18178D - Dennis

i
;1st-
e•Mr CAMA AND DREDGE AND FILL
GENERAL
isiti 018i►�g ,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 —7 h-i- 1100
T A&�-"
Applicant Name `J 01.�L � _ 1V NI t S Phone Number 91 O 457- S i9A
Address ')-(v 0 4 IA-) . Y a c 14 -r t2
City Lwt Cr ( a c..-c. . State t...) C- Zip 2?; 1 L S
i A
Project Location (County, State Road, Water Body, etc.) Sp -e, f A-1j"tc �Cvn AT VU U..)
R r u NI:c.c..n C-6. C .
.
Type of Project Activity ` •
T %1 ,
-Pl`e i—
Atv�t�.1 � ,,
(SCALE: = zoj ,
PROJECT DESCRIPTION SKETCH
Pier(dock) length N6'J LI rT tof
(utvCulrt rC
Groin length IDS lE G 0116v'_ OLD (A)INCI4
r
----' Li A A-tJD $O-A-T
number O6 SLSDE .
Bulkhead length
•e
max.distance offshore
IsmN6 >
Basin,channel dimensions 'je __t
cubic yards TT
__-TI
Boat ramp dimensions `' _\p
- A
\i,
\f,
Other W
VI
NV
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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,
.....P15
imprisonment or civil action; and may cause the permit to be plicant's signature
come null and void. C-7--)-
,� I ���
This permit must be on the project site and accessible to the (J permit officer's signature
permit officer when the project is inspected for compliance. ��
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local issuing date expi itE5 __ 3 ation date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no H I Z o O
objections to the proposed work. attachments
. . i

kxtANEKAL FE MiT COMPUTER FORM
APPLICANT NAME: D I
ry iv-e
ADDITIONAL NAMES:
AEC DESIG: DEVELOP AREA: .1 _ PROJ DESC: ? - 1
only take / (Will only take 1)
WORK: L \2 t O
(Will only take 4)
MAINT: 1 '-
(Will only take 4)
•
V z 3
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: '
A
CAMA MAJOR DEVEL REQUIRED: 5 - '�-s --99 �())

The American Fish Company
dri-iirliki<
P.O. Box 11046 [phone]
Southport, North Carolina 28461
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
)22:Name Of Individual Applying For Permit : + JaVik)
Address Of Property: A129qiVfredeA
1p,�� 02 �6c- L3i, 6-
(Lot 41,
Street #, St4'eet 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.
Z -rI 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 SECTIO1
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags 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. )
G I do wish to waive the 15' setback requirement .
I do not wish to waive the 15' setback requirement .
L
Si ature C Date
e- Itk O' kt -
Print Name
Telephone Number Wi Area Code

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit : r is&M,16)
)4 :77
Address Of Property: 91/ I t' I//r .
iltaite-h
(Lot o Street #, t�-eet or Road, City & ounty)
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 vr000sed. _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 or sandbags 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 .
'71( .
Signat a "/Jj11:
Date
Print Name
Telephone Number With Area Code

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