20009D - Fox

41 CAMA AND DREDGE AND FILL T
GENERAL :N 920199 —'b
PERMIT p 1 s-
as authorized by the State of North Carolina
10 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7U . /5V
At,P
Applicant Name ."5-4"Jsk.SC C . X e/0 D v (/it',I-k-e t\ Phone Number (1Iu) (o erp -7 S5-5
Address J3 LI Edy 14 1\ Ref
City W-\vv.;tv_sh)r- State N C Zip 3 b'L D I
Project Location (County,State Road,Water Body,etc.)�4M= 4'r At iP ' f�4�It'Y
(s./9VJ I--/,to!`e P Co .
Type of Project Activity AAA•n7JfiJ k.A.t -bk bC. ri41 ,
I/v 6 t Irt4 tI on Aisak-Y O(`Gtw it 3-p-iw-erti J r ,1 1 A NC) SPISt Prn(iec 3a ,t►,Ir c ( io r`
E-uvat '` c oh-La, - A otn- -rt., ''itkc-ok, o`r JW1 PJ j }.f4-►r t /39S-3900 .
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier(dock) length I
Groin length
N1�'^I�t 4r
rioz"number p V( ��1 e t -3 «//M( L
Bulkhead length \I F
max.distance offshore "�. Y \v \
\G
Basin,channel dimensions t I
y5X�' j --s Maw , yoiv3o' X-3 M1�' 4 -
cubic yards a 9
Boat ramp dimensions
Other
,�0;1 ,r,nA etc:f l i b e p i,sAtevl \\
N. 5'. --IISfa1 I
1 petit rr, ct e 1g A/E o P
Res% c .
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I
This permit is subject to compliance with this application, site j�
drawing and attached general and specific conditions. Any 1_
violation of these terms may subject the permittee to a fine, 1�^--.-f
imprisonment or civil action; and may cause the permit to be applicant's signature
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- j---if-S 1 .--i/ -, y
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 0
objections to the proposed work. attachments .151)

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: f C.
J DDITIONAL NAMES: (`o, - ( ti-It lAA Q`�C �tiC
J4,EC DESIG: P TT E 1A/ . • DEVELOP AREA: ,�O 0♦ _ P(wiu only take _ PROJ DESC: -
(Will only take I)
WORK: t'313 t-I S/► 0 , 3 i
(Will only take 4)
MAINT: Coirtia)
(Will only take 4)
(will only take 6)
•
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 3•-f-5 (-1 (-r'S,
CAMA MAJOR DEVEL.REQUIRED: 3

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..r,r - ,4 - va .-- rr1 l • II p It1 r1 WMIICIRJ 7140b t (Di 11W Y. bY
DIVISION OF COASTAL MANAGEMENT
ADJACENT tIpARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Katharine R. Fox
Name Of Individual Applying For Permit: Jane Fox Brown
Address Of Property: 124 Edgehill Road
Wilmington, NC 28403
(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 drawing the development
they are proposing. A description or dra ing, with dimensions,
should be provided with this letter. b re iu 00,)(
I have no objections to this proposal-.
If you have objections to what is beipa proposed, please write the
Division of Coastal Manaoement 127 Cardinal Drive Extension
Wilminaton, North Carolina, 28405 or call ,910 395-3900 within 1Q
days of receipt of this notice. No response is considered the same
as no objection if You have _been notified by Certified Mail
WAIVEB SECTION
I 7. t ;d that a pier, dock, mooring pilings,. .break tW boat
house, lift 'osandbags must be set back a m.inimum'distance of 15'
from my area of riparian access unless Waived by me . (If you wish
to waive the setback,:you Jnust _initial the appropriate blank
below. )
, wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback rrement .
71i /
•
wcipv,A
Signature Dzte • •
Jim & Dana Fisher
Print Name
910-256-9122 FT 1 f- INFO
Telephone Number With Area Code

7 1 7, 0 1 1 f 7
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Katharine R. Fox
Name Of Individual Applying For Permit: Jane Fox Brown
Address Of Property: 124 Edgehill Road
Wilmington, NC 28403
(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 drawing the development
they are proposing . A description or dra ing , with dimensions,
should be provided with this letter. �re ;gt1 044
y
,/
I have no objections to this propose,.
If you have objections to what is beina ar000sed, please write the
Division of Coastal Manaaement, 127 Cardinal Drive Ex_tension,
wilminatpn, North Carolina, 28405 or call 910 395-3940 within 10
days of receipt of this notice. No resoonse is considered the same
as no objection if voy have been notified by Certified Mail
WAIVER SECTION
2 un� tz�d that a pier, dock, mooring pilings,_ brOk ater, boat
house, lift "4 -sandbags must be set back a m,iniMum"distance of 15'
from my area of riparian access unless waived by me. (If you wish
to waive the setback, `you gust ,initial the appropriate blank
below. )
y wish to waive the 15' i tbac.k requirement.
I do not wish to waive the 15'setback r8rement .
/2 An
- __J/NN\( zjzien
Sienature Date •
Ja�_G_�Jordan & Ruth Fox _Jordan •
Print Name 910-256-4194
R
Telephcne Number With Area Code

COASTAL EARTH WORKS, INC.
19 3 0
1955ilm Middle Sound Loop Rd
W
66-7172/2531
6 PAY TO THE
ORDER AlELL rn
COOPEITI� UOILARS 0
y� Defeiie on Wey
BANK
WILMINGTON,NC
•
FOR
1: 2531717281:
16 900 10 30 20 1 0 _ ��_---