25296D - Chappell

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CAVA and DREDGE AND FILL
GENERAL 25296 Z
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 .44' 1 "7 CS--s0 .
gt�tera--ram- 6c,1/4.
Applicant Name TOLD C hI C /o w - ..r-{ Phone Ntt J Z,S 6 —47 43
Address 7 C S N , �Lnu.,.�,,t o . �C7 e� .
City 10rL��..-�Sv. fSParC_
- State I \C Zip
Project Location (County, State Road, Water Body, etc.) c�1enfl.0 i
R4-v-e
Type of Activityr n t py r t
Yp Project ! L ►�YY LS' ,. ;iht"€12-
PROJECT DESCRIPTION SKETCH 1' l•) KG C Ripsr N.4, (SCALE: ! t I ' 0 i )
Pier(dock)Length CA 3
1011/11MR. • . , 1 -I i
Groin Length _ i
r j
number 4, a
Bulkhead Length
"l - - _ INN 11 ,
max.distance offshore NEIj I I
I �
Ise
t
!I.1. N ttr �
Basin,channel dimensions '" i
! 'ii �f r boa .,,_._...._..
_.J; l
cubic yards W Ili I _. 1
W
F A
Boat ramp dimensions 0. _ 111 4 ' ' I
NMI
III
OtherEL .
...as • ■
11111111111111 1111s. 1 .. ,
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This permit is subject to compliance with this application, site drawing 0 `
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 ).___4s....)
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 when the project is inspected for compliance. The applicant certi- 5 - 2• 1 . ar1 C8— ( .4OZ2
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
been obtained from adjacent riparian landowners certifying that they --2'141 3
have no objections to the proposed work. �1 -31 / attachments
In iccuins;thic nermit the data of NInrth rarnlinn nnrtifinc that tkic nr.,io.-t l V �h�E .L r) —7

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JACENT RIPARIAN
OF COASTAL MANAGEMENT
PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: /4€0,-o '144P,0-//
Address Of Property: o?oS 4/- L any,
(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.
VI have no objections to this proposal .
you have objections to what is beinc proposed, please write the
Division of Coastal Manacement, 127 Cardinal Drive Exensi.on,
Wilmi.naton, North Carolina, 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no obiection 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. )
6-14 I do wish to waive the 15'setback r equr.rem_o
nt.
I do not wish to waive the 15'setback reouirement .
c`> l —I OG
Signature Date
54/ZA NNE cam, Wu.L I A Ms
Print Name
Telephone Number With Area Code

JACEA7T RIPARIAN
OF COASTAL MANAGEMENT
RIAN PROPERTY OWNER NOTIFICATION WAIVER FORM
Name Of Individual Applying For Permit: /4,Pa4 p rA9P.oE46"
Address Of Property: gas ^/. L/' ', ,-
Gf/,ei6,ys v/u- Bt'',lc/i, i+JG.- �'8''t? '
(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,
should be pr ided with this letter.//\/ with dimensions,
I have no objections to this proposal .
If You have objections to what is beinc proposed, please write the
Division of Coastal Manacement, 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 obiection 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' s -
etback requirement.
I do not wish to waive the 15'setback requirement .
T
1-Yedek/ C/k Will D�
Print N e
',o - ' 3- Stays
Telephone Number With Area Code

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,i , ., . .
BLUEWATER MARINE & DOCK SPECIALTIES, INC. BB&T Branch Banking and Trust Company 66-112 2625 i'
40 PELICAN DRIVE • WRIGHTSVILLE BEACH,NC 28480 Wilmington,NC 28403 531
[phone]
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PAY TO THE �'] a
ORDER OF [-- / $ 3=- •
DOLLARS A 9
> 4
0
9
MEMO �'✓'Vi�'l�t/� / S �n/C�-t,-YiS �'_—�
y ` ,e_'L�A^J AUTHORIZED SIGNATURE—`
II'00262511 ` 1:053101L2L1: 5113083 7811' GP .59,c1 I,to rl 1