20629D - Gordon

CAMA AND DREDGE AND FILL
GENERAL N9 030 94 7
PERMIT
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 H- 1 '�U
Applicant Name Jerry Gott- pv, Phone Number61 O) 17 g- 535
Address L7 DDp Di
City 14A-1q - e c State (J C. Zip Z. S
Project Location (County, Stat oad, Water Body, etc.) act f) t P• Y zc"'r j01k, . J b gyp'
Type of Project Activity
u- (ems t—
PRO JECT DESCRIPTION SKETCH (SCALE: III _ n )
Pier(dock) length A A 1 1L I \)
i001y CiT
Groin length
f I�t7/►^ I(off
number A w ) ch&, Ctr
Bulkhead length V V
max. distance offshore
Basin,channel dimensions
102 u4
cubic yards
Boat ramp dimensions
Other -
ii( I bf x 8
2'1 a Li&cF1t
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any �,,� n
violation of these terms may subject the permittee to a fine, W ''��LL�� 1v�---
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 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- ` I I ( l
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 k ) 2oc
objections to the proposed work. attachments

GENERAL T, PERMIT COMPUTER FORM
APPLICANT NAME: ti-e r v r C i?C i
ADDITIONAL NAMES:
AEC DESIG: �1,�1 r DEVELOP AREA: . I PROJ DESC: - Z
(Will only take 6) —
(Will only take 1)
WORK: i2 I C 0 1 L}
(Will only take 4)
Y1j)TE Ito
MAINT:
(Will only take 4)
IMP: ( 1Qj
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: 3 —I ( —Cls9 (G, — ( t

7' SENDER:
■Complete items 1 and/or 2 for additional services. I also wish to receive the
w •Complete items 3,4a,and 4b. following services(for an
d ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. I
d ■Att m 1 this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's-Address 4
■permit.
Receipt Requested'on the mailpiece below the article number.
. •The Return Receipt will to whom the article was delivered and the date 2. ❑ Restricted Delivery
c delivered. Consult postmaster for fee. a
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-0 3.Article Addressed to: 4a.Article Number
a � � �-�— J 74, �03 1
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on U ❑ Registered O'Oertified t
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a ,�p1 1 7.Date of Delivery�� � !
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5.Received By (Print Name) 8.Addrgssee' dres,�/s(Ay if requested 1
and fee is paid) I
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is 6.Sigrletu e:(Addressee or Agent)
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PS Form 3811, December 1994 102595-97-B-0179 Domestic Return Receipt

M SENDER:
V ■Complete items 1 and/or 2 for additional services. I also wish to receive the
'Z •Complete items 3,4a,and 4b. following services(for an
C) ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you.
j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. 0 Addressee's Address 1
d permit. I
■Write'Return Receipt Requested'on the mailpiece below the article number. ■
d P � a 2. - 'clad Delivery
r •The Return Receipt will show to whom the article was delivered and the date
c delivered. •, `= •r for fee.
0
d 3.Article Addressed to: 4a.Article N r •`p7
a 'e G I`t db.Service
t°o
0 Register:. a Certified c
w 3aC, ���.�� ?( El Express Ma�b'QdHL� •■ Insured !
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o ❑ Return Receipt for Merchandise 0 COD
o _a'6- 7. Date of Delivery
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D 5. Received By: (Print Name) 8.Addressee's Address(Only if requested i
CC and fee is paid) J
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g 6.Signaat1ure:(Addressee or Agent)
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PR Fnrin 21411_'nacamhar 1QQA 102SPS-97_p_n17P DnmpRtiC Rpti irn RACpint

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STATE OF NORTH CAROLINA
BRUNSWICK COUNTY ------"\------- �\------..—_—
I. ROBERT B. MVHENRY, JR CERTIFY
THAT THIS MAP WAS DRAWN UNDER WY `r-- ATLANTIC INTRACOASTAL WATERWAY
SUPERVISION FROM AN ACTUAL FIELD
SURVEY MADE UNDER MY SUPERVISION: � **- _ -�� �a/
THAT THE RATIO OF PRECISION AS
CALCULATED BY LATITUDE AND DE- S B0`48'17"E 60.03'-1'
PARTURES IS I:IO,000I THAT THE
BOUNDARIES NOT SURVEYED ARE SHOW! t0'CHANNEL AS BROKEN LINES PLOTTED FROM IN-
FORMATION FOUND IN BOOKS REFER- SETBACK
EKED.
WITNESS MY HAND AND SEAL THIS THE
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LAND SUR Y REGI O. - 21 I tr IE
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n m k
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ISEAL
CRRR� tine
"OW3Z2 v - N
L-352 I
m
kyNQ suave,'" Z
AO 2 a•
di S 81'5___"E _60�04'--+/o EIP— —
—— EIW LNIGH WATER MARK
AEC AREA.
4,300 SQ FT
.099 ACRES
BUILDABLE AREA.
'J) NOTE: PROPERTY IS IN FLOOD HAZARD 6,207 SQ FT
ZONE "AE" BASE ELEVATION 12 FT 0.142 ACRES
r."`' COMMUNITY NUMBER 375354 PANEL
NUMBER 0004 SUFFIX C 4-91
1
r �� N BLOCK 112
#•-�-� _ _ _AEC LINE�•_ .4 SECTION 8
LOT 4 �, — 3 LOT 2 TRANQUIL HARBOUR
..
o MB 5 PG 93893A BCR
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z LOT 3 In
10.507 SQ FT /
_„, 0.241 ACRES
`� /
1 AVERAGE GROUND
`
r 7 ELEV. 7.97'
..�..
' ^ COORDINATES:
V, (Y) 63819.4806
(XI 2266729.0711
A ��+ `
... -60.04' ALONG RAW J'P"N Bl`52'00"N 60.04' fIr
TO NE 39TH ST.
0
el
EAST YACHT DRIVE 60 RNW
PLAT OF SURVEY FOR:
JERRY GORDON LEGEND:
NIP = NEW IRON PIPE SET
LOT: 3 I BLOCK: 112 I SECTION: 8 EIP a EXISTING IRON PIPE FOUND
CITY OR TOWN: LONG BEACH, NORTH CAROLINA
SMITHVILLE TOWNSHIP I BRUNSWICK COUNTY
DATE SURVEYED: JANUARY 26th, 1999 'BY: DW\DD
SCALE: 1" = 30' 'JOB NO: 990113 FIELD BOOK: LB 74
McHENRY SURVEYING
PROFESSIONAL LAND SURVEYOR 30 i5 0 30 60
P.O. BOX 433 105 S.E. 46th STREET G AIMS iiiiiiiiiii
LONG BEACH, NORTH CAROLINA 28465 DRAWN BY BRIAN N. ALLEN 1-26-98
TEL: [phone] ,so,N,o ,,.- m,

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EXPLANATION
J.W. GORDON ( , � �`� AMOUNT 66-112 i
3904 EAST YACHT DRIVE
)�'��"� S 531
OAK ISLAND,NC 28465
PHONE:[phone] 0 518
•
PAY ( /c CHECK
DATE r I e) DOLLARS
AMOUNT
TO THE ORDER OF
1 DESCRIPTION CHECK NO.IP
1 5-1 e o
3_�\_9
./i,/ 7 'C
Drnnch Banking and Trull Coml.. H,
YAUPON BEAC NC 461 1 1
is . 053 LO Li:
52L30 28'2 29111.II.;.:II,;Ir-•I .,, �pa
(����II'D00 5 L811' I:
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