20156D - Ebert

CAMA AND DREDGE AND FILL
GENERAL 120156 —b
PERMIT Q °glg lc/ A
as authorized by the State of North Carolina
0 Department of Environment, Health, and Natural Resources and the astal Resourc ommission
in an area of environmental concern pursuant to 15A NCAC 1f'+` / Z
Applicant Na 0it Phone Number� ( 53 )
Address 1 ' Q p�
City �/A1 "Nk�1 --�G '&.4 State NC-- Zip
Projy�t_ ocati (County, Statel Road,Water Body etc.) >�fl i
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PROJECT DESCRIPTION SKETCH (SCALE: )
Li °0 ,
Pier(d k) length f, �1 Pr /wvvWOittvr, / 6`r 3,7CN
(-- _____----,,,
Groin length
'V /6� 4 47if rc d c-
nt►X� toe 15 1"'4 5A /i >10+ -eXCP,-
number— - y
Bulkhead length t 6' a 1 C4
I b' e 5 " 1/J t
I tv pier lead 4.4
AffeloK. Poi
max. distance offshore 1 — �'
tAAW
Basin,channel dimensions • `�''{ ��� e i Y1
0c r1 N/, /boo
cubic yards L�, 5`}4 /r Gppl
Boat ramp dimensions 4pr�x,300I 1TT r I
Oth r V t1�7, r' `" . 1
1x !61•4" l Y, Ai
ve
This permit is subject to compliance with this application, site /
Pt; (: .
drawing and attached general and specific conditions. Any n` f
violation of these terms maysubject the permittee to a fine, v
l applicant's signature
imprisonment or civil action; and may cause the permit to be- c
come null and void. `' CLAA-_-,s,
This permit must be on the project site and accessible to the v Y permit officer's signature
permit officer when the project is inspected for compliance. 9.../ 5 nV VD /04w / .•-� JThe 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 D v
l
adjacent riparian landowners certifying that they have no l !
objections to the proposed work. attachments ` /
In issuing this permit the State of North Carolina certifies that OD ek4-
this project is consistent with the North Carolina Coastal application fee 7 J �� ' S e d"
Management Program.

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T !
CODE n n—LyanL' DESCRIPTION • EXAMPL>J
MAJOR SPECIFIC
DESCRIPTION EXAMPLE
OW Ii
"AC" Access channel,canal ength,width,depth "AC 200 20 -q `"Alt" ,ArtiOciarreef ength,width "AR 200,50" " "WS" �*"CY" Wooded swam!' WS
"AS" As Uncial seaweed " 450"
"1)A" :Dencb or estuarine access ength,width "AS 500, 100" Cypress
"BB" Boot basin,slip ength,width,depth "DD 150,50,-6" "COT' Oultt ''"CY 150"
"DI1" 'Bulkhead "SM" Cedar ."CE,' 150"
"1311 Dunk ength "DUI 150" „ Vo Ile „ 150"SM
"DN" Boat lift nourishment eoglh,widtll ls, %Mill "DL DN 15, 15"
" " *+ Maritime
"PO 250"
"EP" Boat ramp ell ill tvidtit " „50" "I '� *� Mnriliule forest '`MF 175"
"BR" Bridge g "DP l00, j0 . High'marsh • "I-IM 390"
"BS" Boat-house ength,width "DR 75,50" JR', Jqucns fleeerinnus "JR 30"
"13W" Breakwater • e1181h,width "OS 40 20" (black needlerush)
ength "13W 150 `'SY"
"CC" Cable crossing ength „� Spnrliva cynosuroides "SY 60"
"CE" Condo expansion #units new,existing "CE 45540" (sell or giant reed grass)
"CO" Campground length,width400" "SP" Shnrtitta patens "SP 35"
"Co" Condo CO 175, (salt meadow grass)
"CV" Culvert #units,height "CO 64,45" "DS" Dis alts spike a "DS 50"
length,width "C 60 15" "SS„ ((salt orgrass)
"I)U" Drainage ditch lengths,width,depth "DP 900, 12, -8" Snlicornia sp. • "SS 38"
"DO" Dolphin number „DO 4"
"DS" Drvslnck storage length,width,height "DS 200,75,50" +LS„ (glass�Yot1)
Li(sea lavender)e sp. "LS 40"
"EL" Pier"L"head length, width "EL 10, 20" (sea
"FB" Fill basin,slip length,width,depth "FB 300,50,-4" „SC" Sc!pus sp. "SC
"I'�'' Fill canal chmtnel20"
"III" Fishhouse ength;width,depth ''PC 300 50 -4" Nab-1tsll or three sc note)
ength,width "HI 15U 75" CJ cl(saw rasa)icense 1 'CI 27"
"Fl" Fill general ength wl lh depth "FI 300,50;-3" (s )v grass) •
"FR" Fill for rood anal,width,depth "FR 975 50,� -2" "SA" Spnrhun alternn(]orn "SA 75"
"FS" Floating structure length,width "FS 20, 10 (salt Marsh cnrdgrpss)"(31t" Groin length,width " " `'TY"
"I IU" l lalel/n►otel complex f<<31Z 2U0 2 Ty pile sp. ''TY 32"
"I1W" I lightvny,street I length,width,height ��IIO 450,75 50" „DP„ (patina)
"JL'"' Jetty length,width IRW 1000,St0'' Aoolch'tn frutesceus `'B1;42"
` S length width "JE 30,2" (sea oxeye)
"MA" Marina #of slips "MA 5 " ..... "IP" lYn lrttlesc elder) "IF 76"
"ME" Marina expansion #sluts new,existing "ME 15,20" (marsh
"MI" Mitigation leuglh,width "1'II"
t. "hill 50 25" Phrngntytes sp. "I'll OW"Mtn" Mooring piling #a • ."MR 5,1 "IJ',4"
"NI'" Non-pier length,width "NP 0 30" tt Low marsh "LM50"
"OP" Oullnll pipe ngteler in",length "Op b, 000" • "SA„
NOTE: this Is not a sewer line extension lidless It results ill a discharge SPat'lnta tthetttaflora "SA 30"
to state valets. Ex;a WWTP effluentuu pipe would he"OP"-
(Includes*# (&all marsh cord grass)
"Or other Higgh ground "11O 750"
"UT't "OW„ ** (Includes spoil disposal)
"PC" Pipeline crossing " Open water "U��t 900„
"l'L" Pipeling lot diameter In ,leuglh "PC 50'' (Use with piers,mooring
"PM" Peal mining length,wldll) "$'L I80, 50" ttlittgs, etc.where there is
"PR" Pier or cluck acres PM 50" ,,SD„ • ** lillle bottom disturbance)
length,width "PR 60 5" Shallow ohout ""RR" Riprap{ Length,widthSI3 550"
"SD" Sand bags
g "RR. 150,5" (Used for bulkheads,
"SD" Subdivision , excavation,etc. where there
#lots total acres
"SE" Subdivision expansion #lots new,existing "SE 42,50"
"DC" * is a major nhertltion to the bottom)
" E•" 1'ubdi-head "DN, t* Bench "BC 150"
length,width "TE 20,6" „OD" ** Submerged
"ON 200"
I,W�,, t# Submerged grassbeds '`C313 75"
POE designated 1etlands "404 75"
(Use when other species •
•
are present,Slot lis�ed elsewhere)
#*use these codes only when species are not given

1111.
•
DIti T SION OF COASTAL MANAGEMENT
° , ADJAC v'T RIPARIAN PROPERTY OWYER NOTIFICATION WAIVER 'O
RM
Name Of dig idual P_pblyi ng For Pest - - -
•
• Address Of Property:
(Lot or Street n, Street or Road
•
• City & county)
I hereby certify +-
property.that I Own property adjacent
The individual auol ito the above-
referenceds
described .to me as shown on the attache Y-ag for this pe_�it has
they are 'D?'oposi n _ A _ � • d drawing the _Cle_V_2iODIIleT�lt-- -
should- beg c letter_ or- d_�wg, With dimensions,
-
provided d with
this r r
i have no objections to this proposal.
.
If VOu have Ob1eCtiOIlS
Z i i - to what is being proposed. please wri tc the
sion o- Coastal W=raaament
k 1mi nc- ,- North Car l i 127 Cardinal Drive !` tags OP_.
o_ina. 28405 Or call o-_
days of receipt of this9-� 3-� 3900 w�th;n I
notice. •ND response is
as no Obl cation if VOu havebeen considered the game notified i era by Certified--- _ ed M=il
WAIVER SECTION
T understand that a pier, dock, =D�
boat-
house, lift or sandbags must beset ""'�G D1l i ngS• Dr=.:�cwcter, DG�''
back a mi-,- 5'
-From my area of riparian access unless es _ m G�Stance of
to waive the setback, you must iT,i ti l waived by D T�' you l SII
below.) t-a- the appropriate blank
________ ! do wish to waive �e n� S! K
- i do not wish to waive the 1S'setb-
-:rcC!i requirement.
_
, 7/0 00
Signature
C 6 // L_te
print Name
'l l DII "O a Np® -,L y�LII 2 J v�
Codes .

WI .
• • DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPAr.T_AN PROPERTY OWNER NOTIFICATION/WAIVER FORM
t
N
Name Of Individual Applying For Pe*mi t: e
Address Of Property:
cn Saar or /t?5 'NA Al- 4). 4I
(Lot or Str t x, Street or Road, City & County) 1
2V
I hereby certify that I own property ad •aCent to the
referenced property. The individual apy
pl ing for this pe_mi it ha has
s
described .to me as shown on the attached drawing
they are proposing. A description or the developme..nt
drawing, with d�
should be provided with this letter. -m--nszons,
✓ I have no this objectionsto proposal.
If You have objections to what is being proposed. l
Division of please write the
s_on Coastal Management. 127 Cardinal
ten
Wilmington. North Carolina. 26405 or call Drive E with
;o 10 910 395-3900 within 10
days of receipt of this notice.
No response is considered the same
as no ob1ection if You have t been notified by Certified lfied MaiI
WA_VEP_ SECTION
I understand that a p
1understand
lift pier, dock, mooring pilings,ngs,
house, f t or sandbags must be set back a br� nce boat
III'n'rnTm distance my area of riparian access unless waived by me. (If you lwish
to waive the setback, you must initial i
below. ) the appropriate blank
44z •
do wish to waive the 5'setback requirement.
I do not wish to waive the 1 5'sewr.ac'i recuirement.
141/
•
7- V7DD
Signatu &6049X 44J
La L e
Print N e
/0-270-220!
Telephone Number With Area Coda

ROGER W. EBERT NCDL 1876704 2039
PH.945-5464 1 7805 FAIRBLUFF DR. Date y`�5-2o0 66 1I9101
LEWISVILLE, NC 27023 /
Order of o 9 I $ /��
( ''Dollars 6
BB&T
BRANCH BANKING AND TRUST COMPANY
WINSTON SALEM,NORTH CAROLINA
For PQM,
I:0 5 3 LO L L 2 LI: S L L8 4 4 4 9 400 20 3 , cP b Do\ 5 Co
00a.Mwian GUARDIAN®SAFETY BLUE WBL