26312D - Costa

CAMA and DREDGE AND FILL GENERAL
PERMIT
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 1-4 I (00 , 000 •
Applicant Name in pH,1 , Phone Nun / I� 794-_ Sias
Address ea b O c "l S "`---
City k-l—p-rr‘ s A c,9 State (�C Zip `2. S 4-
Project Location (County, State Road, Water Body, etc.) L.�q? 3 3S/ QA VSH R£ ES ZM.S
f}ijAC 3 ('nRt�6 t,rA-t.1c. 1.�- C - L,, 0FF -A&PS C . tl 0
Type of Project Activity -g(1L e€ 4. PIER_
PROJECT DESCRIPTION SKETCH (SCALE: ( tt •I-U )
: :th
(dock) ,
i d y•,. r ; ally �.l rl _M. fnumber L�r i . ,, _ `'
,.
, _
Bulkhead Length:111 .. . ..., . im
i i 2.' (..t! ow 6 ' _ _ „ iIII( 11 11� a
max distance offshorera
A
irri..... ...Lir
Basin,channel dimensions ritag
Pr
,
r
cubic yards =��I i* k klik d
•.- I H �sl� OWN [10 �� 4a
Boat ramp dimensions 'tom. I It'.
j_ t ` 3 II All all - _ I,-f
i •
Other r
10 Ix 1 i+ / eli ,„, ar. i .,,,,i di ,,,,,, ,,,
iii
Mk iii
l0 3 n ix G,' _.
_ 1 _ Ili ---f. a , 1 I
LAT F ,.
,
.....''. ..... .. . .. . x,.. �,m :.... �,
This permit is subject to compliance with this application, site drawing f j, `
and attached general and specific conditions.Any violation of these terms , .-� 1
.---) ap licant's signature
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 signature
ficer tvhen the project is inspected for compliance. The applicant certi- j o ) ' : —('C.)fies by signing this permit that 1)this project is consistent with the local ' suing date expiration date
land use plan and all local ordinances, and 2) a written statement has "
been obtained from adjacent riparian landowners certifying that they n CI 1 0-0 o
have no objections to the proposed work. ki attachments

t-,=-\ ERAi . L-i \- J i CV_C1-2 UT FRFO 0-
. APPLICANTN tviE:
}- ADDITIONAL NAMES:
"- AEC DESIG:
l W1 t et-5 DEVELOP AREA: -1- PROJ DESC: P - j t
(WM only take —
(WiM only take 1)
WORK: iA l k VD 1-
MA 1 T: to ��
�B1 only take 4) t I Z O\\
V v
ACTION EXPIRATION
DR.,_.�DGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:
ILI

APR.11.2000 2:17PM NCDENR WIRO N0.296 P.6
•
Name Of Individual Applying For Permit; . ': - - _
Address Of Property: S S
/ /J Q
/�l�f'
(Lot or Str #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced p .
applying for this permit has described to'the as shown on the ray a uidividuat
they are P�P,Q�ing. A description or draw' �dzawing the development
letter, ��U drawing with dimerzsions, should be provided with this
Oev_1 have no objections to this
Proposal.
•
•
•
•
HADMILSECtION
I
stand that a pier, dock, mooring pilings, a breakwater, boat house, lift or sandbags must •
a minimum distance of 15' from my area of riparian access unless waived by be •
wish to waive the sett you wcr initial the appropriate blank below.) mee- (If you
je#014,5\/ ;
I d6 wish to waive the 15' setback requirement.
I drum wish to
waive the 15' setback requirement_ .
•
, ,
t nature Date 'ad •
ACVA
Print Name " ' "'�/1� ~'�'�►
9�, .� NCDENIRTelephone Number With Area Code r
Nor�Tr, ww,DffuT or
E' ►MR{:mme rr ANDNATURALNES ces
JUL 3 1 2000 '

NO.296 P 5
APR.11.2000 2:17PM MCDENP WIRO
DAYISIQUExaksTAL MAN.AGmET
: a. .. : i la: • u ik t 11141 . IOLA 11/DI:
•
• •-
Name Of Individual Atiaplying For PerMit;Cf774,—/-/Pr. • 4'
Address Of Property: /-0
or Street#, Street or Road, City &
I hereby certify that I own property adjacent to the above-referenced property_ The individual
applying for this permit has described tolhe as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
c: 1177;:ve no objections to this proposal.
•
manwor=„ camlin. 7RAnc_balous.ici_vliati9eing4repelse"ease_wr„e j:Inauon_faLcaasiai. .
..a.. •AM SI 1.b..416 e I) L I. ;•• •
if you have here nntificti by C.ArriEnd Mall
WATVELSECTION
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.)
..e: 1-7do.wish to waive the 15' setback requirement.
I damot wish to waive the 15' setback requirement.
—
•
e 7 e7e9 AlirA
Date
40 Z. /i16A6 PEE, INAIminmumb.
Print e
NCDENR
. Tel Number With •Area Code
EkAnriotimmter AND NANRAL Resoulems
•

MARIO W. COSTA 0 5 4 3
NCDL 7194071 PH 910-270-9437
515 GROVES POINT DR., PO BOX 95 66-7704/2531
HAMPSTEAD, NC 28443 DATE 11'
I
PAY TO THE
ORDER OF I
J�'t 1 :; 17/t7ne-ii''e'd 'VOL 7 d(s.�.,nr i..w... I�
�
State Employees' Credit Union
Wilmington,North Carolina
FOR ; [ Yy,/ trl/ � t
1 I 253 L770491:086 26130 790 2111 0543
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ONARLAND __-__ __ J•
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