25256D - Squire

eCAMA and DREDGE AND FILL
- GENERAL ,,i 25256 - .c
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 N ( a-a .
M.
VP
Applicant Name 11 LA.- 5 C u t r e., `i. TA-t 6vw-zv Phone Numbe ' 197c1 1 a-ST3
Address 10 1 &QtAc--LA . s S . Pi (-, . $ `H--1,A
City w tL.Iev t 3 7 ,.i State t., Zip '2 •1i ' l 1
Project Location (County, State Road, Water Body, etc.) SFfhQ. F i?).ava' iprc-� : �•
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s C k Nz.SL e k.1 E-f- - 61- - .
Type of Project Activity Pr t J1 k)U2- r
PROJECT DESCRIPTION SKETCH (SCALE: 1 it = 9-,91 )
Pier(dock)Length/ 1 91 • ttr
� a L au
Groin Length
number .... ► ii1IP211111 Ell
Bulkhead Length
max.distance offshore III RUR_
( t _ 3
-
Basin,channel dimensions [
IIIII
cubic yards � 77 �
-. Al ...' . t �A.. :... }
p •ill 11111111111111M11.111111111111011=i 11111111111
Boat ramp dimensions
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Fili Itorionii Lam.... 1
iiia 1 ..,&i. I
Other
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Millainill
III 1111111
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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 'Thy_ DJ~-� applicant's signatuimay subject the permittee to a fine, imprisonment or civil action; and �J
may cause the permit to become null and void. UN-_
This permit must be on the project site and accessible to the permit of- permit officer's signatui
ficer when the project is inspected for compliance. The applicant certi- _S- (ED- caa S-�-D_ Q-6
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 I A- ?-�y
have no objections to the proposed work. attachment
In issuing this Hermit the State of North Carolina rprtifipc that this nrnin/-t f c9- .. .,

• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER FORM
Name Of Individual Applying For Permit: 45:1,/ f',p,,,,/
4d444.-
Address Of Property: /e/ Bcour e"
/44/,u,,w 71A) A/- 2 FSc i/
(Lot or Str et 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 ,
Wilmington North Carolina 28405 or call 910 395-3900 within 10
days of receipt of this otice . No response is considered the same
as no ob 'ection if You have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring
house, lift or sandbags must be set back aiminimumlins, b distance rofb15
from my area of riparian access unless waived by me. (If you wish
to waive the' setback, you must initial the appropriate ppropriate blank
I do wish to waive the 15 'setback requirement.
I do not wish to waive the 15'setback requirement.
Sig atureX, 44)
&w Date •
Print Name
Telephone Number With Area Code H N R

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER. FORM
Name Of Individual Applying For Permit: ,8,%/r ,✓
Address Of Property: /e/ 44.c ,ei ..sou,7`�
7e V.
(Lot or Street , S reet or oad, City & County)
I hereby certify that I own property adjacent to the above-
re: erenced property. The individual applying for this permit has
deE:cribed to me as shown on the attached drawing the development
thEy are proposing. A description or drawin
shculd be ovided with this letter. 9, with dimensions ,
I have no objections to this proposal .
•
If You have objections to what is beina proposed please write the
Division of Coastal Management 127 Cardinal Drive Extension,
Wilminaton North Carolina 28405 or call 910 395-3900 within 10
days of receipt of this otice . No response is considered the same
as no ob 'ection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring
house, lift or sandbags must be set back alminimumlins, b distance rofb15 '
from my area of riparian access unless waived by me. (If you wish
to waive the- setback, you must initial the appropriate ppropriate blank
I do wish to waive the 15 'setback requirement.
.7 I do not wish to waive the 15 'setback req
uirement.
Signature
Date
Prim Name
A
A •
•.ram ..�...�..
Teleohcne Number With Area Code �.H N R

601-7-</e
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rBOATLIFTS AND MARINE 5472
CONSTRUCTION OF WILMINGTON, INC.
P.O. BOX 5365
WILMINGTON, NC 28403 66 30/639
DATE
PAY
TO THE f�
ORDER OF7
G- I d �o CC)
�D •
/' DOLLARS Ma::.
FInsr CITIZENS 359
BANKPUsfro.mBank6Trust Company
j�L� Wilmington,N.C.29403
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FOR
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