20089D - Maultsby

CAMA AND DREDGE AND FILL
GENERAL N9 020089 p
-Y �
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resoyrce Commission
in an area of environmental concern pursuant to 15A NCAC 17! ,C
Applicant Name Fr(-4A k- M A UN-5 41 Phone Number / °)
��� C1r73)
Address a 1 C' o Y C l r i-/(
City q L 14 e V i iir° I State V G Zip a 0 7
Project Location (County, St to R ?ood, Water Body, etc.) , � > S C w'r VI j k /`+N< ' A My;1—M q (11
CA r u. / ®n ° ( en S (Ka_ ) r1 [ ///
Type of roject Act.vit C,^ 1r- "c-rr 50 i� ,r F4- klkiit- F4 INeI�(r“, r c1 p-F
-2? /h .,%k4 4 on S4M( A. 7L �— iiu r"'t sA"r�T a 4 <<c ram. -- (,�-: /:;if �,a:t cli�I
v r7lt, 1O c�Yll G ppli
PROJECT DESCRIPTION SKETCH (SCALE: 144 7': cc,/r )
Pier(dock)length s<---7-2_,
Nun—mi.t 41? C 4/14 1
Groin length
/p'
_______ . Ai
number //�� !D
Bulkhe ngth�v Ii • • _�'""Y
r"c C-I' J
max.distance offshore �yi l.'.:,1 Doc.l
P��o�)c� a��ynncn�' II
Basin,channel dimensions _ 6C'-k- - - pr�P,,sfd—A)^�nm«f'
— — -- — w 1
li
cubic yards O
\ P�i'<Ar a
v
Boat ramp dimensions1.,‹ h " a t l�,
/
Other s 'f 11 0) V
,4
J
6
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, applicant's signature
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 v
/ permit officer's signature
permit officer when the project is inspected for compliance. ,, / / it/ 9 (/
The applicant certifies by signing this permit that 1) this pro- r/
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 019111.00
�/ 1
adjacent riparian landowners certifying that they have no 7 P iti r.. V
objections to the proposed work. attachments
_ 1 e% .w _ . 5

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: sank, aA3,1+5
ADDITIONAL NAMES:
AEC DESIG: PT C DEVELOP AREA: _.64,0 PROJ DESC: '1" - i02-
(Will only take 6) (Will only take 1)
• WORK: Pill 56 cL
(Will only take 4)
4
v
MAINT:
(Will only take 4)
IMP: 100
(will only take 6)
ACTION 1 I n EXPIRATION (}
DREDGE&FILL REQUIRED: 00 04 Q`1 Ob
CAMA MAJOR DEVEL REQUIRED:

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
. Name Of Individual Applying For Permit: Rl1 4 /f/Ir'S /�
vf/JU 15
Address ' Of Property: 4 ) ,/� / �y
(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 resconse 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. )
ie. . I do wish to waive the 15 'setback requirement.
I do not wish to waive the 15 'setback requirement.
•
Signatur Date
Ai;
.8/) &/A 'ef/VC
Print Naife .u1
9/' _ '7 H R
Telephone Number With Area Code

05/03/1999 08: 55 7043531922 1ST TELECOM DIV PAGE 02
04/29/1999 19:20 9109429e06 GREG HOLDEN PAGE 01
gpoo-x1 —
A
ADJACENT RIPAAIAN PROPERTY OWNER STATEMENT
?OR CONSTRUCTION OF A
BULKHEAD
I hereby certify that I own property ad3acent to #Jl_ -A ' , 1 y4
- property located at -13 c ,_Sultf icy
44e4- &et. (street address,
' on a man made canal in the Town of Holden
lot no & subdivision)
Beach. I have no objection to a BULKHEAD being constructed at this
location.
p c-
Adiacent property own
A gneture
4 ✓(
o lame (please print or type )
kA
Adiacent property own r 13 c
'olden Beach Address
`ii'Ask.O cme Address
#sjCA L L 7-1L2-12
ity, State 4 Zip
CAMA requires property owners signatures before general
permits or exemptions are issued. CAMA's Wilmington Regional. �_,,r
Office address & phone number is 127 Cardinal Drive Ext . ,
Wilmington NC 28405 , ( 919) 395-3900.