20003D - Brown

CAMA AND DREDGE AND FILL l9 020113
GENERAL
-- _5 PERMIT G-,,p ,-‘ d l`► \J , ,cam
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 1 t( . 11 00 `I err(pr c
Applicant Name ee-shA 1 I Iv1 . co (A)(-1 Phone Number 9 I U I-LS ti-S.633
Address LJO )c 5 w r\ MC ZO A C..)City -Tf\C k -O( L)i I t Q__J State N6 Zip o.854- (a
Project Location (County,State Road, Water Body,etc.)—_I e d&' GOV rcil 1 I a i Z0 t t� �C- �l ie f1 V ci
Tr� /
,A', ! &-nck , Mnn- ! dfj ('AAA ( f
Type of Project Activity (AnG011eyr d bOA+ 1 irf" wi 'f4. c f-w A I I _
PROJECT DESCRIPTION SKETCH (SCALE: )
,,,, N — N ►��e- C'Flr\A I N O T Tu
Pier(dock) length --
Groin length
number
Bulkhead length
t1
max.distance offshore 'VI oZa
Basin,channel dimensions
ClYJe/f
cubic yards ,"{t W1
Boat ramp dimensions li.) \Ve
Sep baek U C .is+:,n\ tv 1
Other I?: X ace t r oXPd a oc k.. I 17
1l cUa6n cl ISi s y
38V
ati ix (98'
ruAikilo, IIL
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any 1- ^
violation of these terms may subject the permittee to a fine, ` J '��� t I''/ ))/LArn.. "
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void. The.' 1
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. 1�
The applicant certifies by signing this permit that 1) this pro- r\.-^-� �� l'� \►,.�,1
G A/ 19 , 1g9G
ject is consistent with the local land use plan and all local rissuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 17 12 a 0
objections to the proposed work. attachments
f _ �,

rttcl�� 1' WAIF U fER FORM
APPU c AN T NAIN.E: GC S h M . -t.r-a(A)r\
ADDITIONAL NAMES:
4c DESIG: p T E L J DEVELOP AREA:
(Vt — .a0C1 PROD DESC: J
(Will only take I)
WORK: C L.., I'3 X 2(0
(Will only take 4)
P Yu a .S x av'
(Will only sake 4)
IMP: Q (,J '7 n
(will only take w 338
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 3/ 11 ! a 9 (Q fil
prelyNtC4NSN4JOR DEVEL REQUIRED:

_Wu ULIII•Ik WII:U I dA:_11.1).•.ju,JUIJ,1 JUl 1 _ _ L I •._,
CRC-792(e)
� Page 13 of 14
I( JACENT R P A P O TY DIVISION •OF COA STAL 1�1ANb ' �
. . .. �' b I .I A TON wAIVEB. rm.!t0'd �H101 JUL ( �+?{ 1t :4� ►"•'-'7
rv�uuvrc wtku r ax; XJ:'ULUU4
•,1 :4ICN ar •CDASTAZ, MAN'AC�EM -
• aDZACENT R/PARIAN - BQPE .'Zy. owN'R.VoTIFY•cAT'IONIRAIYE&. FORM
Name Of Individual., Applying. For'-Permit:. /I z.4ii ) /ii /ix° W j
' Address Of, Property: ),? j igc &Y k 1a•r1e idu n,
• (Lot bz. Street ,. Str ,et or Road, City & County)
I ' hereby certify that I own property adjacent to the above-
. referenced 'property,. The, individual":app'ying for this permit hes
described to ma as', ghow't ati the:attached 'drawing the. development
they are ,;proposing. A descripti:cn or drawing, with dimensions,
should ' be •provided with this. la.
etter. •
�}t 2 v o ah�,ections.; to this. proposal.
•
fit~ you have ' ob•ieetions to what i ' be rlci `t�z'bu'ose� plee�e write the.
s• ea nt '' a i a l•• erive Ex* ne for
.• .1 inoitof , No�rth••_Carol,insx, '2940'� or c>e111 • 345�340Q �.ith-i_n l�
• da•ysi• at ,receipt' of th e s ngt Ge No T spoR52 a + �,s consf,dere3 the sang
s nc b-ection if you have bQen ,,notified by. . ;+ iA.: Mail
RAVER $ECTIOIT
I understand that . a pier, dock,. mooring ;pilinws, breakwater, boat
house, lift must be„set back 'a' ia3:n.mum distance of 15 a
from my area of riparian :e:cceas ;.unless waived by me. (If you wish
to . waive the setback, you plaza; initial the appropriate blank
below. ) .
--
Ga.,, .
/2, I do wish to waive the' •IS rsetbeck requirement.
I do not wish to waive the 15'setback requirement.
• zi 4.-A...r.. ..1CL ' ci4(.° •
5 nature `e ' a.

•1 . : •
Page 14 of l4
CRC-792(e)
! � • . I .
P OP g
V SIOht •OF OAS .L N ,
JACENT R P A '
' • 0 I .I A ION 117ATVER, FORE
1 •
Name of Individual Applyixg;; poz •P.er•mit:
Address ,off •
lZ.O
Property: 0,
•
(Lot.
r. ptreeti.lud •Styee- or :Road:
•
c ty County)
• •I hereby� certify that I. awn •' • ':• ;.: .
• r4fareh certify
rt property adjacent to the. abeve-•
y •'The •iridi,V`iduel '.applying for this
described ,to ma . as . shown •'On;•::th'e' :a*tached ::drawing the develo
•they are •. ro permit has.
hold be;p posing. ! A•' :escr•fpti:on•'• Cr:L•drawinq, with dimensions,
provided with this letter.'. : ,
: ' _____„_,_, I have. no objections,•:to;. th.ls ' 'ro os P al.
Co s d please t the
•
c o f 4•
9 - v 00. w thin n
b e t o l0
o I' g. t $ ed'' by o s d r d h e me
• .. C ent f e' a
lirjIYEX ..s cF 'ON7: ;,::
I understand that a pier, .dgck • b
hound, lift : , .mcazihq pilings, breakwater, t
from • must be.:, et back'.e:.mihimum distance of15'
area of riparian access unless waived by me,
to waive the setback, you IItu$ initial. 'the appropriateIf you w is,
below. ) blank
J
*�k
•
•
I do wish to waive . the ;15 setback requirement .
•I n t wish-' to• ;waive: the .15?setback re ui •
•
9 regent.
•
•
/(247,--1/___- - - • .•
lens re � '•pate. • ArilrA
Na
Telephone. Nu bth Are
Number w de CD
Co I-1N R

4
•
. .
,
HERSHALL M i . BROWN, CPA
1703 COUNTRY CLUB RD. STE. 303 PH. 455-5633
JACKSONVILL'E, NC
1,' PA Y
. 28546
in &encl.\ Ft tel CI 01
A,
; ORDER OF "b lg. li'l 1 1 2 3 1
$ 1/450• 2(11- ,
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CENTURA
kft..14".. Centura Banks.
PRIME
ft
Jacksonville.NC 28540
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