20055D - Pollard

CAMA AND DREDGE AND FILL
r GENERAL ism 020055 -b
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 94-1 • 12-00 r
Applicant Name Y)0 n � 1s O ''f (d Phone Number `'9 (D 2 :7813
Address ` LI 1 .--bP�'-C hilif60d 1r;Je J
City 7A\e-hc k State Zip a 160Z
Project Location (County, State Road,W ter Body,etc.)_nS I fl(A) Co tir+-v '7 Or? c1r7it 5-e e-
u.Ja C,t , 1JC)A,11,^M''fln- A Ad v C'rr- 1 i 1 /�
Type of Project Activity NeAni �COUP1e(i \no A-4- I t r t 1 0' . ( I t
PROJECT DESCRIPTION SKETCH M t� a (SCALE: NO1' 1, )
Pier(dock) length M fl ' r 'de_6,/_j A \
Groin length
number
Bulkhead length -
max.distance offshore
f s.
Basin,channel dimensions 1 U
cubic yards Must bC „t L—\L t' /\
5( \AACIL t t-X kth n�� ��
Boat ramp dimensions I.S. r a()��� 0 ( C 1�h t
other l u' x i t r__•__ 'O .�
C)i)e \ t\ f-'
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any (-----
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.Z4 ,
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be icant s sig wre
come null and void. 1
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- k _ 11 'c\c-l`1 `-'jp f�.p _ I- t (-/el
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 e-14 . ( 2-U 0
objections to the proposed work. attachments
^ i.-.. (1u

LRAL PERMIT COMPUTER FORM
APPLICANT NAIE: orr k‘ t'Olt Pfrd
ADDITIONAL NAMES: •
AEC DESIG: P T 6 i J DEVELOP AREA .bO Z PROJ DESC: 'P - 2
oval only sake 6)
(W I only lake 1)
ti ORx: t3 L_. 10 XII '
(Will only lake 4)
M4NT:
(Will only lake 4)
IMP: b W J I 0
(will only sake 6)
ACTION EXPIRATION
DREDGE&FU L REQUIRED: -I'7 .-q 9 1 - '] --91
CAMA MAJOR DEVEL REQUIRED:

C _
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM
t
J 16
1v/V/ - 4J/Q/*7
Name Of Individual Applying For Permit: � c7
Address Of Property: -7) 77 7 .
5141-
(7, ' /U •C .
(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,
shoul be provided with this letter.
Ylt----
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.
c/ I do not wish to waive the 15'setback requirement.
natureZ 73//J,
�f Date Tclr. A
A ;
Print .-�ti�.
.ram .,�.�
/ cc .. 3 s--t- r-f CD HNFI
Telephone Number With Area Code

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: i IAj, t: /f//q /
Address Of Property: 7O79 7' Jt
(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.
/W 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.
11--6e) -3/-9
5 n a r a ����
Date
01,3 �E l (i), 1) )9 n n
Print Name `�-Nr
Telephone Number With Area Code H N

ANTINORI CONSTRUCTION 858
i
896 HWY.210% / r
HOLLY RIDGE,NC 28445 Date l!��7r 66-19/530 NC
v 6070 N
e Pay to the � ^, '
Order of I v 1 $ 200, „ F__ cr-y
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i Dollars
" Na�ionsBank 57
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' Nntionsl3ank,N.A.
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ForPO/%YC/j �/fi/A-44 '1" -----------------. --- •
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1.0 5 3000 L 9EA: 0006SO52L9900 0858 elpas3o5A-6e
GC'lurke Amerlran
_ _ _ GUARDIAN.gAFETV BLUE DEBT