25163D - King

0 CAMA and DREDGE AND FILL
GPERMIT
E N E R A L 9 25163 -D
as authorized by the State of North Carolina
)10• Department of Environment and Natural Resources and the Coastal Resources Commission
in an area f ey • onmenttaal�l concern ursyantttto15NCAC '7 Ft I to 0 •
•Applicant Nam: ,,,, ii j-.r �i�-=' 4<t,j �{�E t tv Phone Numb lcll o f-7 • a•4,1"-
Address 1 3( 14 G r IQ e 'PI _Pre o 1)Q.
City IA..) I LtNel I. 1..)- State C- Zip 2 6i--6t
Project Location (County, St a Road, Waer Body, etc.) 4 I 1 C
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Type of Project Activity B u I t-t }D
PROJECT DESCRIPTION SKETCH j (SCALE: 1 It --
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Pier(dock)Length
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Groin Length 1111 1111 ' ar .
number SIM __.
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Bulkhead Length- 1111
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Basin,channel dimensions £
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cubic yards i 1 1Mill Iffi I[as III 111
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Boat ramp dimensions i *W% r+i11 �
ih.. sifts
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Other 1 0 / in 011111111111 ___al_ , agi - mula 411111111111111_ 11111 c) we :41),...tio Ili riamouiriimid dI 4 i !._ II Nal I Mom
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This permit is subject to compliance with this application, site drawing ,/ Ey.,
and attached general and specific conditions.Any violation of these terms (�s� o<`�
may subject the permittee to a fine, imprisonment or civil action; and dee
• applicant's signature
may cause the permit to become null and void. rT Q77 a
This permit must be on the project site and accessible to the permit of- rmit officer's signature
ficer when the project is inspected for compliance. The applicant certi- " 20 - co ) 0 —0 -Ca
fies''oy signing this permit that 1)this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has beenntbtained from adjacent riparian landowners certifying that they ''/)
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have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this proiect ' ^C(14;`' (k- I

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit:
Address Of Property:
(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 me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
43 I have no objections to this proposal.
.
•
If You have objections to what is being proposed , please write the
Division of Coastal Manaaement, 127 Cardinal Drive Extension,
Wilminaton, North Carolina , 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered 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, lift 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. )
14_15 I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
R
� Ai A.
-
lki (43(52Hr
Si ature Date ` •
Print Name -.ram.,.
9(o Ga s _ 9 (
Telephone Number With Area Code H N R

r� M
•
DIVISION OF COASTAL MANAGEMENT
' ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
I
Name Of Individual Applying For Permit:
Address Of Property:
(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 me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
UM 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 objection if you have been notified by Certified Mail
•
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift 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. )
E iV I do wish to waive the 15'setback requirement.
I do not wish to waive t'he 15'setback requirement.
E 1/ ' dtrLe. . _2 7-0
Signature Date A •
Print Nam d1!' m a a r r !'
9/0 675 -- 0 / 32 E)EHNR
Telephone Number With Area Code

ANDREW S. KING NCDL 1482567 8461
MARTHA S. KING NCDL 2207267
131 HORNE PLACE DR.PH 762-2126 6-7630/2630
•
WILMINGTON,N.C.28401 Dat 900
Pay to the V __► ��
Ord of
•
1 lals a°,7
SE Sharon i6ve 4425277000
MINI Federal Credit Unlo
P.O.Box 327
Wilmington,NC 28402
I: 530753g. : 000044 0636 Lli' 846 L GP 51 3