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'4 CAMA AND DREDGE AND FILL 41 �41-�
GENERAL i_�.
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 1 I2._s?c) ,
Applicant Name I C �c2S)N CAD 3l lnmy 1rAJ� Phone Number' o 3�5 ' 4.9Q9
Address 'AI' '"'`d t P t., DP.•
•
City lk)1 t..liL 1 I�I� 1 State IBC.- (� Zip 2.g 4-o
Project Location (County, State Road, Water Body, etc.) SAr'.D AP01-e_ I C'2.. Q A 4t ex�Lail
GA .a__k. , �.1 aw E-1-dr4 0-v1.r c Cr- . 1
Type of Project Activity 14-DD.ifl ova TO 9.>[ t S'R p1'.t-
PROJECT DESCRIPTION SKETCH (SCALE: I 0 t 30 / )
Pier(dock) length Cre i"r
Groin length
number
Bulkhead length
40
max.distance offshore (o I -R*a rr a I.._C f, T-Lpc1
do cks, C`nsrroeT
Basin,channel dimensions
t...-help-& A-Nt
cubic yards A IFI 10 I f*o I t 4.
Boat ramp dimensions �� lJV
e :
Other 4 z0-Ct , II "IN ,d t fc
scanA►Head-_ 1euEaI 4x 3 ry
CxfisTl t 5 plea
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i
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any ` F( --
violation of these terms may subject the permittee to a fine,
r2-1.---- --
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void.
P-5-1 trta
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- 2:4 I 1,` t g S
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 2 }4 ' 1....cp 0
objections to the proposed work. attachments
. GENERAL PERMIT COMPUTER FORM
APPLICANT NAME:
ADDITIONAL NAMES:
AEC DESIG: G� (�( DEVELOP AREA: .1 PROJ DESC: p - ( 2-
(Will only take 6) (Will only take 1)
WORK: fl ( 4 r0 /,1, ( k2.. .(Will only take 4)
MAINT:
(Will only take 4)
IMP: o w s 0
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: 6-1--( 4 --C1 A -7 1 4 - °Z k
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM
Name Of Individual Applying For Permit: ►', IC /i1/
Address Of Property:
2A416 r
(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.
to, have no objections to this proposal.
If You have objections to what is being proposed, please write the
Division of Coastal Manacement, 127 Cardinal Drive Extension,
Wilmincton , North Carolina, 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no ob-jection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift 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.
Signature� � Date
Gv� •�r
l/i„� i .2/cF� 1
Print Name w���
9/_- 3g.2- yJ8 7 C> F—I N FR
Telephone Number With Area Code
'
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: Pie P%IA
Address Of Property: 3og g ,`i i 1X1c 2/
A1,
(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,
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 _ 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.
ipattE � a/ 7
Sigiture 7- DatA • •
., 1„97t:
Print Name
111LEMEMEM
y/C ��5 7 �FHNR
Telephone Number With Area Code
•
_a
4lrilh._ 9aNres W. 9oies, 9r. -85 4201
fl da 531
Dolma,M. 9Hes
r4522 Drair Dr. 07Z
77
‘-� I�1#irgton, �VL' 28405
PMto — A 1 $ sew
the order of
�' r Dorrars 8
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Centura -
Wilmingtnn,NC 28401
HreKro —
1:053L008501:0 2 7 7004 7 7611' 20L