I hereby certify that I own
applying for this propel' adjacent to the above-referenced
permit has described tome as shown on the drape'' The ielopmunt
they are proposing. description or drawing,Adesattached drawing the development
lets. wing, with dimension, should be provided with
e.
this
I have no objections to this proposal.
7mi
,�L P •
i ll have. hop, fipu i cer Ail S l .
I understand that a pier, dock, mooring pilings, breakwater
set back a minimum dis4na of 15' from m ► boat house, Iift or sandbags must be
wish to waive the setback Y area of riparian access unless waived by me.
you must initial the appropriate blank below.)• �f you
I do wish to waive the 15' setback
requirement.
I da_not wish to waive the 15' setback requiremern.
e4,dt.._,______
Signature
to re •
Date 4
6111:511r4ifil
410 e con - ©sue Telephone Number With Area Code NCDENR
►soar„G►.touN,,o�:r+�,.r of
ENVIRONMENT AND rho, ers

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— DIMISIMMECCIASIALISMUGEtifENT
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V .
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Name Of Individual Applying For Penult: ( • .' 5 € . .
Address Of Property: 7\0 S grA
. t or Street . Stre.t or Lad, tyC--County uns2) 'C.-
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tobe as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions, should be provided with this
letter. /
- -_
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__V____I have no objections to this prOposal.- - - -- -
• •
writtl-Lba_thmision_nf rnastal
Managernent,_1221gorth_cardinamrive 1 •
, WI mingtt111,..1gFrara?rona,_2&05 -
. • . .
if_youlave.jxteLnatificcuiy_certifiacudip
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• , - i - ,' -- . ' - 7: ' r ' —---:3YA, •
Innderstand thai a pier1 dock, mooring pilings, breakwater, boat house, lift or sandbags mustbe
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If on
wish to waive the setback, you must initial the appropriate blank below.)
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.. ______. 1 dOyish to wthve the 15' setback requirement.
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_ Z. I do_uat wish-to waive the 15' setback requir mem.
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a.I..I.1 i.a it,AI rrAim a I i imi ma k 1 .
rint Name
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One—, ,,„1.--,.b.r w i,.,— ,„e --‘- - ' .- -
. EtivrRommorr AND NOZURAL Resouncra
•

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