20398D - Gardner

«_ CAMA AND DREDGE AND FILL ��j 0211398 —
` ' GENERAL ' e - , ' f7(� .) y
Au. /
ERMIT ,-,, , , e
08-5--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 NCAC 71/ • //Dv ?//,/)UU
��64 f( t'Pro V r6 $ 4 a i Phone Number l v4 05(�- 5� i
Applicant Name 4
Address 70J 3 TrA/ 69 cIA"�
City 5t/1 r1-� ( -/ ` State /✓C Zip ,7 4 YY�
Project Location (County, State Road, Water Body, etc.) j- - 444A/ AAA).'e Cs44-4f I
Type of Project Activity t44 1) A-- �
/1l/ A'() i rtf gee//P/AC.ni1
1‘- A- I( (ati.t)/ -jot- r Ct -7J1.ilOcu ( -),Lf ./)ou 5 ilAif 491"r
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PROJECT DESCRIPTION SKETCH (SCALE:/'!.. �Q l )
I
Pier(dock) length )) Ye Y
Groin length
,v11
number t
Bulkhead length ..,� )
max.distance offshore 0 L
I� I')
Basin,channel dimensions (*,
tr
iS'f' ~.1 i)
cubic yards A��^
Boat ramp dimensions
/ t—4)
AAA
0 i ueril ay. t 41-4 t.
Other QQ
,1 5S / L o r
to compliance with this application, site 7.1-11-)
This permit is subject p pp
drawingand attached general and specific conditions. Any
violation of these terms maysubject the permittee to a fine,
��� ' �� /
imprisonment or civil action; and may cause the permit to be- n licant's signature
7.,. (pr.../7„come null and void.
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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. i`
The applicant certifies by signing this permit that 1) this pro- �/- �-U-«' -2--) 0' a`'
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 I/U G 7 f
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that 16 pv t(A J YS
this project is consistent with the North Carolina Coastal application fee �U. /
Management Program.

03/22/2000 10:05 19102985557 DUFF'S PAGE 05
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•
r''. DIVISION OF COA,STAIJ ANA(' MENT
.t ADJACENT RrEARIAXEROPERMOWNER NOTIFICATW)N/W_AN R:FORM
of
- Name Of individual Applying For Permit: 1-27)9A.414). / N. t
•
Addrfess Of Property: 7 3 ' (S .
GG`6-c Cli711/ �✓
(Lot or Street#, Street 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'1Yle as shown on the attached drawing the development
they ere proposing. A description or drawing, with dimensions, should be provided with this
letter
•
' 4. I have no objections to this proposal.
ILycyi have phje tine to .what is being prnpnsed pleace write the niviginn rnf Cnzi
ting
moment. 127 Nar-t$-.CaUlinailariuk3rilmingtan,lkirtiLCAirolinkiado or-nail 910 195-
. ce k rorzcidered_the airlift aft nalidamilth
if ynu It avr hev'n ncttif hy_eertified Mail
WAIVER SECTION
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 must initial the appropriate blank below.)
I db wish to waive the 15' setback requirement.
1 do.not wish to waive the 15' setback requirement.
A1911
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Sngnatr�re Bate '���""��
c Tetif ' .
Print Name��3 270� NCDENR
Telephone Number With Area Code ++e.i.vuw►po' rHtKr OF
etdvisemmo r moo MAMMAL Rssantcss

03/22/2000. 10:05 19102985557 DUFF'S � � PAGE 04
x. MAE-2144 TUE '*25-PM D1X;w-DENN1NG SUPPLY CO. FAX:919 i94 2871 AuC • ._
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sx.actif4r,
!wile Of Individual Applyin For Perot .
:Add is Of Propery: 0 i
(1 t or Suet I.Sam cc Rued.City&co ) e��
16ettby acetify that 3 owe poopafy edjeoeat to the eboverrefeenneed property. •The Individual
applying for ibis permit ties ascribed tole*at shown ea the attached drawing the develepment , . _•,-
thoy'are proposing. A dcsoriptioe or dalwuj.With dieoeriNono, should be provided with this
� I have too cybhecaiabs to this proposal.
•
11 0ictiu i y1_nthaR
l,crx bd_Ma►.
I uodiestsod that a pier,duck,mooring pilings,breakwater,bast Ileum,lift or set dbega must be
mt WO a rflicimunn dimmed ls'from oty NU ai tperLn semis unless waived by me. you
wig to waive he setback.you root initil the appropriate blank below.)
i •
• /_ I do wish to•waive the 15'whack requitement. . .
•
✓ t tarot with to waive,the 15'setback requirement, •
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• ANTINORI CONSTRUCTION 1459 •
•
896 HWY.210
HOLLY RIDGE,NC 28445 ZQ ' fib 19/530 NC
Date Cam/ so�o
Pay to the I� I $ J')
Or er of C. • �/ "--
Dollars 6 1.414mM..
Bank of America. „
`
For ���
1:0 5 3000 /9 61: 00065O5 2 L99 III i459 �avW