22405D - Ward

•Q
CAMA AND DREDGE AND FILL
GENERAL N0 22405- b
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 concern pursuant to 15A NCAC r]4-1 . 12-0U
Applicant Name �I M WArc3 Phone Number qIU 32c.5- 2GV
Address P 0 -LOX .2.3i 3
City 6 U r C . State NCJ Zip �B LI45�
Project Location (County, State Road, Water Body, etc.) ('ei^^dC4 C o Ur , HOC SO'V L Shore br(i tk,,
u a C H, MC) i c- k3 C. c-trtNry \
Type of Project Activity Nam) ►ter, (`or k_ `CJ Urv( o\r rr d' �,A+ r.F t
� Mus-k (lot exce e cst 61; sFvcc-4 r't e-r- d It Ac
4, 44-1\ -k uc4- isce s rr Li5-k LP . CG I-e-ns-t 3O u r re-Air. (-d 5 e_ cry
">ri-nks Che-Nr,r\e I - it +A ccordPcr\ce.., LA. ,I-t-, C011s of may. Mn)ps
PROJECT DESCRIPTION SKETCH (SCALE: t\)07 -c•-(; )
Pier(dock)length A.LA
/i 1 I..
x (n Vs- kcc A\ )� 14.1
Groin length
number le Ldt 'T
Bulkhead length - ai./, O
r)VSt tf1e c.* A 0
,
max.distance offshore I, ' Se.t(rc h-- tot 13,
1 y
Basin,channel dimensions
.3 x 12 �ncir (' f1'w Medt
lam' S .- .nc .
cubic yards
��
Boat ramp dimensions //__
'
Other I�( U V
.f V
i '•ik ( i (i r\c)e 4- ./
-.u\Xle/f\CI -->.
r15 ' LOT
1A` Y. IG (;rt Pt-,
Pam.
This permit is subject to compliance with this application, site ,�
drawing and attached general and specific conditions. Any - / „ I d
violation of these terms may subject the permittee to a fine, �/�""'L- (A �OC�
imprisonment or civil action; and may cause the permit to be // applicant's signature
come null and void. l/
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. 9
The applicant certifies by signing this permit that 1) this pro- M(') (o C1g1
� 1 , 4\iy.431. l 19'�-�'ject is consistent with the local land use plan and all local issuing date expiiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no /"y I- oV
attachments
objections to the proposed work.

ULINU(AL PERMIT COMPUTER FORM
APPLICANT NAME: J ;I►l` W PI"d
ADDITIONAL NAMES:
AEC DESIG: P T I Elk) DEVELOP AREA: —0 2 PROJ DESC: P J 2—
(Will
only take 6)
(Will only take I)
YwoRI;: P(L- (Q 'x Co°v ' E L.r I(o L
.ili only take 4)� I a'X I Lo
L x1Z Jo,jj
MAIN T:
(Will only take 4)
> e) (AJ 4DO pt& 2SCo
(vale only take 6j,� . I J 3
Co
ACTION EXPIRATION
DREDGE&FILL REQUIRED: • 5l /21 9° 8 I i -I R l
C_AMA MAJOR DEVEL REQUIRED: 1

u SENDER: I also wish to receive the
2 ■Complete items 1 and/or 2 for additional services. followin services(for an
n ■Complete items 3,4a,and 4b. 9
n ■Print your name and•address on the reverse of this form so that we can return this extra fee):
card to you. a
s •Attach th;s form to the front of the mailpiece,or on the back if space does not 1.El Addressee's Address 4.
u- permit. 2.CI Restricted Delivery a
D ■Write"Return Receipt Requested"on the mailpiece below the article number. ry U
■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. i
5 3.Article Addressed to: 4a.Article Number i
a
i A• r, ' , k�- Co.M l°d°^1 4b.Service Type `/ ' 1
I b f s. a ,I J - Cr-1c ❑ Registered L"J Certified CI
❑ Express Mail ❑ Insured c
i ,v. c . c S T r/ ❑ Return Receipt for Merchandise ❑ COD
7. Date.gf Deli /}7 c
5. Received By: (Print Name) 8.Addressee's Address (Only if requested j,,
t and fee is paid) c
1 a
r
6.Sign to : (t.• -.see, '. . 1-
X [r/r---
! PS For 11, Dec- ber 994 102595-98-B-0229 Domestic Return Receipt

UNITED STATES POSTAL I II First-Class Mail SERVICE Postage'&Fees Paid
LISPS
Permit No.G-10-
•Print your name, address, and ZIP Code in this box • •
(A) AA
p 0. 13 x a3)
aeiteks-
S 4

SENDER: I also wish to receive the
C ■Complete items 1 and/or 2 for additional services. following services(for an
0 •Complete items 3,4a,and 4b.
•Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. a
tu •Attach thin form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address c
y permit. 2.❑ Restricted Deliveryc
■Write"Return Receipt Requested"on the mailpiece below the article number.
C ■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. E
5 3.Article Addressed to: 4a.Article Number 6.
v 4/14. GAS 5�.ju N1R,a.,�,,,v J SFF (e bCo (�3 j a
i 4b. Service Type64
5 n Z Q�� a ❑ Registered iZ Certified a
11—� U 7
ry ❑ Express Mail ❑ Insured c
0 •u
11 s- ❑ Return Receipt for Merchandise ❑ COD
a S�� 1' C 1 T� N G• �¢ 7. Date of Delivery w
E 5. Received By: (Print Name) 8.Addressee's Address(Only if requested ;,
and fee is paid) C
J i
6.Signature: (Addressee gent) n
!I 102595-98-B-0229 PS Form 3 , December 1994 Domestic Return Receipt

First-Class Mail
UNITED STATES POSTAL SERVICEc-------)L ••.A„ are'g Paid.
•Print your ndress;and ZIP C ` fiis-ba3
0 D 3D X a3 �3
,- - Ai.c. a 9�'
I1i1,II1.If l..11I.1I1I111111l1I,11,.1I.I, II...Ii1.Ii1,,1111

F 6 • C/� - VANCE E.KEE,MAYOR
TODD N.THOMAS,MAYOR PRO TEM
uRF Vr KENNETH D.BATTS,COUNCIL MEMBER
~�Z DOUGLAS C.MEDLIN,COUNCIL MEMBER
ik..1
LIONELL MIDGETT,COUNCIL MEMBER
RICHARD B.TURNER,COUNCIL MEMBER
Alf RV NORTH CAROLINA 2 8 4 4 5 ROBERT KILROY,ATTORNEY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIF7)
I hereby certify that I own property adjacent to J I M \IV AAC 's
(Name of Property Owner)
property located at L o i #- 4- c~ C o./,
(Lot, Block, Road, etc.)
on o SA ► L �b��D , in v,Et 1= C
N.C.
�'aterbody) (Town and/or County)
He has de. Jed to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
X I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
% a
ti
Signature
CoHtgran/
Print or Type Name
c7/0 v
Telephone Number
Date: 3 /3 ; Aici
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•
JCt ��, VANCE E.KEE,MAYOR
o TODD N.THOMAS,MAYOR PRO TEM
KENNETH D.BATTS,COUNCIL MEMBER
I Z DOUGLAS C.MEDLIN,COUNCIL MEMBER
LIONELL MIDGETT,UHF ciTy
COUNCIL MEMBER
O ; , `PQ RICHARD B.TURNER,COUNCIL MEMBER
HO Ro NORTH CAROLINA 2 8 4 4 5 ROBERT KILROY,ATTORNEY
•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to J i,� WAR J 's •
(Name of Property Owner)
property located at L a # 4- Su nl LAMAS ( vd
(Lot, Block, Road, etc.)
" N.C.
on r o I°,f A i L �o u V D , in �.rA F C 1 -}'
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
anatur�
GAl2 y 5 ,s-ux)D2c-Pra.0
Print or Type Name
_ 10 -326 - 22S"3
Telephone Number
Date: 61fpizj - q9

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. . Nations&anh 4aPantage
66-19/530 NC 4204
JIM E. WARD 702
JOYCE S.WARD
2709 S. SHORE DR. 910-328-2930 g
P.O.BOX 2313 Date A ! 1 C�
SURF CITY,NC 28445
Pay J SO.
to the orca f o�
1-!di ........ �-.f-!Dollars 8
NadnsBank
NationsBank,N.A.
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114.
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