26207D - Potter

CAMA and DREDGE AND FILL 26207 !)
G E N E R A L
PERMIT pizo1Ic
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 '1+k . I I U o = . l :,~.ctc .
Applicant Name Lerr o 9 Pot 1c-c- Phone Number T I u 4S'7- 4€ !O
Address p. Q • lc.) *. IO2I..s-
City 3 o u1-'1-..�o r Jr State 1\)1) Zip c 'v 4(9 I
Project Location (County, State Road, Water Body, etc.) 13(Ors tJ i C k-' CtsiuM. , G Li c' 9
1 A r H t" (%s't r1 51'ce_e_- 1 Soh-1411^.p o r'I I - -1( c t-,4 16 5,r
Type of Project Activity 4 Jr lotA 1 k- w t d f 9 A rea-.\c-e a ' K)A ^f W rf a 0 e o l d UJ R Il
ct„i- Pt.-t1 8ocK- A5 i+ t,A)f\s 6e.-coreJ " F(1118 ll 19G9 ( 4j ' k)A 1ktA)fii /}
PROJECT DESCRIPTION SKETCH (SCALE: NOT )
CO- -
Pier(dock)Length ♦ ._ ♦_...,.� ... _ �' -.-. ♦ t .
Groin Length
number
Bulkhead Length
max.distance offshore a
r _
Basin,channel dimensions
♦ .-.♦. .••r••.......a.,.......A--m .. ._, > • o. ... e w .. ..., .. .. y.. .
-.1a.w.l S ..,.., .,. _ -.—..>.- ..,..._.._.S
cubic yards
)C.k.. I
>—m..�..,....-. .. .......�.-.� yr 'I► I' -/'- +1 _..
Boat ramp dimensions • 'Ir 4 — j 1 t'''
t.
10
k c�ln� t+'�- 1
Other G -� µ"� T�
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r s►_�: , + A _.,. ♦ AJ. a-G4
Ur.nr^� -��,r�C1 r" ', � r _ '�- :.. ;,. _ � 1
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3
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This permit is subject to compliance with this application, site drawing 1/:,S`�
and attachedgeneral and specific conditions.Anyviolation of these terms l
p applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and . -. ,\ (
may cause the permit to become null and void. ,/ \ 1 � �
This permit must be on the project site and accessible to the permnit of permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- 12/i / W U r )2.. 1 U I
fies by signing this permit that 1)this project is consistent with the local- issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they 1 4-k . 11 UCH e • 120U
have no objections to the proposed work. attachments
o
In issuing this permit the State of North Carolina certifies that this project 1001
is consistent with the North Carolina Coastal Management Program. application fee

•
•
Lerro Pow
ADDITIONAL X. rS:
AEC D=SIa E.-WI P T t £- ' DEV OP =Q?- PROJ D=SC: Yj- I l.
(Win a xir,.:.=6) (-w'i]]caiysal-_I)
/ ' E u X �S Cless ° a�.
WORK:. i4 o nqc�
Pio LA.d
1= T: •
( ur ;ri3•1 4)
Ma \ 4,co ® 4.c-o •
t�D i-
.0 I ION 3L4 I1O2�
DP ?ILL P3QUER : - 17- I 2..1 0 0 3 1.24 b
MAJORD=c .I'.. QI71'C', : 1 Z I 1 2.-I DO 3) 124 o

_ I ; _ : • ; & • j : • 0 _ V • • All• _ 14
•
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Name(X'Individual Applying For Permit.
Address Of Property: Pq6, hciiT --a4s/Ai St7 *
ou 7-Y-PoZT rReuNiSIAlick
, • - (Lot or Street I, Sweet 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 provide(j with this
letter.
fitil I have no objections to this proposal.
6 141K11.11 • a • 1111 I • P • , •
#1. orrt a., 11,4 • I I :J111), 61116i 66 6; 11. . • 4.6/6•6
, •
;161 11 I 0- ; el s) II 6. U 00.46 • • 11—.1as U i i .I/ ' a
• •
WatralLSECMION
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 mnst initial the appropriate blank below.)
AILI do wish to waive the 15 setback requirement.
I &tzar wish to waive the 15' setback requirement.
__ AA•s i D,ale
Ammimmuna
Print Name
NcDENR
Telephon Number With ea Code Noims CanDUIVA Dammam or
EANNICaloolDer AND P4Artatm.Ritioulocies
•

•
•
•
Name Of Individual Applying For Permit
Address Of Property: 9 F 6 4CeIr S,IiJ S-i
(1.4 or Street 1 Street or Road, City & County)
I hereby certify that I own property adjacent to the above-re
ferenced applying for this permit has described to l atz;ched drawing ie as shown on the prawing.the d d individual
they are proposing. A evelopment
letter. iption or drawing, with dimensions. sh®uld be provided with this
kat I have no objections to this proposal.
a
n-, r •.•“•n r�lr%. l,,�a fir• l •• r c - 7v.
if V014 [19VA ♦ • •7•,• r. Witr. :;i, +,.• ,
I understand that a pier, dock, mooring pilings, breakwater, boat house lift ofsa_nd
set back a minimum distance of 15' from my area of. ' must ybe
ou
wish to waive the setback youaccess unless waived by me, (If you
must initial the appropriate blank below.)
��/t./ I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement.
aninammaimmiummaimmuminimmwirmomicammilmenzeumumeemmummumanommousuon
Signature Dam
Print Name
Telephone.Number With ArCa Code ►NCDENR
�tr'Gn'o""" ,o or
041DITAND Nauseft.micas

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st.ury-per-Ain
a. 4160_ (
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SHORELINE MARINE CONSTRUOTION
GREnPOGo 193PFRIi' E,-1/V0 6A-7'Te-1
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