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CAMA AND DREDGE AND FILL 01 �5 �
GENERAL .'.' _,
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 71-4 11400
(n1 Qom)
Applicant Namel 3 4JA 'PresG►C. b '►kt CC5n 4 Phone Number01O) 3 4-I43
Address �OQ4 TR, t �!-Y 1�.�
City IN i t vv.', Is.., State t•-.) C, zip Z84-0 3
Project •
j Location (County,:State Road, Water Body,etc.) t � r_M-A1-- °F
't ► \arsche.too r p a. , ��P, n.� l-kiva rtv C^el.
R Type of Project Activity epi--i-S..2., FAiLI J Ru ►-4C11eaA
PROJECT DESCRIPTION SKETCH (SCALE: ( l 1_ .Z� / )
Pier(dock) length
i
Groin length - C,At
I
number j
Bulkhead lengtly g 1 1 _ '
max.distance offshore
2. Pt • /
,n 4FFscr ti31 Rqpiacste44.4 bc,1Kl►eacQ 4
Basin,channel dimensions _ — ---------- — __.... __ _____ y \I
cubic yards
t ( l0O i . y.
Boat ramp dimensions
Y/
Other-
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, '//( applicant's signature
imprisonment or civil action; and may cause the permit to be � - �� 1��L''
come null and void.
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- 3 -.S "--f gj %p " -9I
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 "', ) [])
objections to the proposed work. attachments
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KEN CONARD P.O.Box 7303
MICHAEL CONARD wknington,NC 28403
lar
'Specializing in Piers&Bulkheads' 910 793- Cellc( e
910)793-41443 Office
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM
Name Of Individual Applying For Permit: c. FC nil-/ /'P
Address Of Property: (U-J 'c7ii S
(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 pr posing. A description or drawing, with dimensions,
should be rovided with this letter.
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 same
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 or 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.
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S1 -4-/Xy
r ture Date
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Print Name S 'V�'
9/ - 99/ as,; CEHNR
Telephone Number With Area Code

Nr.\\VD
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM
Name Of Individual Applying For Permit: Crenr1 rreIi ( " p.
Address Of Property: 60i1 T?v/s i J ,J
(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.
,/ 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 ,
Wilminaton , North Carolina , 28405 or call 910 395-3900 within 10
days of receipt of this notice . No response is considered the same
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 or 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.
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Sri g n attue • — D e •
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Print Nam ___
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Telephone Number With Area Code
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