19806D - Heins

CAMA AND DREDGE AND FILL
�-+► ' GENERAL 1.**0, 119896 A_
Y i
PERMIT
l as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC ?i • f 2UC)
Applicant Name CA 1) Pe°i^ S Phone Number 7 ICI 7-7 1L- y00O
Address /6 21 C F.)riki9e 'i'" 'fit
City ..fort/ State ! a lC.) Zip '733U
Project Location (County,State Road, Water Body,etc.) I d e C)U-n� 1 d al Ua. CA ro(,11 A9 T UU lE UfNY?/
-TZStosr7 1 73e f'rl,, kk1J , /-e-nk5 (7/Anne 1
Type of Project Activity Ne.J IV k 141 l4AC OUe-red bUAk Ili
PROJECT DESCRIPTION SKETCH k� 6,�8' 1`4r (SCALE: n 1 f U )
Pier(dock) length Vf'� . '
l 1 ( 1
Groin length ! ill
• •
number
Bulkhead length ii V U��COU6-rr d
+� I
max.distance offshore
V 6.)AT sir
Basin,channel dimensions �x1� ) `i v v
y' til ,y
cubic yards
Boat ramp dimensions j '4 ` )
ither kVr•COderr 4 .
v ,y
P(r too' LOT .� e
L.
This permit is subject to compliance with this application, site /
drawing and attached general and specific conditions. Any /,(V/0--Q
itre-1.---------....
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.
)
This permit must be on the project site and accessible to the Ar.s.permit officer's signature
permit officer when the project is inspected for compliance. �
The applicant certifies by signing this permit that 1) this pr - A�' I D I�Cl la 1� ci
ject is consistent with the local land use plan and all I 'al /issuing date expiration date
ordinances, and 2) a written statement has been obtained fro
adjacent riparian landowners certifying that they have no I Z(�v
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: C A-� +1€ 1 A S
ADDITIONAL NAMES:
AEC DESIG: PT E.t.,ki DEVELOP AREA: .003 PROJ DESC: P - I o�
(Will only take 6) (Will only take 1)
WQRK: (� L. �I � �( 141
(Will only take 4)
MAINT:
(WIll only take 4)
Bv1P: OW 164
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: I I 12. 1q9 4 ' 12'q/
CAMA MAJOR DEVEL REQUIRED:

• /Taw ►+ c (2 DO ( ro /ii�c� (� /v,
�.•`.` ppSA1 TT,pSa,'/ ge4,� /Uc Z8t/�I;
o a T ■■ Post Office Box 3089
a Topsail Beach. North Carolina 28445-9831
Telephone [phone]
Fax [phone]
'1 CAD _2 5 , (A)ee.KS
DIVISION OF COASTAL MANAGEMENT `-" g 3 Z e
ADJACENT RIPARIA.N PROPERTY OWNER NOTIFICATION/WAIVE FORM
Name of Individual Applying For Permit cl Ac,n /-k,h 5
Address of Property. /2 0 2 Ca, /,;,,; /3 /v,Q.
/ Aa. / 6e. ti AR Zgq/S
(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. 5 e e r e v e.r5 e
V I have no objections to this proposal.
If you have obiections to what is beinzprocosed,_olease write the Town ofTousail Beach, P. O. Box 3089,
Topsail Beach.N. C. 284454-9831,_or you may contact Jon Briggs,CAMA LPO Officer at 910-328-2708
within 10 days of receipt of this notice. No response is considered the same as no objection if vou have
been notified by Certified Mail.
WAIVER SECTION
I,understand that a pier,dock,mooring pilings, breakwater,boat house,lift or sandbags must be set back
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
Signature,% Date
) \c.
Prin Name
� c � z - 5g �
Telephone Number With Area Code

`" s
cF
To 1531.
pSAu Lit
r+ o T " Post Office Box 3089
Topsail Beach. North Carolina 28445-9831
Telephone [phone]
Fax [phone]
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARLAN PROPERTY OWNER NOTIFICATION/WAIVE FORM
Name of Individual Applying For Permit t ,ve,;,y
Address of Property: I Z a I r'd2.
iGe€,,e6 , N- 2 .'tf
(Lot or Street #, Street or Road,City do County
I hereby certify that I own property adjacent to the above referenced property.The individual applying for
this pit has descibed 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.
C/ 1 have no objections to this proposal.
TIf you have objections to what is being_or000sed,please write the Town of Topsail Beach, P. O. Box 3089,
opsail Beach,N. C. 284.454-9831,or you may contact Jon Brig s,_CAMA LPO Officer at 910-328-2708
within 10 days of receipt of this notice. No response is consider ed 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 or sandbags must be set back
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
-66:ft}? may% c4/y9
Si Date
.Detf' in C SheK1S
P'' m Nae
, 6I gag -5�y1
Telephone Number With Area Code

I
=1-«_< , .,-. „ r ,,, Look for:blue backgtauntl on the front of this check,anti the IntageSafe logo oh back.II not resent,do not cash. .-_:Itr =r--r-.,,. ...."r,r_tv i
LOUIS H. FOGLEMANN, III
1155
D/B/A THE DOCK DOCTORS
A PH.910-328-1818
P.O. BOX 3418 ..-----
il TOPSAIL BEACH, NC 28445 66-19/530 NC
DATE J 40'1 1 L 1 7 i j 70z
TO THE PAY tJ Q [
a ORDER OF Al ��)'�'`�'�
1
$ ; -•_.DOLLARS ffr mM.
tl
v NationsBank 1
NationsBank.,N.A. /i
' /ITZAA-V-
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FOR----- - - --.-._.. �------ --//� `
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Il'00 L L55II' I:053000 L96i: 00065059L. 58411' Far CP $03
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