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CAMA and DREDGE AND FILL 23736-1�
G E N E R A L ,/
PERMIT
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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 7N >
Applicant Name 31 m
sT IC to 22/}, Cre itrez, W M( ar-> Phone Number 91b 233-a.-7Z a-
Address S7 3 7 11A-up L O
Gl�
City tl..kv i State c Zip • 224 I t •-
Project Location (County, State Road, Water Body, etc.) fN Ate-
u-`-c 4 C-e� _ . N-E-1,1/4) 1A- 0-,)'--c r Co •
Type of Project Activity IV a(At v_H-r(N,
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PROJECT DESCRIPTION SKETCH
(SCALE: l _ 4-0 )
IIIIIIIIIIIIIII
Pier(dock)Length �_, • r •'•""' .t"" - � r
'nil 11111111 111111 .44d11. . RIM 1111 -...
Groin Length
number ^ ► �� .
Bulkhead Length h 1C "`"'"'"s I
max.distance ffshore
1 III PM II IIIIIII
Basin,channel dimensions 1111111111
B I
cubic yards ammag4ifniall iiii 11111
111 111111611110 III
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Boat ramp dimensions
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Other a .
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1st
II il
- - 111 - am ii is
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This permit is subject to compliance with this application, site drawing /1g � /-,
and attached general and specific conditions.Any violation of these terms I applicant's signati
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. permit officer's signat
This permit must be on the project site and accessible to the permit of- 007 � � 00
ficer when the project is inspected for compliance. The applicant certi- a • 4 r
fies by signing this permit that 1)this project is consistent with the local - issuing date expiration d
land use plan and all local ordinances, and 2) a written statement has ' ( 6been obtained from adjacent riparian landowners certifying that they- • • • • . t'.r\Cik3 ... 4 i •-c-2-Nattachm(
have no objections to the proposed work.
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DIVISION OF COASTAL MANAG 2000
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONJAIVE
=�G11A�NT
Name Of Individual Applying For Permit: <J 4 1.ezezz./7.
Address Of Property: '73 7 X •
iA..///hIrv3 f fi/ A,/ e
(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 tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
L//'
I have no objections to this proposal .
• P
•
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 920 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift 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'setback requirement.
I do not wish to waive the 15'setback requirement.
Signa4 a Date A • A
Print Name crOh h millimm =ilfmmommmmw
9'/ 6 CD F-I
Telephone Number With Area Code
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER FORM
Name Of Individual Applying For Permit:
'Y1 .%rl`Cl 2 ,E
Address Of Property:
•
(Lot or Street #, Street or Road City & County)
I hereby certify that I own
referenced property. The Property adjacent to the above,-
described to me as shown on the attached ndividual y foring this
theyare proposing. Permit has
ro osing. A description or drawing,drawing the development
should be provided with this letter, with dimensions,
____X__ I have no objections to this proposal.
P 1.
•
If you have obiections to what is being tr000sed , A
Division of Coastal Management , lease write the
W1lmington , North Carolina . 127 Cardinal Drive Extension ,
days of receipt of this noticegd05 or call 910 395-3900 within 10
as no obiection if you have been Nn tifieds by Ce tifis i erect the same
ified Mail
WAIVER SECTION
I understand that a pier, dock
house, lift mooring Pilings, breakwater, boat
must be set back a minimum distance
from my area of riparian access unless waived by youf wishi '
to waive the setback, you must initial the appropri� nk below. )
blank
I do wish `to waive the
15 setback requirement.
re
vent.
I do not wish to waive the 15'set back requirement.
•
Signatur
r — �o,�-1, Date
Print A . A
�m
/, / G9/ V
Teleph ne Number
With Area Cod V11
► �N
R
FEB 18 2000 1)
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ROBERT O. WILLIAMS
DBA MAGNUM MARINE PH.910-793-1370 5isz270 9 18 5 3
1849 KENNEDY RD.
WILMINGTON, NC 28409
je
ii PAY „
to the o r d e [!C sD,�
30 �
ozso� dollars "'-.m I
�gµCN qq0 A D TgUOT COMPµT
6830 MARKET STREET,P.O.BOX 1727
`WILMINGTON,NC 28402
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1:0531011 11: 521522705911' iB53
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