20349D - Flom

CAMA AND DREDGE AND FILL �j; 01� 49
GENERAL
..
f PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC ) S7)
•Applica t Name v t I`��1 //v Ai -'% 4C4eR Phone Number 3�7- 3 \ �
Address g-av C.4-o /rn.A- 3lVi
City --N Ck4 i b State Al C Zip 4/17/5"--
Project Location (County, State Road, Water Body, etc,.) c(aCJ C1OJ,>t,4 , /UO •
'70054; / -/ / 4 Aft erTT t 444 I r 7itm I �� Prn�1j PiaCU •
Type of Project Activity /4 ,y .PJf _yi, 7 ni P/CI ..6 e ) L�e.fR (/L
fhAf1;,AAl �o
PROJECT DESCRIPTION SKETCH (SCALE: i "�.)D I )
Pier(dock) length I( xT`Y 15 I ,
Groin length , � - D e_
1 -1- I j . - 1
number I } _ ,C').
Bulkhead length
_. 4 .. 1 4 r ..
max.distance offshore
Basin,channel dimensions
,,1 , -
-cubic yards 1 - • 1 �._.�_,
P., 1 i
dz.
Boat ramp dimensions 1 i -
Other 7-,-144-i.) 1011. 0i. _ _1
u
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any AA7,/ (4 , 9e'A-)
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be ' applicant's signatur
pi
come null and void.
kPifir\-
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- S— 3/-ix) 3/-Uv
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 2 // , J -NU
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that (Vitt /6,Y/�
this project is consistent with the North Carolina Coastal application fee J
LMar(agement Program.

W
ADJACENT
DIVISION Or COASTAL MANAGE
• NT RIPARIAN PROPERTY OWNER M=NT
ION/
FN�R NOTIFICAT
� AIV?R- FORM
Name Of Individual Applying For Permit:
elot-
Of Property:
4'r /O
Address 0
r` ``1 / d w
(Lot or Street t, Street or Road, City & County)
I hereby certify that
rate_-e I own property adjacent
to need property. The referibed to op individual applyingthis the above-
referenced are to meias shown on the attached for phis
drawing .- Pe`-met has
should be: provided with this. A letter.
or drawing, j,,i h dhe imensions,
5,
I have no objections to this proposal.
•
If vpu have objections .
Division of to what is bei
Wilmington . Coastal Management. ,27° proposed . please
North Carob - Cardinal write th=
days n receipt of Carolina .. 28405 or call 910 Drive Ex thi n ono
days
•
no f receipt
is notice. No response 3-5-390D within 10
- tion if you have is consider been notified by considered the same
Certified Mail
WA14ER SECTION
I understand
that a pier,
house, lift dock, mooring
a_�_ of _r must setbreakwater, __
pilings
Y _ back a ; c
f ro w m V2 rep sripa an access unless waivednlyiilm Q S(If yop_b� i
b-iow. � back, you must initial the yappropriat° blank
1_nk
I do wish
to waive the
' wish to �� �S=:back r?�1=it=mint.
do notwaive
�_. th a_ 15 :��Se� Z.=k rarJuireT�le;1t.
Si nature
-,c-- c/ ,f9-,,-,,
Date
Print 'ame �Lfi AA: •
- . r
Telephone Number With Area Code

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