22641D - Avant

Di.
.CAMA AND DREDGE AND FILL
1
GENERAL N. 22641 -L
PERMIT \>$1)i .
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC '1 N'Z9'c
1�Y-.TGtii, MANNA. % Sl J'6 CNW > ?
Applicant Narpg, i t\ANT ^5�-te Ci- --. Phone Number k- 6Jc
Address 1`-t' -( r-.A,4, ('��
City W. •%1.-tnn I f" "C"tA^ State N C Zip � 3
Project Location (County, State Road,Water Body, etc.)—1 P-lisE n•S-er AnOrr t OIL L '-- CirsD-
.9-t.ii-- kr-nto
Type of P'Yoject Activity = i-ro
G.+� 11Q.A � SU
V
PROJECT DESCRIPTION SKETCH (SCALE: it �,n t )
AC: L Iv V� "T�
Pier(dock)length
Groin length -
\f' kif :y 4
number ,,'
Bulkhead length
•
max.distance offshore apt,!cT-E1..ko4A
Basin,channel dimensions r` y P- 1 t A
cubic yards ! ""
11,aill
Boat ramp dimensions
Other I
1 +
• .
3t 'l x l ( ID6e F641 110 ti.. • 1 ''• PI,.
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance. 3 _ate 00 • --0 - 00
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no -' -�00o
objections to the proposed work. attachments

•
DIVISION OF COASTAL mANAGrxl NT
DJACENT R PAR AN PROPERT OWNER NOT FICATION WAIVER- FORM
Name Of Individual Applying FFlying For Permit: iLl "i /T An/ 6(;) Te4
Address Of Property: ri V 10r.
(Lot or Street ,i, Street or Road
City & County)
I hereby certify
propey .that I own property adjacent
describedencto measy shown individual
the attachedto the above-
referencedapplying for this permit has
they are proposing. A description drawing the development
theyld proposing.
P or drawing, with
-d wjt this letter. uinensior.s,
I have no objections to this proposal .
f vcu aye objections to what
s beinc crocosed , please write t e
v • on o ca to
W' ^• ' cn .a acemen 7 Card 'na ; ve
th Car na 405 or cal t n on .
days of ece' rot h ' s no ice . No resaense ' 0 cons OG w 't p
as no ob •ect ' on ' you have been f • d s cons 'der d the
_*� noti_ e_ by Cent • � acne
E.. �1a '
WAIVER & CTION
I understand that a pier,
house,nd lift p • e- dock, mooring pilings, breakwater,
must be set back a minimum distancer� boat
from my area of riparian access unless waived by me. (If of 15 '
to waive the setback, you ust initial the appropriate
you wishk
below. ) F_ r iate blank
___+____ I do wish 1-. =f� [_f-.. •i : the he:_ 15 `setback requirement.
I doo not wish to waive the 15 'setback requirement.
ie: e 3/3C ate
Ja ,
y G' �� �?,;711,GTziltis • .
rint ameAi ��'
H N
Tel
/-zsth C>EFR
ncon Number With Area Code

yf .
•
• 0vTszorr of
ANY�Qp oASTA MANArFM�'NT
' JACENT R PAR
• OWN R NOT CATION WAIVER_ O M
Name Of Individual Applying For Permit: I4
Address Of Property: r% Avg / 1' Me �
aim `ar t
•
(Lot or Street , , Street or Road, City & County)
I hereby certif
referenced y that I own property adjacent to the above-
Property. The individual applying for this
described to me as shown on the attached drawing
they are proposing. permit has
should A description or drawing, the development
provided with this letter. with dimensions,
I have no objections to this proposal.
v u ave objections tow t being D noosed .
v n a a
semen a w etc
7 Ca 've
W' m ' atopNorth Ca 1 .
a 4 ca
5 -
as_
0 w'days f e e of s o ce . eseonse de d came
ob 'eat ' you ave ecn 'ed by ent '� d MaiZ..- ...�-....-,_ _.
AAIDER S .MTn Y
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
;�-alot;. you s initial the appropriate blank
I do wish to waive the 15'setback requirement.
--V— I of wish to waive the 15'setback requirement.
�Y? mot, '
S1gnaLur� Date •
..._______..____.__
Print a me
,....,i,,,,i__.,____„i...„,..____5 G „.....V,,
Telephone Number With Area Code E1---I N R

�� .
• 10 r .cii--14 Dille i%e.( Y'n._sciei --
lii
— - - (I
•
L,/,
/;
1
i
5---
Cis i
t1
j
tie�
i
(---_ / )
t 0;c1
\ 1/457.
c coo 1 siLl 1p
Q Q ���)( < l
1 1 )�,
'^ be1 )l'

r
•'
t
MI
- - - ..�..•._�= s; ice- - --
3 .,,owme
li
STEPHEN B. CONWAY 66-85/531 2 05 0
I NCDL 3534580 0276049649
.7
6214 DOMINION DR. PH. 910 790 9737 DATE ;20 '67
WILMINGTON, NC 28403 _
I_I /f/ ,.
', PAY TO THE V 'V t% \ I $ S V`©� �I
,' ORDER OF VVVV..//�� �;
g , cr 0O/DO DOLLARS El',i, '�'
l
Centura Bank® li
Wrightsville Beach,NC 28480
1:053 L008501'0 2760496491
I■ - - - C1[) 11