18369D - Roberts

CAMA AND DREDCli AND FILL
GENERAL
•
fl 8369 --�
PERM I T
0 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 "i/I ./.) 00
Applicant Name I.L 'YI L. A 7PR71, A),b . r/v �• 144/✓ 1701A,/ey Phone Number voi 7 - Si `
Address 9/4/ /v1,�/04e Ij1e,'v r
City Gvi/vh;ti 74Qp State PLC Zip .)WO3`
Project Location`County, State Road, Water Body,etc.) 7/11 l
P S C .2?< /,t i -4.1 .ov rrt C4, , J
Type of Project Activity (Y)/t fT(Gt L77,dA ,0,- Ref f„4- ri'P,
PROJ ECT DESCRIPTION SKETCH (SCALE: /f� ‘U )
Pier(dock) length i
Groin length -•
L,
number '� - fl `� _ r
Bulkhead length Q ;._______X- --.4.-
.a '''_
a v jy
1
max.distance offshore 4.4.,4„,„„ ((
cor- '"( Cr-
zc
4,
Basin,channel dimensions K o
YI
cubic yards :+
k.
3 1-
Boat ramp dimensions -.-
ther L Iter46 d/X/t9 r . 4f. !-f 1.7+ "- ice r.‘,4 ;,?, G,vev,_l ,:
z ii ,o, pz4,44 N / q/2 /„js1yS yi—e t r-a: vfci -7Ao (,)
41X0(1' Ffo41' is ( Srl6A4c/4 FjP nn /r'Ae;�- Got -.40c
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,
imprisonment or civil action; and may cause the permit to be applicant's signature
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- t_ b 940/9/-
ject is consistent with the local land use plan and all local issuing date
Drdinances, and 2) a written statement has been obtained from expiration date
tdjacent riparian landowners certifying that they have no ��
objections to the proposed work. attachments "2ff. _/.Z 00

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER FORM
Name Of Individual Applying For Permit:
M ,D,
Address Of Property: ow-) e
• (Lot or Street t, Street or Road, City & County) i �
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 drawin
should be provided with this letter. g, with dimensions,
I have no objections to this
proposal.
•
If you have objections to what is being proposed please
Division of Coastal Management 127 Cardinalwrite the
Wilmington North Carolina 28405 or call 91039D5r39E Extension .
days of receipt of this notice. No response is considered O ''the s 10
as no objection if you have been notified by Certified Mail
same
WAIVER SECTION
I understand that a pier, dock, mooring
lift pilings, breakwater, boat
from house, area must be set back a minimum distance of 15 '
myof 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 rep u 'L1_r
emEnt.
I do not wish to waive the 15'setback requirement.
•
osicnature 6 3 q�
at 147:171A
Print9‘/0 6,p8 --z/dobb
Telephone Number With Area Code P R

SENDER:
3 -Complete items 1 and/or 2 for additional services. I also wish to receive the
n •Complete items 3,4a,and 4b. following services(for an
1 •Print your name and address on the reverse of this form so that we can return this extra fee):
▪ card to you. c
> •Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address <
a permit. a
y •Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery u
▪ •The Return Receipt will show to whom the article was delivered and the date
- delivered. Consult postmaster for fee. c
c
5
o 3.Article Addressed to: 4a.Articl umber
�� a
Isle_C:L_yD N1c f.. >r i • )�j''//
E4b.Service Type
Li (1. 10 ep k{OP--_- ✓QLUE 0 Registered ❑aGertlfied °
lc
u 1.i0 V.L ILN1C5-1-0N. , N C. 0 Express Mail 0 Insured 6
0 Return Receipt for Merchandise 0 COD y
n 2.f)1{0 3 7. Date of Delivery
6- / 3 -(ik
3 5. Received By: (Print Name) 8.Addressee's Address(Only if requested i
and fee is paid) i
6.Signatur • de or' g t
o
T X /7(
H- PS For 3811, December 1994 Domestic Return Receipt

•
•
BRENDAN M NOWLEY NCDL 29829952 PH 910 793-5796 "�/631
3600 S COLLEGE RD#E110 367 1930
tr
WILMINGTON,NC 28412
' Pay to the /� l Date 6^ ' Q
"I. s Order of ,v� .
r
)00 jis CITIZENS 357
Dollars ffia. :
rfC Irn Bari 8 hint C"'"
W ImnGton,N.C.28412
For PN�IT Q�R,E,p ^�
1:0 5 3 i00 300,: � � �
00353684a70 ?II' 0 /930 -