25156D - Wilson

' CAMA and DREDGE AND FILL
GENERALID
A516
PERMIT ? J.%
as authorized by the State of North Carolina
• Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC —7 (-4 ( 2-o-C)
Applicant NameP2Cs-roN i.). Li i,t f:•.:rv.-N Phone Number (;;Pi_oi "214 -19174
Address (s O0 p u, tJe.x/�, P
City (J v t t,,w\1 N State OC Zi 21i4o
i
Project Location (County, ate Road, Water Body, etc.) h i 6 / ? Pt c
bPcs►►`1 s�
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Type of Project Activity
PROJECT DESCRIPTION SKETCH A t J CO
(SCALE: ( ( , . / )
Pier(dock)Length
}1►umiguinia =IMMO iiiimil ai le
Groin Length
number II 111 II 11111 III MI_ II
Bulkhead Length .�
fs411 ►
is
max.distance offshore sirliasm min iris
E
Basin,channel dimensionsii
...4' ::, i 11111111
- Mi ll NM P' iiii
cubic yards api♦la.11! li 1111
III �s. _.
Boat ramp dimensions 11 j 1 J 11111111111111E111111111111i111111P1111
1
11111111111 III 91749surnms man r
Other
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This permit is subject to compliance with this application, site drawing
and attached general and specific conditions.Any violation of these terms applicant's signatw
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of- permit officer's signat`l
ficer when the project is inspected for compliance. The applicant certi- 1 2 ' ( 1.0 -O t
fies by,signing this permit that 1)this project is consistent with the local issuing date expiration dal
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they �` ( 7--
,g have no'bjections to the proposed work. ram` attachmen

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APPLICANT N ANE: Cti S Uv1
ADDITIONAL NAMES:
AEC DESIG Q t DEVELOP AREA: �_ PROJ DESC:p ___
(Will only take 6)
(Will only take 1)
WORK 1 , [1
(Will only take
MAINT:
(Will only take 4)
•
IMP: 1 S
(wall only talcr6)
ACTION EXPIRATION
DREDiE&FILL REQUIRED: •
CAMA MAJOR DEVEL REQUIRED:

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DIVISION OF COASTAL MANAGEMENT
Af.LACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: PiQ PS //-- • '- / - n
78� � W i Sort �1✓� ,
Address Of Property: /5'Q64 �pI
/� �;r7 ,� il/, C , 2
(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"die 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 ro osal.
P P
Tf vrni haven 'Prtinnc to what is hP. 7�
nroposeii please write the
aI/1V1C1nT r.f !�
if you have bee' notified by Certified Mail
WATVER SECTION
I understand that a pier, 'oc ' ooring 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.)
•
✓ I do wish to waive the 15' setback requirement.
I fin not wish to waive the 15' setback requirement.
. .3 )42LU - 2'74o°
S- • Date
•
i
Print Name
9io 3 9 - I3L4 NCDENR
Telephone umber With Area Code NoFrrr, CAROUNA Do-AFrrrizt.rr OF
ENVIRONMENT AND NATURAL R`SOURCES

FR `t +N�ILSDN; - .F1X 4J. 9107947995 Jul. 17 i0�0 0E:44AM °3
AT2.I&CE�'iI RrPa prSloN of MAivACZEMEN.I
r
Name Of Individual F l �, J '
�plY�g For Permit: e H�S'lj!1 W' f
Address Of Property: ( ,7
fh n C 03:_
(Lot or Street#, Street or Read. City do County)
I hereby certify that I own property adjacent to the above-referenced
applying for this permit has dewribed toiite as shown on property. The slop d nt
they are proposing. A description or drawing, with dimensions, should be $� development
letter. provided with this
I have no objections to this proposal,
VJ1hm 1 . nf►hie►vir
WA. R RPCfly
I uncl=stand that a pie, docir mooring pilings, breakwaper, boat house, lift or sandbag
set hack a minimum distance of 15' from my area of s must be
wish to waive the setback, you mus: initial the appropriate�s unless waived by me !If you
blank below.)
I do wish to wee the 15' setback requirement.
} I do.= wish to waive the 15` setback requirement.
lailuilril=amillimull="mmaillim=1111.111=amill.--111.9
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ip
"211ft==.1."1171z4.1=211=1111k2um:11. 11.1milmTs ephone Number With Area Code NCDEWR
M�aOrpG ALC DJ••" 04.04 LS

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DAN WILSON / REMITTANCE ADVICE 88-7172/2531
] •
REAL ESTATE ACCOUNT
1500 BURNETT ROAD
WILMINGTON,NC 28409 0
[phone]
PAY_ Cr-
V CHECK
ilr DOLLARS AMOUNT
DATE TO THE ORDER OF DESCRIPTION CHECK NO.
s I2çI C N �2 . IIOi7J $I !
Pit CO •. �
, ..._____,
COOPERATIVE BANK FOR SAVINGS /,,....
WILMINGTON,NC Ot ,J
II'OO SO L 7u' is 2 5 3 L 7 17 28i: 0 L 900 3 4 70811° e_-Pa51514
x i11F111 Y FEATURES MICRO PRINF BORDERS•COLORED 6HL.K PA7 IEtit!•ViAl ERI.IARF tc CARBON STRIP ON REVERSE SIDE-MISSING FEATURE INDICATES A COPY - -