20240D - Cummings

CAMA AND DREDGE AND FILL
GENERAL Me 029240--ID
PERMIT
0 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 • Q i4
• I A 0
Applicant Nam r v /h �n I A n Phone Number
Address 0 O rC5 o elM o4C
o State N C zip�176
City LL
Project Loc tion Count State Road,Water ody, etc.) 5r r I^ L+� 4.T// -- Z�Ar D CC'w., Ss (
Bj (County, y /i-) ,ram r S lyle t &v n T
rt<< a n C.tn — u P r. n
Ty o e Project Activity C oA S -4` L'f' / 4 I X r 3 h�'{''' A �� cc.../I^C 0 V C c. ) Lull`
6� � ,- •- t4e 6.p4 c �d A // c,. 11 4,o%..) Q. p �,G _/ �� ,. 8 4ly(if
App/li 4c5 v6 -�4 ,k IN
.( 0 ,a c� M v ttiee" � St -� 5/ 4e APIyi� or _
PROJECT DESCRIPTION SKETCH (SCALE: p/' r rc, /p)
Pier(dock)length 'y �'' >
�, / ' ►ct/Irnu ,.e C.A4li I -2.--.—' 7`
Groin length
number ii\J C M
f
Bulkhead length D
! A
max.distance offshore Q /31 gflQ ,4-1.-
Basin,channel dimensions e-A154- Al."'
D 0
cubic yards
Boat ramp dimensions S li JP
Other b'/JGC4-(I -1
5(--,7-%
47
..\.\ 4.- e-.'"-;.„,-
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This permit is subject to compliance with this application, site �1,�
drawing and attached general and specific conditions. Any (lam
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 permit officer's signature
permit officer when the project is inspected for compliance. Al _/
The applicant certifies by signing this permit that 1) this pro _ 1
cf
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 9 1-4 _ / (� J
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Cad E C km Min
ADDITIONAL NAMES:
AEC DESIG: PT, Caw ES DEVELOP AREA: _1) I PROJ DESC: czo
(Will only take 6) (Will only take 1)
WORK: I�j L 12-lc 13
(Will only take 4)
31.1ka .
MAINT:
(Will only take 4)
IMP: Q N.
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: q-a�-9q i a.os
CAMA MAJOR DEVEL REQUIRED:

'r $t4'ick. 15-pisiness San/ice
Priu irig ;• Office Supplies
Cac\ee- Cum ,',35
eta (A:Q. , d t
C`i\c‘,x\an
(Alb- 52‘ - yit-tt
e-mail [e-mail]
Thank you For gout Business
Shallotte Southport
754-8300 457-4565
Fax [phone] Fax [phone]

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit /0. 611 J i1
Address of Property: 5-2 / T
(Lot or Street #, Street or Road, City & County)
I hereby c=ertif`, 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.
:[ have no objectives to this proposal .
If you have objections to what is being proposed, please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wilmington, NC 2840% or call 91 —39-3V00 within 10 days of receipt of
this notice. No response is considered the same as no objection if
you have been notified by certified mail .
WAIVE:R SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be sat 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.
„7
Si.gr ature Date
Print Name
Allen Edwards
681 Cranbrook Rd.
Tel ep ne Number with Area Code Raleigh. NC 27609_5111

,
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
_
Name of Individual Applying For Permit
'-�~����______-����~������
� ~ '
Address of Property: 6T - ___________
(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.
' J-62 r�_ I have no objectives to this proposal .
If you have objections to what is being proposed, please write the
Division of Coastal Management , 127 Cardinal Drive Extension,
Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of
this notice. No response is 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 sat 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.
__________ _____ _______ _________________ ___________ _____
______ _______ _______________________________________ _ ___
T----------��----
Signure Date
. �
Print Name
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GRICE CONSTRUCTION
PH. 910-579-9095 iA
1 6618 BEACH DR. SW i'
OCEAN ISLE BEACH, NC 28469-4710 66-1t2/531
DATE Ci- 9 l
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HWY 179 AND THE CAUSEWAY ROAD
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