20300D - Norris

-1 CAMA AND DREDGE AND FILL
GENERALCP) ® ®203"�0^()
PERMIT
2
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 �ICAC 7' r 1/O "
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Applicant a 14U f r i'P tl 'Rd 1\ Vo`��'j t310° Phone Numbers �1U ) 1a 3 t/7l
Address 53 ( te-A 1:'4''`^'' >141-,v
City S relictS Per r`f State Ai f Zip ..Dt Ve ci
Project^ Lotion County,State Road,Water Body,etc.) - '3 3 Cam N:4—kA i ��R 1
A�..{ c}vJ A -va"+.J f 0 6.-� 1 U 1i�.J (U
Type offProje tActivity (� & S"f�yt-� cwlK1�-phi Oft y (r1A4 1ykds t L.0+c •
,w1K •Ir ` taxi4-Q t A N. Air4)►2-4-60 .q a ' V r) 0 )( ti tnr4
PROJECT DESCRIPTION SKETCH (SCALE: / er. &U r )
..----.1Pier(dock) length J
Groin length -.I."' � Q�` r
number / �S[
Bulkhead length 3�l
m distance offish e
a ' AWrP 1 _ ' L
Basin,channel dimensions 1 80 . yp ,
'v ).)t .\
cubic yards q. __E I
Boat ramp dimensions ti I n
Other 3, 3 33 3
1
This permit is subject to compliance with this application, site
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drawing and attached general and specific conditions. Any r
(2 ' (Jr. "2,1"/ /
violation of these terms may subject the permittee to a fine, it/`1
imprisonment or civil action; and may cause the permit to be ( ' a¢plicant's signature
come null and void. Y
This permit must be on the project site and accessible to the ,, I permit officer's signature
permit officer when the project is inspected for compliance. ;'
The applicant certifies by signing this permit that 1) this pro- D - V V c -c '/ v 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 J
adjacent riparian landowners certifying that they have no 7 a , 4 ( 4
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that c, J
this project is consistent with the North Carolina Coastal application fee 51 i O C� 3
Management Program.

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• I11.1'1~'ilON.C1F__C:O A.iTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER.IOTIFICATI(7N/WAIYER FORM
Name Of Individual Applying For Permit:
Address Of Prapert} 3 3 G Di oc. I
Lot or Street #, S reet 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 to'nie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have
no ob+e.,..ttons to this proposal.
__y y _abjecrions to. .wha1_is. be.ing._proposed please_ write the Divicion of Coectal
Management -127 North_CardinaL.Dzi.ve... Wilmington, North Carolina 28405_or talL91O 395-
390()within 10 dayc_of rer ipt of thic notice _o_rec once
1' 1S considered_the same ac MI objecting
if.youu have_be.en no.tified by Certified Mail
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of IS' from my area of riparian access unless waived by me. Of you
wish to waive the setback, you must initial the appropriate blank below.)
d;; wish to waive the 15' setback requirement.
' dare not wish to waive the 15' setback requirement.
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Print O�e,, 1
NCDENR
I elephone Number With Area Code
►,N e�oL+we tom, ,R of
rwrpONMENT AND NATURAL Rcsowrcas

. DIN LSIOL+iME.( OASJAl„NUN A(;EMENT
ADJACENT.RIPARIAN OWNER NO TIEIC.ATION!W 4,1YER.ELIRM
Name Of Individual Applying For Permit: ___yz,,,,.. a . —
Address Of Property: �j Z� kk •
--_.S _ ' �._ l/I 6 zS Lf-h 6
(Lot or Street #, Street or Road, Ci County)
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I hereby certify that 1 own property adja nt to the ove-referenced property. The individual
applying for this permit has described to"ttie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
— I have rio objections to this proposal.
If ynit_haye objections _ua what is being_ pmpocefi, please._ write the Division of Coastal
Management,_127 North_Cardinil Drive Wilmington, Nnrth Carolina,_2j.(Z5. nr caj 910 395
3.900 within 10 days of.reript of this nature .J•'..responce is ronsidered the same A no objection
if you have heen nntif ed_by_Cersified_Mail
__ -e
WA IY.E SF_ N
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 riparian access unless waived by me. (If you
wish to waive the setback, you muse initial the appropriate blank below.)
_ : do wish to waive the 15' setback requirement.
i dtjnt wish to waive the 15' setback requirement.
i
viezicg rA
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` ig .+ e/ Date• _
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Print qName
0 - 2 ? - ?s5' NCDENR
Telephone Number With Area Code 1iO1r" C""°L"i0°ra''"R*'" or
c....anokIMENTAN NATURAL RCSOURGE

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ANTINORI CONSTRUCTION �nf1 1322
HOLLY RIDGE,210 Date Z_.L/ 2DU 66-19/so�N
{ NC 28445
. Paytothe A f �� e-/vR I /Q U fir' . .
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Order f / V
4 lit 7/ Dollars 8 r-
Bank of America
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For P.-0,441;`1.5 /4`titifl-A- — —— _ _— '"„ �--""
- ` 1:053000L96': 00065052L99 0 1322
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