20059D - Wallace

CAMA AND DREDGE AND FILL
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GENERAL NI 92O159 -D
......._j PERMIT
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 tI . I -0O
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Applicant Name `� ` A (((ACC Phone Number 3 3 05 (
pw€ `/�/ 9/0)
Address C 5() 5Im; D pt('Gl (Vd ,.•
City w fry (1/ (1✓) State Zip oa�qUr3
Project Location (Count State Road,Water Body,et .) PPivN d e✓' ( U U n{'U/ I j r / rd e' v�l
T p s ri I e-e\c I-. , /ie) /S�Ics OvI nne. l
Type of Project Activity "�t.4,) f loAf i nc d be k�
lk MU Si he. & list iS off or rT p e —1 el rm CUr 6\4oc 1; f.e
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n , - U - i
r of c . sips 1 bo� r 1s vii be_ Footed -f-,'%s Struck-ufe l
PROJECT DESCRIPTION SKETCH. O kl5 C1 (t I ,--- (SCALE: NOT TU )
Pier(dock) length CI
�4 i
Groin length I ) ( S t r
ook
number r +Ui c. i (^ 1)--)e-N 8
Bulkhead length w E > r
le,/
max.distance offshore Proposed .A.
Basin,channel dimensions 's ionT 0
cubic yards
Boat ramp dimensions
Othfc,L.1.y c.--LI___Lal .
1 yi r v v I \I
iv
R
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This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any F“ 2/12/violation of these terms may subject the permittee to a fine,
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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. , /; � ,. IIn j,
The applicant certifies by signing this permit that 1) this pro 1 , 1(-.!`19 t . 1 6 , f RG"1
ject is consistent with the local land use plan and all local 1 issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no f.f I2Uv
objections to the proposed work. attachments
. . . . . . _ _ .. . ._ ,. ... . k 1 _ r\r)

GENERAL PERMIT COMPUTER FORM
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APPLICANT NAME: � (W)A 1 I P)C
ADDITIONAL NAILS:
AEC DESIG: (r Eik) DEVF"T OP AREA:__OG I PROJ DESC: R- i a.
(Will only take 6) (Will only take 1)
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WORK: ( 2 XCv Ch imoe\
(Wig oalvThke 4)
k �v e si-► iv
MA1T T:
(vim only takr 4) ip`t "r
IMP: O w '� Z
(will only take 6)
ACTION EXPIRATION
DREDGE&r TT T REQUIR"D: Cp / (9 9 9 cJ /4 9 Cl
C_AMA MAJOR DEVEL REQUIRED:

+t' DIVISION OF COASTAL MANAGEMENT
_ ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
A
Name Of Individual Applying For Permit: J ��� wA DACE
Address Of Property: /// $ N / /o r soff 04 VJ)
-TOP5 /L BcAc N PE/vo COuAJ/
(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 ite as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
N1 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 28405 or call 910 '395-
'3900 within 10 days of rec:ipt of this notice No response is considered 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 no: wish to waive the 15' setb2:4.7 requirement.
Signature Date AN,
A . par-Ts-
Print Name NCDENRQr
9 - 6S�- zo �.�
Telepho^n Number With Area Code H CAROUNA DEP:-rMENT of
ENVIRONMENT AND NATURAL RESOURCES

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MERRITT MARINE CONSTRUCTION, INC. 2654
DAIL MERRITT
s PH. [phone] - e
1 P.O. BOX 528 8931 WILMINGTON HWY r _ —
HOLLY RIDGE,NC 28445 DATE `� ' 9 9 ss 30/57 r
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PAY rD t
TO THE -- 1 $ 5'Q
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