11778_CAMERON, CARL_19930518

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CAMA AND DREDGE AND FILL C�_ q
GENERAL PERMIT � � �(B 6� 117;'8
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and e stal Res uPe4ission.
in an area of environmental concern pursuant to 15 NCAC r
Applicant Name '1 A
Address
City
Project Location (County, State Road, Water Body, etc.)
%r
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
'Wax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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Phone Number/ 1
_ State Zip !
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
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
permit officer when the project is inspected for compliance.
e applicant certifies by signing this permit that 1) this pro -
is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
applicant's signature
��� Kermit officer's signature
issuing date expiration date
)�
attachments OCID
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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application fee— r ee. [��

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Carl X or KCathry t Y. Caxerov 3860
29 edgeowt Drive Ph. 446-3777
�allipolis, Ohio 45631 / 19 56-437/442
PAY TO THE
L7�r
DOLLARS
O VALLEY BANK 9-54 EARNIE-N.O.W. ACCOUNT
ALLIPOLIS, OHIO
� 1 _/ /CJ 3701: 10 2490 61I' 3860

HOLZ REALTY
EMERALD ISLE - CAPE CARERET
101 Manatee Street, Cape Carteret, NC 28584
Telephone: [phone] or 1-800-332-8779
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
's property
Name
located at 7012 ,Stu Nd �ie,vE (1-0 8) E m), rje,4)d Ls/,E
on
(Lot, Block, R(5ad, etc.)
%tZcl�Fr�S �2NNk in F,,Kee-m4 ..Zsle,,ye — ��en�'t` N.C.
(Water Body) (Town and/or County)
He has described to me as shown below the development he -is
proposing at that location and I have no objections to his
Proposal. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
&d
Signature
Name
Phone Number

Oal.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
//��h'4 t-L C_N k' I 0-AM Fk?0e Is property
Name
located at 70I.2- �5ou he(
on
(Lot, Block, Road, etc.)
1
/�rcl,Pr�S i:eF% in )SAIc2.JW1.s1,�--�"��F�� N.C.
(Water Body) (Town and/or County)
He has described to me as shown below the development he'is
proposing at that location and I have no objections to his
proposal. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
I EA- /TEv ��✓
Name
Phone Number

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GENERAL PERMIT APPLICATION INFORMATION
APPLICANT'S NAME:
• DING ADDRESS:
(PER?waw)
Ir )
First
r_49
iddle
(S M F_'
orl✓'
(Last
ti
—� STATE ZIP '� LO /
TELEPHONE: WORK ( ) HOME ( 6-)1/ ) `11 -,,�2 '7 7 j
CONTRACTOR'S NAME: ;� , /�,"'/ '� TELEPHONE NUMBER
PROJECT LOCATION: N.C. Hwy. # Road/Street Name
Waterway Name CALI ��/A
cls County Je l N,m (OL /
Town T1E-JeAlq _J-ryE Subdivision !'NliCzh iyi / R`-',,,A4I
PR � oJgcr ACTIVITIES:
PIER: Total dimensions of pier from MHW to platform
(Length) (Width)
'T' or 'L'-head platform
(Length) (Width) (Number of Mooring Piles)
Water depth at end of pier
Number of Mooring piles
`T HOUSE/BOAT LIFT: Length Iz o Width ff
i
Number of Piles Water Depth
BULKHEAD: #1 Total length
Average distance waterward MHW
Maximum distance waterward MHW
#2 Total length
Average distance waterward MHW
Maximum distance waterward MHW
RIPRAP: Total length
EXCAVATION: [MAINTENANCE 'ONLY')
Length Width
Base width from MHW
Depth of Cut
Adjusted water depth on MLW Existing water depths)
Estimated Cubic Yards (length x width x depth/27)
• Type of spoil: Sand Mud
Dragline Backhoe
OTHER STRUCTURES:
Hydraulic