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CCAMA AND DREDGE AND FILL10 02O6OGENERALPERMIT
10 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 ']J`{ • I2Oc?
Applicant Name L' f\r\ UJesT Phone Number qi U 3X7 _ O5 (j
Address 443 ChAd Wt rk Shores -br 1 >c)
City St1PAri S (f State A NCl Zip ae4coo
Project Location (County, State Road,Water Body tc.) n S l 0� `O t1A(V 44 C Y\ACI I C -
5'r o :e s r,J(-- , nr,,adS -rt 1 MCI)
Type of Project Activity C,n�i r "
/ Tooc- e 4l\n`) ��� �+4� t 4 ,x a 11
PROJECT DESCRIPTION SKETCH - \ pr4...6 Cfe,e '>,"----f (SCALE: NOT T ) )
Pier(dock) length 10
I `
Groin length eX1Skk RG\
1 C `I 1
number ,U �O 1 (21
Bulkhead length ' 1
max.distance offshore 1
14
Basin,channel dimensions
cubic yards
Boat ramp dimensions e) l S `1 f\c
`e---r-
other \Li' NAa 1 1 .
b(1 A# 110\ASC'.J
C
loop ' LOT)
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any —d j
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be- r
applicant's signature
come null and void. 1
This permit must be on the project site and accessible to the permit of icer's signature
permit officer when the project is inspected for compliance. p" ` ��
The applicant certifies by signing this permit that 1) this pro- �'', — � � �� `r, ' 1 1
ject is consistent with the local land use plan and all loc.. , issuing date 1-1—! 1
G/
C,
expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no .1 , ( 0 0
objections to the proposed work. attachments
GENERAL PERINUT COMPUTER FORM
•
APPLICANT N lvE: Le—On PPfThfl T
ADDITIONAL NAMrS:
•
AEC DE SIG: PT I EL(A) DEVELOP AREA: .UO$ PROD DESC: - I .Z
,ov only take 6) --- (ate]only-pike I)
WORK: Eli ' S I`--E )4. 7
CW'tlt only lake 4)
M4IlvT:
(Va othy tare 4)
IMP: Q(A 1 3 78
(will Duty tar_6)
ACTION : SIR=_TION
DR G�&F.1 R_ QUIR=: ( - I'7 -9 9
CAMA MAJOR OR DST REQUIRED:
r
.1
DIVISION OF COAL TAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWIER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Prmit: LFouokea 2F. ' zr
Address Of Property: 110 3 C1v- vw0 S e-- 5 .6e/7v-E
(Lot or Street I#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The indivi.d� .al applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A descripti )n or drawing, with dimensions,
should be provided with this letti •r.
I have no objections io this proposal .
' 6"1:;Prsi
If you have objections to what is )eina proposed, please write the
Division of Coastal Manaaement,,, 127 Cardinal Drive Extension.
Wilminaton, North Carolina, 28401 or call 910 395-3900 within 10
days of receipt of this notice. NS, response is considered the same
as no objection if you have been lotified by Certified Mail
WAIVER S CTION
I understand that a pier, dock, mcoring pilings, breakwater, boat
house, lift or sandbags must be se . 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 be 15'setback requirement.
x / 9a I do not wish to waive. the 15'setback requirement. .
Signature
T
)ate
X Jann,,ii, X APso
Print Name
10 _37-OM Telephone Number With Area Code
DIVISION OF COAh TAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWTER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For P rmit: 4Foerli�`7- 'g 57
Address Of Property: c44e,3 e' i7- Ge rs. 0, ?
. ,jB,oti2s; ,'9,C,ey //C 2 7 ,O
(Lot or Street ;#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The individial applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A descripti ?n or drawing, with dimensions,
should be provided with this lettir.
r CV(14
I have no objections fo this proposal .
If you have objections to what is )eincproposed, please write the
Division of Coastal Management,,, ; 127 Cardinal Drive Extension.
wilminaton, North Carolina, 28401 or call 910 395-3900 within 10
days of receipt of this notice. Ncresponse is considered the same
as no objection if you have been notified by Certified Mail
1 •
WAIVER S CTION
I understand that a pier, dock, mcorina pilings, breakwater, boat
house, lift or sandbags must be se : 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 ' .he 15'setback requirement.
x c c I do not wish to waiv . the 15'setback requirement.
- A ,rx i' RA6/2
1, ded,11.-a „(tt47,A7
igna ure /� 4,;4
w taro ( tJlr!�414.4f 47• , °7l.�c �lG l�ff
Print Name
fZ., 19 t. 4 l/.
Telephone Number With Area Code
..w-,..,, . ^„„o ...„---.1- uuo i mu.uurnprere ururuueu area proms roi mu enter your Carrie a11U aulress ar ore reverse.
was paid for at' •• •
4.15FER8y 0 1. Retum receipt WAS NOT paid for at time of mailing.
0 2a. Return receipt WAS paid for at time of mailing.
/ ❑ 2b. Return receipt showing addressee's address WAS paid for at time of mailing.
JUN U 1 1999 3. Artide Addressed To:
rvBox ?5.3
4. Article Number ay
Z- J33 zo95/5 /
5. Mailing o, ..m 6.Type of Servi Return Recei t
ri '--1 F r ii •1 Certified 0 Numbered Insured 0 for Merchan ise ❑Express Mail 0 Registered
-, ...= ldPe9
7..4: -ry office 8.1"41 , the fwing individual,company,or organization: 11.Postal Records
P,i ark g ,l 0y !/ Show.
: r lia ► ivory was mad
iUM 03 "In - ra - ` ' 0
4fir made
i" ,o. (Complete only if item 2b is checked) 12.Cl rk's Initials
innr_— -•t li !,n_�___�__4nnA rt..........4:.. M.A."... o......:..a /AN...11.1.,:1:....1
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RJ1 EReS RUILL,L.L.P
ATTORNEYS AT LAW
David M. Warren
Partner
252/972-7112
dmwarren@poynerspruill.com
Raleigh
130 South Franklin Street
Charlotte Rocky Mount, North Carolina 27804
Mailing Address:
Rocky Mount Post Office Box 353
Rocky Mount, NC 27802-0353
252/446-2341 • Fax: 252/972-7045
—_—=_-
I eonard J. West 66-30/531
Marie C. West 451 1177
——
Phone(910)327-0556 DATE —l� ���
443 Chadwick Shore Drive
Steads Ferry,NC 28460 $ S Ci
PAY TO THE �: i / '
�� DOLLARS
y ORDER OF _ not cash.
6 G If not present,do
(/`I""- —- r i iuf lincwork•First Citizens li.m�.logo on back. te
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� ---� 1. +k for. ro I'rlm slgnatm�c Ifnr.g'.
j+ini�muscRST CITIZENS 457
First-Citizens Bank&Trust28480 Company NP
Sneeds Ferry,N.C. A,67,0
FOR
p‘e 4-4 O';0045? ?476 L 21aus O L L? ? C-�_ _�
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