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' CAMA and DREDGE AND FILLID
��3 �_��
GENERAL
PERMIT z.: ,
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 '%f I. 12 '%
Applicant Name 'JUC_ l L0 v-1, r, Phone Number Ir..) y b q - 3U II
Address i
C) Six & 'itXJ I
City F A e -E k i 1 e.i State IQ (I) Zip Q b "0 q-
Project Location (County, State Road, Water Body, etc.) r:S_ r. utry J I CAK-- ( i-)u.4-s , 5 i
( tie1(\Sr,of e-.mot , \ode c-k , f k MfsdC__JC --rtn1
Type of Project Activity anc u o,=,c,-d 1?-_,0P L't-9 l
PROJECT DESCRIPTION SKETCH (SCALE: I 0 )
Pier(dock)Length 111 _ W �ll�lfllrIIIIIIIIIIIIIII • ..-.
Groin Length �I �
. ARE win am alill a a
number II 1 II" ilmis mmil
Bulkhead Length111: 111 II 1 immitril IIIIIIIII
max.distance offshore
U
Basin,channel dimensions
,, Ill
ILiI1
cubic yards Boat ramp dimensions II _
1 an 111 .
Other } r x 1-. . ■ is I I11.1a
c�per, ��, �'� nilII 11I1I1, l
limmo
ionommommil
iiimmemmo III massms miallamo
x i -.. , foam mg
UI Pal pi banial i
midi .
unitill OM 11 MIR . 44111•1111111111 11.1111111111 ....
This permit is subject to compliance with this application, site drawing —, ____.`
and attached general and specific conditions.Any violation of these terms applicants si tore
may subject the permittee to a fine, imprisonment or civil action; and ----- T
may cause the permit to become null and void. = '{
This permit must be on the project site and accessible to the permit of- )1 permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- 9 13 ) vU 1 Z l ) j 1 co
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 ��� 1�OU
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 project ��0 ' �
is consistent with the North Carolina Coastal Management Program. application fee
( -ENERA L PERMIT COMIPTJTER FORM
APPLlCL\i? =J%
=tieJ 1tN4 (Nr,(3 sc,^
aDDrnO_A.L • .
ArC D ST G E LI) 1 T DEVELOP AREA p0 PROJ
wORK:. b L-. 12 X L
own iiiilrakr 4)
MAI11i: _
(Wall .'"r'4) . •
IMP_ C� to—Co .
(will 7 .
4CiFON DEEIRATION
D=M&FEL RrQUR�D: 9 113 100 . /Zl /3 1 oo
O_A.MAMaJORD M RrQ P : 9 ) 13/00 /z1 ►3 / db
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: Joy Onr fccO r\
• Address Of Property: 1
(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 be provided with this letter.
I have no objections to this proposal.
If You have objections to what is being proposed ,-please write the
• Division of Coastal Manacement. . 127 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 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 must initial the appropriate blank
below. )-. .
:/PIAU I do wish to waive the 15 'setback ;reou_rement.
I do not wish to waive the 15'setback requirement.
•
/24Lielf'i
SiQ re. . .. . D to AIN".
/ tea- � , A-
Pr nt Name •
1O — . / HNR
Telephone Number With Area Code
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN: PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: Oa. I MO✓►110p0it
Address Of Property: 4" Gi1bo �T•
• (Lot or Street if, 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 be provided with this letter.
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.
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 understz:,d 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 must initial the appropriate blank
below. )
fdo wish to waive the 15'setback requirement'.
I do not wish to waive the 15' setback requirement.
7 ,JD _ e6
4ture Date • •
vel e..Y h e I `T a/
Print Name
70 ? 3 z ^' d Lf . c-.) HNR
Telephone Number With Area Code •
""'""""'� ""��-��-�'m.-- - ---. ---24 S r r u r i f y enhanced document. See back Jar d r f a l l a.®
i
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VARNAMS DOCKS & BULKHEADS 3673
PH.910-842-6007
86 VARNAMTOWN RD SW
•
SUPPLY, NC 28462-6044 Ia O/� 66-112/531
C '' `` n DATE }a./ l J 82101 •
1, PAY G.,C N 2
TO HE
t O ROF I $ /JV DD
1 t.+..Ogøoffad rJJk(s EAq�PlY BB&T
I` BRANCH RANKING AND TRUST COMPANY
I SUPPLTY, ORTH CAROLINA _
«` FOR /in
g ' 00036 ? 30 1:053L0112LI: 521 ?67607Ln cac.o3as
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