20303D - Escbach

CAMA AND DREDGE AND FILL
7------. GENERAL i 020393-t
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 ) / ' c)v
Applicant Name �� C�gt71 !v 'r� r?,�Gv s Phone Number (9/9) 7 7 V/4 3'
Address )AK' (Ne\,tlPo N-v) �(-)p�
City SA N-1P R n State N C Zip .0?33°
Project Location (County, State Road, Water Body,etc.)—S49 / 'W7S' oeE r 4/1?/n'4_ ,4 6T A-71
(1/A1)1 iCie eAt y, o n-s/otti Gv •
Type of ProjeS t Activity /4.56%-- c1 ti 0•C '4 7' Cr? 710 ,il%i -)j c/p, A 7/ [�'¢Vc,.//Tl i
/I7A&N/-A }-f-;)/,J ein 0)^ 104 f i3.115in,• J
'L 14/1 (U4,d i-6tJ N c Ilt
7 , 2 vo v S N4 i i A >P I y
PROJECT DESCRIPTION SKETCH (SCALE: / '' 30 / )
Pier(dock) length —_,—_ .__ •
-
Groin length
_ ��(j g-
pc
I
�(
Bulkhead length _ `
� N
max.distance offshore
I -.---1-- -- 4 i .
Basin,channel dimensions I ( i !S7^-)
1 — / au t Kil-i_A�
cubic yards I i ..-- N� FCC —4
`)+"'! �►
Boat ramp dimensions — I • '�f
ecic
Other PDPer 1.i(� i } 1
00-c K 311(i(o ` ► J +
, ----)
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
' .47 .
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 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- =2 — 0 9— C)C) '1 3 7 -0 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
objections to the proposed work. attachments )fl+ JDV6'
In issuing this permit the State of North Carolina certifies that 6U
this project is consistent with the North Carolina Coastal application fee �t Ci' 4
Management Program.

'; - . 00 09: 10 FROM JONES FUNERAL i0ME TO '23.3754 51 P:OI
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02/28!2200 05:21 9103783754 ADRE
tiSTEF PAGE Za
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Name Of Indivtdual Applying For Permit:
Addzass Of Property: .' • -a e Ga _.
et dad. -044
6d Nee�wr'6 �ri & t' odep
(Lot Street l.,� et YYP e
hereby extif y that
red �e�ce ��ope�y, The property adjacent t to
deference, to oe t shown applying for the the above-
referenced ert
0ey1�are d with a p e �th dertrolopmezt
,
ter. -, ivas,
. I have no ohjecti.ons4to this proposal.
_Illaat_ 14 A
.• ..
house, Z ,�L ,_vier, dock, utoop breakwater,
Low lay ores. of r3pa; excess s mist be setback
pred:vea b boat
�i ors_.. � ��r.� �soe of i5
below-) e s�eh�c�, aL muaI initial �. (II. �;.s�
appropriate bZ
•
Z6. 4._ w do wish to waive► h ,
setback requirement.
.-tee 2.5'seback re
quirement. .
,,,,;',// ' •6 14>---elz-r--r--- Z. 2...LKO•sa
fitf!--NTme
TOTAL P.01

Y'
ADJACENTDIyISION OF COn�STAZ, MANA'�,
RIPARIAN PROPERTY OWNER NOTIFICATION
AVER FORD!
.Name Of Individual Applying For Permit:
Address Of Property: --
. .s„r 41 re it,
(Lot or Street #, StZ t Or, Road, City Sc County)
I hereby
ref erencd certify that I own property adjacent to the -
Property. The individual applying for thisabove-
referenced me as shown on the attached permit hat
they are proposing. A description or drawing, the development
should be provided with this letter. with ensZoas,
.4 _ I have no objections to this
TN 4. Ar®pawl
If you have objections to what is being Dropo ed Please�'on of as Manaa nse wri the
Wilmiaaton North Carolina, nt 127 Ca din, Oriir
da s of receipt of Caro notice.28405 or call 930 3a - n
No response is consider d th•n 10 a no obiecti.on if ou have b en notified by C rtif' d �•1 same
WAIVER SECTION
I understand that a Pier,Indsandb cs`, dock, mooring pilings, breakwater,
house,from lift or mist be set back a minimm,4., nter, boat
my area of riparian access ~m stance of I5
to waive- the setback, unless waived by me.
below_ ) you must initial-i (If you wish
-� the appropriate bl�
SA .
I do wish to waive the 15'setback rea'uireme
e.
I do not--aiL-
t.
wish to waive the 1E'setback re zemant. •
O
Si a re •36g
e_ 7` a Date
Print N p / vi
Telephone as 7 VZ02/
Number With Area Code

AD 'Register Building Services, Marine -- _ .,-•
Construction, and Landscapingor-
PO Box 4255 • Surf City, NC 28445
Phone [phone] • Pager 910-937-2100 Q' our Maintenance
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p.a. Nor 4255 66-19/530 NC
"1 SRA/6214 97C 28445 DATE .ZA 21/4-6 702 1,
PAY
TO THE
I ORDER OF 4/2.4 $ • a V
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DOLLARS
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