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,M 4Rr€ !!'PlIS�F"�.,s'w*•c+w��c.n,��.r,�n �Or�.- �,_r..._., r..-_ _ ..,.. - _ cs - '1 ' CAMA AND DREDGE AND FILL " GENERAL ._ 017619 PERMIT 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/! 1)00 , Applicant Name b n ' ~T '1 1 S /v All eNf#' Phone Numb( /&J 7/ ? 23 7 3 Address ' 20' .3,(-1 a' /E--. GJ4. / City ll.//4.,2/l-9-th"-- State, /L(1 Zip .. - i'(.>r Pr ject Location (County, State Road, Water Body, e c.) ��U4- /A /er" l' / 746 17 1' .) ww' , ,v' vie . Ads— Type _ of Project Activity •��0%�A:VA- d 'L`" # b"'�/ er G "to e,i ,6, . r . �' r , 64 )L .1/ If- f4/( Ce,- --' ', ( o / 7r/• /) u o .._S 1,4/' ,Q,/y PROJECT DESCRIPTION SKETCH (SCALE: /lf_ l ., w Pier(dock) � �length � i t! Groin length V 4, d �. ___-__ ; number P. =' f i \ , I � Bulkhead length_. i l i = i max.distance offshore `LS I ` ' ! . . el Basin,channel dimensions j.. q S h 0 a ., Rr cubic yards v�J O ....,,r : . 6"...— ''f' -c,. , Boat ramp dimensions - O c ii o n Other 1- -- ,) /3"y/L'. 4; • a - - � \ t :* _ r/u4 T8 PL _- -_ _- — �{ i ._ _ This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any �/19/il violation of these terms may subject the permittee to a fine, applicant's signatu imprisonment or civil action; and may cause the permit to be- / come null and void. 6::::91....:Vt / 6,...41(2... This permit must be on the project site and accessible to the permit officer's signatui permit officer when the project is inspected for compliance. ,/ (� The applicant certifies by signing this permit that 1) this pro- //� f`Y S//d/9! ject is consistent with the local land use plan and all local issuing date expiration da ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no 7j . 0�00 objections to the proposed work. attachments / / 6-"t A . GE T _ COMPUTER FORr(wil M APPLICANT NAME: /17) ADDITIONAL NAMES: t ' �k4 f N AEC DESIG: f 1 PT-1 wr DEVELOP AREA:_C.).Q a PROD DESC: U - l only tP' ''1 S L PER 1`" r (Will only take 1) ID-- WORK: S X,1,� 02 LI ! D so (Will only take 4) T E / )) /_ 1 a y v MAINT: �,' 3-1) (Will only take 4) -7 IMP: r(i✓ 1547 .1 4- -(.— a-G 0 (will only take 6) p w g»— ACTION EXPIRATION DREDGE&FILL REQUIRED: CAMA MAJOR DEVEL REQUIRED: 9 /( Or r/' / DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit : d'AVS Address Of Property: g'`L D g ©ice/q/ipcf/e 44/V Gii;AvivpAvi (Lot or Street #, St '//reet or Road, City & County) I hereby certify that I own property adjacent to the above- referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions , should be provided with this letter. I have no objections to this proposal . If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, 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 you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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. ) 17 I do wish to waive the 15 ' setback requirement . I do not wish to waive the 15 ' setback requirement . 01)11117.," /yy' .ig :tur- Date /. ML. -4i)h,J h Ceecci Print Name Telephone Number With Area Code O O /$ n I A .2 • ., r , -16 /7'. ' DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit : Address Of Property: 32 09 Q id .40 AAA/do- ., (Lot or Str et #, Street or Road, City & County) I hereby certify that I own property adjacent to the above- referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal . • If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, 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 you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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 do wish to waive the 15 ' setback requirement . I do not wish to waive the 15 ' setback requirement . _ L,,•_ S igtture Date Print Name 7/° "G Telephone Number With Area Code . • 0 / VC V) fr*1' /61 • 0 0 /6- - - lIt /4' s • r- i. ..A:V . . f,i_„_.„,,..,_.,. ____„_,_,___,_..,_,_.,_€,„.,,. Securitrnitrncrd document. • details, ,� .,. .� BOATLIFTS AND �- if MARINE See bock CONSTRUCTION OF z _�. `' :I P.O.BOX 5365 WILMINGTON ' WILMINGTON,NC 28403 ' INC.IWC 4234 ?I I i PAY ai a TO THE ORDER OF � DATE ^��' 66-30/531 Itl C Ci 359 1 FiRST CITIZBANKFi rt-Cinzrn����759 fi e«_nw DOLLARS ' 8r,ua Comps, �a+wgn sl Wj ^pton,N C2BM3 ➢` 7I ai.:It' I FOR g�a • 1 tk....j �u °'004234u8 �• -- - •0 5 3 100 3001: /:- - -_--_ -___- - • 3531973883u