18156D - Famy

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CAMA AND DREDGE AND FILL
GENERAL lN!: 018156 - 1
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 conceren�pursuant
(too-�15A NCAC ? N, '�i_o
Applicant Name .kY\`enr2 c" p"�' to �'u ry Phone Number`tics �Si 'c-,q 8 t
Address , -PO D (7)c 31 0
City 4_.. AW-1 o('N e State N S Zip O7-5 0 1
Project Location (County, State Road, Water Body, etc.) ( Zn? A
) -4-`�T -�--L �CA M b r, , L—I�5 a
A O}R D t.0 C p 4r-A__ 1� C N S t,..r1 .c-, . Co .
Type of Project Activity e 0-) �\V -
PROJECT DESCRIPTION SKETCH -- CfrtJ Ps U _ (SCALE: 1 "- Go( )
Pier(dock) length _ -
7a _ se Ioo ' lit I
,
Groin length < d
1 (\,k
number ‹-(, 1t f A T uvvf\L C l ltitMS 1 (p.s
Bulkhea len th U, y Qp' "TM S ?€V (M ci O C. N�► I iv C' v.. .-(.. 1erf
6�I- w ul CL.r a t i _ c w,T&-c r .Kea L.P o
max.dist offshore 7 - `�1
-� r C Pc vY1 A h,., k al- re( vw.7�. . _
Basin,cha el dimensions y y� ��
_ -rat;S fi t vr;,k a&-4. - ,.
cubic yards '1 1 N "4 i7� " Ty Fit w c fl A-N ILS/ C OYITA CT
us AlkAy Carps (.--4 Et-� ' rr
Boat ramp dimensions \
C' L t o-►r_A. CI.�I I N to •
Other \
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2-- uD
This permit is subject to compliance with this application, site
clawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, ��JY � %
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void. O'rf
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. S—�� _C) S-�- _ q/ 9
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 expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no '7 U00
attachments
objections to the proposed work.
/n?n _CI—

i L U A -' ,ER _r:_ Q R\I
APPLIC_A T N 4tv1E: 91441- Ptel t,
Y
ADDITIONAL NAMES:
AEC DESIG: <S DEVELOP AREA: _1_ PROJ DESC: P(Will only take 6)
(Will only take 1)
WORK , {-�- ct 6 4-
(Willonly take 4)
MAINT: JI*4-)
(Will only take 4)
•
IMP: ES 4 6
4-(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
C_4MA MAJOR DEVEL REQUIRED: 5 - -a 7 -99

The American Fish Company
"5A4. P.O. Box 11046 [phone]
Southport, North Carolina 28461
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For� P it :
� k Address Of Property: /
t2m 6c
(L t or tre R S em 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.
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 Carolinas 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 Aotified by Certified Mail
NAIVES 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 .
1/ Z3/9 j
La realtALA1.-
Date
Print Name 1
Telephone Number with Area Code

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