23869D - Evans

_ CAMA and DREDGE AND FILL
is , G . .E N E R A Lii:ii
2389
PERMIT
as authorized by the State of North Carolina ,V)/ , -D
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC '7/1 . // U° .
Applicant Name /Moa'A, I �(//14 ( Phone Number 3,)cf---- 3S) l
Address
City 5 4 /-/ (, T V State 4. (° Zip S- `74`/f-
Project Location (County, State Road, Water Body, etc.) /O$ 7 YZ $/• 5/ 'i. / C/7t/
1'!r�/Al.f/-i /)1,44 'WI / ' &i4--4 ( /1.-5-/0 1"- e!j .
Type of Project Activity 4-1,1 i 71 yr 0'c Gt et-Co v-e/'cat 1 Tb rA,"-)
is -P D✓Cte , /arAem:ii A A O tic - ,34,,,e x C� /2 e4( �Y� -t
PROJECT DESCRIPTION SKETCH (SCALE: �if_ ,)0 )
Pier(dock)Length
t
Groin Length Illij ,
number
Bulkhead Length
max,distance offshore §
j ,
Basin,channel dimensions
/tti U✓�
cubic yards ;it
3
Boat ramp dimensions t
h 1 =
Other3 jj j
ii'll t .........,.Re iw, _ ( , , l $ .6 axe
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IIIIII.
Ill
41
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(7.: _ _.
This permit is subject to compliance with this application, site drzwing ,(
and attached general and specific conditions.Any violation of these terms /\ applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and may cause the permit to become null and void. -7/.
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- — ) •�—Uu 6r--) 3_ °L)
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 7 Al • /6X0
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project OU— (/t g-37
is consistent with the North Carolina Coastal Management Program. application fee

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER) -
I` hereby .certify that I own property adjacent to
rio-r�'is � *v5 '.a property located, at 4/0S'7
(Nam. of Prope'tty 'Owner
'lel 5741
%LOL, 131ocK, cB • sc.T
cn Vial , in £..vr ' , N. .C.
(Watsrbody) (Town an ' or County
Re has described tome, as shown below, the developement he is
proposing at that location-, and , I have no. objections to his
-- -proposal'. I understand that.a pier must - be' set back a minimum
distance' of fifteen feet . (15') from my area of riparian access
unless waived by me.
I do not wish to waive that setback! requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT;
(To be filled in by individual proposing development)
Note: Xf you have any questions, please contact:
Darrell Erny (910) 328-4852
•
6Li-§e076
Signature
i 5 Ozdh,-1.z)
CERTIFIED MAIL Print or Type ,Dame
RETURN RECEIPT REQUESTED `
Te l e,ihnne
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s ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
• = I hereby certify that I own property adjacent to
's property located at
(Name oir Properyy Owner
`f 3, `f T)1 ,57-4-Sc%
%LOC.. '81OcLC, Abut, 40:J
on' , in , N. C.
(Waterbody) r._... (Town and/or County)
He has described to me. as shown below, the developement he is
proposing at that location, and , I have no objections to his
proposal.. .I understand that a pier must be set back a minimum
- distance - -of= fifteen feet . (15') from my area of riparian access
Unless waived by ms.
I do not wish to waive that setback. requirement.
I do wish to waive that setback requirement.
DESCRIPTION ANDIOR DRAWING OP PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Note: If you have any questions, please contact:
Darrell Erny (910) 328-4852
•
if
Signature
arpit
Als p tlOc JCERTIFIED MAIL or Type.Name
RETURN RECEIPT REQUESTED C /0
Tetenhnne

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837 Vi •
R LIGHTHOUSE MARINE CONSTRUCTION
P.O.BOX 2532 910-328-4852 OR 329-1894 r DO gg_I g��2
SURF CITY,NC 28445 DATE 3 5
1.
TPAYO HE —/e o i $ /O a OO I ... .
ORDER OF / // f-• _ _ 7ljL/Iore aLARS,�, D�r,1e l .
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