22521D - Phillips

O R CAMA AND DREDGE AND FILL
GENERAL . ® 22521--b
PERMIT
0 as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coastal esources Commission
in an area of environmental concern pursuant to 15A NCAC f)/4 /1 D;,)
Applicant Na e ,\i1"� PA Phone Number v 7 ? -Address V � IInN( L H Y �p
City 9V n r NC- O
State N Zip '3 3 4/
Project o ation County, State Road, ater Body, c.� / ),I 3 C a A`1 r '�! °r�� �" 1�'�
a L.- 604 j !^ /Jv n C K v //'l A �P et,- ✓✓ 1'T N"{ O ✓P r C�J K r�I
ypie of Project Activityl O $ trJ c- /0 0 //ie.r' -" I �j�Iv%r,, S A// ,,C� 4 C c. o r I i n is]
r-LA , Pt/ I _( , � l4",oNs 0 9P_ /la 0 qL /i 4lip /1
PROJECT DESCRIPTION SKETCH C•E-7.........„ {� 1 (SCALE: O L TO 'C� f)
t- C4 rot/n4. Fc ly k_ 4 .),.„ i1 rr 1
Pier(dock) length
L
Groin length \, Aif
k
number ©
Bulkhead length /D-D ``� T I( r
max.distance offshore 9
< it
Basin,channel dimensions \ `,, U �' +
V Y 1 e f r. le
cubic yards V �I 1 b`�
Boat ramp dimensions l:l c---„—
Po r A Pr 41
Other
I
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 signature
imprisonment or civil action; and may cause the permit to be-
come null and void. a _ .----2,..A__._,
This permit must be on the project site and accessible to the 9 ( permit officer's signature
permit officer when the project is inspected for compliance. I I_� _� _� ^� �.J�
The applicant certifies by signing this permit that 1) this pro- / cf
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 OP /1 O
objections to the proposed work. attachments

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a
. DIVTSION
FDJP.CENT RIPARIAN PROPERTY cobsT�"r, MANAGEMENT
Y OWNER NOTIFICATION/WAIVER_ FORM
Name Of Individual Applying For Permit: 4/24
Address of Property; /). /3 73 !.
• n ,iye
,,,
6a-rte.6,1/ . , e
(Lot or St,-e. t , Street or Road, City & County)
I •
hereby certify ' that I
above-
referenced property. own property adjacent to
described to op `y. The individual applying for this the above-
des are d as shown on the attached drawingh s evemot has
_theyle proposing. A description the development
provided with this or drawing, with
letter,6_1-1 . h dimenion=,
I have no objections to this proposal,
'
IfvOu
Division of objections to what is being
of coastal Manag r DrODOSed . Dle_se write
Di vi ement . 127 Cardinal - the
` -noon'. North r
days of r_�e; Carolina .. 28405 or call g 3 95-300e Extension .
hens
Dt of thisnotice. 10 5-300 within
as no objection Ce. No response is cons l0
if you have been notified the care
-fled by Certified Mail
WTVER SECTION
understand �.
Ihouse,n1 ; a d that a pier, dock, mooring 1;
_ - ° sandbags. � g Pi ngs breakwater,
ag_ must be set back a minimum
b_ ser boat
from ',V ,'area of riparian access e m-ni mumdistance of 15 '
�� _ unless by
�^cl wa_V� �?7E setback, you must initial
me. (If
toow. ) ni tial theyou wink
appropriate blank
•
i ao wish to waive the 15 'setback requirement.
___________—. i do not wish to waive the 15 'setback requirement.
- Alivti
i cnatu« ��
PGArlarxd re ,LL rate
,-int Name
111 — YP - 475-0 -L. �'
telephone Number With Area
Code

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•
. DIVTSION OF COAqTAL
ADJACENT RIPARIAN P?2pp,RTy MANAGEMENT
OWNER NOTIFICATI0N,wpIvFR FORM
Name Of Individual Applying For Permit: f l/
Address Of Property: / 2 / 3
•
Ca_ r 1, �<., '` 1 AiC.
(Lot or Street #, Street or Road,
City & County)
•
I hereby certify ' that I own property
referenced property. The i Y adjacent to
reference to e as shownindividual applying for thisthe above-
referenced are on the attached drawing the eveiot has
e proposing!. A des -
should be provided with dtescription or drawing, with dimension=
;- ___ L_ I have no objections to this
proposal.
If You '
have obie_tion_ to
Division c s what is bei
of Coastal nQ DrOpOSed , please write
4Vi Management . 127the
r''nC`'Jn`. North Carolina . � Cardinal Drive Extension .Wil - na . 28405 or call 910. 395- o _ 1
°= receipt of this notice. 300 within
as no ob-ection if you No response is cons ,- 10
have been notified i ideed the same
by Certified Mail
jvAI 'R SECTION
understand that a pier,
I usd, 1 to •Cr c- , dock, mooring PilinQs
sandbags ,= be set back . distanced, boy'
from ',y 'cre3 cf riper; must - a minimum distance
f waive .th an access un1e5waived by m f y of 5 �
c-v` c setback, you must J me. ,
below. ) initial the (If you wish
appropriate blank
fit---� •
do win .
n to waive the 1 5 'setback reauir-ement.
._._______ I do not wish to waive the 15 'setback reouirement. .
•
t� // Z C . A
cgn
'r-int Name
© •�...
lephon` Number With NJR
Te
Arai CoQe

MR. LESTER PHILLIPS 66-112/531 51 2 0
MRS. LESTER PHILLIPS 5217400610
P.O. BOX 1643 PH. 892-3447 oirte / .73 /917
DUNN, NC 28334
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MUNCH SANK,NC OMPANY lime
107 W.BROAD STREET
i. DUNN,NC 28335 0 o
amino- f/rat.w 44 'd. r
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