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CAMA AND DREDGE AND FILL _ iN . 029113^ ID
GENERAL
(:/:2-4;11.13)
PERMIT
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 ' 1' ►0D
/'Applicant Name l I d'• / J! 4M C Jo r" ` Phone Number
Address / J Q 5 ) 1 44 c>1.
City Oa 1-, I-5 y,t c State , S,o Zip
Project Location (County.St a Road, Water Body,etc.) 7'1 O S W /� C-/- LAJ u ( P,,-- 0 G ./11 C4^v/
a Oa 1t _LS c.,, c\ Br L111.1ltiI i., k CDOK 4-/
Type f ProjectActivity C•D n y t r✓t_4' r Ip ru I- � u/kAeN i a f'P1,-,.....n Ec1 5 g te'�' WQ- twat a of
Ye �q in i',, Wail on i s )- l r p{,- 4-- /, iI t' 55 '- wn - 0 i-1 wf S4'SI t)f e F re -/c,,nii,
Wa f 1 %."1 73 -54- lvu ` er wut `c� '0f rt 4.4;A i••.1. "4 / a 1!) M(&,-1 Q 1b ) IA IN J•rS1 Ie
A rm P r•4' al l�l f . J C O r1 C! 1 41 a n \ n 'F '/ 11. i t o,D c A I I Q /1
ff PROJECT DESCRIPTION SKETCH (SOLE: )
Pier(dock) length Er r \il .
Groin length ,v4P I
number ;s!.�; / ` i4p.. f.ssi �. _ ,,r., 4 .I -
• - . . � .i . i,.
Bulkhead length kip r''. '� �'
6h 114, T-4- R.PrvpvSr d Ri qp
max.distance offshore
5$1 SS' S5� 1
Basin,channel dimensions
i 1
cubic yards
i15n, Re 4;.i,-., *AO la - -_ --i--'- i
Boat ramp dimensions to r— R F1i 11�nSF } l``
Other l i .j. - ., 1 I
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any _..•+ i7�4------
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. (11741 (. .. "5"?.<1.
This permit must be on the project site and accessible to the A \\\ p mit officer's signature
permit officer when the project is inspected for compliance. _ /J 0 3 7 - /'D D
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 from 914 I
adjacent riparian landowners certifying that they have no i OD
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that D ( kl )1f)."
this project is consistent with the North Carolina Coastal application fee '
Management Program.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER_ FORM
i6/LLi�i-,LCS 1
Name Of Individual Applying For Permit: /;- �`�� / tJ
Address Of Property: //C Sw //4/.5,'.
(Lot or Street f, 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 drawin
should be provided with this letter. g, with dimensions,
•
I have no objections to this proposal.
•
If you have objections to what is being Proposed
Division of Coastal Manaoement please write the
W 'lminaton North Carolina 28405 or7ca 1 d910139D5T-39e Extension
days of receipt of this notice. No response is consider0 within 1e
as no ob 'ection if you have been notified b Certified Mthe same
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 byme.
to waive the setback, you must initial the a (If you wish
below. ) appropriate blank
•
I do wish to waive the 15'setback requirement,
do not wish to waive the 15'setback requirement.
(U
Signatur,
i Date
TWA;
Print N met'
Telephone Number With Area Code IN/

�'r l E-C !
aYISION QF 1taya 1tba�r�+.r�.•...
C
FOR,g
Name Of Individual Applying For Permit; f .St,
sI,u &*-7e
Address Of Property: %/n Sc,) ii,�i S� «� s��.�•� iu�
(Lot or Street f, Street or Roa , C ty & County)
I hereby certify that I own
enced property. The individual oe applying for this acent to the i has
described to as shown on the attached draw permite ent
they are proposing. A description or draw the development
should be provided with this letter. • with dimensions,
•
I have no objections to this proposal.
•
u ve
0 0
• t .r
s
•
I understand that a pier, dock
hound, lift , mooring pilings, breakwater, boat
from - must be set back a minims distance of 15'
Y area of riparian access unless waived by Me.
, you a initial the (If you wish
to waive the setback, appropriate blank
I do wish to waive the 15'setback requirement.
------- I wish to waive the l51setback recuirement.
•
yC.
0
Sinature Date
print
l-��,�'c�.
Nalae ,,� ���� ' '
Telephone Number W th Area Code �EHNR

REDUCED COPY
' SCALE NOT PRECISE •
STATE OF NORTH CAROUNA
BRUNSWICK COUNTY
4 ROBERT B. McHENRY JR CERTIFY
THAT THIS MAP'WAS DRAWN UNDER MY
SUPERVISION FROM AN ACTUAL FIELD
SURVEY MADE UNDER MY SUPERVISION; BLOCK 2.24
-THAT THE RATIO OF PRECISION AS
CALCULATED BY LATITUDE AND DE- SECTION l 6
PARTURES IS 1:10,000+' THAT THE
BOUNDARIES NOT SURVEYED ARE SHOWN , PIpYtJ�RS pbtNT
AS BROKEN LINES PLOIIEU FROM IN-
FORMATION FOUND IN BOOKS REFER- it. mf\S' 9,00K 7 PAC.E 3\ Y,C.R
ENCED. 4
WITNESS MY HAND AND SEAL THIS THE a
2$tb.DAY OF DI€C. A.D. 1999 2
0 SURVEYOR E I O. Ur3 2
197 %I
SEAL
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LEGEND: ? -0 To r 8 _0 ,[ e iz.CrC`�
ElP3EXISTINC, IRON 3f O o c o z. ° 0 •
PIPE F=OUNI . InI 3-, - ,Nn o 4�1?d I
NIP- NEW IROIJ PIPE I i - `jam 1"
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R.`\.Q ° •THIS PROPERTY IS IN A
t AN, -LS FLOOD 1-1A2AR5 ZONE
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I,PLAT OF SURVEY FOR: 11 ,i12.1/ .ate. ,.�C `ief

DATE INVOICE AMOUNT 66-30/531 _
BILL BARNES, INC.
P.O.BOX 1245 •
OAK ISLAND,NC 28465
910-278-4133
J
--- -- 2066
PAY /` /C7y '-
DOLLARS
NHRS DATE TO THE ORDER OF GROSS DESCRIPTION I CHECK AMOUNT
i ���
SS MED FED WITH STATE 1
t-__ ��
7.
FIRST CITIZENS FIRST CITIZENS BANKIII° 8 TRUST CO. �_
BANK VAl1PON BEACH,NC , L__ -
11600 20 6 611' 1:053 L003001:00453 L 2 2488 211. C--, paoI13