17672D - Peterson

.1 CAMA AND DREDGE AND FILL �i � 2_
GENERAL
PERM I T
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 ? 14 . 11. 0 O
Applicant Name �t�' ?t 1 e r-Sw, C/o C,. Perry Phone Number t 7- S48-8
Address 2a0 T Yacu� ')r•
City 4 4 State N L-. Zip 'Z PA-SC.
Project Location `` l(County,t State�a f�
Road, Water Body,etc.) SAre\R. 6 e�'L& t v ��UL)
V i �M1. -t..-l { . h.
Type of Project Activity, (,
5�--1-1 4 i ur -cam re,C,Ste-,v -pc 14..,
PROJECT DESCRIPTION SKETCH (SCALE:''ti- ZO I )
Ai w vki _'
Pier(dock) length tetaC_ L
Groin length -
T
,
number 4 K � , z , - .... ,f
Bulkhead length a
I
mu.aisanes ot11nors / EXI ST I ti(-, !. t .._
C'h v L= i ' . 77rxk s�Gauk
'Basin,channel dimensions - S —
L4 N„e
cubic yards (Si4
c11 c1+4q/ ! ii
11
al MI
su t ,./e% ) \ MN 111
Boat ramp dimensions . '
Other
'Br.. ... \•tk 4 1 1111 111
, _i_.1._ --e",
, ) 111 11111 T
/�
j
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,
imprisonment or civil action; and may cause the permit to be pplicant's signature
come null and void.
C?-?s
This permit must be on the project site and accessible to the permit o icer's signature
permit officer when the project is inspected for compliance. q
The applicant certifies by signing this permit that 1) this pro- \ - - 2- 9 •gj �� ���, `
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 / N- , .�-o
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
.APPLICANT NAME: Riu- -Mer S c)✓1
ADDITIONAL NAMES:
AEC DESIG: PT) E(,w DEVELOP AREA: ? PROJ DESC: ` - ( z
(Will only take 6) ——— (Will only take VoiDRK: 1� -7
(WII.only take 4)
ci__ \,/*/(:)** *P
MAINT:
(WM only take 4)
IMP: 0 w (C)3
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: t —a 3 I - 3

The American Fish Company
P.O. Box 11046 [phone]
Southport, North Carolina 28461
615 /IV 14/
x
1-` 4k'
•
Nraq
._ .1.a� .

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit :
Address Of Property: (g lOtA
/d-kt14.14(Lot or treet #, S724
det 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 obiection 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 .
7711-(12
Signature
te etra, 77/1/ LZS 5/0
Print Name
Telephone Number With Area Code

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
t'
Name Of Individual Applying For Perm t :
Address Of Property: 00
(Lot or eet #, tre r Road, Ci y & 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 p ovided 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 .
0
git -7- 74 --7 F
Sign• re ---,... ,� 0�� i
e
A)sE,(
Print/ ame ;on _ f/
Telephone Number With Area Code

FUNCTION=> A NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD16(
PERMIT NO: GP17672 DISTRICT: I COUNTY: BRUNSWICK
AEC DESIG: PT EW APP FEE: 50 . 00 REGIONAL REP: BROOKS
APPLICANT NAME: PETERSON, BILL
MAILING ADDRESS: 2802 PEAST YACHT DR
CITY: LONG BEACH STATE: NC ZIP: 28456
LOCATION: SAME WATER BODY: AIWW
LOCATION ADDRESS: (WHEN DIFFERENT FROM MAILING)
CITY: LONG BEACH STATE: NC ZIP:
DEV AREA: 0 . 01 PROJECT DESC: P-12 STATE PLANE COORD X: Y:
WORK: bl 9 7 00 0 0 0 00 0 0 0 00 0 0 0 00 I
MITI': 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00
IMP: ow 63 0 0 0 0 0
ACTION EXPIRATION
DREDGE AND FILL: 09 23 98 12 23 98
CAMA MAJOR DEVELOPMENT:
MESSAGE: INV ACTION DATE,
PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PF5=ADD NAMES

•
60249 -
... [t75ecur,t
FISH CO. � A53 ,I
THE AMERICANZ. PERRY .�
� OR KAREN q
CHARLEO.BOX 11046,WEST BAY ST. DATE / �
1 SOUTHPORT,NC 284
66-30/531
I 1
� DOLLARS PAY
O THE r
��1� ORDER OF �
i A C
O i /Ny953 -
j 1 , FIRST CITIZEk�T 4 Comes^Y
BANK\\ SoWhPar 4
t �'�.,,� 113 G l� 045 2 qq 2 2n� ---------
�-� 3 L00 300�:0
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