19744D - Mercer

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CAMA AND DREDGE AND FILL
GENERAL 019744 —.1
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 1-' I 10 G
Applicant Name >VO n A Id d M SC Phone Number 9 (u 307 1- 02-51
Address e ' O T6 v X 9 o C0
City 3-ACV-so n 1I€- State 0CJ Zip a6,5LI
Project Location (CountyLA) V- e State Road, Water Body, etc.) (0 C'5 I V LA) C C.o U r,411 i iCA 1 i i n M�S r t
t e I e e Cjr e e k �o A d , e n c1 s �-r'r } Y�J C9 (� P-'�ve,r
Type of Pfrpject Activity 8u k h CJ �e r IA Ce MCM"f' a� (iJA At,r.wAWri O D�CI
PROJECT DESCRIPTION SKETCH (SCALE: )
NOT To
Pier(dock) length
(1-\-).--?Alki ve—e�
Groin length
number
Bulkhead length j r1(--C
max.distance offshore
Basin,channel dimensions
t1"-
cubic yards
B\at ramp dimensions
Other
AAA
a' _
G ApTA M's 'C v Id t�1 P I I
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any /, /45�_;'
violation of these terms may subject the permittee to a fine, licant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void. N ^
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- 19c0 (Q..3 ri9
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 /�I , 0objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
DPLICANT NAME: AA 'd I -
AtDITIONAL NAMES: GA-PT. J I PriS
AEC DESIG: P T ES 1 E DEVELOP AREA:__OO,1 PRO]DESC: '� -
(Will only take 6) (Will only take 1)
WORK: C}1 loco 'X Al
(Will only take 4)
MAINT:
(Will only take 4)
IlvIP: 5,E a 1
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: • It I I 9 b a/ a 3 L 'c
CAMA MAJOR DEVEL REQUIRED:

'a; SENDER: also wish to receive the
D .■Complete items 1 and/or 2 fer a,ditionai services. following services(for an
(7/ •Complete items 3,4a,and 4b.
0 ■Print yo.7 name and address on the reverse of this form so that we can return this extra fee):
card to you. a
m •Attach this form to the front of the mailpiece,or on the back if space does not 15.1.❑ Addressee's Address c
permit. 2.El—Restricted Deliver c
•Write"Return Receipt Requested"on the mailpiece below the article number. y
C ■The Return Receipt will show to whom the article was delivered and the date Consultpostmaster for fee. u
delivered. i
0 3.Article Addressed to: 4a.Article Number i
D c
R a
e �Aei' i/t(iti us 4b.Service Type
� t �� CI Registered ❑ Certified a3// J �C/�� / 'T • d/77p
❑ Express Mail ❑ Insured
I -
r Sr?6,-9 d'5-7C -� �� ❑ Return Receipt for Merchandise ❑ COD
c;9G346 L> 7. Date of Delivery w
j (r l) - 7-----
E 5. Received B (Print Name) , 8.Addressee's Address(Only if requested
uCA/�W1 CC "(90 and fee is paid) 1
r 6.Signature: A�d ssee or Agent)
n PS Form 3811, December 1994 102595-93-B-0229 Domestic Return Receipt

CERTIHED MAIL • RETURN RECEIPT REQUESTED °r ,„„ ,R,nm,,,,,
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: 0 71Yt)i9 10 i fil fr P( 3-1ti
Address of Property: C-//91/3,.r/ " ;71-7 r Pa 4CilY
Fvt k it..er 1nWt)1/ k d 5ry e 4,1 t rr/ D ni5/o ry
(Lot or treet#, 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, please write the Division of Coastal
Management, Hestron Plaza II, 1SIB, Hwy. 24, Morehead City, NC, 28557 or call (919) 808-
2808 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 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.
Si atu a Date
faanie A.kiLitf, 444114, - n- 9-7,
ll " P71r7 33
Telephone Number With Area Code

FUNGTION=> A NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD161
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PERMIT NO: GP19744 DISTRICT: I COUNTY: ONSLOW
AEC DESIG: PT ES EW APP FEE : 50 . 00 REGIONAL REP: RUSSELL
APPLICANT NAME: MERCER, DONALD
MAILING ADDRESS : PO BOX 986
CITY: JACKSONVILLE STATE: NC ZIP: 28540
LOCATION: CAPTAIN JIM' S WATER BODY: NEW RIVER
LOCATION ADDRESS : WHEELER CREEK RD (WHEN DIFFERENT FROM MAILING)
CITY: SNEADS FERRY STATE: NC ZIP:
DEV AREA: 0 . 04 PROJECT DESC: P-11 STATE PLANE COORD X: Y:
WORK: bh 106 2 00 0 0 0 00 0 0 0 00 0 0 0 00
MNT: 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00
IMP: sb 212 0 0 0 0 0
ACTION EXPIRATION
DREDGE AND FILL: 11 23 98 02 23 99
CAMA MAJOR DEVELOPMENT:
MESSAGE: INV ACTION DATE,
PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PFS=ADD NAMES

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.THE FACE OF THIS DOCUMENT AS A COLORED :ACKGROUND ON WHITE *AP R. .
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BY SIG,ING,PURCHASER AGREES TO BE BOUND BY i F 111 Y .LARS AND 00 CENTS
ERMS
PURCHASER'S SIGNATURE CONDITIpE g A�SERVICE C
PAYEE READ TERMS ON REVERSE.
C 81�U• RGE AS SET FORTH THE PURCIi ER'S RECEIPT
PAYABLE THROUGH:Goodhue ADDRESS (i
County National Bank Lonesboro, U
MN 55949 CITY/STATE/ZIP
!:09 i 20358go:9 1,0 1494 2735 1511'
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