20045D - Stephenson

l
J . CAMA AND DREDGE AND FILL
-4-- GENERAL Nye 020n45 4
PERMIT
^ as authorized by the State of North Carolina
1�'��y Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 1'N . 1100 i •1200
Applicant Name Pk., \ k e-n So ', Phone Number 9 1 -1 (o3 i- a86 2
dd A\C t -i-rd-et
Address � � $, N � 5
City t e,Nr State N 0 r t ' Zip 1 5 0 I
Project Location (County, State Road, Water Body,etc.) . 1S I O u1 do - 1 1 4V 42 4 .3't T -t-
Sub'c CA , ►JC'_i MAn-tsdtfttrj C(anA I
Type of Project Activity SAS ' 1 U n b u I -kei\CI - I r UJ I'CJ e4- co(ti Ss
)2' . 1 e' COUe.(e di doe k- - tr rn,p ( ry aAd Storms_
PROJECT DESCRIPTION SKETCH (SCALE: NOT TO )
fi Pier(dock)length W
)( I WI
Groin length
number 1 y�,I
Bulkhead length L1
max.distance offshore I -_^'__—�
12
Basin,channel dimensions
cubic yards e.0t
t. e
+ 1(0 \�
Boat ramp dimensions �' \r \ —_--
Other IZ )1% 16 !' — }
C ove,rcd dloc�... o �c
r `5,S ' LoT Pc_?
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. AnyR.,..., (d,- ` �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. `„4 r.,,,,,czn
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. ; 1 1 �`t !
The applicant certifies by signing this permit that 1) this pro- .`I �� 1 t !
ject is consistent with the local land use plan and all to • issuing date expiration date
ordinances, and 2) a written statement has been obtained fro -
adjacent riparian landowners certifying that they have no '.I . 1100 E ' .00
objections to the proposed work. attachments

GENERAL PERIL COMPUTER FORM
APPLICANT T NAIvE: T h‘1 ' 5O✓,
ADDITIONAL NAMES:
•
AEC DESIG: 1 f) P 7 DEVELOP AREA: _Q PROJ DESC: p - /Z-
(Will only ta c 6) / —
CAT]only lake 1)
WORK: +-I 55 ` ,o' p 1 (9 tic Co
(Wiu oniy s r.4)
TE X Ig '
MAL�i: kI i0
(WZ onivta 4)
The: Gr 5\ 0 C__.N\ 9'CO
(will only biz::6)
ow a 654
ACTION EXPIRATION
DPED '8 r TT T REQUI=: 6 19 /'?'1 l 1 9 /9
C_ MA MAJOR DEVEL REQUIRED:

__ --ihr/ f�ph#tisZ/
[fix !$ - ,2,/4 F:
. - _...4_..C; .14.1ne±edi __MX_C.L.) )
-DRCK '
- - - =.- - -sfi�p �ouri - ,-iv rf �i ge s � /YuG _- - ..�
zxt‘ kwt..4,r5 c
``�L _ t•—' - a - S.S. iI4 f� lv� LfS .
i100
lor .r ,if:_ sir
. i I , it _ _ _ _ _____ . . \Lc
, , ..,' K - AvP
- E I W kr!i } — 1
Eo ____ _- _-Ali _ a dz. „,,f. ,,,..., _ , ,,,_-__-_
1.,,I, I �i�l I _....� .
vsiu
I —
4 f ;
- I --_ -- --

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: `S
Address Of Property:
(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.
)9' k 1.4 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. )
�7 , �► � � I do wish to waive the 15 'setback requirement.
I do not wish to waive the 15'setback requirement.
J /4), c�a � I
Signature Date � ! •
4 v> Pv l X),v i c1
Print Name
Telephone Number With Area Code F-I N R

•.
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVEL FORM
Name Of Individual Applying For Permit: hit Q 51-EpheivS0A/
Address Of Property: L(O1{7— C'( 51-
(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 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 waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
41614
Si natur
Date •
Print Name .301
-�
Cl ! a shad r30
A Telephone Number With Area Code 1--I N R

•a/ 1-1-2...... ,
-- 0 - -s--
,,,'
,,,'/ g. P:4,, \, •an, - •
/,' ''''''',7-41-'0 ,_,.. (-1°6 ?•) -
OS
es
4/,
, ',' se& so •--„
_ e 0
, - -
. I/4.•,0
''-1,-.4...a._ fifirifirk • •
...:*,
.. ..Ati.3ATO 3 -549eAto cli:toc,P4o
fi JAT,4
.., . _ a , re• 477
1 /0 441 °II
,_ IV/ 11968
‘.. ,
I
. .
. .