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,� CAMA AND DREDGE AND FILL
` ` GENERAL
-� I . 18329 -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 pursuant to 15A NCAC 7/N•iFp '
Applicant Name AIX 41///re % Yb'»'e Aintkie Phone Number(/9 ..)3.) -LOp3
Address al /1 A' 74f C .v4•E7 /,.P/Ut
City J,�i(,4(/j//f 4C� €// State 4C Zip azrttgd
Project Location (County, State Road,Water Body,etc.) J. /140 >! r blifivAil /.�w� , 4)1
MTV(I (IONA FL , wI,Aiff t,//E jc4rN 4/ tI W, 1 ' f 0
Type of Project Activity /444 n 31,4A.?f' Del-36-1N6r/
'Ir bii/N6 -n- 3 r &a/WA c A by l36i c ry r 7t Mie GL= ' t.,t M97 ,�°.'n ) A' "iv ac
D;SPos n OC AT ii.) ply ivifyti A/Vb w,Pi6eerSvi%/k-i� /, ua.
1< AghiO r1 Mull- ,vMPy b;v,fio, Dt- rat i-/416Y. & SAS-.1990a ACM --A) 6i/iV A-6 G(/dle.
PROJECT DESCRIPTION SKETCH ✓1 Ai iti,i /!L„^II ,�,, (SCALE: )
Pier(dock) length r//// fy/?4 ley' ?' -y �LN
Groin length ///� 1
2'XJ M[w .0' K X �NiLrJ
number
•
Bulkhead length I
max.distance offshore . (,07t ) AWEA 11)
iq
QC i)fc=ObF'7 it,—yMLCw
Basin,channel dimensions
Sc� 5-+CG7Pf
cubic yards a OD
Boat ramp dimensions
Other ENSfi^) 15 3'1 Pit R
y
�c /.,) NvR/f/FT ( KJ P)L
I i ' c-oT
This permit is subject to compliance with this application, site
/4&
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. ie
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- /J IM .7/)7/9,4-
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 )1/ ` 0
objections to the proposed work.
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: /14l d/K "//i
ADDITIONAL NAMES: J/1'vvI ' . FA"(AA ca.
AEC DESIG: b(Ali Pr DEVELOP AREA: U. PROJ DESC: f _1 5-
(Will only take 6) (Will only take 1)
WORK:
(Will only take 4)
MAINT: 36 ; � - y 3 0 .1.4 , Y \\)>
(Will only take 4) _
1
IMP: S3 `1.10
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: ((117/ y ?/?7b.i'
C A'KA A tut A TOR fPVET,REOUIRED: �I.)--7/9 __ 7/)1/?&
RECEIVED
APR 2 4 1998
DIVISION OF COASTAL MANAGEMENT BY:
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER- FORM
Name Of Individual Applying For Permit:
Address Of Property: /19 1VOr ( Y Or
Wr,' 5u1 ION /1(4';
(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 drawin
should be provided with this letter. g, with dimensions,
C'` I have no objections to this proposal .
If you have objections to what is being proposed , please write the
Division of Coastal Manacement 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 ob 'ection if you 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. )
y I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
X
Sn„� <ure � -�
I►1 e C4R0l,N t 9 DateA •
Print Name A
ED
Telephone Number With A_iea Code N R
�, -4- .
pIVISION OF
MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER WNER NOTIFICATION W/ AIVEB. FORM
Name Of Individual Applying For Permit: q �► J1�
Address Of Property• 1 }Jr i� L kUI\I d G.r;�e,
(Lot or Street 0, 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.
have no objections to this proposal.
If you ave ob 'ections to what is being nronosed n ease write
pivision of Coastal Management, the
Wilminato North Carolina _ 28 05 or7ca Cardinal Drive Extension,
days o ece nt o th s of c g10 395 390o within, 20
da no ob 'ect 'on esoonse conside d the same
ou ave e n t ' ed e►-t ' 'ed a
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 do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setba ck requirement.
C
Signatur
Date
Print �.; r' tic►-lots A . A
blame ,ov
// D -
Telephone Number With Area Code
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM
Name Of Individual Applying For Permit: "Tpmim, WAC,r"S
Address Of Property: 1 / 4 Lum l',,, A Au
t .
L)r;40NiS V: IIe lie L , N, C, 204 D 0
(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.
X I have no objections to this proposal .
ores e So./4 To be act Lo+ it 2 C.to.iv% „a�
If You have objections to what is being proposed , please write the
Division of Coastal Manacement . 127 Cardinal Drive Extension ,
Wilminaton , 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
nd that a pier, dock, mooring pilings , breakwater, jp.o.uwt
house, lift o dbags must be set back a minimum distf3e of 15 '
from my area of rip rl.a. access unless waived b. er-`""� If
�� ( you wish
to waive the setback, . u
below. )
-..,must initial.. -ham"" appropriate blank
wish to waive the 15 'setback -cement.
I do not wish to waive the 15' setback requirement.
Sign r e 4f�11L' ''1 p/(lM ` g 7S
Date �
.So e. fkrrtsaiv �.
Print Name
791 —q 4 63 —__ —
Telephone Number With Area Code N R
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; WESTERN MONEY INTEGRATED PAYMENT:SYSTEMS•INC.-ISSUER UNION ORDER Englewood,Colorado i
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NU1IJ/ yr 5 lift 4Vp- ER'S ADDRESS P�rcnxs«r.oy e�gnigq.yw� to me remiemine revere sae.
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Western Union Money Order is a service mark of Western Union Financial Services,Inc./Payable at Norwest Bank Grand Junction-Downtown,NA,Grand Junction,
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