20412D - Loyd

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r CAMA AND DREDGE AND FILL
GENERAL " 02O4 2-
-1y-
PERM I T
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 44. ..)OCo
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Applicant Name 3� Z Z L U)"C4 C/v C U i''1 C)U`Ple 3euc Phone Number(�/U) .7�`3O
Address -7'5 W eS'i C (c&rv' ; A Si •
rn,
City 1n/Kk G*{'`fS l�I tL J 4"C TS f_ State Zip D a "
Project Location (County, State Road, Water Body,etc.) Si-,rv--e / AlZ "YkMe S C L44NNI'. i
A/CAA/ -/t/OI✓ltQ CO
Type of Project Activity -�Q/ ns- p t �'ti1 fi, l—r4 el/ AS.(5Ifr)
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PROJECT DESCRIPTION SKETCH pp (SCALE: (ft 30 , )
/'N..�- jQ*.,4-\ C IS4,w��"
Pier(dock) length
i N 1; r fnv S1 b' /s mivi
Groin length (uR f tuiri b f goiv- R; PAP;A� (�:- Corribu S {
ill
number II t
Bulkhead length �i � e �C""----...„.......„ Pt pP�'�p Cr*4a— mpnt
max.distance offshore MEM (-ply
■J1111131 r)'
I 1 1
Basin,channel dimensions I"
cubic yards
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Boat ramp dimensions LJI)( 1 Pier C )jA'fi
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Other L; i`T ('h
p ) aec IJ' Xlti �t �l� Gtzf bu
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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 may subject the permittee to a fine,
applicant's sgnture
imprisonment or civil action; and may cause the permit to be-
come 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- -y-11 6- `f /c c�
/
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 / pUU
objections to the proposed work. attachments "7 r�� .�

GENERAL PERMIT COMPUTER FORM
;APPLICANT NAME: 3 A Z 2 Lb V ei
11,,DDIi1ONAL NAMES: r L 4- (e S U,.e r e U(
AEC DESIG: P T E_w. DEVELOP AREA: D C� 3 U
(Will only take 6) I — _ { PROD DESC: -
(Will only take I)
WORK: 8L
(Will only take 4)
M4INT:
(Will only take 4)
IMP: 0k/ 33 (9
(will only mice 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL.REQUIRED:

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER_ FORM
Name Of Individual Applying For Permit:
Address Of Property: (10
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property
referenced property. p p tY adjacent to the above-
referenced to me as shown on the attacvidual hed applying
for his
permit has
they are proposing. A description or drawing, g the dimensions,
should be provided with this letter, with dimensions,
I have no objections to this proposal .
If You have objections to what is beinc oropos
ed . write
ivision of Coastal Manacement 127 Cardinal DriveceE tensione
Wilmincton North Carolina
days of rec 2 405 or call 910 395-3900 within 10
eipt of this notice. No response
as no objection if you have been notified by Ce Certified
M the same
tifie,. Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings
cat
house, lift g-, breakwa�er
from m must be set back a minimum distance ofb15 '
y area of riparian access unless waived by
to waive the setback, you must initial the appropriate o blank
below. )
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
Signature
Date
A • APrint Name
Telephone Number With Area Code
Overbeck/pippin Mailne Contractors,LLC
P.O.Box 716
Wnghtcvilk Beach NC 28480

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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 c
..treet or Road, City & Ccunty)
I hereby certify that I own
ra ert property adjacent to the above-
referenced
property.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 drawin
should be provided with this letter, g, with dimensions,
ZI have no objections to this proposal .
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If You have ob 'ections to what is being Drowsed , please
write
ivision of Coastal Manavement 127 Cardinal DriveExtensionE
Wilm 'ncton North Carolina 2 405 or call days of roc ll 910 395-3900 within 10
receipt of this notice. No resnonse is considered the same
as no objection if you have been notified by Certified
Mail
WAIVER SECTION
I understand that a pier, dock,
house lift mooring pilings, breakwater, bcat
from myarea of must be set back a minimum distance of 15'
to waive the setback, n you access
mustunless
initial waived t by me.
(If you wink
below. ) he appropriate blank
wish to waive the 15' et
irement.
I do o waive
etback requirement.
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S1. �11rc 6/41 - A 3-
\A e Date •
Print Name A
t o ri R S 7
Telephone Number With Area Code H
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Overbeck/Pfpptn Marine Contractors,LLC
P.O.$ox716
Wpghtsville Bach.NC 2848U

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r OVERBECK/PIPPIN MARINE CONTRACTORS, LLC 2 4 5 4•
P.O. BOX 716 910-256-3082
WRIGHTSVILLE BEACH, N C 28480
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P
AY
ss_asis3i
TO THE DATE_ ar__r h 3, L qgg
ORDER OF _— $ 50.00
D H ��
o - C WANE COldfp;'J ,) ID Da.) I 0 CIS
DOLLARS CID,,`�."w.
¶ F2Pank..
FOR ,i
it I00000 24 540 i• •
.0 5 3 1008 50�.0 27 2 i L 290311'
GI-.-_ -i�. is-.. FOP .v ; {V12t`3j�n,_ Pao �_• N"� I.
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