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CAMA AND DREDGE AND FILL
GENERAL I 019729 _D
PERMIT
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 pursuarl to 14
A NCAC •7 • II00 ?V, IJVU 7 W•/57G
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Applicant Name 04, wAI KER NR S, el
V lQ.,�. 1,t,A 1K�P/P ak. Phone Numbe(1/9 7‘.) --$i(,fr
Address 30 6 /(1, ItYld v 1 J
City 1w(/; 1 v & l 1`'f". State NC Zip O8YU/
Project Location (County, State Road Water Body, etc.) 4)0oq 7 /u°R fKRSegY Ao4d / /¢tT -
ini4 - D ' cal-�4-I o'H- AZt vw fl,2w 74A-°&'ff1 Co .
Type of Project Activity MA/ -"frtt-A�'te DiPl C-iticr/ Ae , /3(•t I/'t��0
4.-Ait (oNb;-/ -1 O t ')lf . 110° , ) L . /JU() -jt-/L1 "71•4, /500 5/44(( A-BPty
+A410-146 3e k)5; a&P0 L 4 N J i) o c- 31 1440 4-1(4
4,rne,t
PROJECT DESC' P ION SKETCH (SCALE:/'= t/v ' )
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Pier(dock) length '" * = GMA StA F.5 4 �-/// Deft {S
6 X�O f 1' AREA -ro
Groin length
�t�r . (� BE' OR 6k.
1 . 1 I f 70 `5 'M CIA
number ,p (4( N/
Bulkhead length �e i V 4
\j
IIa r'
max.distance offshore 0
-/gAN
Basin,channell dimensons_T
cubic yards L 6 T62 il So 4
Boat ramp dimensions ,,! (� 4 1 ii v ,(� `Y i \� �Y
FICA?-G ' YP ' �l
Othe •r ,
31 3 a' 35 frti-fi A 1 7v c oe yo y
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oy ? A--o 06:4) /i3-ll P 't av°I Ili?(NM 444,Se,Y 41eQA. P `
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This permit is subject to compliance with this application, site
i. )drawing and attached general and specific conditions. Any
CLR--)
violation of these terms may subject the permittee to a fine, 1-," ' t' i�
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void. •
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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- /6)y-92/ o2-0` - 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 / /W. //CO ..�N, /)00 7/�
objections to the proposed work.
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GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: ?4 v‘AA\(-E � R
ADDITIONAL NAMES: '1 I:+N N v,,A\l -
AEC DESIG: to pT, E-5 10 DEVELOP AREA: 0.6 __ PROJ DESC:._ e - 15
(Willonytake6) ---- (Will only take 1) �� v
WOI4: PK ( ( -° F S ktv SC 30Q
(Will ely take 4) �1 U
�5 .i5-, Iy°,-5- a 14 1 1 2 �
MAINT:
(Will only take 4)
IMP: S o i o OO
(will only take 6)
D W `-1 °
ACTION EXPIRATION
DREDGE&FILL REQUIRED: I (-) y-W
CAMA MAJOR DEVEL.REQUIRED: 1 I Y
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: /:
Address Of Property:
\,Nip 14 (VCr3il ALL' 1\iG/J
(Lot or Street if, 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 Manaaement, 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.
k/ 70e.-p
Signature _ v Date
J os('?G► (-I JO 1 sv s&c) J�
Print Name
/O 76?, l.S 7/ >,v GS't, /OoS
Telephone Number With Area Code
t
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
a
Name Of Individual Applying For Permit: is A ttik s
Address Of Property:
WUJIA ,-AiO ,ALC r - l r91./ -
(Lot or Street #, 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.
�� < (
na - 6 -��
S ture Date
`-1fAO/Kt i1; . � i��
Print Name
Telephone Number With Area Code
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HARRIS WALKER
912-477-3857 8 O 8 8
351 FOSTER RD
MACON, GA 31210-7912
ngit j 01.
64-5/610
u 03161
Pay to the fC D I —!19�
O�ds�of
$ So00
NationsBank -Doilars o o.,;�1-.°
NationsBank,N.A.
Georgia
•
For
1:06 L0000 5 21: 100 03 l 2 ?II' - - - --- — ---
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