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' i CAMA AND DREDGE AND FILL
GENERAL lti ': 9"793
Y'
PERMIT
0 as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the coastal Resources Commission
n in an area of environmental concern pursuant to 15A NCAC 14, PO 0
Applicant Name 0 SC u I— !Y'G I S e l Phone Number
Address I Gins( A� b I-"lie
City 0 G e 0, �S(C" �,K�.h State h-- (. Zip ')T '"f 6 7
Project Location Count State Road Water Bod a c. c q + 6 / CO 11 Co ` t s'A i A 0 C.Pyn to
Y, Y, ) I' /�
B 1 H o n 1�1'v a A- m ct 1 P 7C_CA flu 1 I n &ry n S w1 �c f C- c ✓ rt
4-y, _
Type°f PIroject Activity C J0 s i4/��vrJoo ,w(
H� -rf- 6 � iek $ / (id oiOrc( o XIShe4 vn o� �4 side or.t �j A, Cv '- a� C) '51'Am. 0) h(4 oh n�r'1'I SICK
Ail C a/1 d io'- ) D � r71 . //°-D 54/7 gpp7/,
PROJECT DESCRIPTION SKETCH I (SCALE: / h _ aSFCJ
Pier(dock)length — 11 p C
��� "
MIGII irk 41\ Ai e."2....„----- -
Groin length
number ,f
Bulkhead length ' O0 Cf , ( ` r f r V /v r
Ex��;•y� go \ rY r V ,r t( i n tr r f r ►� S, ,
max.distance offshore 130I01f4 d 1 - Pr o p o 5 P d -J� r �ih(,(ck it
�X'S���
Basin,channel dimensions �.�J - /0 0 / ) r�v�khF..d
cubic yards
Boat ramp dimensions
•
stti/nn i-C
Other .
/4 - '
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, / applicant's signatu
imprisonment or civil action; and may cause the permit to be-
come null and void. 7...,A, a . ,
This permit must be on the project site and accessible to the permit officer's signatu
permit officer when the project is inspected for compliance. �_ � ) 3 �j Q
The applicant certifies by signing this permit that 1) this pro- q -.-c,?
oC
ject is consistent with the local land use plan and all local issuing date expiration da
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 7 1-/ , //3 J
objections to the proposed work. attachments
GENERAL PERMIT - COMPUTER FORM -
r . : Pa ►�� `t'� o pFIELD'
REP. � a APP FEE: ��,- -
PERkIT NO: 0 l/G 1 l .3 _ COUNTY: 01- -in Su i ,{
AEC TJE'SJG: •C, UV , S WATER BODY: 41..E✓► - ,k 1 d F . Cq n,,
APPLI�C NT 14 : •O S `it.r- • . 11/� (4 i ) t !
ADDITIONAL NAME(5) : :_ ;_ : . -. .
MAILING ADDRESS: -• -. /ac -..., ..a . .:_
I li�l'l�S C. K� `;iJ�-t.' i•v�:• •. � P$ONE:�-" -
:: CITY: b �j�' J '• :: - r�
CITY: C e ww.- •(I�i 1--° • . -. .: STATE: NCB '` `%ZIP: .v.-- • 9 .
PROJECT LOCATION: ...-4- _,61 _ C0 r".'o r--J cif �•
INCLUDING CITY flit 71�ChLZTY 1 �:
•. - : - (WHEN DIFFERENT FROM MAILING ADDRESS)
DEN AREA: _ . PROJECT DESC: P " LAT X ,..
) LONG (Y) :
WORK: ( . ' _ 1 - -) �- -- - _ -
:-, CODE LENGTH WIDTH -. DEPTH CODE LENGTH : WIDTH DEPTH ' .
_ -
.1 C r)W LENGTH : . WIDTH • DEPTH CODE LENGTH WIDTH -- DEPTH
IMP: ( �(-D ) (_ _ • .- )'
CODE SQUARE FEET • CODE . SQUARE FEET . , CODE SQUARE FEET
fl
ACTION XPIRATION:
DREDGE AND FILL REQUIRED: : _ ate. .'Z, -J _,.. F :M :.. - 3_ f �j
F / J
CAMA MAJOR DEVELO- Not REQUIRED: - - .
**************************************************************************4
- _ - - -- • - --- .2 -- • -
• CODES- FOR AEC DESIGNATIONS -
"ON" _—. Ocean Hazard -• "CW"- - Coastal- Wetlands - •
"EW"-: - Estuarine Waters : "FC" Fragile:_Coastal. N -
"ES" Estuarine` Shoreline "PW": -_ Public .Water Supply Natural/Cultural
"PT" .- Public Trust - :1'OR": — Outstanding_.Resource Water
-CODES rok PROJECT -
,'P„ Private
te,t sually an individual "F„_ Federal =
"C„ .Cc�°e L Local Government
"u". Uti1.t1' - - uH". Housing Development -
_"S„ State' - - "On- Other •
- .- CODES FOR DESCRIPTION -_ -
-"llu. Bulkheads,,. Riprap -• ; z fT'16„ Utility .Lines. _
.„12"=Piers, Docks;'-Boathouses C''-n170:= Emer en -
:"].3" Baas Rarla s - - n „: J cl Repairs
„ „ P - 1B Beach: Bulldozing
14 . Wooden Groins = _ . ,"19„, Temporary. Structures
"15" Maintenance' of Basins, Channels, Ditches - -
• Z 2 51, 6 0 4 5 5 7 I also wish to receive the
, following services(for an
US Postal Service )can return this extra fee):
Receipt for Certified Mail e does not
i 1. El Addressee's Address •
No Insurance Coverage Provided. e number. 2. El Restricted Delivery Do not use for International Mail(See reverse) d the date
Sen o /-1,C "des Consult postmaster for fee. .
V,AO O M C-lZei 4a.Article Number
Street&Number _72 /I /L/(r��< 1
Post Office,State,&ZIP Code 4b.Service T pe �
6�'E'Xrb T� /Yc' `?7`//0 0 Registered f��rCertified i
5 Postage $ ,33 0 Express Mail 0 Insured !
5 3 Certified Fee ' 0 Return Receipt for Merchandise 0 COD
7. Date of Delivery
C Special Delivery Fee I
3 8.Addressee's Address(Only if requested i
Restricted Delivery Fee and fee is paid)
u u, .
rn Return Receipt Showing to
7 Whom&Date Delivered J, /0
1" n Return Receipt Showing to Whom,
12 Q Date,&Addressee's Address
lnmpctir. Ratiirn Rprpint
c'• SENDER:
,•o_ •Complete items 1 and/or 2 for additional services. , -,. , I also wish to receive the
Cl) ■Complete items 3,4a,and 4b, following services(for an
H isPrint your name and address on the reverse of this form so that we can return this extra fee):
card to you.
j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address •
d permit.
w ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery t
•The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. .
0
v 3.Article Addressed to: 4a.Article Number
CD I
a. /7�C• `�-11 . b A to . /�`c I ex.( 4b.Service Type
8 6733 S 4, cc 7:41 pie-. ❑ Registered p'Certified t
2El
cLeevrhoL N-L- ;� 7Wn Express Mail 0 Insured
O ❑ Return Receipt tor Merchandise ElCOD
a 7. Date of Delivery
z
m 5. Received By: (Print Name) 8.Addressee's Address(Only if requested
w and fee is paid)
¢ i
g 6.Signature (Addressee or Agent)
/
ennPS Form 3811, December 1994 Domestic Return Receipt
M 'nm,,',.'- ww.cookrrraucc�,„.
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM
Name Of Individual Applying For Permit:
aSevl (L ML
Address Of Property: / einit,C-C,A-b 5 /.
OCeAN Zsle aOAcA, il/C . or-gf69
(Lot of 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.
I have no objections to this proposal.
If You have objections to what is being promosed ,• ple__se write the
• Division of Coastal Manacement , . 127 Cardinal Drive Extension ,
Wilmington . North Carolina , 28405 or ca11 • 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 requirement.
// I do not wish to waive the 15'setback requirement.
•
•
•��Aa�e > a/7/
Signature Date
y/ 1 •rcirli
P fnt Name �.
9vM-917- 7(4 f z a -qia - 9/)-- zz-3d Co
Telephone Number With Area Code I—I NA R
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit:
- s�A k 1 /AfSeL
Address Of Property: 3 q C,r,N nQo S T.
Ceiti Z-c i.e �e o ci( 110P-1/4 9
(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:
I have no objections to this proposal.
If You have objections to what is being proposed ,• please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wilminaton , North Carolina , 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
lins, break ,
house, lift or sandbags must be set back al minimum distancerofboat 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.
•
�, VSignature Date/q 9
bAtlib W CKe L's des c_1<
Print Name
Telephone Number H
,/ P With Area Code
.. Jan in_ I J. ... In In fJ A. _ e
B. WAYNE MELTON PH, -_
NCDL 9740228
521233
910-754-3639 66-112/531 2 5 5
1148 ROYAL OAK RD. NW
SUPPLY, NC 5212339271
28462
eZZo,
BRA CN pA KENO ANO TRUpi COMPANY
HWy 179 AND THE CAUg ROAD illie4
OCEAN ISLE BEACH,NC 28469 CL ASS ie
1:053 i011 21i• [�r , ���
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