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CAMA AND DREDGE AND FILL 01f�81 �
GENERAL
PERMIT
0 as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and tpfcoas al Resources Commission
in an area of environmental concern pursuant to 15A NCAC N U
•
Applicant Name '' ` � W Phone Number
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Address c1)1 TW r A C,
City Wt I Pr11.1 1 State Zip
Project Location (County, State Road, Water Body, etc.) ,dam Ca thfc1 / / r -1 01 r;vt
ear-Reid 4-rn PS{can d , Alb A I L.t1t04.1
Type of Project Activity N6tAJ 73u 14-e/rR d Jnrd u/41 r'VJ or we-i 1,1-"d3
PROJECT DESCRIPTION SKETCH (SCALE: j I )
Pier(dock) length -/�J
11 I immiall1111
6
Groin length
C1(
minnumber am
Bulkhead length ZQ` MI #
E
max.distance offshore�— `
I dVRrd O ( fl l V `4
x
, ,� 4, I 1 k
Basin,channel dimensions y ,� �� . �� It, a, t
61
U'
cubic yards V
Boat ramp dimensions
Mf + U_ tI~hC11C1 _
ram'' 4 ,
Other "`---_._.____
2 i ,
1 . i_
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any ...4_..ax„.i"7.4(LZ:) - 74—
violation of these terms may subject the permittee to a fine,
I' nt'ssignature
imprisonment or civil action; and may cause the permit to be-
come null and void. �.('�
This permit must be on the project site and accessible to the V ' permit officer's signature
permit officer when the project is inspected for compliance. �a
The applicant certifies by signing this permit that 1) this pro- �'"� t( I b a� t ( If
ject is consistent with the local land use plan and all loca 1 Issuing date expira ion date
ordinances, and 2) a written statement has been obtained fro `
adjacent riparian landowners certifying' that they have no 1 e 1 o b
objections to the proposed work. attachments

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVES-FORM
Name Of Individual Applying For Permit: /1 h)ct t JAI
Address Of Property : /44 (z 41-" ofk
Mi tiAsioth u Q a8.443 -,vden c,
(Lot oW Street #, 'Street or R6ad, City & bunty)
I hereby certify that I own property adjacent to the above-
refe,enced 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 he provided with this letter.
I have no objections to this proposal.
If you have ebiections tc what is beinc proposed ,• cle_se write the
Division cf Coastal Manacenent . . 127 Cardinal Drive Extension ,
Wilmincton . North Carolina . 28405 or call 910 •395-3900 within 10
days of receipt of this notice . Nc response is considered the same
as no obiectjcn if you have been nctified by Certified Mail
WAIVER SECTION •
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandpacs 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.
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P` •u, 3811, December 1994 102595-97-e-0179 Domestic Return Receipt