20409D - Pierce

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CAMA AND DREDGE AND FILL 10 �120419 — >>
GENERAL
—1�
PERMIT
^ 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 ) 1 .0 00
Applicant Name D . - 0 . 4-) C-e rL� •A^'n1 A,"• Phone Number( Th-' 9 S-7)`15-
Address "SU'\)?-2u r?u Sd . �cl c t�
City InJ\11M. y�1i` State �/ L° Zip 3 6 /0
Project Location (County, State Road, Water Body, etc.) S I y '.-P d A 7' ,--1 p4-Z-1^'4"' I -�'�".U'"o
SUS,' �PitN )-b-vvuv °r? C .
Type of Project Activity I`-" e/A-Ge 'N' C-)t` pk(L144-te p PA.
- Ait C -/-ice' or- 7 // , ►> aU 541411 A1-01y.
PROJECT DESCRIPTION SKETCH (SCALE: i�_ 5-0
/ I ' ti 'xl� ' /6/If
Pier(dock)length !/ X)3v ✓V v ^,.
/ 16'yto� t-l4')
EDGroin length
number
Bulkhead length
i P
max.distance offshore ' 13� +
Basin,channel dimensions
cubic yards
I Boat ramp dimensions
Other -t- ge4o /0'Y(O',
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3 J k 4uA, Oleo Sd . .
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 signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
/1v
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. c�q The applicant certifies by signing this permit that 1) this pro- 3 6 _
! ! - / 7
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 , J) ()'
objections to the proposed work. attachments 11/‘..A.P1/4
I M

GENERAL PERMIT COMPUTER FORM ----14.14341141111
APPLICANT NAME: b K et
ADDITIONALNAMES: Aevb`r
AEC DESIG: n
P Levi.vi f O • DEVELOP AREA:_ GI PROD DESC: f
(Will only take 6)
(Will only take I)
a-
WORK:take
W 4,P R 13 F S , 1 (0
Ty' k ,�0 /0v
M.AINT:
(Will only take 4) j OU
IMP: V/ 1 O V b
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CA_MA MAJOR DEVEL.REQUIRED:

RIALISIQN OF COASTAL M 1\''1'
AT),IACFNTRTPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: Q
Address Of Property: -2 3 2- ( yn S '
(/ Z q-c{d
(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 toitie 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, 2E405 or call 910 395-
3900 within 10 days of receipt of this notice- No response is eonsidered 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.
~� A 2...k01°)9
Signature ` Date ,'
E cL-v; L, \e-)4� J r •
Print Name NCDENR
Telephone Number With Area Code NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES

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DTVICION OF CO4ST 4GENITN
4DJ4C'F'\f RIP ART&N PROPERTY WE'ER N TIFICA_TIONJ,&IVEY FORM
Name Of Individual Applying For Permit: 0 ee...e-c.„
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Address Of Property: 73 2. 1 Se,
k% ,ti- 1d1� ,tic 1��'4 Y
(Lot or Street #,Street or Read, 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 drawing the deve opment
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
Tf Ron have objections to what is being proposed Please write the nivision of (coastal
° � Cardinal T)rivr ilmington, North rarni;n-, �
3900 0 days of rer.ftmt of this notirr - � or call 910 '�95
No response is considered the same PS no obiertiorl
if von have been notified by Certified Mail
R%4T ER 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.
f,t,,,f2 -/Y-z.--14,_Lri / 5 - 5 5
S i`2-nature Date
Print Name
7 - " 0 C NCDEN'R
Telephone Number
p With Area Code N,a-ciri CAROLINA Dm=ARTN'L�NT OF
ENVIRONMENT AND N411UR,4J RSOURtIES

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RANDY L ALLEN ss-47 5
I ; PH 7 L5D8 IM
31
6037 SHILOH DR DATE
i e WILMINGTON, NC 28409 i
P $ ��.a a •
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