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CAMA AND DREDGE AND FILL
GENERAL 018232 D
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the CoaAtal Resources Commission
in an area of environmental concern pursuant to 15A NCAC '1 1 1. l ZO
1�'Applicant Name l c_ -Ai-d 6 i Vc I ( t Phone Number -V& 472_Q 3/5-.
Address '7 1 Mt-dock) 1-1)-ne.i
CityQ p0r-f' State_�1L_ Zip //7
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Project Location (County, State Road Water Body, etc.) CI—STD-Cs) (Qr In • .4 4.0 l Gh,iSW; .J_d zi1Q�-S
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Type of Project Activity kL4 pt� , d o a- l rnd b0A"I dsC., t J A�''1 cIV-0 m1ki
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PROJECT DESCRIPTION SKETCH rt,tAt 'S Cr' 't- (SCALE: Y )
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Pier(dock)length iad ,z I /` 1
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Groin length
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number All
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Bulkhead length3:1 Ne
max.distance offshore N. s i
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Basin,channel dimensions V Z. C QPitK ekb Ctli
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cubic yards ' CD
;,54 �;I-Cc1 1
Boat ramp dimensions 1
houS L,c ►Pc
Other y
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under- coo-f AA
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any `PN.1/4211 Al e....,4 "Cc-C1,c4\ r
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be a ant's si�R'atr
ot
come null and void.
, t -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. �p �L
The applicant certifies by signing this permit that 1) this pro- V`�12_) 10 ) (�l l6 � U+ 19'FJ
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 1 `a(�
objections to the proposed work. attachments
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GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: V... 1 dr\ Ci
ADDITIONAL NAMES:
AEC DESIG: PT CS DEVELOP AREA: . 0 3 PROJ DESC: I .J
(Will only take 6) ——
(WtDl only take 1)
WORK: E L ( L x f(0 6 4-1 13 'x c; 7 '
(Will
take� (Zo' (L 3>C .':0 '
MAINT: 5
(Val only take 4)
IMP: Q 11U a -(1O Q(K) W_
(will only take 6)
too
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ACTION EXPIRATION
DREDGE&FILL REQUIRED: \�u�nt✓101 (18 O } '98
CAMA MAJOR DEVEL REQUIRED:

c'' SENDER:
•Complete items 1 and/or 2 for additional services. I also wish to receive the
in •Complete items 3,4a,and 4b. following services(for an
al •Print your name and address on the reverse of this form so that we can return this extra fee):
card to you.
d •Attach
this form to the front of the mailpiece,or on the back if space does not 1. El Addressee's Address
permit.
y ■Wnte'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery
L ■The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee.
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P. SENDER:
73 ■Complete items 1 and/or 2 for additional services. I also wish to receive the
m ■Complete items 3,4a,and 4b. following services(for an
9. ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you.
j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. 0 Addressee's Address
permit.
eu ■Write'Retum Receipt Requested•on the mailpiece below the article number. 2. 0 Restricted Delivery i
■The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. •
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v 3.Article Addressed to: 4a.Article N IRber
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and fee is paid)
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US Postal Service
Receipt for Certified Mail
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Do not use for International Mail(See reverse)
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Certified Fee 3✓/
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Whom&Date Delivered
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Z 153 117 602
US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail(See reverse)
Sent to/` \` A `
virtu
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PLyNc�Office, abVI I f a 4S0-4,
Postage $ 32_
Certified Fee /13 t
Special Delivery Fee
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Whom&Date Deliv
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Mr. Phillip R Arthur
217 Wellington Drive
Lynchburg, VA 24502
Dear Mr. Arthur,
Per the requirements of the Coastal Area Management Act, I am notifying you of my intent to
build a pier on the waterfront at the lot adjacent to you.
Please find enclosed the Adjacent Riparian Property Owners Notification/Waiver form and site
plan of the proposed pier on lot 98 Block A at Chadwick Shores.
Please sign the form and return it to my son in the enclosed envelope, as I would like to start
construction on the pier as soon as possible.
I was told you will be starting your home soon. Barbara and I would like to wish you the very
best and we're looking forward to meeting you and Sandra. Thank you .
Sincerely,
/..ad
Richard Civelli
71 Meadow Lane
Bayport, N.Y. 11705
[phone]

•
Mr. Robert Benson
903 Chadwick Shores Drive
Sneads Ferry, NC 28460
Dear Bob,
Per the requirements of the Coastal Area Management Act, I am notifying you of my intent to
build a pier on the waterfront at the lot adjacent to you.
Please find enclosed the Adjacent Riparian Property Owners Notification/Waiver form and site
plan of the proposed pier on lot 98 Block A at Chadwick Shores.
Please sign the form and return it to my son in the enclosed envelope, as I would like to start
construction on the pier as soon as possible.
It's been a real pleasure meeting you and Mary. Moving away from our present home will be
made a lot easier, knowing that we'll have you both as neighbors. Stay well, and say hello to
Mary. Thank you for all of your help.
Sincerely,
Richard Civelli
71 Meadow Lane
Bayport,N.Y. 11705
[phone]

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OWNED YY ' ..... '
AND DEVELOPED BY
CHADWICKS SHORES, INC.
STUMP OUND TOW $MIP ONSLOW COUNTY,
. SCALE: I'. 200'
N.C.
' APR/L. 1979

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: 1 \CkACc\ Cvelil
Address Of Property: 101 1& SIUCk A ckckcluisck SIIOfes
Gtis IOw Ccw v
(Lot or Street #, Street b&r 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, please write the
Division of Coastal Manaaement, 127 Cardinal Drive Extension,
Wilminaton, 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
WAIVER 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.
xI do not wish to waive the 15'setback requirement.
Grv\ 5-A 7/9 cc
Si at re Date • •
Print Name e"Sov,
a 3z
o� 7 - ?,7�sa FAN PI
Telep one Number With Area Code '

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: RNCLCA c'� �II►
Address Of Property: ( + 18 lock A C ka8 wick- S k��s
GA,S l o w C A/4
(Lot or Street #, Stree 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, please write the
Division of Coastal Management, 127 Cardinal Drive Extension ,
Wilminaton , 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
WAIVER 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. )
o/�fJ I do wish to waive the 15 'setback requirement.
I/ �C�A I do not wish to waive the 15'setback requirement.
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Si, nature e A . •
Print Name
8oV- 239- 98/Z D.EHNFI
Telephone Number With Area Code

r
RICHARD V.CIVELLI 0785
NCDL 2436458 HM PH 910-256-9395 139 LOT NO.1 STOKLEY ROAD Q ' 19�8 gg.7g31531
• WILMINGTON,NC 28403
&
-� S�a'�c� ,CZ $
PAY TO THE s, ,•Qa.�,••
ORDER OF DOLLARS
�OG � I
WACHOVIA BANK //�.�
OF NORTH CAROLINA,N.A.
•
WILMINGTON,NC 28402-1170 ` MP
FOR 104- '18 IJ kKA
1:053107633i: 8612 4037410 0785
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