22488D - Lassiter

-"Cri '} CAMA AND DREDGE AND FILL
GENERAL PERMIT N? 22488_D
as authorized by the State of North Carolina
/�� Department of Environment, Health,and Natural Resources and the C t I Reso rces Commission
in an area of environmental concern pursuant to 15A NCAC M- /A D
Applicant Name O)4 a 1 A 4)s 1f4l Phone Number(/0) D q/ —6 4E6 3
clM I �4,n Or vP S
Address / f � //
City //t./c t State /� N C. Zip '' �.
Project c tion (County, State Road, Water ody, etc.) ;r ` ex ' A CP A,i I
Its. P S o c AA cm n1 �{ C y r►.t1 n -P 4 r t a (� /3 J-r c k- r 4 S iv It., Co .
Type of Project Activity (2�nS Tr.1( 4' Ii' )'fig ' 7, c 1 N IJ4- K 4I tvk�(rtN� i '-(AN 0 F )_
1/' X 9,0' tier .`` Pell co�Stroc_14-,..+^ 57i., 1 'e 4 � /eti5f /“--.4 r;s ! c/e ec.�.r`'1,
r/ , /-fug r"orr� C+� r //�< v- S�4li' /tom CJc ?CcJ y,il � � bi' ,Wet
/4 it (.0 a t idh5 e- f "/Ai • f J oO s/L 11 4 . Al s-ee repair e xis ir, Iuf'
PROJECT DESCRIPTION SKETCH (/' 5'44v►1( 4 11 nine _), (SCALE: )
� Am. Ta �<q ��
Pier(dock)length 141 /s v ?
<-7___ /Cain _ Me (7 C``Act
I W
Groin length
number /b/
Bulkhead length 4
max.distance offshore `�"--_ JS / > ` ?/ !
Basin,channel dimensions J
cubic yards
Boat ramp dimensions
EX'S /n) f.� u I kAPK 6
Or — DK��n' 0 /
IJo lb X ;• ' S
, A,- --- 4: 7 5
r-,
This permit is subject to compliance with this application, site 1
drawing and attached general and specific conditions. Any �� of �_`
violation of these terms may subject the permittee to a fine, / 000��^
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void. n, , Ci
`This permit must be on the project site and accessible to the �CJII� ‘111. permit o icer's signature
permit officer when the project is inspected for compliance. �7 /I—� .—. ly 1 / / / Y-G u
The applicant certifies by signing this permit that 1) this pro-
ject o V '"� ( V ( J
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 1']� . V
objections to the proposed work. attachments
_ IN''' „ v 2± r761 -"S .

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: John Lsk5si
ADDITIONAL NAMES:
AEC DESIG: 4, Es. DEVELOP AREA: . 06 PROJ DESC: P - I 1
(Will only take 6) —— (Will only take 1)
WORK: Re. x ac S 1144
(Will only take 4)
c)fri1/4.5
MAINT:
(Will only take 4)
IMP: UIJ% SO y
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: - 10-qq 11 - 10 -q9
CAMA MAJOR DEVEL REQUIRED:

•
DIVTzION
ADJACENT RIPARIAN PROPERTY OFOAcT__r, M NAGEME NT
•
OWNER NOTIFICATION/TvP_IVER r^OP,M
Name Of Individual Applying For Permit:
Address Of Property:
(Lot or Street p, Street t or Road, City & County)
I hereby certify • that I
I aced property. The individualdescribed applying the et has
theyr to me as shown on the attached drawi gor this evei
proposing. description
drawing the has
are �
should be provided with dh ss rl t , o� or drawing, with development
e_t__ . dimension=
I have no objections to this proposal.
•
If vcu
have oblectior._= to what If Yo on L- is bein❑ Proposed .
of Coastal Mane❑ AlE=se write
tiVi lri eT1Ent , 1 the
`i-ncton". North Carolina . 27 Cardinal Drive Extension .
days c= 28-^. 05 or 1 910. 395- 9 on .
rEEibt of this notice . call 3�00 within i0
days
no f rer-e i cn No response
if You have been notified is considered the sane
- by Cc,-L;ficd Mail
WA I7'P SECTION
I understand aI7C that a pier,
d lz dock, mooring Pili
-house, ift or SandbaO5 mustbe ng- , bristanc_*-
_ r V .'crEB of riparian
set back a minimum distance- , boat
to w- ; �• access „less waived by d__(If youf 15 '
-v= one s u..- =iv
=_back me. (If wish to
, you must initial
the appropriate blank
•
•
do wish
h to waive the 15 'setb ack requirement.
I do not wish to waive the 1S 'setback reeauire ent. .
c' gnc emu?'
Date
Print Name -�
Telephon= N Lber With Area Code

•
•
John V Lassiter Nedl 653032 66-30/531
Jimmie J Lassiter 865 793
Ph 910-842-6863 Q/(0
Po Box 213 DATE `'
Supply,NC 28462
PAY TO THE erpi-A,PV
ORDER OF $ 5 D„t?-7
------- ----- (-------- —------ DOLLARS
look for:Micro Print signature line.gray type and linework,First Citizens Bank logo on back.If not present,do not cash.
FIRST CITIZENS 865
BANK
First-Citizens Bank&Trust Company
Shallotte,N.C.28459
FOR haz
I' 5 3 L00 300':0 5 3 200 700 311' 79 3