16870D - Oak

CAMA AND DREDGE AND FILL
GENERAL 0168.70- t
PERMIT . v\ 2 ,
0 as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the CoastpljResources Commission
in an area of environmental concern pursuant to 15A NCAC r] r7 I 1 D a
Applicant Name D\A/n V .1 CI A Phone Number
Address / - r
City D a lr\ 11c/C,.. Q i'State N C. Zip I 1
Project Location (County, State • sad, Water B`dy, tc.) 5 tf r -4` A c+ "0'F +Ih 54- /U j/✓ 4 ,q' f..
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i W D,. 0 Ci ,f c 4i ` J'n r J n La , �(l_ o . 1 J
Type ofPrgject Activity Co, T lic+ 07 i(K r f-4. i !Kh(,,c) i (eye () i.vi4- ever 4l�
b01101( 1Acs on i'l 4 w<5 1rCit /of . f-t/1 COAcJi +i 4$ b -F ? 1 . a 00 ) 5.00)
(App L
PROJECT DESCRIPTION SKETCH (SCALE: �uI )
(Vol to Sc'./(
1'
I
Pier(dock) length i j� N
1‹.—.2_.
�-_
Groin length W_ _ _ 1 " " ,
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I
number // ` ..�_ + '
B Ikh d length hO � ' _._�_
�u/t{t(A f 1—f
max.distance offshore I I
Basin,channel dimensions Pr. .
itel b.•
✓ e
cubic yards I 1--k S
bu
Boat ramp dimensions
Other i i
_#
This permit is subject to compliance with this application, site _\
drawing and attached general and specific conditions. Any `k
violation of these terms may subject the permittee to a fine, f '' " ^ siA'
imprisonment or civil action; and may cause the permit to be—
come null and void. . vvA.....„....
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance. ' t O O ) 0 ,_ `�- ' D 4) J
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 / n J
adjacent riparian landowners certifying that they have no / (/
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that • 6 P #193 i (I O
this project is consistent with the North Carolina Coastal application fee
Management Program.

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The Amerk4n Fish Company
P.O. Box 11046
[phone]
" `' - Southport, North Carolina Z84b1
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DIVISION OF COASTAL MANAGEMENT
ART&CFNT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: 7e�2,e7j4 A 4�
Address Of Property: / 3
(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 toitie 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.
P �
If you. have objections in Meat is being proposed please. Write the Division of C'nasta
1900 within 10 days of receipt of this notice- No're nse is eons , •.;. .. _
tpoobjection
the same
as no•
objection
if you have been notified by Certified Mail
WAIVER SECTION
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 must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I sin not wish to waive the 15' setback requirement.
Si Date
a --/ AIM
wlfr
Print Ne
NCDENR
Telephone Number With Area Code. NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIVIC'ATIpN/V1'A1VFR FC)RA�
•
Name Of Individual Applying For Permit: _ ,/Y( f
efA,
Address Of Property: 1�
i
(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 tone 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.
P °Pow•
If you have objections to what is being proposed please write the Division of Coastal
•
L.
19no within 10 days of receipt of this notice- No response is considered the same as no objection
if you have been notified by Certified Mail
WAIVER SECTION
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 must initial the appropriate blank below.)
I dd wish to waive the 15' setback requirement.
I rin not wish to waive the 15' setback requirement.
rpt)(1(\4),CgeA) 2--' Ar
Stature Date
Print Name
^ Gr) it41 NcDENR
Telephone Number With Area Code. NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND N/QURAL RESOURCES

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t _ r., r_r fr,.r-E �Sec r l l y_,c ha ncrd dncontra
1. ScScr hock for de I•ile. - - -
THE AMERICAN FISH CO. 63190 I'
CHARLES H. OR KAREN Z. PERRY
P.O. BOX 11046,WEST BAY ST.
SOUTHPORT, NC 28461 O U 66-30/531
E DER
cI ORPAY DATE �� 453 ,'
TOTHE OF F NL t• r-'Nk.
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Can. (294...1TDOLLARS � w
I�HST CITIZENS 453
BANKFirsl-0Rizen. 1 8 Trust Company
SoW�pmt.N C 18a61
FOR__ pr
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