20377D - Youngblood

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CAMA AND DREDGE AND FILL 14. 0`�0`�77 _
0 GENERAL
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 i L)UU e' l
Applicant Name l yUvIr j3lO F/ S-19., 4N/LtiOk r Phone Number(q/v , 3>7 —3V75
Address 3.) 3 - M'DV%stkv 6R,,v-e
City S iv-t4 b r H'I tY State ,/,t�J( Zip D-e(6 v
Project Location (County,State Road, Water Body, etc.) c-" ` �Ste°",'j A " -' oiiS/ae..— (.2 .
Type of Project Activity re i Ip' rr 6.
- 1 f i er A Al) Sac,: ici
sheaf I f /Ault 3-t- SPf 64-r"" FAO ' .iPar eb&-e
p 1= ,: Le 44 I c{-h4 v i. /l,DZ, 1 of o t. O t- s 9/6c it o A- ,J .ice y ,5 4-fi°,04
PROJECT DESCRIPTION SKETCH (SCALE: 1 )
130
IA/Pier(dock)length r
y X30r
Groin length
number
�4))(. I-c'CA O " ecc KO 5E7 3 eK-
Bulkhead lengthy ._ —
max.distance offshore `,)' S/,J` I,-
/
,. / �-- 6 1� )
Basin,channel dimensions IUi‘((,J
,n
Of cubic yards C' � N+ ✓ 0 r v'et
Boat ramp dimensions
Other t` i(en — /')1)(4) , , �u:
/° `f' i) 'C hW1/) �`..
i c) D
c -
( N
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, t
imprisonment or civil action; and may cause the permit to be—
come null and void. 1--/ -61,_...\
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- c 6-0(o-o U 0 7-0 6--0c'
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 1-7, 4.200
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that ��ro0 C�#
this project is consistent with the North Carolina Coastal application fe �j�3
Management Program.

_ .. . 41/ ACE_RT_R 'ARIAN PR1P_FATY Qb rNLR1' OT1F1C ILO /WAtVFR FORM
Name Of Individual Applying For Permit: j3 /i/ /U 6
Address Of Property: 73 2 --- �71 A-r '`Q,,tJ
AJoekei& -
(Lot or Street #, Street or Road ity & County)
I hereby certify that I own property adjacent to the above-referenced The individual
property.
applying for this permit hai described tOrile as shown on the attached drawing the'development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
n
have no objections to this proposal.
if you have.. ohjecrnons�i.d2 w at 12e n,g nseg _please write the Division of C.nastat
Management,_1.2.ZNoriil..Cardin .-Drive, Wilmi n, Ncirth Carolina, 28405 or call 910 395-
3900 within 10:days of receipt_ofihis mice No response is considered the came ac na r hiectiQII
if you hAve beet .notiueshy (ertifie l Mai(
4 R EC I
1 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 must initial the appropriate blank below.)
l do wish to waive the 15' setback requirement.
I do_n wish to waive the 15' setback requirement.
— T
zeo,„„s4 / • (f' 11;V ,
Sie •
Date :. (�
nature
imummitiumgm
Print Name
NCDENR
Telephone Number With Area Code Norms GAaouw►Dorwsn crer or
Ewvrpolimehrr AHD NATURAL RESOURCES

DIVJSiCet F._i:S19..SIAL_MANAG NIENT
I IIIAC:E11. RIPARIAN-PROPERTL' C2N'? ER .NU FIF1CA'tLQSILWAIYFR FORM
Name Of tr►dig►c:_:i: Fk!ipiving For Permit: _.,.1 T ,1�)..„_l i4 ro
4c/
....._
Address OfF'ro Ft. 3 F / _____.2
...
__________-
Lot or Street #, Street or Roa ity & County)
I hereby cell,ty than I own property adjacent to the above-referenced property. The individual
applying for this permit has described to rtie as shown on the attached drawing the development
they are proposing. ' descrtpdon or drawing, with dimensions, should be provided with this
Letter.
X i have ,,: < lect,ons to this proposal.
f-you_have Qtt ri►iltli_so h is Dino nrnposeci,- please. r.rr rhr Division of C nictat
Managemeni,.127 North.Ciadisal Drive, Wilmington Nnrrh Carolina 28405 or rill} 910 795-
:i900 within Ili days of retiptali ais swift. No rec oncr
P ,.Ls considered the came ac no objection
if yn i have been.net,ti eil,lty...L Mai1
WAIVER SF.CTTUN
i understand that a pxc•'. dock, mooring pilings, breakwater, boat house, lift or sandbags must be
stet back a minimum distance of 15' ffOlt my area of riparian access unless waived by me. (If you
wish to waive the setha;.k. you must initial the appropriate blank below.)
A._ - I do wish to waive the 15' setback requirement.
._.__ I donut wish to waive the 15' setback requirement.
S.1;Harare Date446111711)119rwii
7- issaF
Print Name t1CbENR
Telephone Number With Area Code Now,.C/u1oum..osnoTNatt or
C wv,woKr9r4r AND N.cuiUL Rasoummy

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'' ANTINORI CONSTRUCTION ' 1535 •
896 1 HOLLY R D210 �l,l
j HOLLY RIDGE,NC 28445 Date (,(� (J(J 19/6070
S.
Pay to the �1 e F k 1 $
Order f
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Bak mere
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For /frilettA4-
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