22466D - Johnson

CAMA AND DREDGE AND FILL
GENERAL !ST° 22466 - 1 ,
PERMIT ,y1....si=,
0 as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC -7 t'+ (�it:)0
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Applicant Name �o►+►��� �Fk .t �A �O ► O.Dt i � � Phone Numbe01O) LSIC-75S
Address ?,9 -rur'NER NurSE--ry RA.
City Lk) 11—Mt NG " Y\ State (N,) C Zip 2234 ) I
iAc
Project Location (County, State Road,Water Body, etc.)
t clikve Sek, .tom 1 -11 4" „iy.120,,- _r .
Type of Project Activity rfli}I t iT&'—' C.C. £& 1 NEs I Iv -E'Y I S*-T-1 rnA43-1 N A-
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PROJECT DESCRIPTION SKETCH (SCALE: ) :. ► 00 )
Pier(dock)length <� ♦t * CO*sir-A-C.1 M I"t<O .
T. / • ('
4 -cor y RE1I,1(r6c
Groin length F A ‹ ) . l f _--- Lccr\4- + r 4"d.,
�- �\ } -4-
number ,+-.v-- .--` F ;« : 4 qq��.}},
Bulkhead length � F „ oto�
291 .o.
�` r1
max.distance offshore t 438 I, s i 1. �1_
Basin,chan elilimensions i \ \ + __ �\ ___ --�
t 43 x 35 Avg.
cubic yards ,
± 950 ,�; if1 JI ;
Boat ramp dimensions (-6 NGr“
// , ��
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Other
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cturiN(s T42-fit- & - Ft'-oni
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any X ,
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.
(.S- 27 L."--J-----
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.The applicant certifies by signing this permit that 1) this pro- T— / — 0 o —2 -7 -Q d
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 -7 H. 15 0 0
objections to the proposed work. attachments

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Name Of Individual Applying For Permit: — 7
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Address Of Property:
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(Lot or Street #, treet 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 draP p,m The individual
they are proposing. A description or drawing, with dimensions, should be provg ided with
this
letter. P this
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__ I have no objections to this proposal.
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I understand that a pier, dock, mooring pilings, breakwater, boat house,i-s,,, lift or sandbags must be
set back a minimum Wince of 15' from my area of riparian arcess the- unless waived by me. (If you
wish to waive the setback, you mnst initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do nnr wish to waive the 15' setback requirement.
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— AliColiiiiirAaL
P ��___
rim Name
Rio i iS7/ NCDENR
Telephone Number With Area Code NORTH CAR0uNA
GNVIRONMFLAT AND NATU ART
RAL FSC` OUR=S

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Name Of Individual Applying For Permit: I�0 c-E R. `
t) JoHNi50,,1
Address Of Property: 2 0 2
(Lot or Street #/, Street 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 wing The individuallpnt
they are proposing. A description or drawing, drawing the development
letter. with dimensions, should be provided with this
I have no objections to this proposal.
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If vnn have ,OP t f T „c . L__
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W 4 ITER SP,CTION
I undersand that a pier, dock., mooring pilings, breakwater, boat house,
set back a minimum distance of 15' from my area of riparian a� lift waior ved
by me. must beu
wish to waive the setback, you rnct initial the appropriate blank unless
w. by me. (If you
I do wish to waive the 15' setback requirement
_i/ I sin not wish to waive the 15' setback requirement.
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Signature Date •
,-....„21tir
Print Name
- ( 16 -36 2-L_________' NCDENR
Telephone Number With Area
Code
NoR-r- C,AROLINA D-DARTneNT of
LNv1RONM=NT AND NWURAL RSOUR;S

•
JOHNSON MARINE SERVICES,INC. _
REFERENCE NO. 1 4 4
DESCRIPTION INVOICE DATE 2 3
INVOICE AMOUNT DISCOUNT TAKEN
AMOUNT PAID
REc 4.: IvE 1
AP` 072000
DIV10N OF
COASTAL I ANAGE
MEN
CHECK DATE CHECK NO.
DISCOUNTS TAKEN CHECK AMOUNT
I./ - 7- (/6
7 O-GINAL •0 LIME IS PRI'TED ON CHEMICAL •EACTIVE PAPER& AS A MICROPRIN ED BORDER
_ JOHNSON MARINE SERVICES, INC. COOPERATIVE BANK
1�� WILMINGTON, NC 28405 14 4 2 3
, 2029 TURNER NURSERY RD.
WILMINGTON, NC 28411
1 PH.[phone]
FAX[phone] 66-7172/2531
9�/��O CHECK NO.
PAY Q �"— /yY� DATE AMOUNT
5� 7 vo 0--& a a
TO THE
ORDER
OF
2 SIGNATURES REQ ED$500&OVER
6-1/-‘ ` yid g. J
!I -EVE-SE SIB 0 '19 DOC MENT NC U•ES AN ARTIFICIAL WATER
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