23811D - Houston

CAMA and DREDGE AND FILL
(" GENERAL .i., > 23811 -L
PERMIT
as authorized by the State of North Carolina
)111 „,..' Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC ') 4-1 . 11n 0 .
Applicant Name V Prr\c (.._, sAA 0Lk S-Av n Phone Number 8 U 3 321 -�i 79
Address <A (01 a ',e 1 Sri Co(A,r*-
City la o dC_ 4-1', \ State C.- Zip .2 c1 - Z
Project Location (County, State Road, Water Body, etc.)134r U r1StA,;‘t c k-- (fo u r\'1- t� , Ile) Ch'A r i Ui .i
�� ' A
E -ce et k `\p\c c k , N C) t AAv`rtr,- N`r\ckj Ci- p,-\
Type of Project Activity —Su\ k- - (1 �C_.,� e\t4c -r \ # . ( co fl LoPrrti
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier(dock)Length _ l v 1 LAW-
&- l y Y►a
Groin Length a
number r
Bulkhead Length Q t . _ r__, — _ — 3
�I .. .. :..:::...�..,... . . . 7 ' B
max.distance offshore 3
isn
Basin,channel dimensions f ��`�} � r
cubic yards
Boat ramp dimensions ���� I "_ _---
Other , - i . r _ J i
This permit is subject to compliance with this application, site drawing / / -'!/ 1 `�
and attached general and specific conditions.Any violation of these terms `J
nt's signature
may subject the permittee to a fine, imprisonment or civil action; and ; -�
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit 9f- permit officer's signature
ficer when the project is inspected for compliance. The applicant ce '� � �l)C)di\y,;„(1 1.9 1200 U
Pies by signing this permit that 1)this project is consistent with the I al issuing date expiration date
land use plan and all local ordinances, and 2) a written statement
been obtained from adjacent riparian landowners certifying that they 11 AA • MO
M U
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project J 0•
0.......1,, ( c crjr)-)
is consistent with the North Carolina Coastal Management Program. application fee

-rc4.JK L it:KAl11 CU '1f UT-ER FORM
PPLI C=2C i>\_?��_ 9� Cep ti p U.StO r�
ADDIDOIQ&L NAMES: •
AEC Dr SIG E S Dom'-.OP AK-Lk:
(WE crab-i ks I)
woRR:. .I?i-� 6 0r x
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The: :500
(.�te313-16)
ACTION PI ATION
DRa € R.QuIRD • .t ! (I 1D-oo o Li I I zo oo
C_ J'JA I►iL4JORD 3QUIP,D:

COMPLETE THIS SECTION` COMPLETE THIS SECTION(W
e items 1,2,and 3.AN omplete rro A. Recei :. .• -:- - - , - la e of Deliver
Restricted Delivery is • - edts •JAot i f
Jr name and address on e reverse �-
we can return the card t y. -�w C. Signat ,,, _
his card to the back of the mailplece, ,, q��� m/ -A
e front if space permits. ���HV�T"•", V V ❑Addresse
D. Is delivery address different from item 1? 0 Yes
idressed to: If YES,enter delivery address below: 0 No
5 /6 0/(,gars (p/veOve,
fir hie' /V C; Zz G
3. Service Type ,
Certified Mail ❑ Express Mail
O Registered 0 Return Receipt for Merchandis
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number(Copy from service label)
Z 17q 585 a'73
DS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-178t

UICITED STATES POSTAL SERVICE �• wC First-ClassMAail
- PM N Postage&Fees Paid
�s co USPS
�� 15 JAN N Permit No. G-10
i
• Sender: Please print your name, address, and ZIP+4 in this box •
in/)11 tZ Cods i 0c f '
9L,A skfi , CG►;voix (-)/ Ind S ci
it4Iy /l1C JiN (0-
I*lI;ItIlitlill111111„I1I,IIIIII IIUltillIIIIIUtliI11111*1Ill

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DIVISION ,.PF- COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
. Name Of Individual Applying For Permit: / r / I37yzv
Address 'Of Property: dP /l r
1944 Aeneil e
(Lot o Street # , Street oY''Rcad, 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 be provided with this letter.
•
I have no objections to ,this proposal.
•
if You have objections to what is beinc proposed . please write the
Division of Coastal Manacement, 127 Cardinal Drive Extension ,
Wilmincton . North Carolina . 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no ob-ection 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. )
•
I do wish to waive the 15 'setback requirement.
I do not wish to waive the 15'setback requirement.
Sig ature Date , - Al;
.
/r ' T
�s,�e/r C'.o wIi
P int Name
g/Oi 78�-.777, p
Te ephlone Number With Area Code