20400D - Windchase

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CAMA AND DREDGE AND FILL
GENERAL N9 030410 _I)
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 7N . ao0c3
S.14A—RT w _ �•'^'t ( f19E"'f
Applicant Name W► t1T 5E N. O.�A V Stet-N Itk CKe+IS ktien.'4) Phone Number l(y3- //0o
Address 30 0 W /vctCr414 Q LAW-
City W•(A i �/'- State K c Zip f10
Project Location (County, State Road, Water Body,etc.) S vl-Tf-41 Al (N A J C LA1-e (OM VA Uti i 4 '/ t)o c t(,
A D V c -. .4 41-- .A / i i V& ,4/(u,/P 2 ('j, .
Type of Project Activity t3ja ►4-J Li Nt 4 €f(i S)1-i N j S /fep if
C \ U 3 c-)00 S 4.4rt AQPLy
PROJECT DESCRIPTION SKETCH -�} (/� ti (SCALE: / i/_. 3,)
Pier(dock) length
Groin length (D`118
number �•
Bulkhead length
max.distance offshore
r £><;s;;Al 6 K,)y 3. Ti
Basin,channel dimensions
cubic yards
Boat ramp dimensions
Other
L I t✓- /..)`
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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.
JAN �`'
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 a - I 41— 9 ir 3
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 // OUD
objections to the proposed work. attachments 7N

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: (A/j( )C E--I'CiS
ADDITIONAL NAMES: 5 (A u(P
AEC DESIG: Pr t " O DEVELOP AREA: ci.o. ( _ PROJ DESC: P- c-
(Will only take 6) (Will only take 1)
WORK: 6 L.
(WNi1 only take 4) r
MAINT: r(
(Will only take 4)
IMP: 0 V✓ 0
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL.REQUIRED: 1 ' I (0- 3 -I

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MIME
=NE P.O.Box 365•Wilmington, NC 28402
EDGEWATER 910-443-1106 Sean Ricketts
MARINE CONSTRUCTION, LLC 910-443-1112 Michael Pedneau
l ntromeacoI vatar.mu
Nov L,it Locat ton
J a o t a_JL—J LJ u : 1110
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Edooww Conatiuctton. LLCZ# 67"1"›.,..„...
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LVLs ry
DJAC
I AR N P TY o R
TION Tr#I ., FORM
• Name---Of- Inaividual Applying .For Permit: -�-
5-t�a�t � . P 1 r�
Address or Property 300 • GJ 1 n,4r 1 .5-, _ �r
tJi ii4i 14 -'f o P) C_ i� f r1 Q
(Lo or Street ,#, Street or Road, City & Coun y)
•
Z hi' certify- that r ownproperty
above-
referenced
property. adjacent to the
described to me as shown` on� the attacdividual hed ydr win foring the this
theyare permit has
• proposing. A description or drawing, 9 development
should bee provide& with this letter. with dimensions,
`' I have no objections to this
Proposal. •
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If you have objections t
of Coastal Man na t i bainv broo sad. nle_sn
great. 127 C wr't the
atoll. North Ca ol 'ne. 2S4 05 or ca na 5-39 i Sion
days of receipt o th 9I0 395-39 0 tai in 1D
as no obiec once" N stinnse is con ider
t •on if you ava bean noti ied by C � t e sane
--- --- - _ � *�tified ai
WAIVER SECTIf?N-
I understand that a pier, dock, moorin
g Filings, breakwater, boat
must be set back a minimum distance
from my area of riparian access unless waived by me. ` you is'
to waive the setback, you must initial (If wishk
below. ) the appropriate blank
\/' I do wish to waive the 15'setback requirement.
I o t wish to waive the 15'setbeck requirement.
Ck ' mot - , .
S gn ure ��l
taut_ 1 t c�} ��Date _
Print Name I� 1 /V y;
7 '0' Ll s A- 3737 �E.- ....._
Telephone Number With Area Code D ��R

DIVISION OFCOASTAL Nr_NAG-:�
- ADJP.C�NT RIPARIAN PROPERTY OWNS - •`1�'I'�.
. ce), --hi, --co_c- ii.f) 44 cl oalftldr.,3e ),,,,-
R NOTIFICP.TION/WAIZ%=R_ 'FORM
00,
Name Of Incividual Applying For Permit:
a r- 6/ PIK]-
Address Of Property: 3o-o
. w in/l`IoLrM MC , 24109
(Lot or Street #, Street or RDzd, City & County)
I hereby certify that I
referenced own property adjacent to the
property. The individual applying above_s
described to me as shown on the attached drawing
P_ ying for this permit has
they are PrpA05ing,
they d A description or d the development
Provided with this letter. drawing, withd_mensio
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; ns,
---e___ I have no objections to this
proposal .
If you have obiect� .
Divas; _ ions to what is bei
on or Coastal Mama ng proposed . ti1e_s_ w,-;to
Division
s i ono ement . 127 -
n • North Carolina . 28405 or Cardinal Drive ens, he
days of receipt of C call ix� on ,
ept this noteo 910 395-3900 within 10
as no obiection if you have beenNno responseedis considered the same
1�d bV Certified Mail
trP__ SECTION
I understand that
hound, lift
a p1eY, dock, mooring Pilings,ngs breakwater,
ho must be set back , s bo of at
m my area of riparian accessk a minimum distance
to w waive the Setback, you must IflItiess l waived by (If y wishnk
the appropriate
blank
be ! do wish to waive the 1; Set Cck re^.0 raiment.
i do not wish to waive the 15 'se-back r..auiY-ement.
Si rjature ��' �(�
AdiaQ Bac) emsA .
`r, '
Print Na
---______lr
Telephone Number WithCode
Area D1--��

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REMITTANCE ADVICE 66-112/531
EDGEWATER MARINE CONSTRUCTION, L.L.C.
P.O.BOX 365
WILMINGTON,NC 28402 515 2
PHONE:[phone]
PAY A9,9N,q
CHECK
/ " AMOUNT
DATE TO THE ORDER OF
DOLLARS
rt 'PE
1 DESCRIPTION
" IZ' I6"7�j 7�ENN�R CHECK NO.
grwr;{ let Pero/ 5/52 $ 50 .oo
BiJS.1 COLLEGE ROAD J44 Z
Branch Banking and I ruxl Cun m Wgn)' ILMLMINGTONGTON,NC
11'005152ii' i:053LOL12LI: 52LL86479130
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