26311D - Otterbein

CAMA and DREDGE AND FILL 26311-i
G E N E RA L )S5)7
PERMIT
as authorized by the State of North Carolina
> .,„;' Department of Environment and Natural Resources and the Coastal ResourcesFommission
in an area of environmental concern pursuant to 15 NCAC -7 H, 2.00U/`z-
Applicant Name riAP- ..-Ni ©TT-T 2.ei Phone Number(9to) 4_3 13
Address e9 e - S44 tP W ei a?a. •
State 0Zip 2
City � t L�t iv � -
Project Location (County, State Road, Water Body, etc.) p itlY6/
f- ,A:'? ' 1 ..L7 " t-t-A4t4 21--�- I C in , ,
Type of Project Activity 1)�c:..`�t 1-+‘4\/\ 6 I t c 1 « Fr ! N t t.e,-n N.4. S L 12
PROJECT DESCRIPTION SKETCH (SCALE: I It = .0 i
)
Pier(dock)Length _.'. , ._ .,_,«- r-
ami
mm , s
,. __ _ inummimosaimi
Groin Length g°i t!
number : •
' P. �Ie.& 4► ...Aia'
Bulkhead Length i
max.distance offshore --
1 ms
•
1 i Basin,channel dimensions , , - ..R. .
I
. —mm
,.„_ . Iv=a. lir r It
cubic yards i
,• . .,, is
Boat ramp dimensions l mm
t
Other � � }
'121,1
al�1', 11.x i sl 111 III
. 1
(hc9b{2.Jt36 p1 ''E-S .. III ma
(S) _
This permit is subject to compliance with this application, site drawing ��' �
Itk
and attached general and specific conditions.An violation of these terms applicant's signatur
may subject the permittee to a fine, imprisonment or civil action; and t — 1 , ap
may cause the permit to become null and void. �� 4
permit officer's signatur
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi- ..-"
fies by signing this permit that 1)this project is consistent with the local issuing date expiration dat
land use plan and all local ordinances, and 2) a written statement has �' ����� Zv
been obtained from adjacent riparian landowners certifying that they attachmen
t ., ., r,h;nr rinnc to tha nrnnosed work. —.al. ...-It

APPLICANT NAME: `
ADDITIONAL NAMES:
AEC DESIG z_UJ% Pr DEVELOP AREA _ PROJ DESC: P -2(WM only take 6) -
(Wffi only take 1)
WORK:
(wA3 only lake 4)
MAINT:
(Will only take 4)
(wz71 only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
C AMA MAJOR DEVEL REQUIRED:

B & K MARINE CONSTRUCTION
Piers • Floating Docks • Bulkheads •Aluminum & Galvanized Boatlifts
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of Individual Applying for Permit: J14)' 1Q. lam'
Address of Property: cC/
L 1(YC ( ice N
(Lot or Street#, Street or Road,City and County)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me as shown on the attached drawing
the development they are proposing. A description or drawing, with dimensions, should
be provided with this letter.
1�[ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington,North_Carolina, 28405 or call
910-395-3900 within 10 days of receipt of this notice. No response is considered the
same as no objecpon 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)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
64/%0
Signature Date
A
Print Name
Telephone Number With Area Code

B & K MARINE CONSTRUCTION
• Piers • Floating Docks • Bulkheads •Aluminum & Galvanized Boatlifts
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN_PROPERTY OWNER NQTIFICATION/WAIVER
EQBM
Name of Individual Applying for Permit: 7)/7 1 e
Address of Property. {,l-oeC -c, { ( (1---4-f1 l'
(Lot or Street#, Street or Road, City and County)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me as shown on the attached drawing
the development they are proposing. A description or drawing, with dimensions, should
be provided with this letter
I have no objections to this proposal.
if you have objections to what is being prpposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington,North Carolina, 28405 or call
910-395-3900 within 10 days Df receipt of this notice NNresponse is considered the
same as no objection if you have been notified by C`e tified 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 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
P u#1
Print Name
Telephone Number With Area Code

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