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CAMA AND DREDGE AND FILL
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• GENERAL i :" 0201191
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Co,t2/Re$Qur es Commission
in an area of environmental concern pursuant to 15A NCAC T (#1
Applicant Navve jr<tCt r�a r"4�(1 Phone Number�1(°) 'gib?, °�/7,
Address I)• 0 • J X 476 2.
City E If h e - A , ' _State N L Zip a I ? 7
Project Location (County State Road, Water Body, etc.) /32 I -n q I) r s✓( /1: hi( /1 gl4 c.4
OA Morn-" < C.{n,tl / /1 &T...,Sw/i ' CI. ,-t +4
Tye Project Activity A f tti i� a r-�J CS 9 c.. k Lci i 1'1 i. / k ' 1�-/rQ(,,:
at [ 1/V4 C'(- W4 en / C Aci ruff t,I •D ^ 5 4 // 4�e G ( e4$ 1 r-/-
/&s' .Je eac I ' 4r+MA orrI.c� .; 6;, e • o ( 0Astnac.flon 11 CX((f c (/t tic i
�4�. -of wc4 49cp pi , . All ( (Id -10 9H, / 40D s14 I/ a 49/
PROJECT DESCRIPTION KETCH (SCALE: Yk.1. 7"" 5e4 fC)
Pier(dock) length N
Groin length ? MO -r(1 4 r f C y n 4 j 2----)6
number
Bulkhead length /01
max.distance offshore i i
Basin,channel dimensions
cubic yards - I
Boat ramp dimensions rt
g.)fls t'in 0 I A I 84 k4,4
Other o - C CJ <-- to. 1
101,
Es
G4 1- CrIPS�., p G Vigr 1
4
Ca
This permit is subject to compliance with this application, site
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-
come null and void.
ttAk C .
This permit must be on the project site and accessible to the r
permit officer's signature
permit officer when the project is inspected for compliance. n -/ /O - /
The applicant certifies by signing this permit that 1) this pro- '/ C —Po—
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 �' ' O
adjacent riparian landowners certifying that they have no
ri
objections to the proposed work. attachments
. . . . . . . - - .. . _ .. .�. . _ _ ,.—� _ � _ I ►Ib
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Breeze. F"h (Zb
ADDITIONAL NAMES:
AEC DESIG: PT €I(\F Ez DEVELOP AREA: _ 4 PROJ DESC: P
(Will only take 6) • (Will only take 1)
WOiK:7.6 1 Z.$ I O 10 Xi
(Will only take 4)
MAINT:
(Will only take 4)
IMP: 0 I a0 OuS 30
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 11-1`pgq to-ILj qq
CAMA MAJOR DEVEL REQUIRED:
4, s
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W /0 714 7 b.i&r r2 DEP-Nt
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, n4(€5 6&(6.5Tof) 1 # CFH / 3TEWAfi
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DIviStON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTtPICATION/ 7-72R FOP?,
(cray:i vwood, Inc . )
e O� Individuzl Applying For Permit Breec.e . . .,enee Horton
dd=_ss Az Property: 132 .Tuna Drive
•
Holden Beach, N. C . Brunswick County
(Lot or S c_ee ,T Sheet or Road, City & County)
-^hereby certify that I property adjacent to the above-
property. The individual applying for this permit has
=_sc_iced to me as shown on the attached drawing the d
ev mment
are proposing. A description Or dracingn• wit1 dimensions,
provided with this letter.
Rs
•✓ 1 have no objections to this proposal . .
•
You have objections to what is Ceinc orccosed . o ease w ito the s on of Coastal Ma ate".lent.. . 7 /7 Card „ f r•
Nor - Carolina . 234C5 or call 910 395-3900
-.-c: ave of recei:t c_ this notice . Nc r esCcrise is considered the sane
7C objection if vau have been notified v _ _
Mzil
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WAIV A. SECTION
%-nde:stard that a pier, dock, mooring pilings, break*.Dater, boat
:. _se , lift or sandbags must be set back a minimu::, distance of 15'
cv a,ee of riparian access unless waived by me. (If you wish
- - waive. t you must t- i = l _
__ l o:ry . ) thesa cack, _ ini the appropriate blank
✓ I do wish to waive the 15 / setback
r do not wish to waive the 151setback requirement.
relent.
Date � A
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.:.,t -i of F`5 Go-(G 57 Dn) C IA y 67 {_A) A Q •
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ii SENDER: I also wish to receive the
3 ■Complete items 1 and/or 2 for additional services.
n •Complete items 3,4a,and 4b. following services(for an
» •Print your name and address on the reverse of this form so that we can return this extra fee):
card to you.
a •Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
y permit.
y ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery
r. •The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee.
✓ 3.Article Addressed to: 4a.Article Number
MS. a,rlc„e S ► 5 4b.Service Type
D Q 0 Registered Certified r
n t T���� ❑ Express Mail ❑ Insured !
a _Az:
�6tr c� fJ eturn Receipt for Merchandise ❑ COD
a 7. Date of Delivery
—›— bZ
3 5. Received By: (Print Name) 8.Addressee's Address(Only if requested i
u and fee is paid) ,'
C i
6. ' ature: (Addres,9oe 1Agent) ,'
PS Form 3811, December 1994 Domestic Return Receipt
'tio16a 'ZI13
• , . . .
DIVISION OF COASTAL MANAGEMENT •
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
6rIEVIE Jr krOM 1d16/6"/
Name Of Individual Applying For Permit: NAyay woo 0 i ( .
D , df ' � 4 t I lb 4.4 A
MAY 181999 g•Loci4 UQtAC# 14t &iZ1Aer5wieK. CP.
(Lot or Street #, Street or Road, City & County)
DIVISION OF
COASTAiefr"EikiyAWAgg 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 drawing7 • with dimensions,
should be provided with this letter.
I have no objections to this proposal .
if You have objections to what is beinc proposed , please write the
Division of Coastal Manacement . 127 Cardinal Drive Extension,
Wilmincton, North Carolina . 23405 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 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 recuirement.
I do not wish to waive the 15 'setback requirement.
s -✓ r-c'`�.` ' 5- / !o-9 9 '
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Print Ngme �--
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Telephone Number With Area Code
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: —-. ncmi rz�!n .c��n.r --If j�srSece�.logo In fight gra> one is not prescnl on hack of document-Do lamlamcash. - � 1 1116 .
HAYLEYWOOD, INC.
1 P.O. BOX 862 �Q
Iy ELIZABETHTOWN, NC 28337 S- ti r ( ( 66-25/531
1 1 606
19 ES
TO HE 0 — ID Co I $ 5-0 -p0
1t.
! ORDER OF --
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w.•,�-I' DOLLARS„ Na onsBank
Nation6Bank,N.A. - }i
Carolinas
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