18126D - Beach

4 CAMA AND DREDGE AND FILL
C� GENERAL
�826
PERMIT bi:
0 as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and t Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC H •200
,1 \ r 1 C `, (4C t�-( 7 4- -7 -512�S
Applicant Name IN1U-1(ih/� a e�O Phone Number
Address 11i C-r IS, C „ 'DR-. _
City L(nrnQcaC-� State N C Zip C,S
Project Location (County, State Road, Water Body, etc.) /'h'� ‘A-K / 'r \ 4tom. ttU1 S
Cil'p,1 kL J (r u.4-,S t ,,k_
Type of Project Activity - - `
C Pf 1.1 Lba4-1,1 - - bb i T7 av-\ to, c-xt (1-7 ?ter-
PROJECT DESCRIPTION SKETCH (SCALE: I �1-30 )
( 5 (akAt
Pier(dock) length
gi Rave- po R.i i c s O F X lsi'1 Net AloeT
Groin length
number I S
Bulkhead length 1 12', 1
max.distance offshore QpEt 1 TuFr
, ___"( • •
(Sege AT -ft\ LAkIUcr)
Basin,channel dimensions t sit C t eo. 4
a
,r \-1,__ RpA ,n 1oct
Nicubic yards
Boat ramp dimensions
k
Other - .
t eo.--,A IA-
oo(
Io xis ,
1 1- 7la:.t_o Dlr. f
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, e4,6z9---/ ti.(4,6
imprisonment or civil action; and may cause the permit to be applicant's signature
.,:),..?„.....„"1,.....
come null and void.
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. /� (,CI CI .9
The applicant certifies by signing this permit that 1) this pro-
jectCo is consistent with the local land use plan and all local issuing date ex ration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no ''} ��Jv
objections to the proposed work. attachments /

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME:
ADDITIONAL NAMES:
AEC DESIG: E%U r P j DEVELOP AREA: . I PROJ DESC: P
t(Will only take 6) ----
(Will only take 1)
WORK: L I
(Will only take 4)
1111/'
MAINT:
(Will only take 4)
IMP: 0 ik.)
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: —E - 7 --

The American Fish Company
eiji,,,,,, P.O. Box 11046 [phone]
Southport, North Carolina 28461
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Perm't : OX-1,t,Ar
f/
ei/
Address Of Property: , C� ' -''t.d -
A Af, ' 12 4'1
(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 obiections to what is being Proposed. please write the
Division of Coast..al Management. 127 Cardinal Drive Extension,
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
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 .
jld. ,o7` 3 "
i� i
S ure �' Date
Kc y , �J'F
Print Name
)(0 27 -- `35S.s
Telephone Number With Area Code

_ r
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Pe ' t :
Address Of Property: !/ tf1
(Lot o" rLlreet #, 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 Abe provided with this letter.
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,
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
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 .
> l '
Skgnature Date
Print Name
Telephone Number With Area Code

0 61305
• ""'�`JJ ^-- enhanced document. See beck ,
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THE AMERICAN FISH CO. •
ss 3o�ss�
CHARLES H. OR KAREN Z. PERRY ass
F'.O.BOX 11046,WEST BAY ST. DATE
y - ��
SOUTHPORT,NC 28461 h
PoTHE (VC)g i( ORDER OF
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FIRST CITIZENS Copany PDOLLARS
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BAN,. 284t ` _m_i . LL ,
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