19856D - Garrett

CAMA AND DREDGE AND FILL
(-7,11 cJ
GENERAL N0 19856-,t
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Reso r es Commission
in an area of environmental concern pursuant to 15A NCAC n k . r A-0-
Applicant Name D CAr-rt- 1` n ,,rT rt 4 Phone Number Ca(3) "7Y - 9591
Address � S - . /� tiir-viiw I
' 44.1e CrA
City 5 v P State WC-- Zip ag LIE, a.Project Locatio (County,State oad,Water Body,etc.) T AY to /ci 4t- S.c� Art— Can.- I SW
MAA-0%Ad t- Co n� ' b
)i g r.�vc wi'. k C. �ti-1- ,
Type Qf Project Activity POn 1' t+ i X/b'pier- lvi- , 1 'X Z AL'1 f t a + 6 ' X?}'' F7oa'1u1 1.,k 4
wai-frw r-c '&c-. A , c4gS rf.-+ /ell X 6.R.4 /1c4 ( VAs,Over'O ) . C,o/1 'ir4 4'6; 1
14S'cle st�6 L,k fi4s ,beef+ wa''vec by 6 ,4h nc, 'Ah..ri . 1411 fox o1i.ki.ia) f
4) N, ) Q? s ' // at,l .Corofruc, nA S� n. + iMPcic ncv(ycc�ibv' nor exceed 0y, ,4,44A
PROJECT DESCRIPTION SkETCH PF Wq+Cr d,) (SCALE: N + T ram-, )
L, y r / } O 9 cq,e
Pier(dock) length '7'!1iL: ��/� /'1 4 A- M . c+( C to ,,
9.A1
Groin length 6
t I i'' '`" rill'
NInumber a � fd.' G
Bulkhead length f Vett,ov (
Al
max. distance offshore fb 80(4+1{ t r_ i
_ __. -----___ __ ___W__- •
ii
Basin,channel dimensions
-"-
cubic yards. '�-" y -...._rr, .,
clBoat ramp dimensions 1 tAPti
Othe /�o O
51ot li 9K b' xa.) '
'r On‘,,,Jr,
�-9ou4-)►C4. log')CIj'
This permit is subject to complj ce with this application, site AE.. Ty"4.4
drawing and attached general and specific conditions. Any "violation of these terms may subject the permittee to a fine,imprisonment or civil action; and may cause the permit to be applicant's signatur
come null and void. - nThis permit must be on the project site and accessible to the �'t/ ` permit officer's signatun
permit officer when the project is inspected for compliance. /c
/� � / / ` J
The applicant certifies by signing this permit that 1) this pro- b [/ J l
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 fi �� -
adjacent riparian landowners certifying that they have no / 2
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: C- z2P14-, DakkEII
ADDITIONAL NAMES:
AEC DESIG: Pff ail; DEVELOP AREA: _.Q9 PROJ DESC: P - I t'
(Will only take 6) (Will only take 1)
r WORK: F L.) 0 g Lo
(Will only take I
MAINT:
(Will only take 4)
IMP: 101).5 1 ( ) (Q.ttir I3oJ
(will only take 6),w '5
ACTION EXPIRATION
DREDGE&FILL REQUIRED: q 6[Clq
CAMA MAJOR DEVEL REQUIRED:

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DIVISION OF COASTAL, MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER '
rvN�R NOTIFICATIpT7 WAIVER_ FORM
Name Of Individual Applying .
For Permit: jW0-4/
40,
Address Of Propert . 2XT
y• 4.eT*,46 I94. 'E
• It /v i J
(Lot or Str et t, Street e;EWV.3�•�,,•-��
or Road• , City & county)
I hereby certif
referenced y that I own property
Property. The individual a adjacent to the above_
described to me as s PPlying for this
the de
thy are Prohown on the attached drawingPvrmoep has
posing. A description or drawing, dimensions,
has
should be. .provided with this letter. with diE
------ I have no objections to this proposal.
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If you have OblECtiOnS to w
Division of Coastal what is being Proposed
Division
Management . 127 please write the
ngton . North Carolina Cardinal Drive
days n receipt of this
28405 or call Extension .
s notice. ' is considered
00 within 10
as no ob-i ect;on' if you have been No response' is
_n notified by Certified
M the same
Cer�?fiEd Mail
• +�T 1R SECTION .
I understand thath .understand a pier, dock, mooring Pilings break-Nater,
fromu dust be set back boat
towaivemy area of riparian accessunless waived
by me.
distance of wish•
the setback - unl = ved b
. . below. ) you must initial y me. (If you
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�,n the aparoariate blank
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I do wish to waive the IS'setback reguir-
sment_
I do not Dish to waive the 15'setback rem;irement.
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s i i z Lure / - 3 /,- A
y��Y GCJ D��eAr nt Name
Telephone
Code
Number with Area ED i I—
Number

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j 4012 GARRE 6531
DURHAM, NC DR. 53�125
I 27705 23 692 7281
, Pay to the 0 /S 19
Order of
I
1 CCBCentral Caro 1.__ Uouars
and Trust Com illia
Durham,North azlk S�r.ature
ry; For ` Dur Carolina 27702 -!!H'i-,,
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1.053 1004 6 51; 23 �� ��� . .
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raz 214
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DIV
ADJACENT RIPAR AN PROPERTY OF COASTAL T'pNAG�'
{ OWNER NOTIFICAT ON/pAIQ;,g
FORK
Name Of Individual Applying For Permit:
Address Of Property: - ,,G�17--
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(Lot or Stream p Street eO�/ij s Ai-A-
• -t or Road, City & County)
I hereby certify
property.
y that I own property
ere tor ee`ty• The individual applying yadjacent to theabove-
referenced
theyeas shown on the attach dra for this permit has
should be Proposing. A description or drawing,ng the
provided with this letter. development
� , with dimensions; • •
________ I have no objections to this proposal.
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IfIf you have objections to what -
vo on of is b=_ina propose
Wilmington . Coastal Management, d , pie s
North 127 Cerdinal e writ= the
days n rem Carolina . 28405 or Drive £xten=;on .
receipt of this call 910 395_
da no f rece i t notice. No response 3900 within 10
if you have been notified 1s considered the e-_
-c by Certified =:=,e
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Mail
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WAIVER SECTION
I understand i ft that a pier, dock, mooring pilings,
from my area must be set back a g breakwater, beet
of riparian access unless minimum distance
to
we've the a� waivedof i5,
below. ) setback, you must initial ti_l hey ppme. (If you wise
aDproariete bl=nY,
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AZZ/
L' I do wish to waive the 2 5'setbac
k requirement.
I a not wish towai =•
V_ the 15'Setback re:7ui'-_cje'1t.
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signe- =e ,5 - 31 -
. .
Date •
Print Name i ' A
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Telephone Number With A.r a C `d -��` Am.............z- Code D !\iR