25272D - Sigmon

7
M CAMA and DREDGE AND FILL
G E N E R A L
PERMIT ,s,,,,
t., 252" 2 -D
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 714. (-3..-o o .
Applicant Name GAg. SIsI/Kot\) . Phone Numbelelto) tea- 1:34G.
Address 2 S174 Pr!J(hkDla DR .
City 1/- \ Lev-II tJ 1 jN1 State K)C. Zip 28409
Project Location (County, State Road,Water Body, etc.) s .2 1t 1 kcp--
Q"
RiLux..) t Nv--tA) 1.--i---A-h mv-e._r Ccrt.,„, 4-tz
Type of Project Activity -PI- t V (2, L,c_A )
PROJECT DESCRIPTION SKETCH (SCALE: 1 << --• C7(' )
i
Pier(dock)Length M ,
.-4 x�/
Groin Length ) .. . M
•
number �` .
i `'
Bulkhead Length
max.distance offshore
E^ __ - JkielliMialli
..,.. �. ..._.._...... «.............. ....... r t. --s ......._..
Basin,channel dimensions I / - c,.
cubic yards
Boat ramp dimensions _ •
ir , i
Other �',
i Ill '
"w_.,_
›tift--Tt_ift-r c2-)
I /4- ( F.- _i_m___A
IXIar �'
6.1)( 4 .. ... - ___,_„.. _ r — *
'
� .
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions.Any violation of these terms
pplicant's signatur
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. 6-t-- -
This permit must be on the project site and accessible to the permit of- permit officer's signatur
ficer when the project is inspected for compliance. The applicant certi- 10-9. -- eQ , 9 O Q
lies by signing this permit that 1)this project is consistent with the local issuing date expiration dat
land use plan and all local ordinances, and 2) a written statement has 1 t 1 \ Z©
been obtained from adjacent riparian landowners certifying that they rT .
have no objections to the proposed work. attachment
In iccilina thic narmit the.Ctntn of Nnrth("- rnlin,.,nrtifinc th-at thic r,r..io.,t / 1�'"".. c-'`v �fl 1 'I

•
• - DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WA
f IvER FORM
Name Of Individual Applying For Permi t. /¢ 4- / 4
Address Of Property: 9.. 6
(Lot or Street 17, Street or Road, Ci & C t
.
y Y)
I
referreby certify that I own applying rty adjacent to the above-
enced property_ individual
'permit has
described .to me as shown on the attached draing the for sdevelopment
they are proposing. A description or drawing, with dimensions,
should bee p- vided with this letter.
v
I have no objections to this Proposal.
If you have ob-iections to what is being proposed
please write one
Division of Coastal Management
W1lIT1i I1gtOII. North Carol �_ 127 Cardinal Drive EXte?1 ion
ei ina. 28405 or call 910 395-3900 within 10
days of rec__pt of this notice. No response is considered
as no objection if you have been notified by Certified - the same
C__ �i fied NL_l
WAIVER SECTION
I understand that a pier, dock, mooring pilings,
hOL'Se, lift or sandbagsmust set bra}�+ctSr, beat be back a mini u distance
from my area of riparian access unless waived 'G_SiI of i s'
to waive the e`' youu----s w�_v_,.. by me- (If you wish
L
below. ) setback,, must initial the appropriate bl'
blank
1
•
i do wish to waive the 15'sethack -eguir=me,it.
I do not wish -� _
to waive the i Set�ac- reouirement
' e29- ej. $ 92eziAal
S 1 tut= ��-Y/�Cit/d
f I.
Q`] -J nn y �� Date
PT- nt e /"l
Telephone. Number With Area Code

•
• DIVISION OF COASTAL MANAGEMENT
ADJACENT RI1DAR.TAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: /it�° � � S,
Address Of Property: 2-C 2- 11047 r y e-
cit
(Lot or Street ,r, Street or oad, City & Coouu°t 0 vex,
nty)
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 beepprovided with this letter.
I have no objections to this Proposal.
If you have ob-iections to what is beinc proposed l
Division of Coastal Nlanaaementplease write the
Wilmincton. North Carolina. 28405 127 Cardinal Drive EXteTlsion`
days of receipt of this notice. No response
395-3900 within 10
s no ob;ect� _sponse is considered the same
_on if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, moors pilings,
house, lift or mustD---ngs� brcatti„cter,
be
from my aTLaofs�Dbag� e set back a minimum distance O fDGSt
access unless waived by me. (If
you wish
below. )
to ve the setback, you must initial the appropriate
blank
I do wish to waive the 15'se back requirement.
I do not wish to waive the 15'setback r ;re e •-
eau__�_'�`_
Signature
Date
Print Name
Telephone Number With Arta Code

•
•
A
•
•
Bank ofAmerirct Advantage"
GARY SIGMON, JR. NCDL 5257630 5011
PAMELA L. SIGMON NCDL 5187342
262 SHANNON DR. 910-452-1946 66 I9/53o NC
/` 1857
WILMINGTON,NC 28409 Date (/1
Pay — I S\S-V•
to the r ,,D
a�'1'"'� Dollars
Bank° America.
1:0 S 3000 L 9 61: 000 L8 38 LO 4 2 31I' SO L L n Pa1(D..J