17644D - Trask

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CAMA AND DREDGE AND FILL GENERAL 0�' 6
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health, and Natural Resources and th_e_:pag41 Resources Commission
in an area of environmental concern pursuant to 15A NCAC •�,p_.. I '7►4C�
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Applicant Name Q I S 7 7S rt l� Phone Number t't. " z5 30 62-
Address '�11 1 a, Gh LLr C_�it ( t
City w t t 14";I t-. State t`J C-d Zip 2.J'4©
Project Location (County, Stat Road, ter Body, etc.) 1� w` r �. • / W t t' L ti Rom-%
��R Cti" ti'S C a N N�t�C
Type of Project Activity ‘4,,.. .,:l an .,-[-1 t 44 -6 4 ` .
PROJECT DESCRIPTION SKETCH (SCALE: I I( -23=0 )
Pier(dock) length `J/ 1 i § — IL , .
Groin length ,
number
Bulkhead length i C.star t,,Aly`I)
max.distance offshore ,,, ri °" y1;,
Basin,channel dimensions 15�N 1- ! '
i µ
r N
' I _.._
cubic yardsics4t vt.i / i
Boat ramp dimensions / 2 0/ ri
1 ©I X SDI ,'' � .
This permit is subject to compliance with this application, site (gtrj
drawing and attached general and specific conditions. Any 9 1-'
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. C...:>)— —)
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. 3 ! - C.�� S r (t Qrr�
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The applicant certifies by signing this permit that 1) this pro-
ject 1 l j.3
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
objections to the proposed work. attachments

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER FORM
Name Of Individual Applying For Permit: /"2 �"�'� 12Al
e
Address Of Property: 31_ AM-TL-'t ,
IJTh g/?i 1 /l Ai
(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 e as shown on the attached drawing the development
.they are pro osing. A description or drawing,
should be p ovided with this letter. with dimensions,
I have nc objections to this proposal .
If you have ob-iections 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 sane
as no objection if you have been notified by Certified Mail
WAIVER SECTION -
I understand • -t a pier, dock, mooring pilings, reakwater , boat
house, lift or san• •=igs must be set back a mi ....um distance of 15'
from my area of ripari. - access unless w ' ed by me. (If you wish
to waive the setback, yob ust ill,: lal the appropriate blank
below. )
I do • sh to waive the 15'set •; k requirement.
•
do not wish to waive the 15'sttack r
�D4 L CiIICJIt.
7,-----",-en-r4- 'Z
Signature r / -
` Date •
Print Name ` , ` 6' C 7-6A A
.9 sz - 3 '71 0 °/ ' aIHNR
Telephone Number With Area Code
A F&S Marine Contractors, inc.
eicis� Slag AN0 12P1U/ZN TD 6 P.O.Box 868

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