26351D - Gilstrap

CAMA and DREDGE AND FILL '\ 26351'
..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 'T ht Y so 0
Applicant Name L0C?NkLV t.. I LS-[R fiI) Phone Number( fl ) 2..... (.; (I 1'-}-
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Address 3c)-4 C --uSE(..),et.► tr-ru
City k16I--t1`SU L QQ el c_ ` State Ni C Zip 2- 4 )
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Project Location (County, State Road, Water Body, etc.) 'c.'firr•S_. A e.n -Q ) ici—Dif —01
'_A--tQ05(L, r)Vf iY\ofk. CiNct.ik.tr.-Q 1`.AErA) 1-1-A-0 i4\ -er- Cc .
Type of Project Activity (Y\A1 t,11ri -41 )Ca -eG')(C.AIM-7 osn,
PROJECT DESCRIPTION SKETCH (SCALE: I II ' ,•,v I )
Pier(dock)Length i j
e- 1 -1--- girl
Groin Length 11 ts3D ,
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number11
Bulkhead Length
.t
max.distance offshore
Basin,channel limensions _._/_ w r
50 Y , ,..: ?t, • . ' ti m". - t.10 Itt _ .111k ii — _
cubic yards • r 1�
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Boat ramp dimensions ..)
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This permit is subject to compliance with this application, site drawing - / /j
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 ( 1)0"-{
may cause the permit to become null and void. C. 'CM-
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- 1 `—'Z Z - 0Cj a - a,-i. 01
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 H been obtained from adjacent riparian landowners certifying that they LST-0
have no objections to the proposed work. _ attachments

U.),t ,.. - ✓ FORM
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APPLIC_AIN7 NA NE: ]N-lEu- I 1 S- ,o0_.
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ADDITIONAL NAMES:
AEC DESIG 2 10 / DEVELOP AREA _ I PROJ DESC:?
(WRI only take 6) ---- (wail only take 1)
WORK iiI :ice '
(Will only take 4) •
MAIiv7: b d ;O tao,- (O
(wal only take 4)
IMP: Sep w o
(will only take 6)
ACTION EXPIRATION
DREDCC&FIT J REQUIRE): I I - , -CO -2 - a I
LAMA MAJOR DEVF_T REQL : t t

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D LSION OF OASTAI MAN4('FR��-r
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Name Of Individual Applying For Permit: ON 174 /L 1-RN
Address Of Property: 2 C Au L wi9 Z
t.,., j2 6 h IS vi 14,if Lai i 1 N.C. _
(Lot or Street #, Street or Road, ity & County) �� N � H/}N0r���2) o ivy
I hereby certify that I own property adjacent to the above-referenced property.
applying for this permit has described tome as shown on the attached P wing The individual
they are proposing. drawing the development
P p A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
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W A TPFR ..E0, n T
I understand that a pier, dock, mooring pilings, breakwater boat house,set back a minimum distnce of 15' from my area of riparian lift i vr ds by mes must beu
wish to waive the setback, the access unless waived by me. (If you
you r nst initial appropriate blank below.)
I do wish to waive the 15' setback requirement.
I [icy not wish to waive the 15' setback requirement.
4Wril,174 -- V
Signature' D,c!� 4, . .ii,s lAN`N , y can� ^��_ �
_______
Print A e
C pHW S to -- 1,51 /�/i / 1/-'7 NCDENR
Telephone Number With Area Code
Na-rH- CAR UNn D�orrr,Errr of
ErwmoNMENT AND N ocruR't�SOUR::FS

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: /) /463
02244)47
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.
•
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 ,
Wilmincton , 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 N.J/4A-
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift must be set back a minimum distance
from my area of riparian access unless waived byme. of 15 '
to waive the setback, (If you wish
below. )
you must initial the appropriate blank
tl ' I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
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igna r D e
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Print N .rA
'C C7NI c>Telephone Number With Area Code R

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