23830D - LeBure

CAMA and DREDGE AND FILL
• /O. GENERAL :, , 23830- 1)
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 14. 12.Oc)
Applicant Name t LF5u r Phone Number( I o) (r, i 29
Address 32..9 OP\y r-}l tz G rov-sZ, SA • 12 '` •
City L)i stern ( N)--\--ty,ex State IQ C- Zip 0
Project Location{ (County, State Road, Water Body, etc.) St` kSY\.J- P
GUF�k U. C re-e,k//Yrl y left-e C-Dt'ere- S` • 1 N E-..� (-4-A".�c1-p c C©
Type of Project Activity PciS 1 0". --t-en pie(t k., a, Q jet P (
c
PROJECT DESCRIPTION SKETCH \ �� — (SCALE: II = S 0 )
Pier(dock)Length 111111111111151111111111111111
. dIPjN
Groin Length
number 1
211
Bulkhead Length111111 II '
max.distance offshore I I � -.y... •„ f f i oLl
..1; 5c
Basin,channel dimensions ! i
_1
cubic yards
Boat ramp dimensions ��11 MOMS '•'
M1
Other 11
IIIIII
(`t.bFtT/DtaC
....., �
ILiV 10 I rer:11 pi ris ism
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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 , T + applicant's signatun
may subject the permittee to a fine, imprisonment or civil action; and ;_,/
may cause the permit to become null and void. ^j O©
This permit must be on the project site and accessible to the permit of- permit officer's signatun
ficer when the project is inspected for compliance. The applicant certi- 3-)a - e Q_D.. -C C)
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 ? O
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. WaCh0VIa attachment
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Name Of Individual Applying For Permit:
/
Address Of Property: 63
(.4_, ,
(Lot or Str #, S eet or Road, City & County)
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 Piny The individual
they are proposing. A description or drawing, drawing the development
letter. with dimensions, should be provided with this
V I have no objections to this proposal.
v ,
_ a o v P o
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P Vhv � fP VPi
W A WER sECTJp T
I understand that a pier, dock, mooring A
set back a � pilings, breakwater, boat house
minimum dismance of 15' from my area of riparian a^ unless, lift waivedor sa y must bu
wish to waive the setback, you tuner initial the appropriate blank by me. (If you
- I do wish to waive the 15' setback requirement.
/ I Lio_not wish to waive the 15' setback requirement.
ement.
/�/�4,e--se__ 3 s-i a,)
Signature Date •
Print Name
9z - NCDENRTelephone Number/O 5S-L � t�JrWith Area Code
NORTH CAROLINA Dr..-AR-ENT OF
LNVIRONMaNT AND N
F7l.IRA:RESOUR-^rc

N nF ('(14CTe T AT
• T
T 1
Name Of Individual Applying For Permit:
Address Of Property: -5 Z
(Lot or Street#, Street r Road, City & County)
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 drawingThe iethe lopmentns
they are proposing. A description or drawing, with provided with e
dimensions, should be
letter. this
have no objections to this proposal.
Q
if vnu have h en nxtifi s by certifiPrl m l
WA M SECflQN
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags e
set back a minimum distance of 15' from my area ofss must you„
wish to waive the setback, you mnct initial the appropriate blank below)awed by me. (If
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
3-- al— Z O oO
Si natureI
\ DateAmimmunial
� rcNr
Print Name
NCDENRTelephone Nub e ��
NOR H /^AROLINA DamARTpENT OF
ENVIRONMENT AND NATURAL RESOURCES

eG wew.� /9eGu o ✓ 'i.,/Yf766 10 4 2
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9f0-796-f.9P9 66-763/531
6.40.9 Jy .4.000 6fd DATE ' a Z - 00 A
`Wkiiru9&rn P64/09
PAY OFE1) !�
• (047R/ /1 c9-6 DOLLAR�l^ai�u .w... N
D.1.11.on OacM.
WAMP
Wachovia Bank,N.A.
A Nil ' ti.m.NC 2840211
4 A
FOR/ j $4€ Z ..Q 'C', ror
1:b5 3 10 76 3 31: 8617 173 2u■ L0LI2 GP N
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