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CAMA AND DREDGE AND FILL
GENERAL `_'`` 017628`
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health, and Natural Resources and the Q4ast I Res�ourc C rnis�ig
in an area of environmental concern pursuant to 15A NCAC 7 rf v//O /f
ob
Applicant Name TA�M(4f 1 ''( Phone Number °1 1 ) S J"5 4'71l
Address ' \t wu R _ 7
City gs c, t l v t`,..1 State Al L Zip " . Qit a r�
Pro' ct Location (County Stategoad, Water Body .)if ici17/( ,r' R�� O t`' c 1 t /f e„ r" UG r u.1,
j w /1 on /. oc.. anus �/i IQ I (✓ /^ gr-,• s. , C� ,
Type of Project Activity ``�6 5 4r,.1 el- 5, f L vii i f 1 f r" � 3 0'ti- ro,. l d J . of My;„+ n t C., 4....1 n 1 gi$
q r it cA I vs L" E W I+" aQ. r( //,' t•J V(r( d T�111 J +- / O x fat Flog ,N' �- ,' f..,,11 7r ,
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PROJECT DESCRIPTION SKETCH CaU 1K �^'(+'/�� ds. (SCALE: �^. c�� Ile
)
Pier dock)length`' K"p,- 1(. < _ A CX-(<w�., Jc re>f/!i k,fie.^ 1.,,�; J
ti .....
Groin length /� /ot' i
I
number 12t11 (0/1 1"L.J1) '-6. y i- yr (It ti '
Bulkhead length - 714, //00 — r >[t)II.) 6,/k/„y
(4, y
max.distance offshore Pr'evS-rCy
Basin,channel dimensions I
* PM k pit,r- r< u4'"k d
cubic yards cv►1STrot.. l n 9/14111 v3
b N< I' /1.ti S 4 16-T4' '�J
Boat ramp dimensions
Other c)1s7'X 1 ' 'r—lc 1'1�1`�r �.� tot't i Or
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'751
R,✓C— R I'\ Dr' ve
This permit is subject to compliance with this application, site
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drawing and attached general and specific conditions. Any t �/145rlW4
violation of these terms may subject the permittee to a fine, v `�!�"`�
imprisonment or civil action; and may cause the permit to be ' applicant's signature
come null and void. n
This permit must be on the project site and accessible to the v` pe mit officer's signature
permit officer when the project is inspected for compliance. /1 —2 u !l
The applicant certifies by signing this permit that 1) this pro- —?-el-Alf b ' - '1
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 9N, l/yD . . J a Q t7
objections to the proposed work. attachments
s. SENDER:
V •Complete items 1 and/or 2 for additional services. I also wish to receive the
rn •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" ■Att c this form to the front of the mailpiece,or on the back if space does not 1. 0 Addressee's Address 'i
permit.4.12
at ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. 0 Restricted Delivery
« •The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee.
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v 3.Article Addressed to: 4a.Article Number
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o 4b.Service 44.e .i
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PS Form 381 ,,;" ' eceipt
lb.For return receipt after mailing • CUSTOMER:—Complete items 1 or 2 and 3 through 9 below.
a ` ATTACH appropriate fee as shown in Add your address in the"RETURN TO"space on reverse.
m Section? . of the DMM. ❑ 1a AFTER MAILING:provide name of individual,company,or organi-
• E '? / nation to whom delivered and date of delivery.
W 2 1((Attach appropriate fee as shown in Section 932.2 of the DMM
m j 4a DUPLICATE:provide name of individual,company,or organization
po ,) to whom delivered and date of delivery.
.2 I! 2b DUPLICATE:provide name of individual,company,or organization
E E to whom delivered,date of delivery,and place of delivery.
u o 3. ailing Date— c 4. COD No.
Mailing post office postmark to indi- L_2 c—/ 6 ,
%.2 cate fee previously paid for item 2. _/
O " 5. Registered No. 6. Certified No. _ 7. Insured No. 8. Express Mail No.
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a. Q. POSTAL 11 Date of Deliveryor, fit''/ ^
m n RECORDSci) D�U y
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PS Form 3811-A,July 1984 REQUEST FOR RETURN RECEIPT(AFTER MAILING,
ai SENDER: I also wish to receive the
a •Complete items 1 and/or 2 for additional services. following services(for an
FA •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. •
> •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"Return Receipt Requested"on the mailpiece below the article number. t
2 •The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. ,
0 3.Article Addressed to: 4a.Article Number
7--, y0 A- Ibb3'-f7
a r' ,}1413.Th AV' d LAW Pe—Ai--cam 4b. Service Type .-
U5 ,-1 0 g NHS k:-1-- AOA d ❑ Registered r certified I
' q P koN� A' ❑ Express Mail �❑ Insured
w W / 'v ❑ Return Receipt for Merchandise ❑ COD
o �g �`�3 7. Date of Delivery
a 3 _ � ,�_ �,�'
Z 5. Received By: (Print Name) 8.Addressee's Address (Only if requested
and fee is paid)
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6.Sign. (Addressee or gent) t
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2 PS Form 3811, December 1994 102595-98-B-0229 Domestic Return Receipt
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
Name Of Individual Applying For Permit: THOMAS E. MILLS
Address Of Property: LOT 2, RIVER RUN DRIVE, VARNUMTOWN,
SUPPLY, NC 28462, BRUNSWICK COUNTY
• (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 resmonse• 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 re=uirem_nt.
I do not wish to waive the 15'setback requirement.
.,gel a
n 98
Signal e DcLe
�'rA.-,4 r,/ r-A �e u.Jay A..........
PrintName '1 G,�, / EDI I—TIME
Telephone Number% i th pea Code
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
•
Name Of Individual Applying For Permit: THOMAS E . MILLS
Address Of Property: LOT 2L RIVER RUN DRIVE, VARNUMTOWNI
SUPPLY, NC 28462 , BRUNSWICK COUNTY
• (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 o'clections to what is beina proposed . please write the
Division of Coastal Nan=:event . 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 oblection if You have been notified by Certified M_il
WA_VvZR 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, y6u must initial the a prcpr?ate blank
• below. )
I do wish to waive the 15'setback reauirement.
I CO not W; Si': to waive the 15'Sctp?CK re?Li raZcnt.
0444^A*u_c__ 7?s--
Sicnaturet Dat— Aw.
•
Print Name 3Z j
-7aL- ?G`e- , %
Telephone Number With Ares Code
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