20321D - Vote

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F r ' CAMA AND DREDGE AND FILL
GENERAL ;/_' is19 02O3211)
. . PE
RMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the pasta)Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7 / . lD 0 U 7 y-//U U
�,P 4 Q (- k1�o�S ' Phone Number 63/o) fist- Oa 4 C-
Applicant Name / � � �t /U
Address b0rr 6 U (o S J
City sot T. G4i State Zip Dk'/4T
Project Location (County, State Road, Water Body, etc.) SAn"t / 4-4 J Ai A N- {.-e C,M I
/*S/rn.., Cv •
Type of Project Activity P� P•e r . 3�1 ( t a�V Kam') i
4 Ali csNA;-i,rir`r or 71- 'Wu ( - I-I , L)c)U c44it ,4}?Pltl
e, r H t r
fr P c3 iA;4,1, Q U PrroNf r-
PROJECT DESCRIPTION SKETCH (SCALE: / '� ,0 r )
Pier(dock) length i '
1 t t
Groin length }-" >- c (-^�...
number ;€ r r
Bulkhead length S i 4
max.distance offshore " �(
Basin,channel dimensions
10 1(1(p
cubic yards v a ' v, 4-{c,e4AA"�D
4
Otherller iLI!!ILUI
,` `x'`'r I C P L
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L, v(oU
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This permit is subject to compliance with this application, site C---^
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-
come null and void.
This permit must be on the project site and accessible to the permit officer's signature
)Ir
permit officer when the project is inspected for compliance. 1 p
The applicant certifies by signing this permit that 1) this pro- 3— ai�U 6ma- O‘'
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 -7�, �/A U ?/ //7 H , /)OU
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that �) dr..1 (K* ) 9.5
this project is consistent with the North Carolina Coastal application fee 5 C//
Management Program.

Mar R. D. GUY INS. CO.
14 00 09: 54a [9101346-5025 p. 1
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• FROM :. r FAX NO. Jul. 06 1999 97:17RM P2
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DJ CENT RIP iti3►ibROpEA CO TA ANP.G MENT . . .
OWtiER NOT FTCATi DI F7 $g_ ORH
Name Of Individual Applying For permit: S
GF__ V t)T
Address Of Property: L
.,
.S CrN.
• ure" . C a2 1t f�
(Lot
or street 0, Stfeet •or Road, City & County)y) •
I hereby certify that I own
/ her aced property. property adjacent to the above4-
des.Cribed torn as shown on the att ual d applying for this permit ahas
jt
they
' are proposing. A description or drawing, with
dime s
should�be���pr�o.vided with this letter.
g, ith dimensions,
-. -� have no objectians to this proposal.
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f b You
ou y obiec lc s to wh t •
;v of Coat 1 is e'ne oroeos nie=se wr't t
'si o p •anevement 127 Car i aI D he
th car in 28405 ca 1 910 ri Extension,
c ecn'nt o this notie 39 g00 within p
as no o e if v u ve No esnons is considers the
een not'fi by CR:-lf' d Mai
same
EA Q R ECTION
I understand that a p1e=, dock, mooring house, lift must be set back pilings,
from. my area of riparian access unless waived by ma. (If you wish
to waive the setback, you must
below,) — initial the appropriate blank
:—, I do wish to waive the 15'setbeck requirement,
I not Wish to waive the 15'setback requirement.
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Si n2�use ,
l=/✓r ate
Pr nth ,e u; ve t • •
G 2 L ./ �
Telephone Nurber with Area Code ED15

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER- FORM
Name Of Individual Applying For Permit: ,T-4f p
F VbTrc
Address Of Property: +,,!!��,
Cool 5 CC"--
( N. C • �g�q �
Lot or Street
, , St eet or Road, Cit
_ y & County)
I hereby certify that I own
referenced property adjacent to the above
property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing,
should be
ovided with this letter, with dimensions,
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I have no objections to this proposal .
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If You have obiections to what is being proposed , please
Division of Coastal Manaaement le--� write the
Wilmincrton North Carol; 127 Cardinal Drive Extension .
days of receipt of this notice . No responseor call 910 395-3900 within o10
as no obiection if you have been is considered the same
_n notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, L
t
house, lift must g breakwater,
from myarea of riparian be set back a minimum distanceofboa'
to waive to ofsriparian access unless waived by is '
below. )
you must initial the appropria you unk
44=r, ---------
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
s .gnat re mot— �J�,2 ( -
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LIGHTHOUSE MARINE CONSTRUCTION I P.O. BOX 2532 910-328-4052 OR 329-1894 795 SURF CITY, NC 28445
,' Po fHE VV DATE_3_��_ Do fiG-19l102
ORDER OF_ DEAJR 102 :'
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