19767D - May

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CAMA AND DREDGE AND FILL
GENERAL1'�f E19767 _
PERMIT R-,,—,ss,„ d.
as authorized by the State of North Carolina
0 Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
/"f
in an area of environmental concern pursuant to 15A NCAC r7 . B/00 -+- /d°0
Applicant Name Pt I be r-4 Mo 4 Phone Number (q J0) Sk0,-01 5
Address r lb
(9 inGCn s, orc. $-}- A'
City Ho t n 3-(`k,-" State I" �-' Zip 1 W6 a
Project Location (County, Sta a Road, ater Body, etc.) I S 6 C'rt(n% 6 o r� S4, 0 A H' en 8-eq 11
f n 3ruro,tNi_/( L'�v1n 1 O A M i1" M K tl r C4Act
Type,of Project ActivityC.on5 +f�- + _V5Cw hvl /i(tCt 'wo Frt. �" w4-f-rrw ,rt of eX'S ���
b,./I it.. An 4. 1.6 $t1M( of I, ,10ntn4 Gt '�. ?CO f•� h,"/KA(..-6 an v1/t>4-51 de lar-/11 �1
Al,,. c.nsftvcfl- /�,1 X )3' Its,,-4 /' 1 wl•-A;., r5 I -r s�tJ4 --k• vlTes4-51 1• 4tlll+6Dr' han
Wultietr1 �-q IS F '- St 4.,,K . ail (oh d 1.4-/•1J of '7Y. //00 -04 /200 ,4 j A pop//
PROJECT DESCRIPTION SKETCH - (SCALE: . ,NO1L L S(,,/)
Pier(dock) length N
�4-ma c e\ �uv1u
Groin length �C!�
Exis4-�„
F1o44in3 ',Gk.- ,)I
number -
Brrlkhead length�v) f /t�
max.distance offshore b l /
4
Basin,channel dimensions Er p 05< & '�46,A R,1l rt�tN ,,, •_, �0
F x 1'5 4-r.� a wl KA�IC� T MX.1.11-,e1
cubic yards ' ) r \.....(3'A k le.d
Boat ramp dimensions t
Other
l� ' X J 3! xiS4'�^� 6cl2etn
IJ ALQ v tr ( d 6 -rt. 1-....,
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. 01
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- a / 7/1Q Q` ( . 5 �/ / q
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 11 I,4• 00 —+ J
objections to the proposed work. attachments
n1 i53 '7

1 v�a.LL1,i11J rL11 -. — L:VMt'UTLR FORM
•
FELD me: V 2 r r •. Pc r—f'��(— P FEE- • -
-
rj l7
PERMIT NO: 0 r1 L, 12-- b t 15s-L-.e d
I' , )comY: ry PtS�c
AEC DESIG: S V
E " / WATER BODY: /VI uA. •-�.. .t. e (e w
APP?-7 CANT i'A..:'E: / -i r'4 .
ADDITIONAL .
NAME(S) : - - .
MAILING ADDRESS:= / 5 7 7. . ..•C- er r ' S 4 �� '.-:_ ON
PHE:.(67-. a '1 Z • tb 1`,
STATE: ZIP: .:� � � a- CITY.• • l %e t.
PROJECT LDCATION:
IN,:LUDING C'1'Y OR C'.I.:TY (WHE DIFFERENT FROM MAILING ADDRESS)
DEV AREA: _ PROJECT DESC• 1 / /SI T (X) LONG. Y :
W_ .. -ORK: 6. _ _l .13 oZ _ _) _ oil _ _ • _ _ " .- ..
- _ CODE LENGTH WIDTH DEPTH CODE LENGTH WIDTH DEPTH )
MT: (� : _) (_ _ _)
- C»W LENGTH WIDTH DEPTH CODE - LENGTH • - WIDTH DEPTH .
�'= - I 5 L) (5 R - -lac ` -
•
Ct)DE SQUARE FEET CODE SQUARE FEET ( )
CODE SQUARE FEET `.
• • -. ACTION _ _:.EXPIRATION :•
DREDGE AND FILL REQUIRED: ' 9.'-`-I_ CI.
(I
CAMA MAJOR DEVELOPMENT REQUIRED: - .
*********************************************************fi******* ***** **
CODES FOR AEC DESIGNATIONS -
-"OH" — Ocean Hazard - "CWU — Coastal Wetlands
" '� - ESe:t +r *le Waters "FC":r Fragile- Coastal Natural%Cultural."ES" — Estuarine Shoreline "PW".•--::- Public Water Su I
"PT" Public Trust PP Y
OR" Outstanding Resource Water
- -_ CODES FOR PROJECT_
"P". Private, usually an individual "F":Federal = -.
_"C" Dto�e Commercial-: _ _ - ""L" Local Government .. -
"S" State - - _ - H - Housing Development
- - "O"_Other =r
- ,_- - - CODES FOR DESCRIPTION - • • -
-"11" Bulkheads, Riprap - 16 -c UtilityLines. -
."12" Pierc; Docks,:Boathouses - • n -
_ 17 = Emergency
23 Boa,. Ramps • - "18" Beach Bulldozing
"14" Woodell Groins _ - "19", Tem Temporary_ Structures
"15" '01" '-+' ana-�..,-. of Basins,. Channels, Ditches •p" - `. - . . .
•
:-_ -

•
•
•
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6 -112/531
SOUTHEASTERN MARINE CONTRACTORS 5/16966370 1537
PH. 910-395-2917
P.O. BOX 7363 f_y_q
WILMINGTON, NC 28403 DATE
PAY TO THE '1
§ ORDER OF 4/ Yt& I $ 5-7,7
y
�� DOLLARS B „
n Mrs
02 9 B■ ��[T.T .
•RANCN RANKINGAND TRUST COMPANY
680 SOUTH COLLEGE ROAD
WILMINGTON,NC 28403
MEMO
PIP
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