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CAMA AND DREDGE AND FILL 01 �33
GENERAL
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Co,�3$t�I�Re� tkssdommission
in an area of environmental concern pursuant to 15A NCAC // �� ff��-- ��CC
` 1 r spy- 7y� I
Applicant Name �+u0 �J' /�-� Phone Number 0?6
Address ' 7 7 j . bk/4 c j \
City 0 Lt!,. .� ...J-5/e /3 ( & h State / [ / C. Zip p
P oject Location (Coyhty, State Road, Wa r Bpdy,etc.) $ W. 141 4-A 5"�r. e �C�►A.. ��C D C.�, /i1
3r„aJN,. K 2, O A 5 (/ n KC )
Type of Project/jctivr''�y' 0 S T t,,�c y X �`�0' doc.l(C �`'i-O. /0 ' A /o' ?- 4',.44^
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It Co.t sir,c..4't/.'n 5 h it 4e dok+. t'viii-
5 4 F*41 e LNi k.� Co r N4rtr � /.%t or P , NO ca.ts7P . i L i C KteCct //1f dIS IGNF(
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PROJ ECT DESCRIPTION SKETCH / (SCALE: Ai` 4. -T 5C�('()
Pier(dock)length '\ e ,-, L-I A I . y
i Ea 5-4r4 A e 2_.__....__c:"
zGroin length tnumber i i
Bulkhead length 1201 /O/ .t -
/44//
max.distance offshore
Qy11u is/7)'leo p+cry Aegd
no
Basin,channel dimensions
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cubic yards I
III
Boat ramp dimensions N,
Other- ` '4 (K LA / 0' , II
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any 4.X„,...........,,,..
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- EN &C,J1
come null and void. �]
Q V1-
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. �� -Q /c — 3— "1
The applicant certifies by signing this permit that 1) this pro- o �'"
Y.'
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 / ) _ /2 D
D
adjacent riparian landowners certifying that they have no --''JJ
objections to the proposed work. attachments
ofti ten _/ -
' MAR. 2.1998 12:32PM ROSE FURNITURE NO.912 P.1/3
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MAR. 2.1998 12:32PM ROSE FURNITURE NO.912 P.2/3
•
DIVISION OE COASTAL MANAGEMENT
ADJACENT RIPARIAN Pf0TERTV QWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: , J es le,7 16.6r f
Addrebs Of Froperty: ` 7 �— ` 1/ Tt/. ,
(Lot or Street #, street or Road, City & -County)
I hereby certify that I awn 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 s_being proposed, please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wilmington. Nutb Carolina, 28405 or call 910 395-3900 within 10
days_v-t receiot_of this notice. No resuonse is considered the same
e.s no objection if yQ41 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.
1./ I do _not wish to waive the 15 'setback requirement.
(aA_I LA,AA9. ,_,‘ Jr,/44,
Si nature DateArigerii
Print Name -- --
q1b . 114- L.o416 _ . HNl
Telephone Number With Area Code
MAR. 2.1998 12:32PM ROSE FURNITURE 1O.912 P.3.3 •
•o eCompl I aka wishto receive the
•OamPlata llama 1 and/or 2 for additiona"MD"-on "MD"-
W ■Cumplel.flarro 3,♦e�•nd d6. following Services(for art
q 'Print your name and address on the reverse of this form so net we oen return tnla egg fee):
card toyou.
■+Mach 1 t1e formp_p}11 front of Ina ntaitplap,or on the back II pace daee not 1.❑ Addressee's Address 4
ppearmit.
m eWrile'Pelum Race:A,KJuothkeonIna rneslprece below the article number. 2.❑ Restricted Delivery rj
• •Yhe Return Reealpl will eh,w re whom tho amide wet deNared and the dare t
5 delivered. Consult pcstmaster for fee,
▪ 3.Article Addressed tOF Article Numner
Pr�L G S. FA-RA 67 T`' _341- 3(f? ' /9
4b.Service Type
3) o / 44sm A.; ReristArEKI
era-riled p
1148-P-1,61-,04 !d, VA 15.7)
q r Ixesa !I- 1l Insured 3
m , Merchandise tJ COD
•
.Cot. •t Dell`ry
5,Received By: (Print Name) ‘‘ : Addr d rase(Or)11/it requested
6.Slpnatf����(Add se orA )
,
▪ PS Form 3811, December 1994 • 1ot$o-sr•e.airs Domestic Return Receipt
7 SENDER:
■Complete items 1 and/or 2 for additional services. I also wish to receive the
n •Complete items 3,4a,and 4b. following services(for an
o •Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. ai
•Attach this form to the front of the mailpiece,or on the back if space does not 1. 0 Addressee's Address -,-
permit. • t
, ■Write'Return Receipt Requested"on the mailpiece below the article number. 2. Cl Restricted Delivery t,,
■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. a
i o
3.Article Addressed to: 4a.Article Number d
i AD i- �. r/4- � C7 �L/3Lk38) / 0 E
�j �y► ,�A 4b.Service Type
i / 3` OIL) V i6 A' /`�.• ❑ Registered 4ErCreTiified rx
i xpress • ❑ Insured of
,d�� �A, 3o�f
m Merchandise ❑ COD
i •
2 D f Deli ry . 2
e c ,' I o
i 5. Received By: (Print Name) 1 Addre dress(Only if requested c
\.6 fe co
t
)` r-
6.Signature: (Addressee or Age t) �`
g
X ( ,LU1�1_ -t r 1
PS Form 3811, December 1994 102595-97-B-0179 Domestic Return Receipt
•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: J/9-70e6 ZAzite_,/,(y.f
Address Of Property: < 7 /e.. L 171 T 4/SP--
(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.
MAR 0 5 1998 `j 1
I have no objections to this proposal .
DIVISION OF
00,4STA1
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.
•
A ry, ,4
\ Signature ate , • •
Print Name ,.�.�..,
CP16 �'lq- tsai /Z)
Telephone Number With Area Code