20646D - Skipper

, '
CAMA AND DREDGE AND FILL 1`�0 Q �3—D
GENERAL
PERMIT
as authorized by the State of North Carolina ,;
0 Department of Environment, Health,and Natural Resources and t1 CoAst ai R5sources Commission `°'
in an areaf of environmental concern
,pursuant
.tJo.15A NCAC 77 F t O
Applicant Name h M r t�S jj)� ^ ' •`T O C' �ICUE Pic,( Phone Number \�la4-
C '&7 - S
Address (Ja 4 L . 1'�'J .
City 1 E LYTIVD 1 State P C Zip 25'34}-��` 1
Project Location (County, State Rod Water Body,etc.) I ` ) 0 .6' \aC t_' ) L f ' el3rCY`
ft.1- TAt-t ul I l's .It-'t i Wt G{K. C
Type of Project Activity I`'
PROJECT DESCRIPTION SKETCH (SCALE: " .2 0 )
Pier(dock) length T 1 L\.) (N
Groin length
number
Bulkhead Igngt0h l r
max.dista0 offshore ,+ /
Basin,channel dimensions 1 —1 i
i^G .I
cubic yards , �
•
I NII� � 571,.
Boat ramp dimensions
Other .
f
I i ! 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- applicant s signature
come null and void. \-409
0-0 kr---
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. 1 ' (4z,
. 99 4- - _99
The applicant certifies by signing this permit that 1) this pro-
ject �O
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 ` ' coadjacent riparian landowners certifying that they have no - /] I ( o
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Cl)ca trEeS pp-(
ADDITIONAL NAMES:
AEC DESIG: 2 DEVELOP AREA: _i PROJ DESC:" - ( i
(Will only take 6) (Will only take 1)
WORK: 6 �O
(:rill only take 4)
MAINT: O
(Will only take 4) t
IMP: ' ra' !S 60
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: /'
CAMA MAJOR DEVEL REQUIRED: 4_// _ 9 9 !�-- v ci •

•
The American Fish Company
� P.O. Box 11046 [phone]
Southport, North Carolina 28461
Sii ,, f e', 07 ki,
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\, N, 11$
-, 6 0 ,
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if f
4-- _ 16"Le(l ' 5 / i-•--
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_ ioe7 ":.,4, , .44, / . _
1 ,. ' I I 02 ext , L

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit : Kee'ff/,.2:52
Address Of Property: //9/ r , o ,'
k 4i6
(Lot or Street , Stz�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 pro osing. A description or drawing, with dimensions,
should be ovided with this letter.
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 obiection if you have been notified by Certified Mail
}JAIVER 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 .
tJ , i,y9.27,q
Sig ature Date
Pri ' Name
Telephone Number With Area Code

% SENDER: I also wish to receive the
•Complete items 1 and/or 2 for additional services. followin services(for an
(7) ■Complete items 3,4a,and 4b. g
a) ■Print your name and address on the reverse of this form so that we can return this extra fee):
cc) card to you.
d •Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address =
d ■Write permit.
Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery
Y ■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee.
O 3.Article Addresseo io _,m 4a.Article Number
VUifIIYINI I (S i
m
/ , 64 19( S i 4b. Service Type
U 4 ❑ Registered El Certified
� r� S f . C ❑ Express Mail ❑ Insured
LUr S u 7 ❑ Return Receipt for Merchandise CI COD
❑ 7. Date oCf,Delive
ct
c, 5. Received By: (Print Name) 8.Addressee's Address (Only if requested
D and fee is paid)
w i
¢ 6.Sig 4ture: (Addressee or Agent) F
%a —
H PS Form 3811,December 1994 102595-98-B-0229 Domestic Return Receipt