20490D - Bacon

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CAMA AND DREDGE AND FILL
GENERAL l�' O2O 90 `!
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/-/,/.OU
"f'6-4-i‘--f
Applicant Name 244c" 14-coN e4 C / C DPI K Phone Number ,cS-7r, " ),-
Add ress /3 a-Q. V * .4.drc1 50LZt.
City taJt (ln^.A41'bti State NC Zip "g Cr05—
Project Location (County, Stat Road,Water Body,etc.) _ , �b T � ,'#i4 c�-/!' �„,. e�
*KS r Id,✓Ne� fret, 1.(-)1 move"( a • rc-'T LC r-e Re P, -Ptlofti
Type of Project Activity /1c 4/ o K �r/� F/off 1,3 6 IY5.) ' l=l •iit-Y ,11 4 9
6 i
ry/6 ' i fQ e,y,rizj'tiSS p;Pie.
IF Pr _rim 1( "kovr D e DoCKi vett" 1x , rN ,, - 74 r ?wed (a) !/PsrP4
PROJECT DESCRIPTION SKETCH } (SCALE: / /!._ yU i )
Pier(dock) length _
Groin length 1` C
.C...., n
d
number -."....\ ..c. \\,,\A:‘,
Bulkhead length \eJ '" c
max.distance offshore \
c�
Basin,channel dimensions
\ \ \ 0 \43 \ .1‘ ‘11
t51 -p ,
c.
cubic yards 3 K. -c A
Boat ramp dimensions "=, , c- �
74. CI
�
! V tiC
Other ,
e
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, J/`?/� '�%� �'t'a
imprisonment or civil action; and may cause the permit to applicant's signature
be-
come null and void.
This permit must be on the project site and accessible to the (hf 474— permit officer's signature
permit officer when the project is inspected for compliance.t
The applicant certifies by signing this permit th 1) this pro- 6 i O, /- ( / 9— f- f f
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 7 1/ /?UCH
objections to the proposed work. attachments

GENE RAT, PERMIT COMPUTER FORM
APPLICANT NAME: 7 At rF 3 N—ceo A--
ADDITIONAL NAMES: e NA{1Y
AEC DESIG: F:.ttl DEVELOP AREAS C jj- PROJ DESC:f - I(Will only take 6) (Will only take 1)
WORK: F c
(Will only take 4) `}-
S `3 )-
MAINT:
4.(Will only take 4)
/
IMP: D ltit/ a tb
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL,REQUIRED: -

• SENDER:
o .Complete items 1 and/or 2 for additional services. I also wish to receive the
H •Complete items 3,4a,and 4b. following services(for an
( •Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. r
j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address :
d permit. 1
y ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery r
Fc• •The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. !
0
• 3.Article Addressed to: 4a.Article`Number ��� c
a l,,J qsz
• fn• ti Gho\.S 3 2. . vill `C
E / 4b.Service Type
8 7 c ----O ac— ,\./.5 ❑ Registered ertified
n 0 Express Mail 0 Insured
u I� � qq
) ''( � •—/�/ (\.G• 2,gQ0
3 ID Return Receipt for Merchandise 0 COD
7.Date of Delivery„
)
z
3 5.R ceived By: (Print Name) 8.Addressee's Address(Only if requested i
21 ,/7_ 42l%//.I and fee is paid) F
g 6.Signatur dr rsee or Agent)
o• x e�
o
PS Form 3811, December 1994 102595-97-B-0179 Domestic Return Receipt

(s' SENDER:
•Complete items 1 and/or 2 for additional services. I also wish to receive the
y •Complete items 3,4a,and 4b. following services(for an
H ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. 4
j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
permit. d
y ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery tl
« •The Return Receipt will show to whom the article was delivered and the date I• delivered. Consult postmaster for fee. y
O 7 3.Article Addressed to: 4a.l�rticl rnbe� � ad
E , 4b.Service Type
° O'7 ���t,�}'c9r� C—C�1 ❑ Registered a fled a
U C
Cl)i ❑ Express Mail 0 Insured c
w W ViNN t��e n •C. u
cc 1 0 Return Receipt for Merchandise ❑ COD
7
a Z$40 3 7. Date of Delivery w
z 7 c
m 5.Received By: (Pont Name) 8.Addressee's Address( I requested • c
W - and fee is paid) i
cc t-
o 6.Sign./* =e • t)
co X i Alp (2 i� r
• PS Form 38 , 9_• •=r 1994 102s9-,97 B-01%9 Domestic Return Receipt

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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 t, Street or oad, Ci
y & 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 develo ment
they are proposing. A description or drawin
should ;,:?rovided with this letter, g, with dimensicns,
I have no objections to this proposal.
•
If you have objections to what is being croposed , please
ivision of Coastal Management 127 --C Ewritextension
the
Wilmincton North Caro ins 28405 or call Cardinal913 Drive ____ ion
days of receipt of this notice. No response 5-3900 wthe 10
as no objection if you have been notified by Ce Certified
the same
tifie.. Mail
WAIVER SECTION
I ounderstand that a und, lift pier,
b
dock, mooring pilings, breakwater, t
must be set back a minimum distance of 15 '
from my area of riparian access Unless waived by me. (If you wishbelow. ) You use initial the appropriate blank
I do wish to waive the 15 'setback requirement.
I do not wish to waive the 15 'setback Tequirement.
Sig ature
. CG LS rc •
P nt Name
Telep one Number Wi h Area Code H R
Overbeck I Pippin Marine Contractors,LLC
P.O.Box716
Wrightsville Beach.NC 28480

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OVERBECK/PIPPIN_ MART .'`,*`'"- .„-,, � ::—
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