22490D - Lowry

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PERMIT----- CAMA AND DREDGE AND FILL
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GENERAL 22490-._b
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the C ast Resourceommission
in an area of environmental concern pursuant to 15A NCAC • l2.°
Applicant Name Ed4 I I ‘,6 Ws- Phone Number��ID) 5.2,1 '0 12 3b
Address e �q i L 5 a i A 4-c, n in 12 e-1
City -�e yn b r `�� State /V / Zip alr 5 s�
Project Location (County, State Road,Water B y etc.) S /S ( C- ( .. r'-4 5--I a^ ".4 A —0/.4 ( l
(.K hc.t I i h 0/�C e.1 Pk �-S i( We.,c�h �rLa x 1.....01, �l �o _
Type of Project Activity l c. A c-tr�" ,I" 4 vt • � 0./ b©G /i 'I ( K c�,./(c e c�) Q j/1
ri•D --4('1 5 t 6C a-4 e_eC 15 4./1� 4 4 4-, c Ad L it d c -r,:1) 6 - 011 . /.()
hA 11 app(,I. "�
PROJECT DESCRIPTION SKETCH (SCALE:A/D jecp 5CLf /r )
Pier(dock) length =
ini 6 nAct e C4,,,, / -2______
Groin length
number P—/s-_ ,
Bulkhead length 1
I/�1 13OA4.A fl
max.distance offshore i
Basin,channel dimensions
N
cubic yards /per
V1 };54,,.'., .,/ /r, A
Boat ramp dimensions
Other w ��
a �1 K 1a1 ,, .
t
This permit is subject to compliance with this application, site •
drawing and attached general and specific conditions. Any / _ I _ t
violation of these terms may subject the permittee to a fine, /
imprisonment or civil action; and may cause the permit to be applicant's signatt e
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. 4-
The applicant certifies by signing this permit that 1) this pro-
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 ,
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME:
ADDITIONAL NAMES:
AEC DESIG: OJT- DEVELOP AREA: _. O PROJ DESC: P- I
(Will only take 6) (Will only take 1)
WORK: -6L„ I a..X
(V;ill only take 4)
MAINT: )(4\1)/
(Will only take 4)
IMP: 141'
(will only take 6)
ACTION EXPIRATIONDREDGE&FILL REQUIRED: q--1 - qq t a - -a9
CAMA MAJOR DEVEL REQUIRED:

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.Brunswick Business Service
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Printing , Office Supplies
euitom dada S'9n3
Eds \
Or ( r,c.\
CSC e n )each
e-mail [e-mail]
Tkw k Lim Foa(.how Business
Skallotte Sout(tiport
7f4•-COO 4-f7-41L1
fax 714 Y Ol Fax 4,7-041q

SENDER: I also wish to receive the follow-
o Complete items 1 and/or 2 for additional services. ing services(for an extra fee):
Complete items 3,4a,and 4b.
❑Print your name and address on the reverse of this form so that we can return this ai
card to you. 1. ❑ Addressee's Address
❑Attach this form to the front of the mailpiece,or on the back if space does not 3
permit. 2. ❑ Restricted Delivery
❑Write'Return Receipt Requested"on the mailpiece below the article number.
❑The Return Receipt will show to whom the article was delivered and the date a
.
delivered. a)
0
3.Article Addressed to: 4a.Article Number w
4b.Service Type d
_ ::- -\k"NV v`V� v. ❑ Registered VICtified cc
❑ E press Mail El Insured y
10
M-( Return Receipt for Merchandise ❑COD
�59-"tom. t24-1.� o
'-) 7.Date of Delivery
7/26 0
4 9 °
5. ecgiv�d (Prig! 8.Addressee's Address (O y if requested and c f
� ) )j l fee is paid) co(
6.Sign/aturer(Addres e Agent)
PS Form 3811,December 1994 102595-99-B-0223 Domestic Return Receipt

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNFR NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
� v
Address of Property: Pr�_
�^� � ,
Oct �^ . .� � - ���������������.-.1.6. .c.l.
(Lot or Street #, Streec or Road, City & County)
I hereby certify that I own property adjacent to the above-
r efe renced proper nd i ng fo ty. The iivdual applyir this permit has
described to me as shown on the attached drawing the development they
are proposing. A description o` 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 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,
house, lift or sandbags must be sat back a minimum distance of 15'
from my area of riparian accessunless 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.
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__ ....._.........
_____________________________
Signature / Da
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Print Name
��
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_-x��' « ��___-�'-��..........��...............
_-____________
Telephone Number with Area Code

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i 1 € GRICE CONSTRUCTION 9144
! 1. PH. 910-579-9095
6618 BEACH DR. SW
OCEAN ISLE BEACH, NC 28469-4710
91 99
i , 66-112/531
i PAY DATE
TO THE
ORDER OF I ,
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DOLLARS � °mANcn PANNING AyNC TRUST COMPANY ��
HWY 179 AND THE CAUSEWAY ROAD
OCEAN ISLE BEACH,NC 2 6
PO L ,.....eZ
II' 0 91 4411' ':053LOLL2Li: 52 LEI L5945
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