18074D - Peterson

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CAMA AND DREDGE AND FILL
_Y
GENERAL N ' 018074 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 ) If. I --@Q\
Applicant Name A NNt-e R *ctsrv— IOF N C/ S mactltiaPhone Numbei6(OJ2SL '3 O 63.
Address I�'1 3L- h°, a .� OCity �J► ((W'I�5 �11pi:-
a State Zip
Project L .a ion (county,ou State Road, Wat ody, etc.) r I
Type of Project Activity
PROJECT DESCRIPTION l SKETCH (SCALE: I 1 t i )
Pier(dock)�edgth /
Groin length .1:11 - •"t 'er 1.1d 1%n
number
f
Bulkhead length
max.distance offshore N j
tia
Basin,channel dimensions /a
cubic yards ` Sal
Boat ramp dimensions
Other c
Tle4 1. c( ,
This permit is subject to compliance with this application, site
drawing 'and attached general and specific conditions. Any (/4/814)
violation of these teriips 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. ��. ,M!�'
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. I � � � 1-
jectThe applicant certifies by signing this permit that 1) this pro '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 •-7 hf L
objections to the proposed work. •attachments
A . /. ./1

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN -PROPERTY OWNER NOTIFICATION WAIVER FORM
Name Of Individual Applying For Permit: hiSAVIiie. PE1I2p_5iw\
Address Of Property: 1/s 3%12MVb#t UIL
"4)1 401 1,0) &WA, N164_ ---
(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.
"�`l I have no objections to this proposal.
If you have objections 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 that a pier, dock, mooring pilings, breakwater, boat
house, lift oY sandbags 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'setback requirement.
1:J244LU'
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SignatureDate 4A
A,
esst c C Ci a b[,ee_ �l 1 za /' •Print Name
Telephone Number With Area Code N R
G F&S Marine Contractors, Inc.
Rein- _clay AN /2grU2N TO b P.O.Box 868
UAkinhfeviala Ranch to 9RAN1

?SAVni . Ik Mth\ f&S Marine Contractors, Inc.
i1kizmdd►i) Oi. P.O.Box868
Wrightsville Beach,NC 28480
)114ti di Legal i)t h3 [phone]
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