18009D - Fowler

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• CAMA AND DREDGE AND FILL
r1 GENERAL IV PERMIT f1 .g009 _
as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7/-7. //UU
Applicant Name T /v -; e' PV 41/("1 e/u vNnw---,' ON: titz Phone Number ft-/ 2 (5 "/co,
Address S / 4 (ib,v/v i oark
City I 4" C!?il-tAA 1); 4 State SC Zip .?q.)D
Project Location (County, State Road, Water Body, etc.) /►L/ 5i./F She I)(L . , O,40/' 04-0 )e
ANA-ft (AAAr , akw•Sw; cK .
Type of Project Activity PA.Ito 3,4 It({a-12.4i) L#44 941.47'() 1 / ./ C ,¢ _4%
PROJECT DESCRIPTION SKETCH , ^ (SCALE:, , 1 �v )
Pier(dock) length ^ � DE- c/j`ram
Groin length
C.4r►A IC/Aler
number
Bulkhead length 57
max.distance offshore ;; 4r i/ �! v'
1
Basin,channel dimensions y!
33 cubic yards
Boat ramp dimensions
5z ' i A�rip NSC
Other el t'� n ei
o
v
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any /7//,
violation of these terms may subject the permittee to a fine, /VAS
imprisonment or civil action; and may cause the permit to be p' ant'ssignature
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.
The applicant certifies by signing this permit that 1) this pro- g'/3//9 Y ///3//9 -
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 attachments .-)t.( ,J ( 00
objections to the proposed work.
. . . . . . . - . _ .

UENERAL PERMIT COMPUTER FORM „mum
APPLICANT NAME: 3. Afi, , e w t er
ADDITIONAL NAMES: `)C rv- rwy/ V r l l " a
A AEC DESIG: 2 S _ DEVELOP AREA:_ . 0 ( PROJ DESC: P -\ I -
(Will only take 6) (Will only take 1)
WORK: 6\ 5\
(Will only take 4)
MAINT:
(Will only take 4)
IMP:
(win only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 131 /9 e
CAMA MAJOR DEVEL,REQUIRED: d( 3 I'y i( (31 (y(
D

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit:
• Address Of Property: ,//'q ,�
ilia0047 e c2c14 622.
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The ind i Yi dua�ap inq for this hermit had
des ribed to me as s own �� }h
-�.� - attached drawing the develo meat �D/l��
they awe 000sin A description or draw n2 g, with dimensions,
should •rovided with this letter.
bmv
I hay no objections to this proposal.
•
tA/AK ketea
Ifv ha
ve have objections to what is being proposed . plE8se write the
Division of Coastal Management . 127 Cardinal Drive Extension .
Wilmincton . 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 vcu have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift 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 I do wish to waive the 15 'setback requirement.
•
!\,,e.. I do not wish to waive the 15'setback requirement.
•
•
A • A
SignatureGte
_ephone Number With Area Code H NI PI

FUNCTION=> A NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD1
v
PERMI'T NO: GP18009 DISTRICT: I COUNTY: BRUNSWICK
AEC DESIG: ES APP FEE: 50 . 00 REGIONAL REP: GREGSON
APPLICANT NAME: FOWLER, JEANINE
MAILING ADDRESS : 751 ALBION RD
CITY: COLUMBIA STATE: SC ZIP: 29205
LOCATION: 114 SAILFISH DR WATER BODY: MAN MADE CNAL
LOCATION ADDRESS : ADJACENT (WHEN DIFFERENT FROM MAILING)
CITY: HOLDEN BEACH STATE: NC ZIP:
DEV AREA: 0 . 01 PROJECT DESC: P-11 STATE PLANE COORD X: Y:
WORK: BH 51 0 00 0 0 0 00 0 0 0 00 0 0 0 00
MNT: 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00
IMP: HG 510 0 0 0 0 0
ACTION EXPIRATION
DREDGE AND FILL: 08 31 98 11 30 98
CAMA MAJOR DEVELOPMENT: 08 31 98 11 30 98
MESSAGE: INV EXPIRATION,
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