16872D - Davis

CAMA AND DREDGE AND FILL .
GENERAL ''''- 016872-
K. r } PERMIT sb'iv
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC '7 , . /d 0-
Applicant Name 6 V s_ 4 V I ,.s Phone Number
Address / 4'1 S c-c DPP, S 44n( ( D Ctin C. rf(A SQ6d, )
City C a S 41( il 6P4,1. State NC- Zip aZ Z'i'
Proje, t Location (County, State Road,{�ater Body,etc.) SNi►►< a, 1 ijo ve D n f°inr , 11 (re( ( �r,`✓7 rl
m S we/f 17r4 I . 11r.) rf 5 IU't C-c u A 4 /o' ' 1-h et,a '�
Typq of Project Activity Con S rr.r(_,+ 6' k$0' IIC re t.,i t'L, ± /0' X l0 ' •l'ti "'• a e c.,/(
)../+ /� VAC.- iere 1 /I' y. lP 4o%4 IIP 8o+4, ACl tis)rj l? v< Wct4VECI /5 -F/- Sr.4-1?j,
AJJ toAJi4 I--1-,AJ - Op/.1/ �30 5X, ii 11 ii v
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PROJECT DESCRIPTION SKETCH r (SCALE: y1�i 5' /e }
Pier(dock)length v ;_,_ _ ___' s ...�. ..._
r04 ' ..__---_ •
Groin length Ir l0, _ i —
•--0
number i I
Bulkhead length N �" '� io.
t.v_`
max.distance offshore i I it
el ,,,
Basin,channel dimensions ��
I f
cubic yards `' r i` :O
Boat ramp dimensions r iir V v
I _.
Other 4-A(-4c' — lo'x4 I "W
Fly,I-,4 fl k (o' X l
,� 32,2 1
63oLOk1.i4- Id' xfl' ss
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any CL'CA
violation of these terms may subject the permittee to a fine, ,
imprisonment or civil action; and may cause the permit to be—
come null and void.
il ' ....) I
This permit must be on the project site and accessible to the pe it officer's signature
permit officer when the project is inspected for compliance. -3 -/ L _ O 0 t _ /y - �t�
The applicant certifies by signing this permit that 1) this pro- 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
adjacent riparian landowners certifying that they have no (7 /-/ I t; D J
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that S�, D D c 1�d y9
this project is consistent with the North Carolina Coastal application fee 7
Management Program.

V
r
171VISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
r
i
Name Of Individual Applying For Permit: Go ?' , L)etui
15
Address Of Property: /L/9 (_!C'e cal Oreem5 Lan?
CA5kue,i / T3eac t) Nc z 846.
(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 to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should provided with this letter.
/2;!:
I have no objections to this osa
ro
P P 1.
•
If you have objections to what is being proposed, please write the
Division of Coastal Management, 7 Cardinal Drive Extension,
Wilmington . North Carolina, 28405 or call 910 395-3900 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 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. )
0 .
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(4vW 7//5/06
Rr pl ur f ©NtJ ek6v►6 rCp 5 LcIAIC�Da Date A • A
1Hr.r.,Ilf P intame6p - 7191 - 44Z9
N Telephone Number With Area Code

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIPICATIONJWAIVERFORM
Name Of Individual Applying For Permit: LJ U1' /`'1
Address Of Property: /95 G�e'� 6rre�s
n_stue.i l Bea 1 ►c Zs
(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 to me as shown on the attached drawing the development
they a e proposing. A description or drawing, with dimensions,
should provided with this letter.
I '
have npbjectipns to this proposal. /
hQl. r�4, , �-4 .idnt c ' Dt i ve�x5 ncoloh i-5� , soCteOli ,
If you have objections to what is being proposed, please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wijminaton, North Carolina, 28405 or call 910 395-3900 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 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. )
2\1
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
Signatu e
5 0v5 Yircf
• •C_ 0 e_E( ),71aet700
Print Name �`��
qto - poi-4kct( 4/0-70/-44Z9 1-1N1R Telephone Number With Area Code
OCe� C eefs PQc

03/10/2000 05:19 516485/385 UULUKrKtLUUt r-ut Liz
•
•
$IVI$ION OF COASTAL BANAGENENT
7....D3AcENTBZWINV kROFERTY 0WNER 1IOTIFICATIONIT _4+ -- RI(
•
i
Name of Individual Applying For Permit: G u y 0ov(3
Addre::ss Of Property: ( 5 06 e c v\ G r•eejv
•
•
CA.S eat. OC,� 11 S ea , w I e, `�
(Lot or Street f, Streit or Roa , City & County)
1 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 drawing, with dimensions,
shou:.d be provided with this letter.
I have no objections to this proposal.
If you have obiections to what is being grimaced, ple_a§g ate the
DiYi;ion_ of Coastal Management. 127 cetd.jna.l Driy L Extgnsion.
Wilmi-�lgtAn, North Carolina 2a405 of a 910 395 39OD within ID
days of receipt of this notice. No re t:on is considered the slime
ps nt: objection if you ) ave been notified by cert. Zi c2 .fail
WAITER SpeTION •
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 - blank
below. ) ----�' _
I do wish to waive the 151setback requirement.
I do not wish to waive the 15'setback requirement.
•
0/Da_
S gna':ure DateAi:IP ri A
Print Name
897-gt1!_ • 1"411VR
Telephone Number with Area Code

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COASTAL DOCKWORKS INC 1899
f' 4398 FISH FACTORY ROAD SE
SOUTHPORT, NC 28461
PH 910-454-9592 /^� 66-301531DATEv3/4-I100 453
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