18356D - Sarvis

I
CAMA AND DREDGE AND FILL
t` ► GENERAL bi n18356 -- .D
-1�
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastaj tesgyr`�cgkCommission
in an area of environmental concern pursuant to 15A NCAC / /-f `/
Applicant Name cG it^ SG r- OS '/� Phone Number&' )59q- 91�7
Address / 0 0 1? Nol1A s-,{. re (I)f 1 ✓ ( N
City cj Vil SI 4-' 8fH�. b State j C. Zip a ? L11( '
Project Location (County, State oad, ater Body,etc.) o� N7'r� S Aerr D r' -S�^ C'l- ac. " f��+
5 ,7/ oL. "fo i� �"►'vN wi�k ( . 0A 44 ,i'oe ) C r-let
Typ f Project Acti ity C oil S tfvL-• C7 bra. it 1-- - D / 4 r4 6 H 9 4 iI v-ri"Prwyr-C.)
o� cove re c orUH W)4I vi c.L . I4/1 (/�n�.•1 'o, /7//. //o) 5 k �/
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PROJECT DESCRIPTION SKETCH (SCALE: .,vJb.fL 1. 5(4 /c)
Pier(dock) length ' -'-'.'.--2
` FAG ( ( er'C C 2.--- ,
Groin length
number ,/
BulkheaelC length 50 1' e, Y r V
r r i
V ( r lir
max.distance offshore i br.3pos�IA'iul k rt d i I 1
g
Basin,channel dimensions
�9 9• 4-- ore .F�-.
cubic yards i',15rd e io-1 W,^ b4LkS
1-/eie i de lob /,�c
IF
Boat ramp dimensions 9NoI AO
thIV-
Other • .�
C4 wee
r Porch r
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any � erL
violation of these terms may subject the permittee to a fine, ���(((���� applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void. 6-?-,,,,,,i. a•
C2,}/L,
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. ���� /yI���
The applicant certifies by signing this permit that 1) this pro- `7
ject is consistent with the local land use plan and all local i suing date expiration date
ordinances, and 2) a written statement has been obtained from //C)�
adjacent riparian landowners certifying that they have no +�
bjections to the proposed work. attachments

GENERAL PERMIT - COMPUTER FORM Jrk.5
FIELD REF' '-I-er t �l r r�( APP FEE: 50. .E
E M'tT NO: 0I 356 —J - COUNTY: //�'`S.
AFC DESIr: C_, I V , r S WATER BODY: (`1, ;it 0 Cr (.
'LICAN S r vc
AE DITIONtar £ AM (S)
WILING ADDRESS: ``© v sit es.-C (1)-'' ✓ ( ,*; PHONE:676 591-9g._
CITY: S v kt . L� R l� STATE: IN (. ZIP:
P.L .A ECT LOCA14.D43
IN ['T.TY t " 'T (WHEN DIFFERENT FROM MAILING ADDRESS)
DEV AREA: , t) D 5PROJECT DESC: - /1 LAT (X) : LONG (Y) :_____
WORK:: ( # � SD L _ -) (_ _ _ — - - -
CODE T=ENGTH WIDTH DEPTH CODE LENGTH WIDTH DEPTH )
MNT _ ) (- -)
:," WIDTH DEPTH CODE LENGTH WIDTH DEPTH
) (
CODE SQ'It.RE FEET CODE SQUARE FEET CODE SQUARE FEET
ACTIONC EXPIRATION
DL:EDGL AND FILL REQUIRED: U - 3 -41
LAMA MAJOR DEVELOPMENT REQUIRED:
******:; k*- *****************************************************************
- ': CODES FOR AEC DESIGNATIONS -
"OH" - Ocean Hazard "CW" - Coastal Wetlands
"EW" -• Estuarine Waters "PC",- Fragile Coastal Natural/Cultural
"ES" - Lstudrine Luoreline "PW" - Public Water Supply
•"PT" Public Trust. - "OR" Outstanding Resource Water •
CODES FOR PROJECT-
"P" Pr- vute;` 4us+_ y an individual "F" Federal
"C" Commercial • - "L" Local Government
"U" Util, ty - = "H". Housing Development .
lists State-'_ "0" Other - •- _
:L `.: . CODES FOR DESCRIPTION
-"11" Bulkheads, Riprap _ "16"-Utility Lines -
-"12" Pifars, Dockti, Boathouses : "17" Emergency Repairs .
"13" Boat Ramps • = "18" Beach Bulldozing
"14" Wooden Groins - - • "19" Temporary. Structures
"15" N '_ntena.nwe of Basins, Channels, Ditches

•
G P I 3 35 10 D
SAMUEL G. SARVIS
ELOISE F. SARVIS 3970
3451 STIMPSON DR. PH. 910-924-4460
PFAFFTOWN, N.C. 27040
1 C/ 66-778312
PAY TO THE
�� J d 2531
ORDER OF 4 /).-) A
AT&T Farm y FederalDO1L``Rs
Credit Union
WINSTON-SALEM,NC 27107
MEMO 614
SIGNED
is 253 1 7783 2i:0000 237307535311
' 3970

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taw GRothso SURFACE) -"---- F/ F Wil_ON —-
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SAM SARVIS .A' East Coast Engineering
RETAINING WALL lit' Company, P.A. Drawn By: DMC
Date: 7/26/97
1 P.O.Box 2869 Shallotte, NC Sheet / of Li-
SUNSET BEACH, NC 910.754.8029
THIS DRAWING IS THE PROPERTY OF EAST COAST ENGINEERING THIS DESIGN IS SITE SPECIFIC AND SHALL
COMPANY,P.A.AND SHALL NOT BE DUPLICATED WITHOUT THE NOT BE USED FOR ANY OTHER LOCATION a
EXPRESSED WRIT I EN CONSENT FROM THE ENGINEER

SAM SARVIS RETAINING WALL DATA
RETAINING WALL WITH 8' PILE SPACING
UPPER WALL LOWER WALL
PILE WxL(in.) 8 x 10 6 x 8
WHALE WxL(in.) 4 x 6 3 x 4
DI (ft.) 16 13
D2 (ft.) 3 2.5
D3 (ft.) 6.5 5.5
D4 (ft.) 10 8
T 25.0 19.0
RETAINING WALL WITH 6' PILE SPACING
UPPER WALL LOWER WALL
PILE WxL(in.) 8 x 8 4 x 8
WHALE WxL(in.) 4 x 6 3 x 4
DI (ft.) 16 13
D2 (ft.) 3 2.5
D3 (ft.) 6.5 5.5
D4 (ft.) 10 8
T 25.0 19.0
Notes:
1. D4 represents that maximum depth of pile required below the ground surface on the lower side
(pile side)of the retaining wall regardless of the value of DI.
2. The value of T is based on an assumed reference elevation of 25.0' for the top of flange nut of
the fire hydrant at the intersection of 34ih Street and North Shore Drive.
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SAM SARVIS .fit East Coast Engineering Drawn B DMC
RETAINING WALL �'`` Company, P.A. Date: 7/26/97
P.O.Box 2869 Shallotte,NC Sheet / of 1{-
SUNSET BEACH, NC 910.754.8029
THIS DRAWING IS THE PROPERTY OF EAST COAST ENGINEERING THIS DESIGN IS SITE SPECIFIC AND SHALL
COMPANY,P.A.AND SHALL NOT BE DUPLICATED WITHOUT THE NOT BE USED FOR ANY OTHER LOCATION ,
EXPRESSED WRITTEN CONSENT FROM THE ENGINEER

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM
Name Of Individual Applying For Permit: 54MtEG 6 . .'12 V! s
Address Of Property: /Oaf, N0"9- S-N-02 02. 5d v5E-7 .8-7¢e y zgsza
�r /3 �C.OclL
(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.
X/ . 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 mv .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.
•
--'4{1.41r-s>4442)
Signature Date • .
Print
Name �-V-
Telephone Number With Area Code

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: .'IMIJCL ‘7. 5L121/)5
Address Of Property: /0 0 8 Nor Si+D,O_C D2 SuNS�T • Aci.41 NL Z 46(
ZOT /3) •BLoc `T o A---
(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.
X r)Ljo 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 nv •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.
•
,(v.-e___L SerL-t
ignat e A Date A • A
ivr
Print Nae 'VV':.,
ED I-I NI F
Telephone Number With Area Code

l Jimmy D. Etheridge
• -- — , Registered Land Surveyor, certify that the ratio of precision LOCATION MAP
, i.,7500♦ ; and that lid, map meets the minimum standards of practice for land surveying In
• North Carolina. �,
• m
Witness my hand and seal this 28th day of July, 1994 •
•
ooer millrrt),,. North sbor• •
i, C A Rp� VP4
' SEA r; .vrn •lRLS No. LJ41T14
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A•P"" — North
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Jimmy D, Etheridge — --- —
1,,•--•---- — Registered Land Surveyor, certify that the ratio of precision LOCATION MAP
. Is I;_75.00♦ ; and that this Inap meets the minimum standards of practice for land surveying In
North Carolina, w
Witness my hand and seal this 28Ih day of July, 1994 r •
1`�,Ilrftrrrr),,, North shore
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SE„L : : 1) • � 4�)
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