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CAMA AND DREDGE AND FILL
GENERAL 's E 01 7617-
-1�
PERM I T
as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Costal Resources Commission
in an area of environmental concern pursuant to 15A NCAC hM. Iva)
Applicant Name ^'‘ t` G ood Mvi rN Phone Number 9,0 810q-85 '(
Address I t o A t151"Ift PIA Cam./City tc k Firt M State /-V C Zip a 9 �
/
Project Location (County, State Road, Water Body, etc.) 60 S b LA] (o[.un 7�D3 h+cGcJi Ck. Sjidreg
T r kci , ,Ity.ftds Wrr i f id& `( c_J,^d kfi Ck.- ilk/
Type of Project Activity OAA �OA /�oUJ( J /4'A 026
PROJECT DESCRIPTION SKETCH 0(NSW CV--12)41'1 (SCALE: )
�T
Pier(dock)length '__
3 r
, ` g
Groin length 14
I _? 1
1
c.......0_41 ,*\\ i 'llet, 1 „..._t,___I, _
number
Bulkhead length 1 Ci:IS k s' j.IO Pay
max.distance offshore
1 ' .
Basin,channel dimensions
s
cubic yards V r ,0%n I g
Boat ramp dimensions �\� \V il kV Ij/ \J
,,_ � �+/' t � 1.
Other '� , `� t/ w Sii V " V/ f. ..'
ti
C:u rtzl oKt fir
\Y �1 X_ -- T ;—W
u' "Y I ;
, \ii . i t i .
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any ;11-te,, _
violation of these terms may subject the permittee to a fine,
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imprisonment or civil action; and may cause the permit to be applicant's signatun
come null and void. ^M
)5AA/4-J4-0(2-- '
This permit must be on the project site and accessible to the J ` 1 permit officer's signature
permit officer when the project is inspected for compliance. �� ��� � �a
The applicant certifies by signing this permit that 1) this pr -1
ject is consistent with the local land use plan and all to al issurng date expiration dati
ordinances, and 2) a written statement has been obtained fro
adjacent riparian landowners certifying that they have no /`'/..( , 12()0
objections to the proposed work. attachments J
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: AWI gopoiDAAA)
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Address Of Property: ,or //-3 &hRd0'c* Sao,
SA/eoes !-AJai /17e. 616ce 6vriry
(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 being proposed ,• plea_se 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 resoonse 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.
/41.r'e°7
Signature Date •AA//�i1h� /W/%1J'-
Print Name %-v�-
9/o 57z 3 7 9'y CD F I-1 N FR
Telephone Number With Area Code
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: /f'/447, 7 6;a04740:4)
Address Of Property: //3 eh/V c4, 1 e '< h a(2-4e �2
Ne en g Y . /j!' 5Ns/oce) (,oC)/7Y
(Lot or Street #, Street or Road, City & County)
I hereby certify s 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 Manaae*nent , 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
a —
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.
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1V1 \el ?
Sicnatu a Date •
RA LPP( E. WNarc ' .
Print Name %-�-V��
( 1 £ 3s3-- o$oc, r) HNJFR
Telephone Number With Area Code