22566D - Mercer

410 CAMA AND DREDGE AND FILL
GENERAL No 22566- k
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7.1/ - -)O00
Applicant Name \ Nr4r"0 Ci4cRVI MEC�-1 Phone Number 7" -7-7 R.)
Address �' le F v )f C< < A_Nn' ^'
/
City CO e4bc Fe ere y State Ave / Zip 21/`iv
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Project Location (County, State Road, Water Body,etc.) A A-c PN i Ajet,�� R 1\re�
cIow Co .
Type of Project Activity A Miifi J"-' n1= -30A-t Li ;iv FiYi ~) ...clips
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier(dock) length —
< -.(, c
z; ..".
Groin length `')-
number
Bulkhead length
G O'O pr
max.distance offshore 0 0 O 0
Basin,channel dimensions ro -
P �� l
cubic yards �"�'� -•
co
Boat ramp dimensions
60'c'�S
Other L1kt 13'YI3r
Li 4-1 11 'X13' V
o? F,(,_ Pr p, er S
3 )(3of
This permit is subject to compliance with this application, site \
drawing and attached general and specific conditions. Any �(
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- j
come null and void.
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- — 0— GU 0/—0O — U
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 7>N • a UUu
objections to the proposed work. ,/ —�
In issuing this permit the State of North Carolina certifies that , /'0 °Ij /6 �,'�X
this project is consistent with the North Carolina Coastal application fee lei (/ ✓76
Management Program.

.:. i IN : ' -," -A, PERMIT COMPUTER FORM
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APPLICANT NA_ME: b0(¼AI t) Oso,rcte-
.
ADDITIONAL NAMES: e; r k*".3 COV t "vvirzi iit -
_ .
AEC DESIG: CAA/i - f.1
. • DEVELOP AREAc• •0. 0 t.- PROJ DESC:-•C- ago.-().• (Will only take 6) (Will only take 1)
. .
FP 3/30 •-
WORK: 5 L /11 I...)) .
7 v
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(Will only take 4)
PSC- ilf i'") - 'Fe 3t 34)
-. - /‘ 7 .
. -
,.. MAINT:.
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(Will only take 4) ' —
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• • IMP: OLt/ 4-1?0 •
•(will only take 6)
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• ACTION EXPIRATION ...
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• DREDGE&FILL REQUIRED:
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.. • CAMA MAJOR DEVEL,REQUIRED: /0'
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OT47Ci nF('(ldCTeT RAisTkr .,.�
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Name Of Individual Apply For Permit: _ _ .
Address'Of Property:
(Lot or Street#, Street or Road, City & County)
• I hereby certify that I own property adjacent to the above-referenced property.applying for this permit has described to'II1e as shown on the attached P P drawing the The development
they are proposing. A description or drawing, with dimensions, shou .be provided wit this
letter.
co I have no objections to this proposal.
a
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if von hav hQ�n notifi by (`P.-r;f ed �,r�;� p •• -
WAIVER S'F!'TToN
I understand that a pier, dock,mooring pilings; breakwater, boat house, lift or s
.set back a minimum.distance of 15' from my area of 'riparian andbabs must be.
wish'to waive the setback,'you must initial the appropriate_blanks'below.)
waived by me. (I f you
.. I do wish to waive the 15' setback re
quirement equn ement
.I do Tint wish to waive the 15' setback requirement.
Si„____Cja.,.. 22,4..er.,_ i AlClliliTA. •
a Date
/�7 A5A .
Print Name
NCDENR
Telephone Number With Area
Code NOFzrr+ CAROL INA DrPAR-11.m T OF
ENVIRONMENT AND NATURAL.R`SOURCS

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D�Tfi1n7 (1F ( (1 d CT A T A AT i
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Name Of Individual Applying For Permit 9
nal - - -- - ,
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Address Of Property: ��______
(Lot or Street#, Street or oad, City & County)T
I hereby certify that I own property adjacent to the above-referenced property.e applying for this permit has described to'i�ie as shown on the attached drawing the de individual
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
•
_I have no objections to this ro
p posal.
a 7
nnti p -
N TPCi►nnco
I�YQn have hA�n nnfifiP� by ro
'T17lPn nn
W,a CnaST
I understand tha.a pier, dock, mooring pilings,:breakwater, boat house, lift or sandbags
set backa minimum distance of 15' from myarea of accessun must be
.wish'to waive the setback, you ninct initial the appropriate blan below.)
'waivedess by me. (If you
!( --- .I do.wish to waive the 15' setback requirement.
I do not:wish_to waive the 15' setback requirement.
t.
, --------------------'"—• , 222/e)e) A A
S aanature Date
Print Name
P7 i1G ' CDENR.
_____________________ N
Telephone Number
With Area Code •-NORTH c4ROUNA
D�AOF
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ENVIRONMENT NATURAL.R:SOUR
CS

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