20699D - Harris

..--- / % CAMA AND DREDGE AND FILL D
GENERAL 1*! 320f` 9"
---,lc) PERMIT Nt'`e
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Reso roes gornrpjsAion
in an area of environmental concern pursuant to 15A NCAC 7 N .L?00 7/1/, //v
!' 6/6/e 1 i-
Applicant Name L 'ee 6ruRGe 1�4,e4;c 0 h1tV1/, Phone Number ('7/0) 3 Cl" — 97 VI
Address Q73 SAf,v,Ott- 6/'✓P
City (AJ;/n1 i A '}v" State /tie Zip 2(Vo
Project Location (Co�ty, State Road, Water Body,etc.)___,,cif_Aetgl.eLf.e.ei&--E ---/----/V-Z-77..-e
Type of Project Activity E, ' Do,t.S if L d"- L f�1 (iA tP /1'Pp 14A 4 ,JLf/KA1. 4'
tAl e,-( /-3y f-/- l/ex i'</TA? jaN/l r•e
-a_ 4// (04,c(.'7 ',)A c j) r 7// ,1a ou ( .//0/ s 44/( 4 7 2(cr
PROJECT DESCRIPTION SKETCH/X 1 i�r 0,;w. c7eib�L (SCALE: / //._ 5� / )
yy , 'I r P�,Qq l
Pier(dock) length 6k'0 " ` N/tet
l 1
t i
Groin length ® f f 4 6; (A-e
number �`(� S AP p•„\I` /0 .- °-”
Bulkhead length 012 pu 0Po L /4n.(-C10
max.distance offshore '` t PY1�
Basin,channel dimensions
cubic yards I , i l}► SD 9
i
1 q
Boat ramp dimensions �` ./ i�
` I
Other T// 41) /L WX/. ' •/ �$ (13
i 9S
"..;
Ts ' yAVA
sf Y 3
1 I/
1 '
This permit is subject to compliance with this application, site __E rc12/7 /1Is 1
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.
gl-/, Cej9t1/
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- a2l/
q /..)/).V ,61'
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 CV W / dp
objections to the proposed work. attachments 7 .
�a 7 ' /
• .. . I _

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: L t7f beer
ADDITIONAL NAMES: 761 LA-t I1nA.RiL
AEC DESIG: p T EA") � C �✓��� DEVELOP AREA:__ d3 PROD DESC:
(Will only take 6) `� (Will only take 1)
WORK: �R �� �i " ( L �� � � t(h \I 6,
(Will only take 4) a7 I d'1r L
(�
MAINT: -.
(Will only take 4)
IMP:6 " (Li1C
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 1-a c - !d
CAMA MAJOR DEVEL.REQUIRED: `� ��a- 1 - -7 0

f
i •
L
DIVISION OF COASTAL MANAG NT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WA:V?$, ORM
Name Of Individual Applying For Permit: r
�/� -- -
Address Of Property: Z7 5. F-//1tiRvc,o1C o2 /c 'El
4v/L ,e1(ti G-Fp ti Y C_
• (Lot or Street t, Street or Road, City & County)
•
I hereby certify that I own property
above-
referenced
property. p P ty adjacent to the described to me a shown onn the attvidual ached applying
thishe development
Per:�it has
they
arhe.proposing. A description or drawing, rwith dimenon
should provided with this letter..... ::-- ,
I have no objections to this proposal .
•
Tf you have objections to what is being pr
ivis 'on of Coastal Management goosed , please w 'te the
Wi m 'ncton North Carolina Cc nZ 've yLs;�ci�n
� 28405 or ca 0 00 wi h ' p
days of e
-eipt of this notice . No response '
as no obiection if you have been ns de ed t e .-
-n not ' red f .ed by Ce*-t ed a same
WAIVER SECTION
I understand that
mooring
houd, lift a pier, dock,
pilings, breakwater, teat
from my area r '
of must be set back a minimum distance of 15'
riparian access unless waived b
to waive the setback Y me. (If you wish
below. ) you must initial the appropriate blank
I do wish to waive the 15'setback requirement .
-- I do not wish to waive the 15 'setback requirement.
•
Si nature
s--;' Date Ate •
Print Name �lr
Telephone Number With Area Code EDB
NJ FR

I. • • • .
D VISION OF COASTAL MANAGEMENT'
ADJACENT RIPARIAN PROPERTY OWNER NCTIFICATION/wAIVTR. FORM
Name Of Individual Applying For Permit: Le yi422/5
Address Of Property: 2 7 3 -S N it,4/osv D/es
: '7 L-sei/.(i G- z9,-- iY
(Lot or Street f, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property . The individual applying for this per-,nit has
described to me as shown on the attached drawing the development
they are proposing . A description or drawing, with dimensions,
show d be rcvided with this letter.
I have no objections to this proposal .
.
If You have objections to what is being troeosed : please write the
Division of Coastal Management, 127 Cardinal ;rive Extensicr
Wilminaton1 North Carolina , 28405 or call 910 395-3900 within 10
days of receipt of this notice. No resoorse i5 corsidered the ea e
as no obieotion 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 gust initial the appropriate blank
below. )
I do wish to waive the 15'setback requirement.
_______ I do not wish to waive the 15 'setback requirement.
. gIFCRCIk c9 I N Isr .
44
I ��•Signs 'r® ate
) ON 6TPJLL_jYP ,..............Print Name9 ► 0 _ Hs2 _ � ) �
Cy HNIFR
Telephone Number With Area Code