20369D - Daughety

44'4I . n
CAMA AND DREDGE AND FILL 573 �i2oo>< 3 P 1
II GENERAL f�l41 NC N9 €020369 -
PERMIT 541 , --, c, / 5--
as authorized by the State of North Carolina
�'�J� Department of Environment, Health,and Natural Resources and thy�}}coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC ")fii• i ) OU
Applicant Name C ���'k/f e / �/0 I v I4 kbLS-ePhone Number !/ / a7Y ZI27Address I �o ()Ir V.. (L 1 (.)4
City !/'}R'(1. PS A ' ` -3 t t-1 State I/to Zip - ic--Y%S
Project Location (County, State Road, Water Body, etc.) 5 / 4. c- S6l4n'
6 C(U W C-0
Type of Project Activity I- )4f L .e...4 /J� , 7 u, P,Q r p rT /-,
PROJECT DESCRIPTION SKETCH (SCALE: / '_ p ' )
Pier(dock) length .51V1
e (//J
N LJ
Groin length �O� �Q a(UL
II tr �1
number
r
Bulkhead length - - „MIMI I
max. distance offshore i S r� liii �
Alt 1.' 1 AP ,
Basin,channel dimensions
cubic yards
r
Boat ramp dimensions , I 1
kr
Other 1. K. 1 I Y t j .
This permit is subject to compliance with this application, site `\'V
drawing and attached general and specific conditions. Any ,_ _Gr, 7,z
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be- ap licant's signature
come null and void.
/1°,; '.4.6
This permit must be on the project site and accessible to the `� permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro 4/- U' U U / 0 — D O "rJ
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no //• PO U
objections to the proposed work. a/tachments
le
In issuing this permit the State of North Carolina certifies that B6Z) U, C/63fr-
this project is consistent with the North Carolina Coastal application fee
Management Program.

DIVISION_OF COASTAI. MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: GUI
Address Of Property: I(p S 0 IA ,
To s ei; l ` ch rJ
(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 tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
II have no objections to this proposal.
If you have nlhjectinns to what is being proposed please write the Division of Coastal
Management,122 Nootli Cardinal Drive_ Wilmington North Carolina 28405 or call 91 Q 3Q5-
19t11 within 10 days of receipt of this notice: No response is considered the sane 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.)
I do wish to waive the 15' setback requirement.
I rin not wish to waive the 15' setback requirement.
r
0411-0.A., I 61)
Sat Date Au,
ammommigjamsimmom
Print Name
NCDENR
Telephone Number With Area Code NOPM-I CAROLINA DaMRTWEr(r or
ENVIRONMENT AND NATURAL RESOURCES

•
Name Of Individual Applying For Permit:
o \A
Address Of Property: 1(pg CIO U11 etc\t_ La-� e_
r--
• ( c-Qsa) 1 BetAch NC_
(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 rie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter. :iave
no objections to this proposal.
Ifyou hav. nh;ectinns to what is h in nrn se please write
g r— ��r— fht' 171Vtcinn of (�n�ctal
Management, 127 North Cardinal Drive_. Wilmington North Carolina 284Q5 or call 910 'iQS_
'1900 within 10 days of receipt of this notice_ No response is considered the same as no objection
if you have been o ified h Certi�o.�
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 setbac , you must initial the appropriate blank below.)
✓ I do wish to waive the 15' setback requirement.
I rip not wish to waive the 15' setback requirement.
g,_,..,-- 7--(2-0)S Allirii
Signature g r �W Date , /
�-v C 1-1 l L C d N
Print Name
cl is 24 - c7077 NCDENR
Telephone Number With Area Code NORTH C ROLINA Derykarocrir OF
ENVIRONMENT AND NozuRAL ResOURCES

C3sO ?d,
0
°1 bu ► Six
� 3
0 e
l.,LCh 2Jhg (big)
AlrcicNc)F c1"-Nnis 91
, 12+3119c /c 69

f
. _ _.,,m,.._s r 0 Look rut:blue bat k-outtd un the front of this check and Ilse ltnaeSafe©In;o nit back.If nut presort do not,:7sh. ar5=. ,.- -..' ' ' -.'=�^ � z+t
."__,* ,.� -
I, a
918
LIGHTHOUSE MARINE CONSTRUCTION
It
P.O. BOX 2532 910-328-4852
SURF CITY, NC 28445 7 Zo- ss tsis ooZc
t
DATE
i PAY :±DzCii_e___
/l 'TO THEORDER OF_ /�v tC.�/ze t r r / �-�P- /a45 i 0 �9t'/0 D tJO LL A R S fWr;a7.
ii
Bank of America. ��
a.,„ 57 14
FOR
00009 LBII' 1:0 5 3000 L 96': 0006 5 L 3 L L 3 6 70 olit,
ti
�l�l:nwP.9i119110�1nl,h 1'P.MD�1.'tis�tSiS m�-7��W.^..I.,'PLIy[i..i-1 1M'!M9[1-S5ttT,0M114:- SIICOMsT.rJC2lvmcrr. vxn. _ _.•11n � 1 - .