20440D - Parham

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CAMA AND DREDGE AND FILL
r GENERAL 1'49 O2U 40--D
—1�
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coastal Rsources Commission
in an area of environmental concern pursuant to 15A NCAC 74 . 1 a U
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Applicant Name - A-t✓‘� R - PA-R #a4M /% &dL /tt-4 ,na Phone Number(l 1 )
Address �J '3 =Q;Prs.i11\I C.f.6it'r R[cl - 1
City w. ( w•^' ^� State 4w C Zip dad- YU f
Project Location (Coarity, State Road, Water Body, etc.)- f�*�J.4-ci' 30"-
/tier_ t- eta✓PR e40 .
Type of Project Activity eklk.00Pre
PROJECT DESCRIPTION SKETCH (SCALE: j �'� 'U r )
i
Pier(dock)length 6 y
ll(
Groin length \((
number / ti /,-cuti 'Juro SU\I`
Bulkhead length �^
max.distance offshore �b b ! `(,
Basin,channel dimensions ly
cubic yards
dy
Boat ramp dimensions
Other 1 fir) 4 �yl(/. I
io ' L o -r
3 Pti>J
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This permit is subject to compliance with this application, site
ctrawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, /
imprisonment or civil action; and may cause the permit to be applicafit's signature
Tome 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.
The applicant certifies by signing this permit that 1) this pro- Io- 3 r
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
objections to the proposed work. attachments I U
I., icci ana thic narmit the ctatn of Nnrth r2enlins rnrtifiac shot ..

OENF.R&T, PERMIT COMIP UTER FORM
APPLICANT NAM"": e R P4-r I•(4'm
ADDITIONAL NAMES: ,,VAA, (Lf1, 1,AAANt.'x'Q
_. AEC DESIG: t L.l O 2 • DEVELOP AREA:(Will0 only take _�._ PROD DESC: P - I
(Will only take 1)
WORK: PR b I Dt-{
(Will only take 4)
y-AINT:
mu only take 4)
1
IMP: 1 ayv •
(will only take 6)
ACTION EXPIRATION
DREDGE&HLL REQUIRED:
CAMA MAJOR DEVEL•REQUIRED: -27._-S I--5 y

day
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,r. DIVICION OF COkST4L NEkN4GENI N'T
OPFRTI' (l�'4 NFR N(�TTF�f e T 1n� r�x,
Name Of Individual Applying For Permit:
Address Of Property: 23ij Lj
/Ai .v 0
(Lot or Street #, S eet or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced ro e
P P rt} 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.
__I_ I have no objections to this proposal.
If vrn� have nhjart;r�no to what jc b-ina
mm�ncPrl niPacP write the I�w,c,n„ of �'nactal
a 7
Clf hIC nntj N(1 rPcllnnca ;c
if von have been notified by Certified Mail
R'4T''FR SECTION
I understand that a pier, dock, mooring pilings, br„a-water, boat house
set back a minimum distance of 15' from my area of riparian ' liftess waoived
me. must ou
wish to waive the setback, you mmt initial the appropriate blank ss below.)
by me. (If you
I do wish to waive the 15' setback requirement.
x I do nor wish to waive the 15' setback requirement.
•?I P
72 3//sf 1 7
Signature Date
Re aear LAt+. A1-`t' r2.uD�l�
Print Name
Rio 711 o CDE
Telephone Number Withsd-]
R
Area Code NORTH CAROLINA DroARTI NT OF
ENVIRONMENT AND NARJRAL R:SOUR:—S

DIVISION OF COASTAL MAN4GEMENT
ADJACENT RIPARIAItp>2Op 'RTY OWNER NOTIFICATiONTV TAIVF.R FORM
Name Of Individual Applying For Permit: � fj/ - z)L4/ki
Address Of Property: E23 ,(Abe-AA ,y Ska214S
1,IA !micecl Yl0e/
(Lot or Street #, Stir-et 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 tolhe 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 28405 or call 910 395-
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 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.
I do not wish to waive the 15' setback requirement.
cam' cs
Signature
Date
AA.-7-A- c'. 73tfr7T ^��•
Print Name
'Pa 395- 575-0 NCDENR
Telephone /��,�iR
p e Number With Area Code NORTH VOLINA DEPARTMENT OF
ENVIRONMENT AND NIQURAL RESOURCES