22562D - Cato

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-L.CAMA AND DREDGE AND FILL
GENERAL 1f �) (A5 COOK -)(20-3 N° 22562 -
�U� •". ry C �7
PERMIT 0
as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7 1l• /1 U 0 1 7 N, I D uvl 744 ,13 0 V
Applicant Name r/ l Oh) Phone Number ( 0) 9 ii ��/V
Address cl f+0-7 9 S
City Sul e A-- c;- ( State /t/ e Zip
Project Location (County, State Road, Water Body,etc.) s n`2 - A k�5 ti 4" >' N C (. (Sk S MA- w
i
Type of Project Activity lig• OAP 4 t P ( Pt P P._
PROJECT DESCRIPTION SKETCH (SCALE: / /L�U I )
Pier(dock)length 10
Groin length
number
A _ r� CAS
Bulkhead length
�J rC�
max.distance offshore (a (
Basin,channel dimensions
cubic yards
—
Boat ramp dimensions _ 1
IONX 15' ..4 i 4 - , '
Other L- 41) k
/70 7 Sf �
5'S ` Z.
pL
This permit is subject to compliance with this application, site 1 ..( / / 11
drawing and attached general and specific conditions. Any y /lam•
violation of these terms may subject the permittee to a fine, �'� � " /
imprisonment or civil action; and may cause the permit to be- i' applicant's sig lure
come null and void.
permit officer's signature
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- —a- — vU D UU
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 (.1 4 • //Du 7 4-/ ,1)0o 71`
objections to the proposed work. I
In issuing this permit the State of North Carolina certifies that 1/C71 . GJ (/-1-4- ! )v
c;A
this project is consistent with the North Carolina Coastal application fee // J�'
Management Program.

1Lf l.:Jf 177J 1J.:JO _r.,JLb-,3L/-,3Q/�j ANT INORI MARIN& LUNS PAGE 03
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Name Of Individual Applying For Permit: er1A•
Address Of Property; 5,0 7 9
tiff .C .
(Lot or Street#, S or Road, City &
County)
I hereby certify that I own property adjacent to the above-referenced property.
apply for this permit has.described toile as shown on the attached draaw ng The iee lopment
t
they are proposing. A description or drawing, with dimensions, should be provided with this
Ietter.
to/ X leCt(-I have no objeptioas to this proposal.
Mi+il
-V_-_. C.-. ,
• WAIVER SECTION
I set understand pier,that a mooring pilings, breakwater, boat house, sandbags must be
distance of 15' from myarea of " lift waived b
wish to waive the setback, access unless by me. (If you
you mutt initial the appropriate blank below.)
N X fCk I do wish to waive the 15 set•
back requirement.
I do i wish to waive the 15' setback requirement.
- -- _—• — yam.
R44Ale
Signature
fx /1Coo- 1��i
i C J a cS / ( c.I I
Print Name
Tel hone `- __t01L NCDENR
Ntttnber tth A CC NORTrr c,ROL,„A DEPARTMIF.NT OF

12/13/1999 15:58 910-327-3475 ANTINQRI MARINE CONS PAGE 03
- ���r►Y01110`FC`(7AgTAY M��1i r--�i
Name Of Individual Applying Far:Permit: e/?f ei C,
Address Of Property. 0 7 9'
/./t d`
(Lot or Street#. Sweet or Road, City ----
. County)
- . . I hereby certify that I owo.; - - -
PrC y adjacent to the above-referenced property. The individual
. applying for this permit has described to.roe as shown on the attached drawing the development
they are proposing. A description or drawing,with dimensions, should be provided with this
letter.
o,f/ X CrA I bave no objections to this proposal.
(j4j r-Mail � 1�lectinn
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• W IVI R'F.CTION
-I 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. (If you
wish to waive the setback, you';usr. the appropriate blank below)
j ?�: 7 I da wish:to waive the 15' setback requirement.
dn t:wish to waive the 15' setback requirement.
, 2-/ — �
Sign4ur �,\\ 4417,11rA
.Prgr g
/ HCDEtI4R
Telephsone Number With A 'CoLG NORTH GR OF
Comcooimuser ,DN

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ANTINORI CONSTRUCTION
jl 896 HWY.210
!,I HOLLY RIDGE,NC 28445 1302
�f 9 '7
Date D 2-[_ Z-C•w o 66-19/590 MC
Pay totheOrd00
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Q t c c mt.)
Iii America. Dollars 6 a '
For�' p ^
_______ 57,..A./ a.,/,...y„.4...)----•
':0 5 3000 19 61: 000 6 So 2 i 9 so ' "�
- - - OUARDfnr}®Sq,ElY BLUE PERL,
.