20257D - Pastore

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CAMA AND DREDGE AND FILL j12025'7
GENERAL
-Pise---- PERMIT
0 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 '7/1 1200
Applicant Name v�' n Pt ) I 0( Phone Number `/10 ?-3&ZU
Address / ' 0 • IlOX 3
City 5 r\c/F\cis Tw'r r' State Mc) Zip Li-6 U
Project Location (County,State Road,Water Body,a c.)
ff
t' i kI , ine:AcICIS Rr'r t/ r 0 j�k',CtJ i J
Type of Project Activity N eAfi
Pt-LC d r DC K.,
* 'J�Y -wt t_C t S 1 , cr\,11-r d -E U n r)u r,, nci 2 b P3 s - cD b o#-t 5 qs
PROJECT DESCRIPTION SKETCH Ne.vt)
N;0 Pam✓- (SCALE: Noy Y0 )
Pier(dock) length
_ 041
Groin length --
number �^
Bulkhead length '* t)Qr4 ,0,-, of }}
Vi r �� C.\OCK-- (AJt 11
max.distance offshore
Basin,channel dimensions
4 ht (00
�
cubic yards d. 1
'7� ,e-r-
Boat ramp dimensions
Other V X. Z.LI l
ex Ito' 604._ Il
5PC {\d NS A
t 0 ' ku lc- i C.1 �- ( � ;Lt rf1 i
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-
come null and void.
This permit must be on the project site and accessible to th permit officer's signatun
permit officer when the project is inspected for compliance The applicant certifies by signing this permit that 1) this pro- 99C TJ I 't 19
ject is consistent with the local land use plan and all local suing date / rG
expiration dat
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no , '2 Qf�
objections to the proposed work. attachments
_ n t)

U.I ER FORA
�P?L)C_;2\i NAi : do Y1 Ph s#0 r,v
ADDI i I ON L IN l S: .
AEC DESIG: P T EU.) DEVELOP AREA: .02—PROJDISC: f - )2,
(Val o'r;yt"k.I)
woRR:. l""15'-r X `- T G 8 `X I_(o'
ML.II\'I •
(WE coul.•Inks 4) •
IMP: OL) '7 o o . n 126
a R2
ACTION =RATION
DR~�� FEL REQUIRE)—. • 9 1 I / 9 ! Z f 1 1411
CAMA MAJOR R?QJ2.ED:

4
DIVISION OF COASTAL F NAGENENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: Jolirt
Address Of Property: (0 3 0 Co‘. e, _Q:
aec-Av rcg IL3 as--Luao ((),10(00
(Lot or Street Street
=, tre_t d� Road, City Sc County)
I hereby certify that I own er:r=rry adjacent to the above
-
referenced property. The ndivid-_ l� arnlyi nc for this Permit
described to me as shown on the attached drawinc the devel otT'�-
they are proposing. A descr__c_c_ or a.awi nc, with d$Tlens;crs=,
should be provided with this Latzer_
✓ I have no cb j ectic` t: this proposal.
If you have ob1ections towhatis ei c __
Division ---_- _- __ proposed. p'__-=
of Coastal Manace Cardinal _ _
Wilmincton, North Carolina.`2 9 • -_ -_-' c Dr_: `f`eT=-cn.
10
days of receipt of this port,-=. , 0 -S- 0� w�th_n
as no ob1 ecti on if you have r- - -- =-_.; ` -�the �-
— -- by C=. =r- u_;l
I understand that a pier, =rim= pilincs, __
house, lift or sandbacs -__ he __r z __-__ -from my of riparianaccess _ a__ ,� .-C_=�=_c= o� _��
area par_- _ _ _
ou
to waive.- the setback, yc_ c__ -- -i` t - v (If f ank
below. )
I do wish to ._
I do not wish t_ the ' _'s=- _�_ - -
__ - - -_ ='-ant
S ' •
ture Ure // L?- 2,6 wi S J A_
Pript Name
'/o -
Telephone Number With Area Col_

DIVISION OF COASTAL MJI_NAGEN NT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For _e i t: •- h QsL r e.
Address Of Property: 4 )0
4 a CCItS rit3)
(Lot or Street #, S et Cr Road, City & County)
y)
I hereby certify that I owra+ r -_—
refer t~ - - -`' adjacent to the _
enced property. above
'.he ind_ti_=_=__ a=plyinc for �-;s
described to me as shown pe`1or On th= c_.�_=^1 drawing the d=I=IoL;• =
they are proposing. A desc_roc_ cr drawing, with c=:-=n✓; cn
should be provided with this letter. - - -"
✓ I have no objections to this prc--cs_;
If you have ob i ecti ors to what is being
Division of Coastal Management . -_" Jry�c=e��. n- _= "rift
C=T-;--=i Dom_
Wilmington, North Carolina. 2='__ =- call C- o - - ith
days of receipt of this notice. _-^ _ - V -- J «-t-^--= IC
days
as no Obi ecti On i ' you have r`-- - - _- _�c , C c"—`=__erg' `ne giro
------_- by Car :=r- Y=_ l
I understand that a pier, dock' -- _ _ _
house, lift or sandbags r' _-_ _- -- r -__—r-• ain-,
from my area of ri par=� —" —= a_-�_ — `'- _--__= cf =S
=v
to waive the setback, You - " (If yam:
below. ) initial th= a= _ h=
I do was`_ to
I do not *-sh, - _, - - --- - _
r 20-` j
Signa ure
Le7-771 A/E77
Print Name
9 /d-32'-7 -.36
Telephone Number With Area

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0 0 4X6 Block
45 deg.ang
/hole for rope
1. 4Th IL
5/86,Gal
Bolt (typ)
with washers
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Scale 1/26=1 foot

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Bolt (typ)
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Scale 1/T=11foot

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1611r 5�;;�, III II
Lad
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66-30/631 514
457
John J. Pastore �}
Caroline Pastore DATE J=—I-- I
PAY TO THE — � •$1 .. 0•O ._..i
ORDER OF4 DO
�/� DOLLARS
�--ok •r:Micro Print signature
Ow—
kook line.gray type and lin ork,First Citizens Bank logo on back.If not present.Go not cash.
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� F1RST CITIZENS 457
' i V^ FtratC•Fens Bank ( .5.t. ,
6 Trust Company J
BANK
" -_— ,..„2,. . -94-4-4 M'
Sneeds Ferry,N.C.28460
FOR
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