22668D - Lia

4" CAMA AND DREDGE AND FILL
` ` GENERAL N° 221:j68 —
(7—.
_ PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 74"1 12-00
Applicant Na _RILLk Q Q'°. bL� 1�.1A Phone Number&0) tOEokcX:10
Address '66s I 1 Pr D _fk-t_L-- . 1--fi-t,"re.
City b>>I L.t'h J M N State �Nj Q 1• C . , Zip �1 t �
Project Location (Count'�.D State Road, Water Body, etc.) -- -Y' A�; r � . AI.w(vim/
Ni E tk) E-i-oct-t-1 ?T -c r C-©,,t �'-
Type of Project Activity '
`kP I JA --e Ft e r ,
PROJ ECT DESCRIPTION SKETCH (SCALE: I t�=
JJJw Sv ( )
Pier(dock) len th
±I?IVx&►
Groin length '1C • g I.I
1 number p'eL'1�c. , III 1b1X1C., ctsvcizo -T-' tiC
Bulkhead length I (?) 14_'X 1 a, PO '; C¢s
max.distance offshore -1‹.PA t�LSC f %44 }}t Q0 -
15 i !
�.tD�jl eta r 1
Basin,channel dimensions \ ^ I.$ '
4,:iN,ekt4 erIbis,Cs17 1 letrS ...,--
cubic yards V ,``/ r i
Boat ramp dimensions "" -mil )�Q ! .,je
Other ( . per
/ 1_ f i_ -_r.
X � dt
� e i I
gpu.114 5121..-Q b t"
1� X la rs~ 1 00�
�ba-4-,
14' x 1.3.' 'S l 2 tC G.t4 .
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, G�!"" Wll!� C__ applicant's signature
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 it officer's signatu re
permit officer when the project is inspected for compliance. 9. ��9 /
( \—S
The applicant certifies by signing this permit that 1) this pro-
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 f4 t206
objections to the proposed work. attachments
^41 •

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APPLICANT NANE: grl "
ADDITIONAL NAMES:
AEC DESIG:
DEVELOP AREA j. PROJ DESC:P -
(Will only take 6)
(Will only take 1)
(Will crit take 4)
—2-SL
I .2--S 2-S
MAINT: 3s,6
1 '2_
(wili only take 4)
7 °
2-12)
nvip:
eCi 0T-6 S3
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
C_kMA MAJOR DEVEL REQUIRED: S -71

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DIVISION OF COASTAL M ANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: UA
Address Of Property: 8 S I Z -BAw E LE- E
W!Lfn(M G,TO N1 gyp! Lift-M 1) /E R.
(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 the 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 North Cardinal Drive, Wilmington, 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
W AIVER_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.
Signature Date 7799
All":•114"erili
/�•/ cS,n�) d. i r, Joy•
Print Name
��/n1 G gG - 24. 9s NCDENR
Te'rephofie Number With Area Code NORTHINA DEPARTMENT of
ENVIRONMENT
ENTNT AND NFTURAL RESOURCES

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Dnis
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Name Of Individual Applying For Permit: L ..
Address Of Property: $5 Z -$
ftLb /1-G LE LA'1`1F
uIILVYiI
(lot or Street #, Street or Road, Ci ty �. Co --- -�-
unty)
I hereby certify that I own ro e
P p ny adjacent to the above-referenced property. The individual
applying for this permit has described to ine as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should beprovided with
this
letter. with this
__Z_____ I have no objections to this proposal.
_P C r C o' Cr
a 7
• a P
v
f
F.
RABiR SFCTTp T
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandb a
set back a minimum distanw of 15' my from of a s must be a
wish to waive the setback, you must initial the ppr appropriate
gate blank unless
w)
waived by me. (If you
__ I do wish to waive the 15' setback requirement.
Iflc, nor wish to waive the 15' setback requirement.
67/e2/Lai
Si tare 9 AI i i
Date
i
..-„lifir
Print Name
9,8 -61 58 6 NCDENR
Telephone Number With Area Code
NORTH CAROUNA D=nArzTlrrr OF
ENVIRONMENT AND NszuRAL.RSni ff,-

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