16874D - Lolley

CAMA AND DREDGE AND FILL
GENERAL 01.6874- v
-1�
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Cpisial Resourc Commission
in an area of environmental concern pursuant to 15A NCAC '' 11 '' /A
Applicant Name � O " A 4 /` e ` Phone Number
1 f / /A Ste{.
Address l i� S
City q �� S /a 4 cJ State / ^� N[.,. / Zip_
Project Loc Lion (County, State Road, Water Body, etc.) �/ S E -4 c7. 0 G l� � S '` -, d
on Dc u, s £ - Aft , rv�Sw , - k ['ov A 4, j
Type of P oject,Activity ior)S r� 1-/ ' X 1S 1't- ivifAf /0' x �1 ' 1—h!.. J /A . K. • r/„�?,,,
LJ ac- 'C C4 iti4rr•.✓l4r- .1 < n 8, I' ins -ir4C4 Jo /1 S kid A a'f' 2x'-•••••• 1 ivr re -14Un
9,0 - , -,A uya-{-Pr 12 a 1 ,' d^ 5 hi (tl /j P u 4 !v) / I F 1,1 .1 C D—� -P4L 4.
e r eA r t 4 . ( .> r r. J.)e" /, ' A- i 1 ( i 1 i-,�4$ o f 71/. 1 A 0 ) I /t Q ,l /1/
PROJECT DESCRIPTION SKETCH (SCALE:N,4• 0 SCq (e
Pier(dock) length X I S -.. f
I
Groin length . n I
r= —4__
2.,.._ 7- ;
number ,I _ _ �. ,�,n ,__ .„ ,-..--1 ►..—
Bulkhead length _ - — -�-- j ---I_ { }
max.distance offshore _4 j i l�L. I j
_ j �r
Basin,channel dimensions N
. i
' pp
cubic yards � ! 1 i o 1? � ' � f
I
Boat ramp dimensions
i Ve y e >V I y r � it
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Other )hr'C( I i ) �, .
F,7.k I,r Ok i ). ' x 1,' 'TO A - ��
J
o \�� --- e?SL hu
Ss
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any �i
violation of these terms may subject the permittee to a fine, "�`
applicant's signature
imprisonment or civil action; and may cause the permit to be- n
come null and void. 1701.__ A - ` C1N A`
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. /� DD L .--/q— 0 0
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 adjacent riparian landowners certifying that they have no 9,1l ] , �}
t , 1 b1 l/
0
objections to the proposed work. attachments
a k - - ill'I
In issuing this permit the State of North Carolina certifies that (3
this project is consistent with the North Carolina Coastal application fee '
Management Program.

•
• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name f Individual P.pplyi :g For Permit: d�7/► L�,L L�y
P . . 1
Address Of Property:
- LoT2L/ h oc,K JS7 O4 1szft0I (N
C. 6ronsish
(Lot o1_ Street #, Street or Road, City County)
I he by certify that ... I own property...._adjacent to the . above-
refer nced property. The individual applying for this permit has •
• descr'bed to me as shown' on the attached .drawing the development •
they re proposing. A t.scriptiori or drawing, with dimensions,
shoul .be rovided with-._ t17is letter.
• x I have no objections to this proposal.
If you have objections to what is being proposed, please write the
Division of Coastal Management, 127 Cardinal .Drive Extension .
. Wilmiilaton , North Carolina , 28405 or call 910 395-3900 within 10
days thf receipt of this notice. No resporise- is considered the same
as no objection if you have been notified by Certified Mail
. i
WAIVER SECTION '
I and rstand -that. a pier, dock, mooring pilings, breakwater, boat
house :lift must be set back a minimum distance of 15'
from m y- 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 do not wish to waive the --15'setback requirement. .
y . \''' ./) . . • .
•
•
)---- . ---)2._ -,__. DO A
Si• - 41re'j - Date •yx4rAPr Name �..1.�
[: HNR
Telephone Number ,With Area Code w
1. ' .

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER- FORM
Name •f Individual Applying For Permit: ,j"oh4 ZOLLe7
• Addre s Of Property:
LOT 21i 860611 ailiffSZAvd, 6renscd:c-Pf
• (Lot or Street #, Street or Road, City & County)
I he eby certify that I own property adjacent to the above-
refer-nced property. The individual applying for this permit has
descr;bed to me as shown on the attached drawing the development
they. -re proposing. A description, or drawing, with dimensions,
shoul. be provided with this letter.
I( ,e11-)1 I have no objections to this proposal.
•
If you have objections to what is beina proposed, please write the
Division of Coastal Manaaement, 127 Cardinal Drive Extension .
Wilmiilaton , North Carolina , 28405 or call 910 395-3900 within 10
days Of receipt of this notice. No resoonse. is considered the same
as noloblection if you have been notified by Certified Mail
• ,! 1 WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house) lift must be set back a minimum distance of 15'
from p,y 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 do not wish to waive the 15'setback requirement.
OilTe.V—t— &LL 3/?/ed Allur,T
SignAture Date I • • .
- teels-c
• Print A
•, Name
• f/Ci - NJ F
Telephone Number With Area Code
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SHORELINE MARINE CONSTRUCTION 1114 _
GREG PREVATTE
PO BOX 10671 ') //, C. v 66-30/531
SOUTHPORT,NC 28461 Date 3 /`7 a53
Pay to the C �, /�., I $ Sd o0
Order of ' r
/Fitt? �QLL0}' s d` J 0` I— Dollars 6
flRSC CITIZENS 453
BANKF,,.«,�I=oR 6.nk 6 T,�.t C«RP.Ry
Soulhpwl/�.C.78461
For L0Le� D erm,� /�i- ��------ - ------
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