18392D - Long

CAMA AND DREDGE AND FILL
~1i! GENERAL NV 018392 -b
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 /) oU
Applicant Name /tie y A• 4 oN q Phone Number(/O) JSZ-30 Si 4"5 -
Address /0 c , ,14. /Pc-I Vt
City k.✓;/illiAV-1nr State ^/ C Zip J 4-90 S'
Project Location County, State Road, Water Body, etc.) /0 cA,n?►t EiQ /Pd / I 9 c' 2 a`'f 7 'Anc-1/
A — 4-elli`i 4-F , . I e [/ o
Type of Project Activity j*,`4& t- L; -7 .¢?)a:75 J"- ��;.(7(A-( /:2i C'e
a,,`-ail CuA i.-/- .r at- 7 i.i)°4-) .5444 .tior y
PROJECT DESCRIPTION SKETCH (SCALE: / f! 3C) , )
Pier(dock) length i (04 C r —\„�
Irp`0 - << CNN�L-
Groin length ^ N
f a('
number • 1
Bulkhead length De � Ili(ti
w1 F fi L �..�`.
max.distance offshore IJ
Basin,channel dimensions E — C'e�
,� � P,N�
cubic yards r ri'
Boat ramp dimensions
Other ilD f L;Pi
13')cf t/1
01-
? %'
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, v "�""'�
imprisonment or civil action; and may cause the permit to be app ' ant's signature
come null and void.
This permit must be on the project site and accessible to the 7/k‘ permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- S/)0 Y g/1 67q
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 71/,i�ov
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
, . .
APPLICANT NAME: P-6 et ti L n./
ADDITIONAL NAMES: C C1/4/42(V,S OV'Q{-h eC ie
AEC DESIG: P ff IW DEVELOP AREA: 012 ( PROJ DESC: / - / -
(Will only take 6) (Will only take 1)
WORK: a L. j i Li
(Will only take 4)
MAINT:
(Will only take 4) 'nl nA
IMP: 6 WI 1 CO
(will only take 6)
ACTION EXPIRATION
Iiiiiiih._
DREDGE&FILL REQUIRED: GG
OR DEVEL REQUIRED: c1�.,/�J� d /�6< !01—

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ii SENDER: I also wish to receive the
3 ■Complete items 1 and/or 2 for additional services.
n ■Complete items 3,4a,and 4b. following services(for an
12 ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. a
■Attach this form to the front of the mailpiece,or on the back if space does not
p p 1. El Addressee's Address
u permit. t:
u ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery c
• •The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. .
i a
3 3.Article Addressed to: 4a.Article Number a
2 0 CY 76 71 a
-DI a� --ip
tr\P`� 4b.Service Type
\b0.3 NNo l
� ������AfC—(e ❑ Registered ertified a
El Mail ❑ Insured S
t �nE' � c
�� ••L , ( a
2�3 T ❑ Return Receipt for Merchandise ❑ COD
1 7. Date of Delivery
c
3 5. Received By: (Print Name) 8.Addressee's Address(Only if requested 1
U and fee is paid) s
C h
6.Signa��4ddresseee orAgent)
a, X
PS Form 3811, December 1994 Domestic Return Receipt

05/08%98 07:02 $910 887 7089 CULP FINANCIAL 001
LONG BEVERRGEINC. Fax:[phone] y 'y L :`+O r "�
pTviSION_CLS,p41.STAL MAl1gG lot
Name Of individual Applying For Permit: 2ddniEt.4 r . L&.I C
Address Of Properly: I Q S k f I) nir rC RCt F, uRer i--�~
int
� Oyr n/ C a8IcS
(La or stre #,Street or Road, C zy i County}
I hereby ce_tify -i that I own property, adjacent to the above-
.
referenced Property. The individual applying for thi£ permit has
described to me as shown on the attached drawing tree development
they are proposing. A description or drawing, with dimensions,
should be pr 'dad with this 'attar.
vt-
.._�_ I have no objections to this proposal .
If you haw 1ectine tc what i beinc o _
vis' � m csee: at aesc errjte he
n c t 27 ns ' n`
28
a s c s " -e t o
You v bp�en nos _, v .t ,f l ad_. n.
...um.
es
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I understand that a pier, dock, mooring
house, lift cr Sandbags must be set back pilings;
iminikU bdistancerof�1oat
5'
from my area of riparian aecess unless valved . b
to waive the setback, you Y �''�• t Z t' You t fists
bslow.} Y �t initial the appropriate blank
I do wish to waive the 1S'setbaok requirement,
-______ I do npt wish to waive the l! 'setback requirement.
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PrLnt Nam
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.336 ` , r` Sri 6 ( .
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lelepAcae Number with Area Code � ,-i FR

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVEL FORM
Name Of Individual Applying For Permit:
Address Of Property:
(Lot or Street Street \5\
oroad, 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 vrocosed,' taease write the
ivis ion of caste l .anacrement 127 Cardin va
W1lmnatQn North Car olina 28405 or call 910 3 enSin
days of receipt of this notice. No resconse is 95 3900 w thi_n t p
as no oblecticn if you have been notified by Ce ti fded e3 the same
fie_ Mail
WAIVER SECTION
I understand that a pier, dock, mooring
house, lift cr sandbags must Pilings, breakwater, boat
fro
house, area - be set back a minimum distance of 15'
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'setbeck requirement.
I do not wish to waive the 15'setback ire.re u
g *nent.
-Zak- A i.A-c5-Nvt,a)...,..
S £natura Date
A •
Pr es Name
Telephone Nur:her With Area Code Q HNJ

_._ _ i ..3 ��
,
CK/PIPPIN
MARINE CONTRA -
_,
WRIG O. BOX 716 910-256-3082 CONTRACTORS, LLC "'EACH, N.C. 28480 2167
PAY TO THE
ORDER OF D
r
E H N R • HATE Ma 26, 199 g 66-85/531
VEPBEuI9PPPEN
$ 100. 00
1 ntura Bank
W°°��ewn.xczl DOLLARS el
FOR FOR L o
00000 2 1 6 711. ; 4p5310 — ,
08 504
0272112 3
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