20159D - Rothrock

•
"�� CAMA AND DREDGE AND FILL `.
GENERAL
,....._ PERMIT q + oo = a ►
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Comr4ission
in an area of environmental concern pursuant to 15A NCAC 4 ei, 4 t) c7%..D r
'I-
Applicant Name c7 m P r Phone Number
Address
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City r ,. State Zip . ��:J
Project Location (County, State Road, Water Body, etc) 1, J 4 jy `..-", t
ct
y t-ii• 1)4-,l'y
Type of Project Activity 1n-fr ? , t. v hit. d i ...P;C r �, 1 •
YP 1 Y
L-148L*ii o '31/14
'5oJ 5 r' a
PROJECT DESCRIPTION SKETCH Sec (SCALD: )
E
Pier(dock) length I _ _
Groin length i �;
number . l4'0Pg'5( d Bill. I Aire. (i r
Bulkhead length SPO
_ *• 4. 'b: . , . . . j
max.distance offshore
Basin,channel dimensions g a' i di r n ( 4/,4 tt
q � q1( ,4rL1/ 4 J
cubic yards_ _1 "` f
Alle 4tiiii
' ,r(4, + o k' 1 Yk Ifr 4 A.
Boat ramp dimensions r f
et t
J . :
Other _ � .. ....,:,.
�. i 1�` j. Ait
•
1 ..631' pa ati 414 . :4,1\ 4, ,i I 4.- / 410. at r
This permit is subject to compliance with this application, site i . G.
drawing and attached general and specific conditions. Any e z "l A .� r.
violation of these terms may subject the permittee to a fine, i ^ �� ''�` �� .d i
imprisonment or civil action; and may cause the permit to be- i r t , . pPiicanksignaw
r ti
come null and void. I r, ,'.
.i a.
This permit must be on the project site and accessible to the 'slim i er'ssgn '
permit officer when the project is inspected for compliance. '}
The applicant certifies by signing this permit that 1) this pro- 1 ' jot_
ject is consistent with the local land use plan and all local issuing date expiratio .;
ordinances, and 2) a written statement has been obtained from 15
adjacent riparian landowners certifying that they have no `••
objections to the proposed work. attachments r . .
iiv
In issuing this permit the State of North Carolina certifies that .+> � „"
this project is consistent with the North Carolina Coastal application fee
Management Program. 0

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CI?L?I's 1: '�D)� , IIL' DESCRIPTION • E)CAMPLE l tltel-tYlse staled)
MAJOR E SPECIFIC
ACSCR tF'T1f?�1 EXAMPLE
"AC" Access channel,canal euglh,width,depth
,VAR" Arlificiarreef englll,width l "AR 200,50"�-4" • '`WS" Wooded swamp "WS 450"
„AS„ Artificial seaweed englh,widtn "CY"
BA 13enclt or estuarine access "AS 500,100" E,QU„ Cypress "CY 150"
"I1I3" Boa(basin,slip engllt, width, depth "DO 150, 50,-6" "CE" Ouni "DU 150"
SM 150"
"MI" Bulkhead "SW Cedar "CE 150"
euglh '` "
"MI Boat lift "B 1150 "� Po Ile „
"13N" Beachoatl nourishment eength,width width "DL 25,15 1550 awn PO *# Poaitim "h'f 250"
"13P" Boat ramp �q �, ,�,� Maritime forest '`MF 175"
"I3R" Bridge I englh,tvjdllh "DP 100, {0" E, ,E JIiglt Marsh "1-IM 390"
B englly width "DR 75, 0" JR Juncos ro eedl anus "JR 30"
)
"BS" Boat house eugtic width "BS 40,20" (black Ileedlerush"I3W" Breakwater englh . "OW 10" "SY" Spnti t or giant iced grass) "SY 60"
"CC" Cable crossing cost!' "CC 275" (salt giant reed
"CE" Condo expansion #units new,existing "CE 45,40" ,,SP" S11nalt meadow patens "Sr35"
"CO" Campground length, width 175,400"Condo "COt` " • "DS", (salt sspl grass)
#units,height "CO 64,45" Disl ors spicetg "DS 50"
"CV" Culvert length,width "CV60, 15 (salt spike grass)
"DU" Drainage ditch " _ `'`SS'' S(glas cia sp. "SS 38"
B length, width,depth llp 900, 12, 8""1)0" Dolphin (lumber "DO 4" (glnsstvoti)
"DS" D►;vslack storage length,width,height "DS 200,75,50" "L S" Li(sea lav sp. "LS 40"
"EL" Pier"L"head length,width "EL 10, 0" (sea lavender)
"I'B" Fill basin,slip width, „ "SC" SC([llll9 sp. "SC
l length, depth FB 30 ,50,-q" 20"
"FC" Fill canal,channel eltglh width,depth "FC 300,50,-4" (dtcllrnsh of three square)
"Fl I Fish house ength,width ' H 150,75" "CP'
"1'1" Fill general �.'ladlUllt•lpnlnlCeltSe "CJ 27"
"1'1t" Fill f ehtBlln,�width,depth "FI 300, 0,-3" (sow grass) '
or road englh,width,depth "FR 975, 50,-2" E�S�" Spn marsh
njle[[cnf]ola "SA 75"
"FS" Floating structure length,width '`PS 20, 10" (salt nh[ush cardt;rass)"OR" Groin length width "OR " E' " �y att Sll, "1 Y 32"
"I10" Hotel/motel complex �, 2U0,2 �caasp.
I length,width,height Ii0 450,75, 50""I LW" I highway,street "E ,� 413r, 13o ea oxeye)fnnlescens
"JL" Jetty length,width IIW 1000,50 "OF 42" •
"MA" Marina length,width "ILA 30,2" "IF" (sea
#of slps "MA 50" Iva 1'nllescens "If 76"
"ME" Marina expansion #slips new,existing E+ME l5 20 (marsh elder)
"Mi" lVlitigntioln leng lc,width �f5mR 5 l' „ „P11„
MI 25"
•
« Phrsg[uytes sp. "pH 60"
hilt�� Mooring piling #o
"NI " Non-pier length,width "NP 50,30" E�Lkl„ *SA„ Lott marsh "LM 50"
"OP" Oulfnll pipe diameer in",length "Ol'b,2000" Sllnrlllta 611enl ot-d g "SA 30"
NOTE: this Is not a sewer line extension unless it results in a discharge (soli marsh cold gross)
to stale\valets• 1?x:a WWTP effluent pipe would hle�"OP' "OW"IlO' #* Iliglc ground "110 750"
"07"' Other ** (In Ovate spoil(lisposol)
Open miter "OW 900"
"PC" Pipeline crossing diameter In",length "PC 450" (Use with piers, themes
hL'„ Parking lot length,width . "P1, 180, 50" littlegs,etc.where there is
l M Peat mining acres "PM 50" little holtonl disturbance)
"PR" Pier or clock length,width • "PR 160, 5" „SD„ S1)gllotd forollouh "S13 550"
"RR" Ripra I Length,width "RR 150,5" (Used bulkheads,
"Sll" Smut�eggs excavation,etc.where(here
"SD" Subdivision "Sl)42,50" )
"BC" #* is a major alteration to the"BC
#lots,total acres
"SE" Subdivision expansion #lots new,existing "SE 20 50" Dune DC 1200
"'l�ls" Pier't'-head
length,width "TE 20;6" "ON"00 t' Dune "01
• aD ++ Submerged gt'gssbeds "013 75"
E,WLEI tt COE designated wetlands "401 75"
(Use when other species
Are present,not listed elsewhere)
'r* use these codes only when species ore pot glyen

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Division of Coastal Management
Adjacent Riparian Property Owner Notification/Waiver Form
Name of Individual Applying for Permit: \ / c. � C--
Address of Property: 2 /0 7— 2 4 9 ti � -
Carolina Beach, North Carolina 28428
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-7
I have no objections to this proposal.
(A description or drawing,with dimensions,should be provided with this letter.)
If you have objections to what is being proposed, please inform the Division of Coastal
Management, 127 Cardinal Drive Ext., Wilmington, NC 28405 (910)395-390o within io days of
receipt of this notice. No response is considered the same as no objection if you have been
notified via certified mail.
* * * * * * * * * * * * * * * * * * * *
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift 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 space below).
I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement.
* * / * * * * *
/ i
Signature Date
Print ame e • Ditikte- 15%16.e:10,1_ 66-- Po9Nuitcy
(lid 45--&- /0 -a5--EgAL
Telephone umber(with area code)

Division of Coastal Management
Adjacent Riparian Property Owner Notification/Waiver Form
Name of Individual Applying for Permit: (J �!�7� C-,f-
Address of Property: �/ � V
Carolina Beach, North Carolina 28428
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.
ci/ I have no objections to this proposal.
(A description or drawing,with dimensions,should be provided with this letter.)
If you have objections to what is being proposed, please inform the Division of Coastal
Management, 127 Cardinal Drive Ext., Wilmington, NC 28405 (910)395-390o within io days of
receipt of this notice. No response is considered the same as no objection if you have been
notified via certified mail.
* * * * * * * * * * * * * * * * * * * *
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift 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 space below).
iI do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement.
* * * * * * * * * * * * * * * * * *
/ .44.4004 C/. /S� c o
Sig gture Date
J o 11 .v,.r/ *c/./4.Q5 vqt-/
Print Name
Telephone Number(with a ea code)

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•
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ROTHROCK PILING SERVICE INC 1468
PH: 910458-5626 NCDL 60611
PO BOX 1207
CAROLINA BEACH, NC 28428
�,Q /J�
4
,(J"corder°
(19
FIRST CITIZENS 760
BANK Firp Cmzon�Bank 8 r r4 Comp.ny
Cyrolina Bc�oh,N C.28428
•
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