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CAMA G ERq�AND DREDGE AND FILL 1'�°;;. 020. 56
J.D
PERMIT
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 7 /• /•)Ov
Applicant Name ,---le 0 66 5- (ID (h47r'/t"/ ‘)/ ?0/7 C( Phone Number (7/0) 'Sin001"
Address -25 jes f' Q04i) c` ee"f
City 50vt ,1n- Ave'i State A/C-- zip 2€ 3,i IY
Project Location (County, State Road, Water Body,etc.) S mug N T l . /iJGQ"° /L-�T _-/914 6
t-J e 1A14A A &•4Alt/ / A/4A/ m/e/e ,
/
Type of Project Activity pscom2P, er A , -i,u 1 ij Or( . * p2-A,t,cb r-Ic,Ue i r..h +i Cp$4-tA 1 4 60,44-t
.p I1%5. /
* p; cr mrt - ��'cetcl /PAO c 0 k cP ip,'M r 4-1 t--3 A et 0 7 314rk c ti
-I r4 If (6 A —'i a"- r A l.- --114 J,id oo S,4{4z/v .4,P/%
PROJECT DESCRIPTION SKETCH (SCALE: )'.- �v ' )
f /
Pier(dock) length 6 X 33 �]A,_ Nam./c (A-tiA t
/i/I �!
Groin length
number /Vl) C 4 �.� 1i '"`� SP'` �NI�f.
Bulkhead length /1^6 c St �� ''rkt ( SE�R /
max.distance offshore `
1\Basin,channel dimensions
/.) ' • NO (/61411. 71-}ir S, Ue
cubic yards /.2
mot- r
Boat ramp dimensions R if
Other i.F 13'P31
7 ge4I) ad'Xk)'
it
rr/UQf- 6 Y.)b' �•
-----Till--- .
This permit is subject to compliance with this application, site (\
drawing and attached general and specific conditions. Any
...". ./- c
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be- n applicant i.signature
come null and void.
This permit must be on the project site and accessible to the ( --#6e2;..---
permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- (1--)1)— I`9 7--)O-f
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 ,--7H ,/� 00
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM __mad
APPLICANT NAME: FRED 0%o6s
ADDITIONAL NAMES:
AEC DESIG: C 1n/ F li✓ 0T DEVELOP AREA: PROJ DESC:- T - I
(Will only take 6) (Will only take 1)
WORK: PK to , 311 3 10
(Will only take 4) (p
MAiNT:
(Will only lake 4) C,I*11) 6
IMP: DW —P- k
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL,REQUIRED: L- ?-° ,,

N. SENDER: I also wish to receive the
v ■Complete items 1 and/or 2 for additional services.
rn •Complete items 3,4a,and 4b. following services(for an
N ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you.
> ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
permit. 1
y ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery
r .The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee.
o
m 3.Article Addressed to: 4a.Article Numl4er
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p -N,,Ar( —6`L, ,,(\\..�. 0 Return Receipt for Merchandise 0 COD
Q 7.Dat Deliver
D. 5.Received By: (Print Name) 8.Ad ressee'S Address(Only if requested 1
• ii pk� C 1_ kV(c/k and fee is paid) F
• 6.Signatur • (Add sseebrAge_nit)
()L,> X
a)
PS Form 3 , Decemb r f 4 102595-97-B-0179 Domestic Return Receipt

SENDER:
0 .Complete items 1 and/or 2 for additional services. I also wish to receive the
w ■Complete items 3,4a,and 4b. following services(for an
a) •Print
your name and address on the reverse of this form so that we can return this extra fee):card to i
Y
> •Attach
this form to the front of the mailpiece,or on the back if space does not 1. 0 Addressee's Address
P
1) ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ElRestricted Delivery u
E •The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. 1
o a
g 3.Article Addressed to: 4a.Article
/Number
� �J �a
a ,ON.,c� \(�St;-Z\\/J 2 T . �--1/o . I l so `�
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,1) . iv-‘1"r\5co n,
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✓ El Return Receipt for Merchandise 0 COD
��41c.1\ 7. Date`of Delivery
D 5.Received By: (Print 1 Lne) 8.Addressee's Address(Only if requested i
" iS i 4 P� and lee is paid) F
C
6.Signs : (Addresseere or Agen)
c• •X e i jz , • .4-
rn
PS Form 3811, December 1994 102595-97-B-0179 Domestic Return Receipt

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` DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER FORM
Name Of Individual Applying For Permit:
Address Of Property:
(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 to me as shown on the attached drawingthe development
they are proposing. A description or drawing, P'should be provided with this letter, with dimensions,
P-----
t have no objections to this proposal.
If You have objections to what is being crocosed . please write the
iv•sion of Coastal Management 127 Car Zte on
Wilminaton North Carol •r,a 28405 or calldonal Drive Extension
days of receipt of this notice. No response is considered 7thels_T;e
as no ob 'ection if You have been notified by Certified tified Mail
WAIVER SECTION
I understand that a pier, dock, mooringpilings,house, lift must breakwater, boat
from my area of riparian access unless waived
by me.distance of is
to waive the setback, you must initial the yappropriat If you wishbelow. )
I do wish to waive the I5 'setback requirement.
I do not wish to waive the I5 setback requirement.
.
gn ure 7 Yr 7 g
Date A • .
Print Name tr
Telephone Number With Area Code D B H R
Overbeck i Pippin Marine Contractors,LLC
P0.Box 716
Wrighuvilk Beach NC 2g4 O

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2I2I1I2N OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER FOR:
Name Of Individual Applying For Permit:
17---- �zD
\c:
Address Of Property:
(Lot or Street , Stree y t or Road, city & County)
I hereby certify that I own
property. property adjacent to the above-
referenced
P y. The individual applying for this
permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensi
should be provided with this letter. icn_,
I have no objections to this proposal.
If you have objections to what is being proposed , Please w ivision of Coastal Manavement 127 Cardinal write the
Wilminaton North Caro1 ' na 28405 or calld910 Drive Extension
days of receipt of this notice. No re= 10 395-3900 within 10
da no ob 'ec _oonse is considered the same
Lion if you have been notifies
by Certified Mail
AAIVER SLCTION
I understand that a pier, dock, mooring
house, lift 1 pilings, breakwater, boat
from myarea of riparian
L be Set back a minimum distance of 15'
ri arian access unless waived by me. (If you wish
to waive the setback, you muss. Initial the appropriate blank
I do wish to waive the 15 'setback requirement.
I do not wish to waive the 15'setback requirement.
•
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Date
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Print - 1A .�►
N e
Tel phone Number
b D I1_ \ FR
•e tr umber ► ith Area Code a i
Overbeck/Pippin Marine Contractors,LLC
P.O.Box716
wriphtsviue Beach.NC 28480

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