17673D - Pointer

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CAMA AND DREDGE AND FILL
GENERAL , 017673-
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PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Costal Resources Commission
in an area of environmental concern pursuant to 15A NCAC mil- i Z. d
Applicant Name GR" .�O 1 NT*Ir 54z C 'qe r r y Phone Number 47 11
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Address Z O 1 Sa x 4 tnn V-1 IJ ST .
City 11-42 X c r v State N C_ Zip 241 `7 57 3
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Project Location County, State Road, W ter Body, etc.) q O is CJ• 1sE
.1 vk ) ) t .5 C(1'•!� c(a.' 1 u i.13 tn>�L C�c) iE``
Type of Project Activity v • •-,`sj '
'..7.10 -fit\ � 4
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PROJ ECT DESCRIPTION SKETCH (SCALE: I 0- 3 0 )
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Pier(dock) length . i '
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Groin length • e� ��
Cilli 1011111M111111111111 CHM
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number � �
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Bulkhead length _
max.distance offshore L...,.. t.1euJ LIta0 V11rr4A tt"
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Basin,channel dimensions
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cubic yards t' iST} J...
Boat ramp dimensions " '� ' I
Other
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This permit isYubject 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- .` .` " licant's signature
come null and void.
This permit must be on the project site and accessible to the rmit o ficer's signature
permit officer when the project is inspected for compliance. qq
The applicant certifies by signing this permit that 1) this pro- " ) 5 U 1 a - a-3— `I g
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 —, IA ` a 0 c)
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: C il•
ADDITIONAL NAMES:
AEC DESIG: Ek.) ( DEVELOP AREA: PROJ DESC: P - Z-
(Will only take 6) ————
(Will only take 1)
WORK: ( 4 (I-
(Will only take 4)
MAINT:
(Will only take 4)
nvIP: 16s
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: GI'` 13 5 I2 -as -q$

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P.O„ Ciox 11'? 5 (510) 457 54E3l1
� ' _ Southport, Forth Carolina 23461
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
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Name Of Individual Applying Fo Permit : ,
Address Of Property: `39i9' iifij6.--
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(L t or reet #, St eet 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 .e.'q /'
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I understand that a pier, dock, mooring pilings, bra2w tee`, 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 .
r
e-jam- 4erg
S . h Date
arint Name
Telephone Number With Area Code

ci SENDER: ' I also wish to receive the
'a •Corni,lete items 1 acid/or 2 for additional services. followingservices(for an
N •Complete items 3,4a,and 4b.
N
•Print your name and address on the reverse of this form so that we can return this extra fee):
card to you.
w ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address •
m permit. 2.❑ Restricted Delivery
• ■Write"Return Receipt Requested"on the mailpiece below the article number. t
•The Return Receipt will show to whom the article was delivered and the date
- delivered. Consult postmaster for fee.
O 3.Article Addressed to: 4a.Article Number
• 1 • T710 lit 6-S
4b.Service Type
o �U�� e oil L � ❑ Registered •
❑ Certified t
� �C �� .
• [� ❑ Express Mail ❑ Insured
w , ❑ Return Receipt for Merchandise ❑ COD
cc o a"1 3 7. Date of Delivery r
(i. //
Z 5.Re_ceived By: Print Na ) . 8.Addressee's Address (Only if requested
� t / and fee is paid)
6.Signatur (Addressee oorr ge._
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22 PS Form 3811, December 1994 102595-98-B-0229 Domestic Return Receipt

FUNCTION=> A NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD16(
PERMIT NO: GP17673 DISTRICT: I COUNTY: BRUNSWICK
AEC DESIG: EW PT APP FEE: 50 . 00 REGIONAL REP: BROOKS
APPLICANT NAME: POINTER, C.R.
MAILING ADDRESS: 201 SOUTH MAIN ST
CITY: ROXBORO STATE: NC ZIP: 27573
LOCATION: 3908 WEST DOLPHIN DR WATER BODY: DAVID CRK
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 14 12 00 0 0 0 00 0 0 0 00 0 0 0 00
MNT: 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00
IMP: ow 168 0 0 0 0 0
ACTION EXPIRATION
DREDGE AND FILL:
CAMA MAJOR DEVELOPMENT: 09 23 98 12 23 98
MESSAGE: INV ACTION DATE,
PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PF5=ADD NAMES

60249 ,F
—"-`-- — h a n c r d '
$ecwrit r
ment. See back or details.M .- —
s � �_ FISH CO. 66-30/M153 ,
THE AH. OR KAREN Z. PERRY 3
CHART-ES H. WEST BAY ST. DATE 9
P O,BOX 11046, /� ±
SOUTHPORTr NC 284 rt
DOLLARS °""�`.�
PAY '
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TO THE
� ORDER OF
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alNK First-Olt{ ggli 46 tCo P6oulhpod,NC. �-/( v �I
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