25117D - Harrelson

CAMA and DREDGE AND FILL
G. E N E R A L ,,, .a; 25117 --
. PERMIT
PERMIT
as authorized by the State of North Carolina
•)01 ,....- Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC '1 , 12UV •
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Applicant Name {V A \ C- *. l Prr I c ` 50 n Phone Number `- 0- ( i 14-8
Address !O � " \' ,1So0 r� f3� Pi (e t
City oa N)C State Nd. Zip o1/434(01
Project Location (County, State Road, Water Body, etc.) �C U YES u5� CV— C 0 t�r\ 1 e
r,it,*
1,--1-c_f_4- ,
Type of Project Activity Neiti3 i''tP,f 1 A oc._-. Pm ri boAA" t i ct l hUUSCJ
( ocrc-c flc1 roK 1y1
X I5t c tyt {� ,trle J
PROJECT DESCRIPTION SKETCH ,.�Xi�?e * XK`>�. (SCALE: . `p T,, ),
Pier(dock)Length )(1,3 1
Groin Length
number Irr
Bulkhead Length
1 . I . _..
max.distance offshore , ..t • `tea y . ` IT I 1,:
1 0 ^ .0 `.
Bai _-
n,channel dimensions tw__.__A51:5
cubic yards S'" • I
1.
Boat ramp dimensions
Other I 1 il. 1 tGI 1 � �� ' _
ri.')(e6 (--,k)C_r.... . . _ - - — i , — 1 _
,
$ - ... . « max '—
This permit is subject to compliance with this application, site drawing w eZ sd>A—
and attached general and specific conditions.Any violation of these terms ` plicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. _ n
This permit must be on the project site and accessible to the permit - 1 permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- t u ' ` ,DUUQ J , I I c )OU
fies bysigning this permit that 1)this project is consistent with the local issuing date expiration date
land bse plan and all local ordinances, and 2) a written statement has _,,tt
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been obtained from adjacent riparian landowners certifying that they 'i . « UU
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project tb l 00. Qv
is consistent with the North Carolina Coastal Management Program. application fee

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4American Fish Company
exifirot ' ox P.O. a 11046
.:10-7,- , • -
Southport,North Carolina 28461 (910)4575488
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DINISION OF r..fAcTAt. MANAGF,M NT
ADJACFNTRIPAR1AN PROPERTY OWINT.R.N0.11FICATIONTSVAIVER FORM
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Name Of Individual Applying For Permit: 7//, .;.‘4,/ `1Z�
•Address Of Property: '(1 . S,
Tep
(Lot ortreet #, Stteet 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 toltie 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 objection% to what is being proposed. _se write the Division of Coast;t
Manage en , 1�7 North Cardinal D-- ram.Wilanin nn,North C'arn1i P„2�dt}5 gr ��� •°�f • '
�9f1f1 within 10 cL. y of receipt of this notice- ponse�is conski .refs the came c no obi ctinn
if you have been notified ry Certified Mail
WAIWR,SErTIONI
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.)
I do wish to waive the 15' setback requirement.
I dams wish to waive the 15' setback requirement.
44/. may, ��--` �� ` �TSe `� c Date
Print Name NCDENR
'
Telephone Number With Area Code. NORTH CA>aouw► DEPAIRTMEATT of
ENVIROWMERT AND N. u,AL.Resouvrecs

ONISION OF COASIM MANA(iF.MFNT
• lJACF3'2.RIRt RIANIROPF Ty OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit:
Address Of Property: /le $F - —
i92 ifs- 4 [ C°v
(Lot or t #, 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-rtie 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.
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If you have objections to what is being proposed. please write the Division of r_nasitai
Management, 127 North Cardinal Drive_ Wilmington l_Catolina2B4M cy t fl 991fLACtewilmailada
W(1 wi �ain 0 da_ys of reoemt of hie nrxirr Nn response is amidered the tame ac nn objection
if ynit have been nntifie I by C'ertifidd Mail
INATV PR SJ'CTION
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 muss initial the appropriate blank below.)
•
I do wish to waive the 151 setback requirement.
I do.'ant wish to waive the 15' setback requirement.
80. — .. .
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� Da a• .•�..�.
Print NameNCDE R
C� mi�or
Telephone Number With Area Code. e,,,,, rAND w•�,.s

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-8 e r si r i 1 w r—n h a n c e 71 ii o t-.t n I a,1 t -1 ...aLE_I,;Li ii:Ey_. 717 t a rij.:(fOrProurittvaaarr--rianrarattra.e.- _ _ ,1
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THE AMERICAN FISH CO. 64430
\,
4, CHARLES H. OR KAREN Z. PERRY
P.O.BOX 11046,WEST BAY ST. I
66-30/531 \
SOUTHPORT,NC 28461 DATE • .,-- /---- . • _ 453 ,
1
I TO THE
I El ORDER OF $ /,P 1 i
DOLLARS [117z=,,,
01 i
I. Fi BST CITIZENS A.
it BANK FagNP3'06I'"""'""v
., FOR_
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% 1110 El II 14 3011. 1:0 53 L003001:00 Li 53 L 2099ny,c2.5
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