25160D - Smith

CAMA and DREDGE AND FILL
G E N E R A L N9 25160 - D
PERMIT \\P4' )
as authorized by the State of North Carolina
> 1....- Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC -7 H. 20 00 .
Applicant Name VünôU mt o UhrroLy
0 ,41 Phone um e v
Address I l 0 -PA t r.e._.k e_ (t3 L. J ) ,j ,
City tAJ4tA 4ISU C.)--C4 C_c State IQC- Zip 2. 94 0
Project Location (County, State Road, Water Body, etc.) 'S.Pr7 pi-P,c....p 1 V\ CC a,,- -{a
LCDILi
t h1.---)Pi y / t._1,i- r,..) 4-t- .omr r f- Co _ `
Type of Project Activity 0A-1 ,1 t-''r ,�jT1 ,ov I N -JK (S-t'T� St-k(r
PROJECT DESCRIPTION SKETCH (SCALE ( 4` 0 )
4»a f
Pier(dock)Length � � i ? j
Groin Length
number 7 ,_._. d
Bulkhead Length i
max.distance offshore
Basin,channel dimensions
r
cubic yards l
t
i
Boat ramp dimensions_ "
Other �•� l �-�-� _ ._.
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mxaakvs»xv.+ s4..9Y..zx;e »zrwtt3n,.nv,/s.d..� :.. ...♦ ..H�,i'a` a� mall I
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This permit is subject to compliance with this application, site drawing l
10--)4 --
and attached general and specific conditions.Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and ^�
may cause the permit to become null and void. _ (1)-- - ( T--,,"-
This permit must be on the project site and accessible to the permit of- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- -7 - 4 - - 00 I o .4 - Q C
fies by 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 —2 f---+ a eT v
been obtained from adjacent riparian landowners certifying that they
have ro objections to the proposed work. �� attachments
In issuing this permit the State of North Carolina certifies that this project r i I/ 17 /,/ C"

r IL 11 L.v t"Lr 1. 1 hK t UR: I
APPLICANT NAME: 4-L
ADDITIONAL NAMES:
AEC DESIG 1(i.)1( DEVELOP AREA P
(Will only _� PROD DESC: -�
(Will 1 only take 1)
WORK: 11--
(WA only take 4)
MAINT:
(Will only take 4)
•
IMP:
(wil1 only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:

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DIVISION OF COASTAL MANA.GEmDENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOI JWAIVER FORM
Name Of Individual Applying For Permit: tloMn// ni I --, f
Address Of Property: Ho o P A- R E L L U P
11. -, /U r LL) FOOE
(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-nie 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.
Jf you have objections to what is being propoced p1 ace write the Divic
Management, 127 North Cardinal Drive, Wilmington, North (:arolina 2$4 jr_call l C'nactat
'i900 within 10 d response is days of receipt of this notice No considered —`—'-mil 9l0 �95
the_same as so objection
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
ignature Date -�-� �,r
7 - 00
Print Name
A)r > > > \kJ ,two er NCDENR
Telep
hone Number With Area Code NORTH cAROUNA DEPARTMENT OF
.� /_ /' ENVIRONMENTAND N
`� ' J 7 /i G 6 6 6Quwu RESOURCES

DIVISION OF COASTAL WIANAGE&IFNT
ADTACFNT RIPARIAN PROPERTY OW OT CATIONJWAIVFR FORM
Name Of Individual Applying For Permit: 0 N I E 3 a l l f
f
Address Of Property:
2 s IU6oE(
(Lot or Street#, Street or Road, City & Coun )
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described toitie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
1 -7
21 I have no objections to this proposal.
If you have objections to what is being proposed please write the Division of Coastal
Management, 127 North Cardinal Drive_ W__'1 mi=gtnn,North Carnlina2840S or 11 q1n �95
1900 within 10 days of receipt of this notice No response-is considered
e the came as no ab ct on
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
1-3)- d 447A
Sio tore Date
Print/Name
- 7��� NCDENRT
Telephone Number With Area Code NOR„-1 CAROLINA DEPARTMENT OF
ENVIRONMENT AND N/QURAL RESOURCES

•
•
- - 10665
\ \'tCOASTAL MARINE CONSTRUCTION
NCDL 3831595 910 256 6357
II 6314 WRIGHTSVILLE AVE., DATE
WILMINGTON, NC 28403
•
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TO THE (� �®
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