25287D - Fisher

CAMA and DREDGE AND FILL
GENERAL -N' ` , 25287 — D
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 H 2 o oo .
Ate.. '
Applicant Name L.,/ t ct_ tli.c_e_ 10 Tjy,.t tvDrTlst Phone Numbe@tt -2_St—(35-7
Address 87 11 SI4-i f t..1p7c.}{ DT2 .
City Vs*i„-, ,E.--may, State ti C Zip 2.24-0'
Project Location (County, State Road, Water Body, etc.)_0,,,r,,,,u,,y ply J- h tom
r
CAE Fle?I'r V-o C , !Jena U ftkt1 av--,r Ca
Type of Project Activity A-DD zo,ru er to..1 t v'1 u SL.4 e
PROJECT DESCRIPTION SKETCH (SCALE: ) ft_ a )
Pier(dock)Length 1 RP LP. � �... :.....::.. .■
Groin Length —Di ma I 111
number µ
Bulkhead Length
max.distance offshore
.
Basin,channel dimensions [
cubic yards N
taw IN €
All 1111 II
Boat ramp dimensions III
II
11 N 1.11 I
imumaincia a - - ami ad
Other
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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 f �
applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. 2' -------
This permit must be on the project site and accessible to the permit of- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- G- ( l - &-(3 A - I ( ® O
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
been obtained from adjacent riparian landowners certifying that they 7 f t a._ 0 0 c
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this nrnier•t — V r - I.*,

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DIVISION OF OASTAI MANA(`�'� E
• ADJAC.E.N'T RTPAR1AN PROPERTY OWNER NOT FICTIONIWAIVER FORM
Name Of Individual Applying For Permit: L• /e ,S G
y L e
Address Of Property: g > /( S
(Lot or Street #, Street or R6ad, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to-nie 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 North Cardinal Drive, Wilmington, North Carolina, 2g405 or call 910 9S
3900 within 10 days of receipt of this notice No respoise is consid -r d the same as no obi ion
if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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.
AI' ` /I do not wish to waive the 15' setback requirement.
Si (:?
g Da y� to
�►
ce 7-1/27
Print Name
?i° .- v0 102 - 6 6 NCDE
Telephone Number With Area Code Nonni GROUNq DEpA,
lzrr.
ENVIRONMENT AND NATURAL RE

DIVISION OF COASTAL MANAGEMENT
• Tl�x/A 7TJT
Name Of Individual Applying For Permit: ,`5
Address Of Property: S)t1 j t,,f)c_3 4 Ye_ t4,_.
63,( 7ef,) tic9. C
(Lot or Street #, Street or oad, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to"the as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
•
letter.
XI have no objections to this proposal.
If you have objections to what is_ being prop-m d please write the Division of Coastal
Management, 177 North Cardinal Drive Wilmmgon North Carolina, 28405 or call 910 395-
3900 within 10 days of receipt of this notice_ No response is cr n__ cid�red the camp ac no nhiP n
if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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.)
XI do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
ignaature / Date
�J W A L LLG� ,� L� D Lcl�= 4--
Print Name
// ' 3 sz 6 33 a NCDENR
Telephone Number With Area Code N OVNA DEPARTMENT OF
ENVIRONMENT AND N,QURAL RESOURCES

COASTAL MARINE CONSTRUCTION 10 517 '
NCDL 3831595
6314 WRIGHTSVILLE AVE., 910-256-6357
WILMINGTON, NC 28403 1 66-763/531
DATE V 1/ 0 O
T,Y TO THE ' 1 %Z I
5PAY
i�� ORDER OF ��[/!-�`V I OO n 0 ` rl
ill
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�j DOLLARS E«"�a�"'"""'
WACHO� o".nso"e"a oI
Yl
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Wachmia Bank,N.A.
H it 'gtinn.NC 28402
FOR_ `L
IR
II'000 LO 5 1 7u' 1;0 5 3 LO i'
h
_ . 7633 . 8617 208 [ n. G
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