17619D - Powers

CAMA AND DREDGE AND FILL �1761
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7/.-/ • /zoo
Applicant Name � 0 !O A 'TGtJei s Phone Number 9 1 778 7-� 3�
Address0 Port/Cl i KAd �
City Gbtd- &r'0 State Nit)
Zip o? 53
AS IC)K./ COwA /O3 6- P►-rr-I- �'je�
Project Location (County, State Road,Uter Body, / l )
ne'nci5 �r ��jj j
Type of Project Activity ` N PJ u' f C7 oct-1, bOA 4 bCN.v...)
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PROJECT DESCRIPTION SKETCH tAi t (SCALE: )
>s� , Na T
Pier(dock) length
.....i \\/‘ /1/4.' .
Groin length
number 02GI vif \ /`
t'r i r f
Bulkhead length 1)OL _
max.distance offshore `Sal 1�1 1—
Qt`„�' „4 i`�' ?`!ti t i 1 ill R uLSD
Basin,channel dimensions .5e1.vIck- 'je A cf--
cubic yards
Boat ramp dimensions )
QICI
Other ICiOl71fd
ILO' )Ca4
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w;i�. o n . . W
•
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any eLt4e0& 9 1/a-"---violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void. ,
This permit must be on the project site and accessible to th permit officer's signature
permit officer when the project is inspected for compliance. ��
The applicant certifies by signing this permit that 1) this pro- 6 /' IO.v1 6 jq fag
ject is consistent with the local land use plan and all local isuing date ( expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 7,Lt, /2-w
objections to the proposed work. attachments

•
pA L 7 1 . •/9owt2S
a,�
,226 PowEcc ;TAL MANAGEMENT
60&Sb02 0 C' 1 75-3 y NER NOTIFICATION/WAIVER FORM
Name armit: 0617am I . /lOcvc,S
AddrE q/ 9• 7 ?i- N3 Lf G RANT .
q/p - 3 28 - 61‘
l1 e s FfA,y Al.C. ARislo cv
Street or Road, City & County)
I hei 0 ✓ &(V
)perty adjacent to the above-
refer .l applying for this permit has
descr :tached drawing the development
they a or drawing, with dimensions,
shoul(
> this proposal.
If you ?ina Proposed, please write the
pivisi .27 Cardinal Drive Extension ,
Wilmin _ Jr call 910 395-3900 within 10
days o_ ..,. .Lot or this notice. No response is considered the same
as no objection if you have been notified by Certified Mail
) .
r
WrAIVER 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 requirement.
///I do not wish to waive the 15'setback requirement
Oigr---
4 L. lioher /-j/- F 7
Sian ur ��
ate
1 . •
Print Name .���.�r
9/ 9 ~ 6 0 - 3 os =. ��
Telephone Number With Area Code �1=H N R

103 GR,9N7 s'7:
CON S711c-cT I; X : y ' e6197 MouS
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER-. FORM
Name Of Individual Applying For Permit: Ne7ON 4 A04Jfgs'
Address Of Property: /03 6 g ifit 7 ST
SNEAds hE2R ' N`c. G°,vS/ocv
(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 beinc proposed, please write the
Division of Coastal Management, 127 Cardinal Drive Extension ,
Wilmincton , 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
.
WrAIVER 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 requirement.
yrIA/
I do not wish to waive the 15'setback requirement.
.
itArS ' a�tre DateA"A.
Sees gl
Pri. t Name v5 .�.-�.�.�r
7l0 g9 f76 0 I H R
Telephone Number With Area Code

•
103 GR,9NT s"T
Coivszflc-cT i25( y ' 80497 f1OUSF
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