20120D - Buguess

CAMA AND DREDGE AND FILL
t GENERAL N? 020120 — )
PERMIT De
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coal I Resources Commission
in an area of environmental concern pursuant to 15A NCAC /4• /I 0 a
Applicant Name C.24 `vc`/ 13 4 t ) Lit' _‘ Phone Number 3 TO el a Ll- 7 0 9 '
AddressCr5 / e S y r I vt?
City V/f n`s or, ''‘le, State ip
Proje t Location (fount Statg Road, ter/Body etc.) 0 l A 0
lA ) Uv W , U G K /u A 04 i /r u S w'L. � -s j r ( /
Type Project A tivity t p j4 e e x is 4-i-h A / 11v-t /n et' i ipi e,t+ a -Ft aTer wct r Y
-exis 7 6i.) /k&e . 4/i ( „ 4 t4-,o,.) 0 F� 0 /4. / its sh4 /( q / .
PROJECT DESCRIPTION SKETCH (SCALE: ►Y O,r- r cc �e)
Pier(dock) length _ +_ ;___.i__
1
____,
N
Groin length ! !Q i V Ail-- �-._._
number
Bulkhead length
.pkg i :
max.distance offshore
1'Pr`'P. Se 9,-4 kL e1 d i
Basin,channel dimensions —•— —. -- --
r‘•-e*tjl,n ter rt ry I ` /���
cubic yards ' `
Boat ramp dimensions c.... 60 / i
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any 7 )- , f
violation of these terms may subject the permittee to a fine, 1
applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the permitofficer'ssignature
permit officer when the project is inspected for compliance. / J2 A ��
The applicant certifies by signing this permit that 1) this pro- 6 �j 0)) r,J
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 from / I V�
adjacent riparian landowners certifying that they have no /1-/ / <
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that D b C J 2 0 S
this project is consistent with the North Carolina Coastal application fee
Management Program.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: (,vVC y
Address Of Property: 220if E., �/ ,,�,h f' ,d ,. /
0,4 Y A/ C. 11Ins/Ai:'�
• (Lot or Street #, Street or Road, City & County)
4'
I he eby certify that-...I'.. own property adjacent to the above-
refer nced property. The individual applying for this permit has
descr'bed 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 .i
Division of Coastal Management, 127 Cardinal Drive Extension .
Wilmington , North Carolina , 28405 or call 910 395-3900 within 10
days' 6f receipt of this notice. No response' is considered the same
as nollobiection if you have been notified by Certified Mail
WAIVER SECTION
• I understand that a pier, dock, mooringbreakwater,pilings, bre_kwate_ , boat
house lift must be set back a minimum distance of 15'
from xny 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. . • , i
•
. 6-*/ 57-4/19.:/6y-
•
/A17Z11 A
t;//
Sic atur / �+ ate . A
int_.Name I ����� 4111
Teleph ne Number With Area Code .
•
•

V•` ..
DIVISION OF COASTAL MANAGEMENT
'ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name. f Individual Applying For Permit: G7rvey 6,Ujue.SS 4
Addre s Of Property: 12.0 4 /, , pc%� r_.V r
O,? Zs2Atei2 ,, N ' 2g'GS Aruns[J✓ica
• (Lot or Street #, Street or Road, *City & County)
I he •eby certify that I own property adjacent to the above-
refer nced .property. The individual applying for this permit has
descr'bed to me as shown on the attached drawing the development iiii i
they. are .proposing. A description or drawing, with dimensions,
shoul b provided with this letter. .
IT- ' I have no objections to this proposal.
•
_ •
If you have objections to what is beinc proposed, please write the
• DivisLon • of Coastal Management, 127 Cardinal Drive Extension .
Wilm•inaton, North Carolina , 28405 or call 910 395-3900 within 10
days. chf receipt of this notice. No response• is considered the same .4
• as no ob-iection if you have been notified by Certified Mail •
i
• WAIVER SECTION . •
I and rstand that a pier, dock, mooring pilings, breakwater, boat
house lift must be set back a minimum distance of 15'
from y area of riparian .access .unless .waived by me. (If you wish
to wave the setback, you must initial the appropriate blank
below )
/Jo 11/09 /Veep ro W(ti V2
/(/o Ser,b o-cli re Qui vent(3a J •
• I do wish to waive the 15'setback recuirement.
I do not wish to waive the 15'setback requirement. •
• s`
• : X ... 1:.fiL a )77i.,6- -- .6,-- -7 1--- 0 0
a r A . ..1r
• • Sign re. • �. Date ` • • •
C JJ,' CIOSo-A-1 ------ • .:
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Print;., ame ''`�~'"
•
-.. 1f
o4 - 392 -- 4s88 . 1E3EHNR .
Teleph ne Number With Area Code a -
. 40
i. • ;
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•
SHORELINE rz .
MARINE CONSTRUCTION
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GREG PREAfE CTION �0"Y'�°�T"I� a
��I SOUTHpORT,NC BOX 7l�i28461 // 1205 '''
F'ay�the • Date_______________1
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'I Order of jy, 66-30i53
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