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CAMA AND DREDGE AND FILL
GENERAL NY 018307 D
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the CoastalRe��rces Commission
in an area of environmental concern pursuant to 15A NCAC /
• a
Applicant Name tiS A(r Mow-c1 Phone Number 9 lb a 9017ar"
Address 17,25 ji s Laiscit ti 'Rzlitc/
City A' State AKf) Zip a 811�/43
Proj ct Location ( nty, State Road, Water Bod , etc.) CO U n• y t c�oP 5 Old I—o i of
goAd , kt)Mpbie.4) 1 , I�cJ I ^tt.1_ l
Type of Project Activity TOck� P r IncA4 iD n A-nd c2 4 fe,11 btl fl 1 / r1 s
+-► u si r CKCeec) �� Lo si c -i, o,F' c t' r w t -- c�V�s s 4 a q ril ss ,
Mlic co piRr1 no rn fD 19-1-l1 Mohi!
PROJECT DESCRIPTION SKETCH `v `�� 1� (SCALE: 1 )OT rO )
Pie dock)length V �/� �/ � 1Y ,I, f� 4/ ," V �/ '(/ � �V W "/ ill tfr
t''.y.t`S'�4tI\c ) V V iY vtr
ii
G ro ngth
number
Bulkhead length
/1 Is'
max.distance offshore j r
Basin,channel dimensions ---(—"# • e
1 b�E sirl 18* F rle,
cubic yards (ztcIul�e • di 1 . ,�,{ •�F
1� sII orb'- 1 1'')A
Boat ramp dimensions t 6)1 1#6 +o,ek.
1 t A
Other )( at) 1 . 0, Mt
FloAT )
e :1341n�
PL- Ptd
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any hV/.violation of these terms may subject the permittee to a fine, app icant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void. In
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. �^ / '�qe Atitrf
,/, ����The applicant certifies by signing this permit that 1) this pro- (J J o� `t
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written s enf,ba _lagga..nhtain.ed from 111
adjacent riparian lan owners certifying that they_ have no '/,L/. /ao°
objections to the proposed work. �;fed MA, attachments
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: ft,rr /"I
00 C �
ADDITIONAL NAMES:
AEC DESIG: P T E LJ DEVELOP AREA: .Of PROJ DESC: P - Ic
(Will only take 6)
(Will only take 1)
WORK: I L /L' X />1 l Err 6 X (AD
(Will only take 4)
L jai X
MAINT:
(Will only take 4)
IMP: 0 k) 1 Lig �w � l 0 V
(will only take 6) O (A l / Li
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 5/ 4 / 'U 6 lq /q13
CAMA MAJOR DEVEL REQUIRED:
c'• SENDER:
v •Complete items 1 and/or 2 for additional services. I also wish to receive the
H ■Complete items:^,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 td.you. a
> •Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
2 permit. a
a) ■Wnte'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery c
•The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. c
o
mi 3.Article Addressed to: 4a.Article Number a
E WO 0 t I CI4if 4
4b.Service Type
0
0 Registered 0 Certified a
w ��c, D/_/� - r'�,- / 0Express Mail 0Insured U
cic
ce /1 .i Return Receipt for Merchandise 0 COD
❑ ,,�!ek"iiA ( '02 /y 7. Date of ery w
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z t y
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m 5. Received By: (Print Name) 8.Addr s Address(Only it requested I
w and fee is paid) i
cc I-
's 6.Signature: (Address e.or Agent)
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PS Form 3811, December 1994 102595-97-8-0179 Domestic Return Receipt
c'• SENDER:
•Complete items 1 and/or 2 for additional services. I also wish to receive the
rn •Complete items 9,4a,and 4b. following services(for an
H •Print your name and address on the reverse of this form so that we can return this extra fee):
card io you. i
w •
■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressees Address
permit. I
•Wnte'Return Receipt Re uested'on the mailpiece below the article number.
d p q P 2. El Restricted Delivery
•The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. 1
VI 3.Article Addressed to: 4a.Article Number ;
//__ C
a1 J c2 7 &.c-5'&e,
B. 4b.Service Type
o Koy A O ►�. ❑ Registered 0 Certified c
u) / / j� T;", 0 Express Mail 0 Insured r
`` -Retum Receipt for Merchandise 0 COD
ct
< iA A-x^-..11 T Q A c� r'I / '' 7. D e slivery
zf t-1 ' <
cc
5. Received By: (Print Name) ` dresse s Address( re�c uested i
w __-- and fee is paid) a
¢ I.
5 6.Signature: (Addressee or Agent)
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PS Form 3811, December 1994 102595-97-B-o179 Domestic Return Receipt
•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIV_3.. FORM
Name Of Individual Applying For Permit: Ph-laki two;,
Address Of Property o 6Lbc ;v ► /1,
(Lot or Street #, Street cr 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 cr drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal.
If vcu have cbiectiona tc what is beinc cronosed,• pleas_ write the
Division of Coastal Manacement . 127 Cardinal Drive ' Extension ,
Wilminctcn . North Carolina . 28405 or call 910 .395-3900 within 10
days cf receipt of this notice . Nc response is considered the same
as no obiecticn 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 '
frcr., my area of riparian access unless waived by me. (If you wish
to waive the setback, you trust initial the appropriate blank,
below. )
I do wish tc waive the 15 'setback requirement.
4U4I do not wish to waive the 15 'setback requirement.
•
•
/
§}gn lure ` •
1'MnORRIS' E GORE
1
• 74T�1 x�1�t SQQ �"�!��.�.
April 21 , 1998
221 Olde Point Road
Hampstead N.C. 28443
Shingleton Farms
12919 US Highway 17 North
Hampstead, N.C. 28405
Re: Barry Moore
Gentlemen:
Please be advised that we do not wish to waive the 15' setback
requirement for the boat lift from our area of reparian .
Also, from the sketch enclosed with the notification/waver form
there will not be 15' from the side of the existing walkway to the
pier and/or floating dock and where the sketch shows the location of
one of the lifts, The present location of the walkway to our property
is only 17', so the lift cannot be placed on our side of the walkway
since it would not be in the 15'' setback, as outlined by CAMA,
Yours truly,
Morris E. Core
///;77
CC: Division of Coastel Management
127 Cardinal Drive Extension
Wilmington, N.C. 28405
SHINGLETON
CONSTRUCTION ACC•
- 12919 U.S HWY. 17,ACCOUNT
au.
WILMINGTON, N. PH 270-3392 2 4 4 3
NC 28405
PAY
TO THE l''
RMS
ORDER OF I
DATE__ 66_112
4.
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�^ANCN oAN1(INO AN
202 NORTH ^Tc iZE DOLLARS"" Iyy�
FOR WILMINGTON!NC 2840ET M'S:0. i
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III 0000 24430
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