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CAMA AND DREDGE AND FILL
GENERAL N9 020341-D
..... 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 114 , ID 00
Applicant Name 7'M 4• 41 �ddt.e KIN Phone Number (. /0) 3ak - `S3.Z
Address RN0/i ti)A f2(U t) �/J
City '?,S4i 15L/ (i- State /lrC /Zip 26 "'T
Project L cation (County, State Road,Water Body, etc.) 5 -4 r ��JA-a--47( 'C1 CI -4-AF7
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Type of Project Activity I'K t V Pi ete •
A-li ((Jtvt -fjr)Nt Qg 7/-I .i)oU sileil APP/y
PROJECT DESCRIPTION SKETCH (SCALE: i r 3 0 / )
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Pier(dock) length Y )) V I. ( .1✓0,n)N-
Groin length r t yi; FiV1,] E- 54aYp 47'-f --'
E f '.,
/� �7 /s ` �r be"/
number g''f L "1 to`XLi t�lcl4"f ( P�u, �j,q...�r 5
Bulkhead length 1
max.distance offshore J` J�(•Q I—tmr !
Basin,channel dimensions
1
cubic yards 1 ! 1
1 1 � I
-- + )_-�_ ..�__ a_.-
H
Boat ramp dimensions r ! l i1
De -� X/o
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Other D
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
(idl- 4)
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to b applicant's signature
come null and void.
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- Y d /_O U `] —,) /—Ov
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 H A—) GG
objections to the proposed work.
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I2LYI9iON OF COACTA MAN rrx .,-.,-„
.nigsENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: Jim A. & Freddie J. King .
Address Of Property: 814 Carolina Blvd
Topsail Beach, NC 28445-9831 Pender County
(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'iie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
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1-4615' I have no objections to this proposal.
If you have nbjer-bons to what is beirf, proposed, please write the Division of Coastal
o final Drive Wilmi�°�n, north r'arntir,o> Or call 91n '�9S 1900 within 10 days of rec.eipt of this notice No response_1s considerel the same as no objection
if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, Iift 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.)
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t/ 'S I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
igna Ar
ture n Date
Print Name
TelephoneNCbENR
p Number With Area Code NORrri CAROLINA DEPARTI•eNT OF
ENVIRONMENT AND NATURAL RESOURCE-5
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Name Of Individual Applying For Permit: Ji.m
•
Address Of Property: 814 Carolina Blvd.
To sail Beach NC 28445-9
(Lot or Street#, Street or Road, City & 1 Pender Co.
County)
I hereby certify that I own property adjacent to the above-referencedproperty.
applying for this permit has described toltie as shown on the attached gthe The developmentt
Bey are proposing. A description or drawing, drawing
letter. withdimensions, should be provided with this
have no objections to this proposal.
•
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iLyou have hen nntifi by Ce new ti�a,l
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift
set back a minimum distance of 15' from my area of riparian access �e or sandbags must be
wish to waive the setback, Ss waived by me. (If you
you ml�ct initial the appropriate blank below.)
____ I do wish to waive the 15' setback requirement_.-quir,.m..nt.
I do not wish to waive the 15' setback requirement.
2-/_Do
4416S•,nature Datet
dw h I� A,�exgkdev momminimin^�—�---��
Print NameAnimmuminnk
ci10) 328 - 538y NCDENR
With Area Code
Nan-+ CARCLNA Dn. rr
Telephone Number r NVIRONM=NT AND NATURAL RRESOURCESR
CS
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INlik of/Insoles;A4vgiitsge'"
FREDDIE J. KING NCDL 1987772 5160
JIM A. KING NCDL 4946495
814 CAROLINA BLVD. 910-328-1532 \66-I9/530 NC
P.O. BOX 3470 Date 1//1L�/I�D``` GA( =x OD 2105
TOPSAIL BEACH, NC 28445 1
Pad,
.�C iZ. I $ `)`,
to th r r of a l�/ ��'i k9O Dollars
Bank ofAmerica.
Memo
tia,-)L-- 16P
1:0 5 3000 L 9 61: 000 2 L 3 3 28 2 9 711' E L 60 i
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