19820D - Marshburn

CAMA AND DREDGE AND FILL 019820
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Costal Resources Commission
in an area of environmental concern pursuant to 15A NCAC '1 f� , I I(.J(J
Applicant Name t OnA ki M r 0.3" r n Phone Number 9 I U tN,7/0 " /7'
Address al lb OC JOO L-erne
City '!-'Adv.6)SA-CPA State N Zip .26 44-3
Project Location (County,State Road, Water Body,etc.) Pe,Nd l/' ao tti r� 33'] 1 oc W� t-r'r
A-ri5 4�-n d , 1J C�/ G hft r�ne_I oPf 0 Z.10
Type of Project Activity 1pu1k_ d 1Psce.1,,,e„4 ' kJA\ }terwi rlci of OIA IpuIVkL- c1
PROJECT DESCRIPTION SKETCH (SCALE:
�JOTTO.
Pier(dock) length
Groin length
number
Bulkhead length '
max.distance offshore 1'Z
Basin,channel dimensions
cubic yards )G
Boat ramp dimensions C r Ipr,+ "7
� s 1
Other •
Lc)1
permit is subject to compliance with this application, site /
draiiing and attached general and specific conditions. Any / /
violation of these terms may subject the permittee to a fine, fff v
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 permit o Icer's signature
permit officer when the project is inspected for compliance. Q
The applicant certifies by signing this permit that 1) this pro- � !� '�G•1/ I (7 (9 -
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 'lg. 1 I / l�
objections to the proposed work. attachments �J
In icaiina Chic nermit the State of North Carnlina rertifiec that f rJO

« z r.,Km.1:T COMPUTER FORM
APPLIC.AYT NAt :_ � Bn c\d I"lRrs��LLr�n
ADDITION jL,NAMES:
AEC DESIG: DEVELOP AREA:
only take _— 00.1 PROJ DESC:� .
(Wil1 only take I)
WORK: O �Ci
• (Will only take 4) -
ti
MAINT:
(Will only sake 4)
(.va1 only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: • oZ gj 5
CAMA MAJOR DEVEL REQUIRED:

•
DIVISION OF COASTAL MANAGEMENT
- ADJACENT RIPARIAN PROPERTY ONN_'NER NOTEFIC4TIONNVAIVER FORM
Name Of Individual Applying For Permit: erna4 J2Lriktitaavvil
Address Of Property: ?3 2 ( `
rl • e. )$'44-3 „D6k.
(Lot or Stileet #, 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 toiiie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
Y I have no
objections to this proposal.
If you have objections to what is beinE Apropos-. please write the
Management 127 North Cardinal Drive Wilmin NorthDivision of Coastal
39l1O within 10 days of receipt of this notice: No resn�ns .-2c CaroI_ina, 28405 or call 910 394-
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 or sandbags 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
ria,>47 il
pyi+ii ?
•
Signature Date _ •
ai„- 1AS ;eL (t A 6 Rfe
Print Name
276 • 3-73 NCDENR
Te
lephone Number With Area Code N ircr I-1 CAROLINA DO.ARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES

DO'SDF C'n4ST4T hI4'\'4['
ENizNa
Name Of Individual Applying For Permit:
Address Of Property: S 9)
(Lot or S eet #, Street or Road, City � �
& County)
I hereby certify that I own ro e
P p rty adjacent to the above-referenced
applying for this permit has described to the as shown on the attached drawing the development individual
they are proposing. A description or drawing, with dimensions, should be
letter. provided with this
I have no objections to this proposal.
P
v
Cr 7 e
r ..a 7
tf vn» hav h� n nnrif4` , P s • -
'1 l PTt . Ld 7 P
Vt'4 n'FR CEC flQN
I understand that a pier, dock, mooring ,
set back a pilings, break-v�.ater, boat house, lift or sandbags must be
m�mmum distance of 15' from my
wish to waive the setback, you } area of riparian access unless waived by me. (If you
must initial the appropriate blank below.)
___;e I do wish to waive the 15' setback requirement.
I rio nmm wish to waive the 15' setback requirement.
r
., v F ),
0 AI P:z I 1(S igna e
Date i
Print Name
910 - a - 3 it NCDENR
Telephone Number With Area Code
NORTH CAROLINA DM.ARTMENT OF
ENVIRONMENT AND NAZURAL RE-SOURCES

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