20022D - Black

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ty...a�' CAMA AND DREDGE AND FILL
GENERAL
1® O20f22'"D
PERMIT
^ as authorized by the State of North Carolina
f�'��%y Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7 H • 12
Applicant Name 50HN -iRWe"N \ t-.Pc.-(t- N t 0-t Nt?' CO"TA trl,OPhone Number sg ""q -740c
Address Ita 7 VJAT611-theW CT c/o T 1W kin w e j/
City3AIt.0tdMA iWA-C a/ I NC: 243(4-2c. State Zip
Project Location (County,State Road, Water Body,etc.) N Q W f3 A NOV&rt- — Vie d(fieJ.0 P u4c Q
& S i PGf IA- ST-0)Qe 7 — S t h+ B(-F CO/d / t.(N/a 1 -A-G(d %Ea F 66 Sr Al
Type of Project Activity Stkc)tk.T $4 Vw %Tit P t-0!i'tc h-c t OC._LL 4 6 f\Lt NGS --
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier(dock)length
�©t )C -.7
Groin length
number
Bulkhead length
max.distance offshore
Basin,channel dimensions C. PeQ A 1 1Ac (4&T.
D NA 1 LN 1 1V tom"
cubic yards
Boat ramp dimensions
Other °J.1. '\�)cielkA 2 g (je- D Fr()kr-
0?0- p:CDITA-C 0 v—rr N&((9 W))0r2
I.
r.
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any x •17/1A r% 7 -r- -2)
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.
‘.., L9--A—&-r(Ci\-1.1)
This permit must be on the project site and accessible to the officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- 3 2 2 (c.(G ( ( 7 2 (e?ject is consistent with the local land use plan and all local issuing date aration date
ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no _ +) 11 , ` 2 CDI--
objections to the proposed work. attachments
'pd /71-1 c{ ___

' y GENERAL PERMIT COMPUTER FORM
APPLICANT NAME .{ eJ 4; c(, ) \j L4_
ADDITIONAL NAMES: (.() 8ew.1r i 9 Mu.,( c Ckt-j,--
AEC DESIG: W/ Crriy DEVELOP AREA:_Deo PROJ DESC: - -
(Will only take 6)
(Will only take 1)
WORK: QQ ZD (7
. (Will only take 4)
V
MAINT:
(Will only take 4)
IMP: OW 1 0 -
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: U
CAMA MAJOR DEVEL REQUIRED: QC1 (p • Z

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM
Name Of Individual Applying For Permit: J b h rnL rj /c-c.k)
Address Of Property: / 9 ,3 (,JQ f Ce-i//tt✓ Pt.
lvrd/in JjcGGL A/ G. Lo' c
(Lot or Street #, Street or Road, City & County)
iivt
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 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 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. )
_5
I do wish to waive the . -'setback requirement.
I do not wish to waive the 15'setback requirement.
Si at / Da e ` A
Print Name
er/o
Telephone Number With Area Code 1--IN Pt

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: -p Ly` L c/K.
Address Of Property: / 2Q 3 (,c) 6yvJ�l� f
r"(no - P' ,L AJ .
(Lot or Street #, Street or Road, City & County)
LbfG •
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 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 piligs, breakwater, boat
house, lift - 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/ S
I do wish to waive the 1-55'setback requirement.
I do not wish to waive the 15'setback requirement.
(Ai A r 41
SigfJ� � G� Date 5TA
Print Name + �
q/0` xis-r- EDF I---INF 3
Telephone Number With Area Code

DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: ,1o!•.1N Aus,+ 154Ael4
Address Of Property: 1oc. wi�Y��,vt6w �T
cA l�wA C'�E�c4! Nc 2842e
(Lot or Street #, Street 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 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 must be set back a minimum distance of 15'
from my area of riparian access unless waived by me. (If you wish
to waive__th-e--- ck,-___youu- must initial the a
be .n .) /�/// q appropriate blank
2-1 b
•
I do wish,t waive the 15 'setback requirement.
I do not wish to waive the 15'setback requirement.
- Lt4
1 „ ,
Signature ate �, . "
�1•e �a �a �Q /
Print Name
Telephone Number With Area Code H NI R

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WAY ����� SION OF COASTAL MANAGMENT
• E C CENrR •IAN PROPER
TY OWNER NOTIFICATION[WAIVER- FORM
FEB 2 5 1999
Name �pc�Vidua Applying For Permit:
ao1,� acLE,► acdc,�pIV�� GEMEN
co�gIIN Property: ,v�3 wiT6lZVt cT.
e!-.A 12 t N,, E' .cA4 2 e 42a
(Lot or Street #, Street 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,
Wilminaton , 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 must be set back a minimum distance of 15'
from my area of riparian access unless waived by me. (If you wish
to waive th- c. , you must initial the appropriate
below. y � blank
A.0.4)-4°A 42_77
so wish to waive the 15 'setback requirement.
I do not wish to waive the 15'setback requirement. /1jth�e
Itaz i (ov�ItC I! �t ,(� �' /dye {14hAr
.2717.7
Sign tur Z
atee
A . A
Print Name
qld Z Os/3 C30
Telephone Number With Area Code H N R

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,ti&B CONTRACTING ALL TYPES SHINGLES
• ' . ROOFING & COPPER SPECIALIST METAL ROOFING AND INSTALLATION
4529 Goosehaven Lane EPDM ROOFING
Holly Springs, NC 27540 COPPER GUTTERS
PHONE [phone] COPPER BAY WINDOWS
REVISRic, 10<73 wesref.v1Ew 2L.
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