20160D - Rivenbark

�� CAMA AND DREDGE AND FILL
1�° 12�1160 ,�
GENERAL
PERMIT Q ( 001-1 I 8 A
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 914 . r ) J D
Applicant Name /M 1 U n A r I\ Phone Number
Address a.( t PD/1 1n �jU1(,4 I) r-,
City l� r-rt ' !/ 6,4 State� C..., Zip
/
Proje t Location (Cou ty, S a e Road, Water Body,etc.) `� r Q 0 f M ^—^" - Q "u
a -..) at en4.- A t 4'i 8QSI., ) Cctr0. /r1u t aC ► C ''`/ e,4- vN
Type of Project Activity C. 4-' '4 Coh i 4— ' ,
doLk ,A,,-0. 16' X1b' *g c, ►, A s u1 Ar ai [4S 1Sf '
p-V'- Po,C r►p r« n C�`? rri c1,r /'Ye ). 5A411 no. exJ4-fA)c� rntbr-' PL., ao1 c---
cr•M P xi ►„ dvlkArk CI. C04 d t o.-0 v '! P, /) � 5-k, /1 go? /� ,
PROJECT DESCRIPTION SKETCH (SCALE: m )
1Yo 4. e 1
44- 'A,
Pier(dock) length C4Aal is -s Dr VV' L C
Groin length U i5e45in
(L........"
number 1 at\ Mil, ( C(k/�� i.
Bulkhead length III
I
max.distance offshore
Basin,channel dimensions ..' /V
t Ivi
cubic yards /'C'
I /41 1,i.
Boat ramp dimensions
Other �� 7 ; , >"
>^i',KI6,
This permit is subject to compliance with this application, site i '
drawing and attached general and specific conditions. Any -41a
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be \ applicant's signature
come null and void. A .
This permit must be on the project site and accessible to the ,N `-j
--p`ermitofficer'ssignature
permit officer when the project is inspected for compliance. I -- 1-1
_ �1 D I '' - CD I
The applicant certifies by signing this permit that 1) this pro-
ject )
is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from1.
',.adjacent riparian landowners certifying that they have no 0 )4 , I
, u 0
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that / j�.'1 e°
1 this project is consistent with the North Carolina Coastal application fee V VV
+ atnagement Program.

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CODE 1:Y1Jr12C1� toi,uenslons Ili Jk1.it. amass otherwise staled)
'' DVT.L.QL DESCRIPTION • EXAMPLE •-.. MAJOR SPECIFIC PESCRIPTIQN
CIRQUE IMPACT EXAMPLE
"AC" Access channel,canal length,width,depth "AC 200,20, -4"
"Alt" Access f length,width "WS" *
"AS" At Uncial seaweed "AR 200,50" „CV" Wooded swamp "WS 150"
"BA" Beach or estuarine access length,width "AS 500, 100" f, „ Cypress "CY 150"
"1l13" Boal basin,slip DU CedarGum "CE 150"
"BI1" 13ulkbend I length,width,depth "BB 150 50, -6" "CE" ,"CI' 150"
lengthPO t*M" Maple '"13L" I3unl lift length,width '`BII 150" ,� "SM 150"
"13N" Beach nourishment "DL 25, 15" ,,m ,, ## I Maritime
"PO 250"
"13 " Beal ramp length,width "ON 1500 50" „lam„ its Maritime forest "I-I 175"
"13It" Bridge 1 length,width "BP 100, {0" „JJ." High innt•slt "I IM 390"
"OS" Bnnl ltuus© length,width "DR 75,50" Jtincus roemeriqusti "JR 30"
length,width "OS 40,20" .. (black lteec(lerusd
"I3W" 13reakwnler „ ) ,f 60"
"CC" ICable1reak crossinglength HW 150" "Si'S Sitnrt t or giant reedroides SY
length "CC 275" ,, (salt giant grass)
"CE" Condo expansion #units new,existing "CE 45,40" SP Spartina patens "SI'35"
"CU" Campground length,width "CO 175,400" (sail meadowissit grass)
"CO" Condo #units,height64,45" "DS"
"CO" Disliclhlis spicaln "DS 50"
"CV" Culvert length,width "CV 60 15" "SS" (salt i spike grass)
"DI)" Drainage ditch length,width,depth "DD 900 12 -a" SS Slthcoruia sp. • "SS 38"
"1)0" Dolphin numbr "DO 4" (glasswori)
"US" Otystack storage length,width,height "DS 200,75,50" "LS" Li(sea lath sp. "LS
"EL" Pier"L"head40"
TB" Fill basin slit length,width "EL 10,20" (sea lavender)
".hC„ 1 length,width,depth "FB 30 ,50,-4" "SC" Scirpus sp. • "Sc 20"
Fill canal,channel ength,width depth "FC 300,50,-4" (bullntsh of three spout)
"HI" Fish house ength,width Fu 150 75" "CJ"
" Oladium jamaicensc "CJ 27"
"Fl"� Fill general eng1l1,1 width,depth "FI 300,50,-3" t, ,, (saw grass)
"FS""Fit Fill for road ength,width,depth "FR 975,50,-2" S)1 Sltartina nrsh coi orll "SA 75"
� Floating structure length,width "FS 20, 0" (salt marsh'cordgrass)"OR" Groin length,width `fT�"' �yltltnslt)
"110" Hotel/motel complex length width,height "HO 450,75 50" calls I
"11W" Highway,street length,width "I11W 1000,st0'' „�F„ 13ot ea oxeye)fntlescens 'fDh�l�""1E" Jelly length width (sea
"MA" Marina #of slips " 50" '
"MA " "11'" Iva lirhtescens "IF 76"
"ME" hint-inn expansion #slits new,existing "ME 15,20" (marsh elder)
"MI" hfilignliu't led �t,width " 50,75,� '`P11" Phregmytes sp. "Phi 60"
"MR" hlooriug piling #a
"Ni'" Non-pier length,width "NP 030" „L�i" Low marsh "LMSU"
"OP" 0ullall pipe diameter in",length "OP 6, 000" SA Spa ii nhernntlora lit 30,,NOTE: this Is not a sewer line extension unless It results in a discharge (salt marsh cord grass)
"11 t3"
o stale tt'ntc's. Ex:a WWTp effluent pipe would he"OP' Iligh ground f`1It3 750"
"07'" Other f'OT" (Includes spoil disposal)
"OW" ** Open water "OW 900"
"l'C" Pipeline crossing diameter in",length "PC 450" (Use with piers,mooring M
"l'L" Parking lot length,width , " "1:'L 180,50" • pilings,etc. disturbance)there is
"PM" Peal uniting acres "PM 50" little boitot"PR" Pier or duck length, width ' "PR 160,5" Shallow fotbut
"SB" ** SB 550„
"RR" Ripra t Length,width "RR 15 5" (Used for bulkheads,
"SD" Saud�ags excavation,etc.where there
"SD" Subd(v(s.o'tt 1leis,total acres "SD 42, 50" "BC" ** Beachis a
utajor alteration to the bCll SO"
"Si;" Subcilvisii,tt exp itsion #lo;s new,existing "SE 20,50" „ "DC 200"
1 E Pier ;eq;iit,width "TE 2Q 6" ,,GB,, tt Dune "DN 2
f,WL,, I,t Submerged grass'veds "QI3 75"
COE 4lesiggnalecl Wetlands "40175"
(Use when other species •
erg present,tical listed elsewhere)
°f#use these codes only when sp cies erg not given .
, a..

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER_ FORM.
me Of Individual Applying For Permit: ,�,;.�,,, •. .
._ dress Of Property: -, o
cN/N 17,e
• aorta _�/�
(Lot or Stre� �, t/ e.O.'2
d, City & County)
hereby certify that I own property adjacent to the above-
r - 'erenced property. The individual applying for this permit has
c scribed to me as shown on the attached drawing the development
thay are proposing. A description or drawin
sh)uld be provided with this letter, g, with dimensions
_VI_ I have no objections to this ro
P posal.
•
Il you have objections to what is being proposed • please write
D . ision of Coastal anaaement 1 7 Cardinal Drive the
W minaton North Caro ina Extension .
d =�. s of receipt of this 28405 or call 910 395-3900 within 10
otice. No •resoonse is considered the sane
a_no ob 'ection if You aye been notified by Certified Mail
WAIVER SECTION
•
'l
I = �derstand that a
i lif pier, dock,. mooring pilings, breakwater, boat
t or sandbags must be set back a minimum distance of 15 '
fr my area of riparian access unless waived by me. (If you wish
tc waive the setback, you must initial the appropriate blank
ank
I do wish to waive the 15 'setback requirement.
I do not wish to waive the 15' setback requirement .
J ef
sic r suture 9 ��
!/,2 ;di %f-' o rY%a if Date ,
Pri Name
R
Tel_phcne Number With Area Code

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*

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
Name Of Individual Applying For. Permit:. ,/4 42..;.v6A,4LA"
Address Of Property: ;•,61e, A v 1
sk/wpQ
Zo4,y.. Ieo All 2.F fLLc
•
(Lot or Street #, S reet 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 rov,ided with this letter.
_____ I have no objections to this proposal.
•
•
If You have ob 'ections to what is being nr000sed • please write the
Division of Coastal Management 127 Cardinal Drive Extension .
. Wilmincton North Carolina 28405 or call 910 395-3900 -within 10
days of receipt of this otice. No .resoonse is considered the same
as no 'ob 'ection if you have been notified by Certified Mail
•
WAIVER. SECTION •
I understand that a pier, dock, mooring
house, lift or sandbags:;must be set back alminimumbdistancelins, rofb15t
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'setba.ck requirement.
Signature
Date6117A
•
Print Name ���
Telephcne' Number With Area Code ED H N

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•

P.iv-ii.E.LX4LSZATAI.J201/1Mirm
DJ
CAT IYE
Name Of Individual Applying For. Permit: 7io4y /?) Uex4. (1k
Address Of Property: �1 A/. U16 .
biALuei BP�,.c N ..... c g
(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 to me as shown on the attached drawing the development
"they are proposing. A description or drawing, with dimensions,
should - , provided with this letter.
, � 2 have no objections to this proposal.
411411
z o a o t s o d ease write the
Divfs on _of _�oa�eta�7 Mama nt, �2 c earls l n ayi Extension
a a ° 5 ,14 395- 900 within 14
s sae No res se i.s con ider sed the s�
° tied by ,pertf ied_ nil
.l,..... .moo,
.- - -
TATyE , =0
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 mat initial the appropriate blank
below. )
I do wish to waive the 15 ,setback requirement.
I S2, no wish to waive the 15'setback requirement.
Slgna 1316 " s°---w.-..��°
MARL FOCOLO Da e Ar
n
Print Nan - CON6 9EACH,HY 11
14h 93 �,2�}� ED HNJ PI
Telephone Humber wiz rA'cooe

8671
AND T
BANKING BRANCH RUST COMPANY
RIVENBARK CONSTRUCTION COMPANYLELAND,NC US
540 COLETON LANE,S.E. 66-112 531
BOLIVIA,NC 28422
��
PH.910-371-5935
PAY d)tue Lerc14,e ci
AMOUNT
DATE 1©D
ff
TO THE ACCOUNTS PAYABLE 8
ORDER ��
OF: F / \( e./.�►�C�.l.l
L/YYw
0000086
? le I:05310112 Li: 5 2 176 39 5 240 c � 0aILDO
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