20233D - Terrell

CAMA AND DREDGE AND FILL
r '' , GENERAL NI 020233-0
It w
E'ER
M IT
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as authorized by the State of North Carolina
0 Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC - I A o -
Applicant NameLI IN —1—; rC I I Phone Number
Address � `r�/ K�h 7 L/ N PI
City C/C( JS/ Ci State ` Zip �/,
ProjectLocation (County, State oad,Water Boy,etc.) 7Z d � r i'��s h r / )�l 4 S 4.,
Q.
v r Ui i c rec., /A r-1AS 144 ft..-f,'.' .C r4b' U**11.4ry ,
Type o Project Activity � e.mn S r�� /� '� P � t"
1 X /� r ,4..44, 4 , L � � > f�� w4.- per _ /�!l ( ..�/) i-
5J( /) 1, Q4 /e45 )�1- , /� eu'G, ca/�/a J., /i.i�' . All C ai1 C t ft- .j +-
9/ , /16N c hell 009, 11 Shut/ of fYCttcl '/ wi44-L, s. W4Cib. i1
PROJECT DESCRIPTION SKETC / re, (SCALE: A�,I4- 'F- sc4/t, )
f,
,____,
Pier(dock) length','' ,9`)D
Groin length r` Jj , I
/
number 0 )C'_ pt f 4' :, b e /0' 7
Bulkhead length a
4i5 /r,,,i 7 ", L .
max. distance offshore
t
Basin,channel dimensions
LA D'
cubic yards
Boat ramp dimensions
Other 1 D,k
63 ,2A., K0, , .4, ,_t.,
.0044,./..) w )6 k -)0
0uk ..5 1614 c .
,
This permit is subject to compliance with this application, site t
/J �/) - � / �<
drawing and attached general and specific conditions. Any ` J (, `��
violation of these terms may subject the permittee to a fine, ` 11
imprisonment or civil action; and may cause the permit to be Y• applicant's signature
come null and void. a ' -?,„„A.._......___.
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. ` t-/
VThe applicant certifies by signing this permit that 1) this pro- ! /— - ( 9 () - aft A 0 J�
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

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'ADJACENT RIPARIAAN PRO?t.RTY 0 wnik, STAMVENT
•
hereby cert.:v that I own propaty adjacent
( rne If Property Owner)
property located at - 3Z(a
(Lot, Block, Road, etc ')
on LL ci Ally ToMiLakilailiack-a1=82dritSMAIM
(;VatcrbodY)
He has described to zne, as shown below,the development he is proposing at that location,
aid I have no objection to his proposal. I 1.1nderstand that a pier/uncovered boat lift must
be set back a=animism distance of fifteen feet(15')from my am of riparian access tulles.,
waived by rra.
I do not wish to waive the setback requirement.
12 wish to waive that setback requitement.
DESCRI71 le' AND/OR DRAWLING OF PROPOSE')DEVELOPm 01:
,To be 511ed in by individual proposing development)
• Z
42,2r--44'
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(b' -
C:"
Print or Type Name „ (PJ
,••_ • ,/ - ,f
c ,
(JO,
e.ephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to � L `s
ame of Propy Owner)
property located at 2 / 2/i - 7.ZZ / ✓ ,
(Lot, Block, Road, etc.)
on, Z-X , in Town of Oak Island, Brunswick County,N.C.
(Waterbody)
He has described to me, as shown below, the development he is proposing at that location,
and I have no objection to his proposal. I understand that a pier/uncovered boat lift must
be set back a minimum distance of fifteen feet(15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(747,
421-
s.
Print or Typ6 ame
Telephone Number
Date: 7)- z— ��

1AIARK`3. ALBERT 66-112/531 801
NCDL 8730102 PH. 910-201-4220 5218191314
109 NE 19TH ST. r l ttL-
LONG BEACH, NC 28465 oale
�Ar 92_C D-D . e , $ 6-0
1 to-!1 o w yF
J9 At /9 o�anr 0
03003
.,,,,.���1 B�T oMP�.. IIIII� '
10 YAUPON DRIVE 11111 c
YAUPON BEACH,NC 28465
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&/no C/4- /'4 fyn�rtivr_��i��� — h
I:0S3LOLL2L1: 52LBL9L3L411' 080L C-,Pao1133
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