26328D - Phillips

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CAMA and DREDGE AND FILL 26328 ---
G E N E R A L
PERMIT BPS p° qtq i5A
as authorized by the State of North Carolina
• Department of Environment and Natural Resources and the Coastal Resources Commission
in an areaea of environmental concern pursuant to 15 NCAC riIA . I.2
Applicant Name �U ►d 0 s t• �t �S Phone Number (- -A 6 .D.s Z 9
Address \ D G \e -rti Nrkur 1)( t J e_.,'
City �.\1 r�c r•.k State KC) Zip a8 a 4 Z-
Project Location (County, State Road, Water Body, etc.) c t t n t,, ►C.k ( o L i- -fi , c 6)
1'',c r' r.rk "S't-Y`c_ct t CX er-r- -r`s i c) c k , M ern` M rick J CA r1 P
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Type of Project Activity (AA tov&,,'cd RuH _' Pt- a 7L 1 3
PROJECT DESCRIPTION SKETCH (SCALE:N2 (i )
Pier(dock)Length , �t , i Zet:bel��_..)
•
Groin Length
number 111
Bulkhead Length
max.distance offshore
Basin,channel dimensions
.4 a .
cubic yards ljj
Boat ramp dimensions ( r
otter 1 of t NA1 ( . � �. mmr .� ----"--1-
m
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This permit is subject to compliance with this application, site drawing
and attached general and specific conditions.Any violation of these terms plicant's signature
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may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. e- QkL`
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This permit must be on the project site and accessible to the permit of- ( permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- f aOOC , ,)9 t, 000
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
2 CO
have no objections to the proposed work. lj attachments
In issuing this permit the State of North Carolina certifies that this project
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is consistent with the North Carolina Coastal Management Program. application fee

CAENERLL PER-NUT COMPUTER FORM
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ADDmO?��.L N r t, s:
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(WE cialylakt•I)
WORK:- L l2•A t3'
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MINT: �. •
maybe 4) •
4Ci'�ON MPI ATION
DRAM€r T RyQUIR�: • ct a I 60 P ZI I ( 00
LAMA I‘Lb.JOR.D .R-QUIP, 119 ( 00 (2l 19 100

W-lb-UU Utl:3L rIwM-LRIYLC IIYI 144-W Y-uwr. ' �WW ,,'
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nt� isZON CF COA$T�MA M NT
a1DJAq, "N riP FtIAN pRp E triy O gNM d 'ICATIDNlWAIVER AM
Individual Applying For Permit: 1 l ._ Pru-usq:--�--
Name Of xndi Pp Je-
bjdress Of Property : (7\ • i C)�.�"'u.Ad f' C-
#, Street or Road , city(Lot. or Stxe�t #, Y & 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 .
f you have obiecciafls to _what is bgincr _proposed, ._.blease_W., 'te
iliv sion of. Coastal ManaaeT ent 27 Cardinal ive ' Extension•
Wilmington, No Carolina , 2a405 or caLL110 395-3900 within 10
days of- receiot. of this notice . _,No response is considered t e sarmg
as no obiect,ich if you have been notified by Certi ied Mail
DIVER SC'DIO/T
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. )
V I do wish to waive the 15 'setback requirement.
' do not wish to waive the l5 'setback requirement.
iw
Sign re Date Al, • A•
Print Name
3 — EI—Ir J F
Telephone umbe With Area ode

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VARNAMS DOCKS & BULKHEADS . 3703 .
86 VAPHFIN w9A1M°T-8042
-N RD6°°7 SW
SUPPLY, NC 28462-6044 4'-"/ .--• 66-112/531
DATE 62101
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PAY
TO THE i $ 0 .e0
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DOLLARS . ..,...
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&RANCH DAMNS AND MST COMPANY
1 SUPOLY,NORTH CAROLINA ( i
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