18265D - Brown

IL.
CAMA AND DREDGE AND FILL
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GENERAL d 018265 2
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 914 , luO
Applicant Name -1OD 9 -81 Uw r\ Phone Number 1,A-- 33(,' (vZj -- r)-
Address 3( a'y 'N•, rl€ J C-hiVe I - ,Unri
City b-re-c r\-,tort) State NO) G Zip ,D 7�Fos-
Project Location (County, State Road, Water Body, etc. (Q ns 10(�.) CiU LAr 4 1 I rU�1C� c�.) Sr
j ,ci. C �`1 M ,�r- t�ndr, CemA1
Type of Project Activity Nk?A J ---Nxfl i hoUY J , -"E4l \ he-\d .(1R,1 r
*-nu-3-A I1Ut exceed '/.. w(dtti ( � wn4- riod ll
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'Ik-* M,t T5 14u-r -re -0eA.0c e.,.. * ' rc,ject Cc-ec\u,\re& A -�+'ttcr Pecrf
PROJECT DESCRIPTION SKETCH 1 (SCALE: )
!NOT T
Pier(dock) length Nt w n- Mfld p,
1
Groin length < �' i�
vA
number
Bulkhead length (0`
max.distance offshore 64N%j
Basin,channel dimensions
Pi"-Zcubic yards
I,,(X ( (0r
dBoat ramp dimensions , C O �t , (a f
Other ti X oy •
`c A
cowed boA� hc>ux. C.x\s-k\ a—� Q,p c Ai) undo 5
---71;kA \Y-NINC/PCI -
P c t— 3 16 e-x‘si'1^cA- —
ilk... `� --___.-1 - ' - ,„ v
This permit is subject to compliance with this application, site r
drawing and attached general and specific conditions. Any (
violation of these terms may subject the permittee to a fine, appltia s signature
imprisonment or civil action; and may cause the permit to be- 1
come null and void.
'in 0
This permit must be on the project site and accessible to the ��pe��rmit of`�ficeF's signature
permit officer when the project is inspected for compliance. a �C`��
The applicant certifies by signing this permit that 1) this pro- � IlU lJc,
ject is consistent with the local land use plan and all local issuing date exp(rat on dates
ordinances, and 2) a written statement has been obtained from
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adjacent riparian landowners certifying that they have no r74 , 12.0U
objections to the proposed work. attachments y J ,.--- A,,

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: p b ro Li)
ADDITIONAL NAMES:
AEC DESIG: P T, & J DEVELOP AREA: .©C ROJ DESC: P - I a
(Will only take 6)
kr
(Will only take 1)
WORK: hJ S 1l' X op'
(Will only take 4)
MAINT: �,
(Will onlyy take 4)
(39,
IMP: r) 17(A
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: e7/,9 l qb /o/2 q/ie
CAMA MAJOR DEVEL REQUIRED:

VANCE E.KEE,HAvOR
•� .`�.e..�� ~ TODD N.THOMAS,MAYOR PRo rEM
_ ��= KENNETH D.BATTS,COUNCIL MEMBER
� 1 � UHF C I TY OOUGLAS C.MEOLIN,COUNCILL MEMBER
(n LIONELL MIDGETT•COUNCIL MEMBER
fir [- ' c RICHARD B.TURNER.COUNCIL MEMBER
NoRlAk NORTH CAROLINA 2 8 4 4 5 ROBERT KILROY.ArrORNEY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
'
I hereby certify that I own property adjacent to 33V 136y e • 3row?J s
(Name of Property Owner)
property located at 13 Co g ro AA/ 5 -P.
(Lot, Block, Road, etc.) t
on ./Y1 , in D1J 5LOW , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
etall.2"...A,1
Signature
f/I ed /2 f9, r 4 o/d, ev
Print or Type Name
9/0 — 2v;g r7- ° l p
Telephone Number
Date: Yu iv 2 5- /??

VANCE E.KEE,AUrOR
TODD N.THOMAS.&moron Rnp TEM
_ ��= KENNETH O BATTS,COUNCiI MEMBER
�1 v Doi
C.MEDLIN,COUN/UR, F C I TY
GI MEMBER
LIONELL MIDGETT,COVNOL MEMBER
�f N R�N CV. RICHARD B.TURNER,COUNCIL mEMBER
NORTH CAROLINA 2 8 4 4 5 ROBERT KILROY,ATTORNEY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to Bobby (, /3 rt wiv s
(Name of Property Owner)
property located at ( 3 Co 13 r o licnc W Ay 5 T•
(Lot, Block, Road, etc.)
on in (A) , in DN S/Dt� , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
_ I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
3f q cAi41,1
£h , I
( -,.62N S bOta 2 ?V05 Signature
Sdid v ,Ec‘r S-
Print or Type Name
33 - 62-1 5b33 ► e, 270 31d7
Telephone Number
Date: c/r .?5� /j Q g

FUNCTION=> A NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD16(
PERMIT NO: GP18265 DISTRICT: I COUNTY: ONSLOW
AEC DESIG: PT EW APP FEE: 50 . 00 REGIONAL REP: RUSSELL
APPLICANT NAME: BROWN, BOBBY
MAILING ADDRESS: 3124 HINES CHAPEL ROAD
CITY: GREENSBORO STATE: NC ZIP: 27405
LOCATION: 936 BROADWAY ST WATER BODY: MAN MADE CANAL
LOCATION ADDRESS: (WHEN DIFFERENT FROM MAILING)
CITY: SURF CITY STATE: NC ZIP:
DEV AREA: 0 . 04 PROJECT DESC: P-12 STATE PLANE COORD X: Y:
WORK: bs 11 16 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 176 0 0 0 0 0
ACTION EXPIRATION
DREDGE AND FILL: 07 29 98 10 29 98
CAMA MAJOR DEVELOPMENT:
MESSAGE: INV ACTION DATE,
PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PF5=ADD NAMES

y1i-6r- 6646378 1003
MR. BOB E. BROWN INSURANCE AGENCY 531
ICC 1320-C LEES CHAPEL RD. 3722986 f��' GREENSBORO, NC 27455 .
led'af $ c2 do
g Central Carolina Bank
and Trust Company 378 �C1B
Greensboro,North C 27405 •
.4941k Ati-iJP‘A nr
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1:0 5 3 /0046 51: 37 229136139 L003 r Disa65-
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