26248D - Millan

CAMA and DREDGE AND FILL
IL
G 26248 -f
E N E R A L ,�
ii
PERMIT � � � � ' � �
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC '/H• i i J ' •i 91 - ' ,i
Applicant Name `,..,\ / /r\ J/A f, )' ' ct ^ Phone Number
Address 1tl (D li S A s n- o h Ac-r cI 0 C
/tom State N C Zip ). / y 3
City �uvu� S-!' �
Project Location (County, State Road, Water Body, etc.) 'l / 6 ificisA ic11 -fJh A+c_J 'J Dr 4Clctc.c,c-,
�ta c. ,,� �r �- gluVu/ t t�6-,At �eoC� Fender- (0 •31 -h
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Type of Project Activity ecia.514-� --�1OD 16,1ki,,s 1,y nc J us s ,4,1-ec.! 3 D F+ r,b, M/ u/ (2a f'`
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PROJECT DESCRIPTION SKETCH d --k �— /6 'X/6' b.'y4- /�r�f'. (SCALE: D 7 cc..., .)A
Pier(dock)Length )( n L. L 111111L : i rillilINE _LI '
1s1.
Groin Length _ • lr
number • •' Lai ./6V ' • 41"1- - -RI • glib
' .;,4
Bulkhead Length t
OW
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max.distance offshore • t ^;-Ir.L o/: : l
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Basin,channel dimensions n K t/tDq T(b," a
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cubic yards 1 I i , kill mil
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r_µ 1Boat ramp dimensions 1 ,y r
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Other ;iIiiisiIu
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This permit is subject to compliance with this application, site drawing , y,-
and attached general and specific conditions.Any violation of these terms --- applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and / '
may cause the permit to become null and void. �t -
n accessible to thepermit `l permit officer's signature
This permit must be on the project site and _ 1
of-
ficer when the project is inspected for compliance. The applicant certi- / "' t� v2 0D p� A7 -0/
fies by signing this permit that 1) this project is consistent with the local issuing date expiation date
land use plan and all local ordinances, and 2) a written statement has 1) 11 // a 0 ,d— 9 ' / 2 D
been obtained from 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 this proje
J0
is consistent with the North Carolina Coastal Management Program. application fee

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CODE T: '• E '>rDP_ nl?SC1;11'TIf3N F.XAML'LE
MAJOR SPECIFIC jal~$ORTPTIt2N EXAMPLE O13I1TIE IMPACT
"AC" " Access channel,canal eugll►,width,depth
"AR" Accecinl'reef englh,widthth 1 "AC 200,20,-4" ''WS„ **
"AS" Ailificial seaweed engllt,width "AR 200,50" ,,Cl,,, Wooded stvtuu!' "WS 450"
"BA" Beach or estuarine access "ASBBA"500, 100" "GU" Cypress " 130"
"1313" Boat basin,slip en Ill width,depth "BB 150,50 -6" "CE" Cedar tar "GUM 150'
"1311 UII Bulkhead engthg � Maple CE 150"
Do lift "BII 150 "PO" t* , "PM 150"
"13N" Bench nourishment ength,widlll width "DL 25, 15" I Maritime
"PO 250"
"13P" Boat tool t "BP
150 50" ,I I" *4 High luaus];
forest ""MEI
-Ily 39 175"
"BR" 13oa e 1 ength,width DP 100, 10" High Marsh • "11M 390"
englh,width "BR 75, U" "JR" Amens ro a eriru us "JR 30"
)
"13S" Boat lousE engllt,width "DS 40,20" .. (black needlerush
"13W" Breakwater • engllt "BW 10" "SY" Spa'(t or giant reed
grass) "SY 60"
"CC" Cable crossing engtll "CC 275" (salt giant reed
"CE" Condo expansion 40" "SP" Spar-tins patens "SP 35"
1 #units new,existing "CE 45,
"CO"CVCampground length,width "CO 175,400" salt nteado Condo )1 grass)
"('V" Culvert #antis,height "CO 64,45" DS Dis altos a "DS 50"
length,width „CV 60, IS" „SS,, (salt or spike grass)
"1)l)" Drainage ditch length,width,depth "Dp 900, 12,-8" Sa lenruin sp. "SS 38"
"1)0" Dolphin number "DO 4" „L$„ (glasswotl)
"DS" Dryslack storage length,width,height "DS 200,75,50" Li(see lantl sp. "'LS q0"
"EL" Pier"L"head length,width "EL 10,20" (sea lavender)"FB" Fill basin,slip length width,'depth "FB 30 ,50,-4" "SC" Schpus sp. • ''SC 20"
"EC" Fill canal,clttumel ength,width,depth " -4"
"Ell" Fish house 1 "EC 300, 50, "CJ„ (bullruslt or three sdutu•e)
engllt,width FH ISO,75 Clndiumrass) cease "CJ 27"
"El" Fill general euglh,�widlh,depth "El 300,SU,-3" "SA" (saw grass)
"I'lt" Fill for road enggn,width,depth "PR 975 50,-2" Spal lino aliertlnflora "SA 75"
"ES" Floating stntcture . length,width "FS 20, 10"
"(3lt Clroin length, „ „ •(sail marsh cordgrpss)
"I10" fluid/motel complex lnth width,height "width HO 450,75 50" TY TY tha s)t, "TY 32"
200, (canna)
"!1W" highway,street length,width "HW 100,510" „�F„ Pa!1 a ox fritlescens "I3I:,l2""1ls" } length,width •
"MA" Marina #of slps "JE MA 50Z" IF,
(sea oxeye)
"lvil's" Marina
expansion Iva 1'ti!lescens "IF 76"
1 #slips new,existing "ME 15 20" (marsh eider)
,MI'' Mitigation length, width "1'LI„
1. "MI 50 '25" 1'Itragittyles s i. "
1v1R Mooring piling #o l "III 60"
t
"Nh;" Non-pier length,width 50,"� 30" •,r��+, �`� Low marsh "Lh1 50"
"OP"" Oulfall pipe diameter in",length "OP{ 000" • "SA" Spnrllt marsh cord
grass) "SA 30"
NO'M this Is not a sewer line extension tuiless It results in a discharge "110" * (soli marsh cord
to state waters. Ex: a 1NWTP effluent pipe would be"OP'� high ground "IiCi 75U"
"u I"' Other • f,OT'r (Includes spoil disposal)
-� "OW" **
Open water "OW 900"
"PC" Pipeline crossing diameter hi",length "PC 450"
(Use with piers,mooring"1'L" Parking lot length,width "PI., 180, 50" tithe o etc.where there is
"PM" Peal mining acres "PM 50" little bottom disturbance)"PR" Pier or dock length,width . "PR 160,5" "SB" * Shallow(Used forlorn disturbance),
550"
"RR" Ripra t Length,width "RR 150 5" for bulkheads,
"SD" Sand�aggs excavation,etc. where(here"SD" Subdivision "Si)42,50" -
#lots,loin!acres "BC" ** is a major alteration to the fC15otla 0)
"
"SE" Subdivision expansion #lots new,existing "SE 20,50" "DN" Dune "D 2
"TE"Is" Pier length,width "TE 20,6" "GB" *# Dune " I�I 200"
Submerged "Gl3 75"
f,W�,t
COE designated wetlands "404 75"
(Use when other species •
are present,not lisled elsewhere)
ft use these codes only when species are not given

11/05/200e 21:54 7207330626 BACIK TFI: PAGE 02
HOV-0:-€i_ 12 :05 PM MAPk:2CLEMENT$ 910+27044491 F. 02
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ii1111111111111 MOM
C A M A request form
Name 'rt,'-�
add: f'7(I 1,3a.'ric. . �:��`.'": . r
�'n1
City k,kr,,s�l stdTe ' "
Date of request
Type permit G'ri'•-
Location of ,tio►k;,,c (7 ,'
County:
Dr awi-19 ,
ty
•
•
n ►tfe ge ceAstest:vig your signature for tree constr;.ct,ori of new
Y. e44,1 '!.. If yot save no object,ons wits they proposzo drawings
please sign on the lot ol.vner adjacent :ine at the bottori t you object to
the proposed project please submit your objection in writing with in ten
days of this letter to tr e CANA department of Nil ni rytcr1
Adjacent owner) ( tAAW 17a
Adjac i owner
Owner.
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(P'-'fi rik. i7:-)) ( . t
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• J. Andrew Back. - 561 Clarention Lo; - Castle Rock;Colorado 8ii104
•
Phone- 720.733-0692-Fax-720.733-0 -e-mail a acilc&undsprmg-cam
Thomasville Furniture InduAnes - 0 0.Fiore 339 - I'nomasvillc_North C&olma 27361

a a �
C.A.M.A request form.
Name: j.Askfrt
add: j-/'7(.0 In7C� e —
city 055heovi state C: Z5 3
l� zip �
Date of request:
Type permit: ?'(--
Location of work: ...Tag)
County: ,47 er
Drawings: ° 1'6X/0 E—><
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oo `� - - --
) `
We a x ,ng your signature for the construction of our new
/eN If you have no objections with the proposed drawings
please sign on the lot owner adjacent line at the bottom. If you object to
the proposed project please submit your objection in writing with in ten
days of this letter to the CAMA department of Wilmington.
X Adjacent owner �. � ' ie7c.7,0'
Adjacentowner
Owner. fi) (Otk 1)' (
i

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