20405D - Muller

•. .' ' 9 DREDGE AND FILL Q��4 ,�
GENERAL
PERMIT
iiiias authorized by the State of North Carolina
0 Department of Environment, Health, and Natural Resources and the Coa/al Resources Commission
in an area of environmental concern pursuant to 1 G�cC G 5A-NS 14 — a 'D/
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Applicant Name WEAN AA kA.lC es c to S.`("/"`^g M►Al 4 -- Phone Number 6/0 )..)'3 i"'5 s5
Address 1I515S OC)- IR04D
City lu f-}-iuni State 0144 O Zip `f Salfl"
Project Location (County, State Road,Water Body,etc.) /0(fr GRF•E/1/6""tJ" SI—. ) t-b I9 ti `3i4C4!
I
A-DSf-Pn-r N- "AA- ,•: cott,/14 I o' F— A-ww -aRvk�S J c k Co
Type of Project Activity R'e(AC EME 0 OC C---lei S" is 3u\KrJi 4 %W,`lli 6 C"ti ► z--4-RP3- A C
' ,Al -it a€ ARA) 0+�= e4;c-,c ki S-fQ.vtG-fu PC
PROJECT DESCRIPTION SKETCH (SCALE: l,'_ D v r )
Pier(dock) length
Groin length
^'` /vim b
number C7441'1 e/
Bulkhead length i
max.distance offshore
Basin,channel dimensions
oP� ' µv�cC l° -'' ' 1
cubic yards PR � R,y,Ale i1
o,Boat ramp dimensions
Other
9
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This permit is subject to compliance with this application, site �drawing and attached general and specific conditions. Any /�.-� 7,4'r
violation of these terms may subject the permittee to a fine, 'd' 4 applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void. 411.4
This permit must be on the project site and accessible to the • % permit o ficer's signature
permit officer when the project is inspected for compliance. _
The applicant certifies by signing this permit that 1) this pro- — -'J ^ 11 `J D Z- 5 ,
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 (sS 113— ZJ°I A N`� /SA 'vole
objections to the proposed work. attachments
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GENFR&L PERMIT COMPUTER FORM
APPLICANT NAME: T-Q,dt " Ak kik\(P�
t'DDITIONAL NAMES: T,;vvx. ulAZ fki4 Z.
A%C DESIG: ,�,�y P j E 5 DEVELOP AREA: ,O(_1 �_.
�l PROJ DESC: P -
(Will only take ----
(Will only take I)
WORK: -3
(Will only take 4)
MAINT: YVIP
(Will only take 4)
•
IMP: aak, s6 100
(will only take 6)
ACTION E 'IRATION
DREDGE&FILL REQUIRED: 2 --7 --5(j .-5 (7
CAMA MAJOR DEVEL.REQUIRED:

ITT ICION OF COAfiTAL, MANAGFIVIENT
'\ PR OPFR T�'
4
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 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 have no objections to this proposal.
If 3�Kl wthn�1(1 da noncP
ycvrn - c - cr P AManagement 17 North Cardinal Drive miza North taro _ - � orca lo9 1 'ct�9ct5ii � is conCidere ri,A
if von 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.
-.l 1- Cv >4' y!!./d.,, , -,-/ 9
Signature v Date �,
..,.....„....1f
Print Name
Telephone Number o
NCDENR
P With Area Cod.. NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL R= ni 11..•«

TWIST ON OF CO4ST4L M4N4CrEM N'T
PROPFRTY•
(��'FN'FR NOTTFi('e r,Q
v 4
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.
di
applying for this permit has described toitie as shown on the attached drawing The iee lo ment
they are proposing. A description or drawing, with dimensions, should be provided with thisletter.
I have no objections to this proposal.
If V(111 haVP nljA^tinnc What C l7oincr nrnnClcP/� PaC ^
n1e Write t}1A T}TV,CInn nr l [tactal
° dmal T�nve Wiimmotnn 1.T �«� t $4n� �r Bill 97(1 �95
Nn
' ^� thic nn rPcr�nncP ,c rn., '.d
if voit have been notified by Certified Mail
W 4IVER 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 mnct initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I fin not wish to waive the 15' setback requirement.
2.../Z------- AIII91YlrA
_na -•e f Da
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Itr
��� J T, ,�iz��r�
Print Name
VP szf-J- 0 3 61 NCDENR
Telephone Number o P With Area Cod., NORTH CAROLINA DO.ARTP'ENT OF
ENVIRONMENT AND NAT/IRA! Rccni io.=..-

lq.d Ott back.It not present,du not r.wh, f-f'�""' T�`;,�
lue heck,ottnt i the Ron of this chrrk NAM the I i .C9ate0 12 5 5 I
- .�^+�c5�^-�{ ; Wok to.� �
MINTZ CONOR jAMES MINTZ
LLOYD MINTZ 66 19/5623030 c
PH.910-842 5746 — a
2621 STONE CHIMNEY RD.,S.W• DATE_
SUPPLY,NC 28462-5927
c t p PAY
OORH OF—/ CAD fi ---
— — I $ o �__ O L LAR S n
RE F:
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2--174- 1..0771,.-.6 EWt iorMaFI i...,deefitt5M- - ror \.4i
Nations tank -
NaIJOn811811k,N.A. D�_
FOR— 1' 0006 5
8 38 9811' Co=r, -
u'00 L 2 5 511' •� 5 30� OOl6',3 � y1i _
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