20210D - Piper

CAMA AND DREDGE AND FILL
i ' GENERAL N o 920210 -D
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+
Applicant Name r G'J c)� Phone Number
Address � l
City I..�f►�C'-1C�h State td V Zip a'7 Co 03
Project Location (County,State Road, Water Body, etc.) 6 dam` Cb ov-^4 ck
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Type of Project Activity 1;66 kn(.-0 tmo6-k t',ct I tl'1-t) E' XtS-t it'n c
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PROJECT DESCRIPTION SKETCH (SCALE:
NoT I
Pier(dock) length
Arr\ S 1-"\AY1f\E
Groin length
number
Bulkhead length
max.distance offshore
Basin,channel dimensions
cubic yards
Boat ramp dimensions
Other 1a X
4nc (Jered __
•
f fi r ® �i n r' i
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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, f�1
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void.
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- >n Ana I E3,
ject is consistent with the local land use plan and all local d issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 1
objections to the proposed work. attachments

GE.NERA_LIERNLTT COMfUIER FORM
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ACTION DTMATION
DREDGE 8.1 FE-1-Pai Qvrn.ED: . 61 t8 I ql 11 1 181 a1
C W 1 JOR D�a P, Q U'3D:

LETTER OF NOTIFICATION
• OF
BOAT LIFT INSTALLATION
TO WHOM IT MAY CONCERN:
THIS LETTER IS TO INFORM YOU OF THE INSTALLATION OF AN
UNCOVERED BOAT LIFT THAT IS TO BE INSTALLED AT SOUTH BEACH
YACHT CLUB, SLIP#25.
PLEASE SIGN BELOW IF YOU HAVE NO OBJECTIONS.
Name e" Date 6
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Name ja,0044/(.7
Date tille iq
Name -' - e/4-- Date

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133 WILLWOOD LN. Date
IAMPSTEAD,NC 2�3
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Notionslinnk,N.A. \ ^ \ _
For
• 000 196v. 0006505 2 211360 076 L GPo'u
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