16556D - Oak

eCAMA AND DREDGE AND FILL
GENERAL ©165 -.
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 `7 44,11 00
Applicant Name TOr.D i for' c J G.L Phone Number C�i t so) 27 a — SO i I
Address l O Pxac ') t "7 �,J
City '—G'" (mod State fV G_ Zip 2-8 44,r"
Project Location (Catlnty, State Road, Water Body,etc.) �� C� ti E. S- S T. t LW. )cy.
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Type of Project Activity - (U-L U ho`* Q 2_rip 4-0— n'Ts_.r.-. s-n- tom.
412
PROJECT DESCRIPTION SKETCH (SCALE: ( 1'— 3 Q l )
Pier(dock) length
I
1-4—. -i
— .- $ 7 i f I _- <m.. 1—e
Groin length i
sruJEr
t
number wAti �.._
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Bulkhead length �Ty ' AV'lTl� D(,p WaLL.. ( *
4l7 Li: i CCCIl l+►aS `
max.distance offshore `t / ${¢ )
? FT. AVC.
Basin,channel dimensions '''.i 1
j ( ,
cubic yards
;, N`L IA W Ft-1A—
Boat ramp dimensions C
Other C d j a
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y
-C4.1% S.-T. -
This permit is subject to compliance with this application, site
Ca'
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 applicant's signature
come null and void. _ C-Z.d— r
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- 9 -9 9O 1 —2._—1 ` 5
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 —7 jj
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Tz GE &d
8
ADDITIONAL NAMES:
AEC DESIG: E(Al 7 T DEVELOP AREA: .1_— PROJ DESC: -I 1(Will only take 6)
nn (Will( only take 1)
Lam WORK: - 4-C1
(Will only take 4)
MAINT:
(Will only take 4)
IMP: Sj G
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: �( -G -�( fa.-°1--9
CAMA MAJOR DEVEL REQUIRED: - 9 `9 (tj ( a-4A -9 9

a) SENDER: AiE 54-4‘
:o •Complete items 1 and/or 2 for additional services. I also wish to receive the
to •Complete items 3,4a,and 4b. following services(for an
% ■Print your name and address on the reverse of this form so that we can return this extra fee):
• card to you.
j •Attach this form to the front of the mailpiece,or on the back if space does not 1. 0 Addressee's Address
d pdrmit.
w ■Write'R6turn Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery
't„ •The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee.
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00 VA 1 ),(..c, t� - i.-J ❑ Registered ❑ Certified I
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PS Form 3811, December 1994 102595-97-B-0 •I D• -stic Return Receipt

d SENDEr : tir 5
:O •Complete items 1 and/or 2 for additional services. I also wish to receive the
ar ■Complete items 3,4a,and 4b. following services(for an
y ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you.
j •Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
F. permit.
w ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery
-o •The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee.
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-o 3.Article Addressed to: 4a.Article Number ,
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4b.Service Type
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5. Received By: (Print Name) 8.Addressee's Address(Only if requested
w and fee is paid)
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PS Form 381 , December 1994 102595-97-e-0179 Domestic Return Receipt

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM
Name Of Individual Applying For Permit: T6.-40 0-P w ,
Address Of Property: f� ,Cj 97- cT (571?-Ef7� Eavp)
/-c /C.i > &E4C-i+) A)C 9SLIL,
(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 Manaaement, 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.
17- 7P
Signature Date 1s7
4. (.4-1 A •
Print Name (/ `i��
es- 47,- C .z c ED�.1---I N R
Telephone Number With Area Code

FUNCTION=> A NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD16(
PERMIT NO: GP16556 DISTRICT: I COUNTY: BRUNSWICK
AEC DESIG: EW PT APP FEE: 50 . 00 REGIONAL REP: BROOKS
APPLICANT NAME: TOWN OF LONG BEACH
MAILING ADDRESS: PO BOX 217
CITY: LONG BEACH STATE: NC ZIP: 28465
LOCATION: END OF NE 5TH ST WATER BODY: AIWW
LOCATION ADDRESS: (WHEN DIFFERENT FROM MAILING)
CITY: LONG BEACH STATE: NC ZIP:
DEV AREA: 0 . 01 PROJECT DESC: L-11 STATE PLANE COORD X: Y:
WORK: bh 40 0 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: sb 800 0 0 0 0 0
ACTION EXPIRATION
DREDGE AND FILL: 09 09 98 12 09 98
CAMA MAJOR DEVELOPMENT: 09 09 98 12 09 98
MESSAGE: INV ACTION DATE,
PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PFS=ADD NAMES

,
•
SOUTHPORT,NC 28461
�owH-off. TOWN p P.O.LONG BEACH No. 0 3 0 2 8 9
531
LONG BEACH,N.C. 28465
� OX 280
� (9101 278-5011
;/- v,' DATE CHECK NO. CHECK AMOUNT
_ J, **x VOID AFTER 60 DAYS
PAY *200 DOLLARS AND. NO CENT THIS DISBURSEMENT HAS BEEN APPROVED AS REQUIRED BY
THE LOCAL GOVERNMENT BUDGET AND FISCAL CONTROL ACT.
PAY ENT OF ENVIRONMENT 2 Alr �� .�/
TO THE NCB NATURAL
D SIGNATURE
ORDER ��� NATURAL RESOURCES
1��7 CARDINAL LANE /
Of WILMT.NGTI=�Ne NC c_ 14(=)F�
• �' AUTHORIZED SIGNATURE
u0302• 8911' :053LOLL2LI: 52L680L87511' �PI ;)931J i