20343D - Love

LAMA AND DREDGE AND FILL
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GENERAL i '` 92O343 --\'
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PERMIT inko
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 concernpursuant to 15A NCAC 7 i/ .4)00 71 3
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Applicant Name "77)�/r y L/)t/C (IA 47). //n�-�")I �/ Phone Number (el/ (1) 55 3- 5 )37
Address /04)-1 /51' 574
City SUI'-j- C I f y �,,, State /t.0 Zip
Projectgcation (County, 4 State Road, Water Body, etc.) 51-Q 4�/
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Type o Project Activity - A-
44 (ar` f i- sur f ,� }/ ;tis,,o>o�r�a�r �9)/. ova 8�/,�1;1 4i1/A,•7` �/t/)
PROJECT DESCRIPT4410N SKETCH c/ (SCALE: / " a0 / )
Pig ock) length Jb 1t
- 4:
Groin length �. CAti4
number t� ._
i . ,
Bulkhead length s
t +- ; ---r-----r
i
max. distance offshore )
Basin,channel dimensions -I •� r r ' - * ~� l
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cubic yards
i —
Boat ramp dimensions f } —
i
/5 X /0 \ _
Other _ - —1---
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ry'v i i
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any 7
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void.
I—
c.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- WOO 7/d(5/06)
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 71/ 1�UU { 71(• /30)
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that �) GU
this project is consistent with the North Carolina Coastal application fee�'7 ' ` C�af `��9
Management Program.

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DIVISION OF COASTAL MANAGEMENT •
ADJACENT B.$P_ARIAN PROPERTY OWNER NOTL ICATION/WAW R FORM
•
Name Of Individual Applying For Permit: 7,7,40st y La v4 _•
Address Of Property: /U Z2
(Lot or Street#, Street or Roa'Ci & County)
tY)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to itie as shown on the attached drawing the development
they are proposing. A description or drawing, with,dimensions, should be provided with this
letter. /ie/ifiVe O�41 6,d y • 44,
ifi ✓l I have no objections to this proposal. A
If you have '-.crionc to what is being propnced, please write the Division of Coastal
anagem n , I27 No h Cardinal Drive, Wilmington, North Carolina, 2f�405 or call 91 ► 95
tt in ays b receipt of this nntce No response is rnncviered the same bj
G�.�Il 111
if you have been notified by Certified 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.)
a/ ►/ ' I do wish to waive the 15' setback requirement.
I drnot wish to waive the 15' setback requirement.
11.11.11
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Signature Date
Ms a, I sr.f,
Print Name (,` ��+�a, �,,4404 ad
‘f-.1 St,f 0 vt we- NCDENR
Telephone Number With Area Code " DerAmmoar or
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94/2(/inns
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Kam* Of Individual Applying For Permit: 1 :';►M Lev . a
dr
Addreee Of Property: /�2� /tom" St
c.
•
(Lot or fireet *, St et or hoed, City & hasty)
T hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit hag
described. to me es shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should b provided with thin letter.
•
have no objections to this proposal.
ao>x ham ctanitp what is being-proistovi, tuakik,writs the
NaSa_a ezi vtd i_/y. Jam•B'et
dS na ltation if yogi have ah ZiOtiLiadire C@ 4fie ilia
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags mast be spat back a minimum distance of 15'
from my area of .riparian access unless waived by me. (If you wish
to waive the setback, you 201 initial the appropriate blank
below.)
N. e— T do wieh to waive the .s•setbtck requirement,
I ast wish to waive the 15'Betback requirement.
n1
Si nn+kC 44a.Gas
���iii Date � 1-)
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• P7 rat Name
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Telephone Ramoer m+i tY Area
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2897
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Look tor:Idtn'fiarkpt'noud on I lit[toot of this check,and Ilse ttitageS fe®logo on Meek.I not present,do not gash. , —
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(�,�, wx425S DATE-
5 City. 91C 28445
PAY
1 TO THE ORDER OF _ / � ------ � ..�.�., r
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