20046D - Johnson

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641e—t ..........\ CAMA AND DREDGE AND FILL
GENERAL l�o fl �1�i46
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coast I Resources Commission
in an area of environmental concern pursuant to 15A NCAC ti . ) I ()0
Applicant Name \©tel E L ' J O r SO e- Phone Number 9[9 9�. -Z. 2
Address P O u ( t l 2.. I
City rU(L(" 0 A -S State (!) Zip 1 I 4
Project Location (County, State Road, Water Body,etc.) (On s 1 Q t) C 01 n+ I 1 O2S ) s t 5-t-reC 1- f
6V r P C; \ Nc) Nla,n- �na(_J C�r,rt 1 `
Type of Project Activity eLk\K-- CA C ,r
E \A ce- e. - \k €-
( ? t k�&mil)e , O,A T L
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PROJECT DESCRIPTION SKETCH (SCALE: )
M - NACt6c`r1P11 NomOT -r-)
Pier(dock)length
Groin length
number j
Bulkhead length -
�
max.distance offshore -
1 PkverrNC-IP_,
Basin,channel dimensions
cubic yards I
< 31 ---4
Boat ramp dimensions Ilk
i it
other "- t`^' '�), U C _
'�`� ' Lc�T I e �
p u_ CL c
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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,
imprisonment or civil action; and may cause the permit to be plicant'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- 1 9 . 19 '�`G G,
l I
ject is consistent with the local land use plan and all local i suing date expiration date
ordinances, and 2) a written statement has been obtained from n I / o adjacent riparian landowners certifying that they have no / V
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
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APPLICANT TAME: John L . Jo I,r\SO r
ADDITIONAL NAILS:
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AEC DESIG: ES I E W PT DEVELOP AREA.:__ 0 I PROD DESC: P -
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(Will only tar_1)
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WORK: ip
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IMP: - ( - 6-O
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ACTION EXPIRATION
DR)3a'8:F ri I P. QUIRE): (O J 1( 1 a 9 5 ( 11 /6/
C_ANLA MAJOR DE'V E?REQUIRE):

QIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM
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Name Of Individual Applying For Permit: Jo/N L, /NSJ
Address Of Property: [ 0'Z S� / SP St
urrC,t� C,
(Lot or Stree , 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 drawing, with dimensions,
should be provided with this letter.
I/ I have no objections to this proposal.
If you have objections to what is being Proposed , please write the
Division of Coastal Management , 127 Cardinal Drive Extension,
Wilmington , North Carolina, 28405 or call 910 395-3900 within 10
days of receipt 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 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 waiv
e the 15 setback requirement.
I do not wish to waive the 15'setback requirement.
,7i �.u�. -1`1 S- 2 9-9 9 Signature DateA • .A
MY �. (2, ccYrlP1 ir, +�- r
Print Name .Y�-
Telephone Number WithArea Code 1--I N R

f DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM
Name Of Individual Applying For Permit: SD��yd j9 ,1�k75J �
Address Of Property: /Ba,S l54" c d`
/Vc' 62N /0(.4_) n:."0`"
(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 drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal .
•
If you have objections to what is beina proposed , please write the
Division of Coastal Manaaement , 127 Cardinal Drive Extension,
Wilminaton , North Carolina, 28405 or call 910 395-3900 within 10
days of receipt 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 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. )
Dp<' I do wish to waive the 15'setback requirement.
* ) I do not wish to waive the 15'setback requirement.
Sig ature Date ATTIFFAA
Pint Name
,1c> 1A-r79- 55 E HNR
Telephone Number With Area Code

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