22567D - Johnson

CAMA AND DREDGE AND FILL
GENERAL G (�s - S i �( �13 ITT° 22567-D
.A ' ERM IT .,.„ .
rl
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Co�tal Resources Commission
in an area of environmental concern pursuant to 15A NCAC fI ta U
Applicant Name Arne_A' . /,NSON Phone Number 0/1)) e 9 3" t//ef' 3
Address 1 N• Irva•n- 5 t
City 4 Ci I ( fvy1 ti State N O Zip .) 7 rtiA:'
Project Location (County,State Road,Water Body,etc.) 9 5 '� .),(euA.L), '( b1.2. ,, (4 ' ( ( 7
A VW ,MA N"no, n.e LA ev,4 1 O Iv S(J e.., .
Type of Project Activity ,,OR (Ate p; P2 q C-3ut1 (<I- A0
131At 1 ec c.f2u) -r L u c4 tzi ; N 5*m C c-4-1JA ,q-r i= le r4"-) VA f
PROJECT DESCRIPTION SKETCH (SCALE: / "_ a U/ )
Pier(dock) length A'-'/9 /.-- ,-
Groin length
number 74- 1/--/ (Rohkl p" AM-9
,\ Bulkhead length_S� - � a�i KF-4-041) L t y' ;
-tu of LA" KA-7Q l) � v+�A Nt r
max.distance offshore / h WI1(°0e -t-t e DAT,C 1
((( 0 elA � l} 4f)•() v Sys .
Basin,channel dimensions —'
D O
cubic yards_ , F-r
b ''I
Boat ramp dimeisions b 0
! • /J 7 t
Other /0 t /(• . !'/4'rrCtt AA '^ _.�� —:- -1 V yJ
1 ' Pi ek y�
'yr " trtA z iC kay
I- i PT V /D f D 1 1
9 s -) ?cfG)40 /
5S ' L-0
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any ' i" __
1.violation of these terms may subject the permittee to a fine, applicant's signature
imprisonment or civil action; and may cause the permit to be-
come
null and void.
.
This permit must be on the project site and accessible to the ,,,_11 permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- /0" .) I— C\r(1: 0/ - .7t/-f)/
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 attachments ...24 , /..w)o U
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that 0
0. pu CK - /a/ 7
this project is consistent with the North Carolina Coastal application fee
Management Program.

• kx.u,ii_ei-xki-ki, rE_KftlIT UUIVIVUTER FORM
.-...
APPLICANT NAME: 14,4/me jeihsfso"
ADDITIONAL NAMES: ( #flta V 0#71)A,‹
, 1 - •
__ .._. AEC DESIG: pAl fir-. :
- DEVELOP AREA!• 0 0 01-= PRO'D --' i'. •
(Will only take 6) (
ill onl take 1)
. •
WORK: 64 5-5— A 6 - . eL-(01(0
(will only take 4)
M 3 •.
. 13-2- - P A (, , 1-1
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. MAINT:• 6 1 C•0' c'.
(Will only take 4)
P ti
_ .
IMP: Jeff_i 551)
(will only take 6)
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. • ACTION • EXPIRATION •,..
- ,
DREDGE&FILL REQUIRED: .
- CAMA MAJOR DEVEL,REQUIRED: ,C) •-c)if"{)(-) 6 I -dkfro (
•- . - •
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ct 51)
IIIVIiION OF C.OASTAI,IliiikNA GEMENT
AWACRNT RIPARIAN PROPERTY OWNER NOTIFICATTONTWAIVER FORM
- • _
:. .:,, ,•_,;,..2....-4 •:.:„. -. • ' •„,:fi -,,;,-i.,-„'A.; ..,,-..,., ' ....,i',,,',..•- -7---•-•---'',.....: •-• -•'
Name Of Individual Applying For Permit V1bj
Address Of Property: -- , ,. -)5 2
••=••••••••••••••••••••
(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 toitie as shown on the attached drawing the development
they are proposing;-'A description ordrawing;with dimensions, should be provided with this
letter.
gft
o I have no objections to this proixsal.
. If ym, 1.:,,„ 15_. owc,..4„,„. ., to,.what,_is being pa)ii-as •,pie'ase- ---:,Write-'the'niviSiiiii"'iif S4...nastal
.flnveWi1mrngtnn--- -.Nnrth: , 'nina284Ø5 ')It.• '6Ai-910195-
04-3‘srithin 10 days of riot of this notitnez No response is considered the Ramp as. no objecthan
if you have heeji notified by Certified MAR
, 1
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_ _ -' : __ _, ._ I ______1 _ -,--. - ,-- --------- - -- ------ ---
_.
W AMER SECTION
,
Lianderstand that a pier, dock,-mooring pilings,.breakwater,'boat honie,'lift or il44 4S must be
set back aminimum distance of 15" from my area of riparian adctiiiinlise-',VaivetebY.me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
41
)6 I dowish to waive the 15' setback requirement.
I fin ..t. wish to waive the 15' setback requiriment. . .
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• • -
IS? ,==•12'e'e3A1111 ;11F911:411
ignutDate/ .
PiR 72 c.E .TO AD K E-t-- --"-.0.1....---..2.1,...
. _
Print Nam;,-- . , NcDENR
Telephone Number With Area Code
. Donirtopimemr AND NATURAL RgSOURCES
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?(.ap:' '',1;-:••"r:rii-,-7,14-•--ii.C .',-;•,44,,e.. kr-_,..5.2 F:---6):0,. ..::th.t...-,-- iil,,,, ,(1-4v,e -re.,i „ , , II\ (.
...,7.,..‘,--:- :.,,''..-- ,-•.;;...,, ,: --....". / etiN, (- co .
Thick (ea, ern(6.--
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Dame Of Individual Applying For Permit: - _ _ . . - _
Address Of Property: 675Q 3z 3 cu
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own prope
rty rty adjacent to the above-referenced applying for this permit has described to'ifie as shown on the attached prany.h The individuallpen
they are proposing. A description or drawing drawing the development
- letter. • b, with pensions, should be provided with this
/
I '
have no objections to this proposal.
•
•
Cr P
nn hav hen not' a i C'Prtif 1
.
• •
ManEERSECITION
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 A
wish to waive the setback, ��access unless waived by me. (If you
you must initial the appropriate blank below.)
•
V/1 ._.'tit/ ; • - _
- I do wish to waive the 15' setback requirement
•
I do not wish to waive the 15' setback requirement.
di
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Sig a Late AlliCillifirli
,—.........„,2ifr
"±_____2--,2_ ,____7_1_/2_______ _______________ NCDENR
. Telephone Number With Area Code
tcNRoLIwa Ds �OF
ENVIRONMENT AND N� RsouR�s

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;1 LIGHTHOUSE MARINE CONSTRUCTION j
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'l 66-19/570 NC a
2532j L, `D q 6 v 702
{,r'Iij i' .'• BOX 528-4852 DATE SURF CITY,NC 28445
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