20492D - Potter's

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CAMA AND DREDGE AND FILL GENERAL 1 (.? 029492 -
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 274 ,.,,)000
P/4014.cejeAr
Applicant Name b416f /,t,47rA QGA-1. to PR' `-tA'C Phone Number ' `') YS7— Si. L/C
Address ti L>. 3JX /0/00
City Snvf7`h poi t State A/C Zip ) e7ig /
Project Location (County, State Road, Water Body,etc.)—1O U Yki-rN7 iti S7 e'et Soa l poi 1 ,
t a/t Co P O M 1 /4oil 7 InC,'- / ae j I /C/r Co .
Type of Project Activity fr'A.t f/dam CK .
(JMt Ajii [ s,t. 1/ , aDOU S/lP,r9i0/�/
4(4 At? c S /l 4-U IA SE".i Po A•i,Y ,fJ/t/ -fee
P>1.. .P4-I 4r-1 v: 11.
PROJECT DESCRIPTION SKETCH /� (SCALE: / �'_ 62 v / )
Pier(dock) length $bt l / e V/t (n ^J
Groin length
number tiYR
Bulkhead length p,PR
max.distance offshore yy
VV
Basin,channel dimensions coo
iOrd
cubic yards
OO�"S �risfi^h.
�/�f���� /lam/ / '/ V u
Boat ramp dimensions
Other fug
P 4-Pe_ Pe4R S+oi4-Jrx)/ .
UO yA.t/1 (3f IL 57 •
t ,
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,
imprisonment or civil action; and may cause the permit to be-
come null and void. 41( k_
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. G
The applicant certifies by signing this permit that 1) this pro- `) 5 ► /0
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
objections to the proposed work. attachments 7,U. c)c.XJ
I., ,«,,,nR /

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Poep CO±E41151±
ADDITIONAL NAMES:
AEC DESIG: PT` wri Es DEVELOP AREA:,. Olg PROJ DESC: 9- II
(Will only take 6) (Will only take 1)
WORK: Q"T" 4 cog
(WV nit take 4)
t ‘a* NNS'\%.
MAINT:
(Will only take 4)
IMP:
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 7 -p�I -qq'7 0- (9.1-q9
CAMA MAJOR DEVEL REQUIRED:

VL. 1V. 1��� 1V UJI11I I1,..LLI 11� wllV IIV.JI ( r •
L
•
IlTVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTTFTcAn N/WATVER 1S RM
Name Of Individual Applying For Permit: 6,---44(/. /e golod7of)s •
Address Of Property: / ,'c%f &J,,1 5€et
57L C 02gq6/ 0S-1)
(Lot or Street#, StreetRoad, City & County)
or
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to the 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 beiig proposed, please write the Division of Cna5j
05 or call 410 95_
3900 within 10 days of receipt of this notice_ No response is considered the same as nQobjection
jf yov have heern nntified 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 Prrpss unless waived by me. (If you
wish to waive the setback, you mnst initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement.
/97
Sigma e Date Al7A
Print Name
9 71 7 NCDENR
Telephone Number With Area Code Nrnf7TN c+RouNA DEPARTMENT OF
ENVIRONMENT AND NATURAL REsouRCES

RTVTSION OF COASTAL MANAGEMENT
T
Name Of Individual Applying For Permit: rr 4 He- 1 P m eY/S c . -
Address Of Property: l(9a6171 goi/tStiat
Sort Z3e44.5Awc,i 61/e/
(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 the as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
M I have no objections to this proposal.
If yin have coons to what is hPing osP write the I)ivicinn of C
Jvianapement„ 12,7 North Cardinal Drive Wilmington North ('.prnlina,,.28405 or call 910 �A5
3900 within 10 clays of rer.Gipt of this notice. No respoice is contidered_t e San-1e 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 sin not wish to waive the 15' setback requirement,
V,f/1/).(L?r -TC17X-61-re?-Z12- 4617:119rilA
Signature Date 77Z,0 ?
MEgfP/,
Print Name
. s7-51' NCDENR
Telephone Number With Area Code NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NAl1RAL RESOURCES