18174D - Place

`• CAMA AND DREDGE AND FILL
GENERAL ii Y 018174 _1)
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 "7 4-4 't t Oca
C L
Applicant Name R Ic1-1 auck C"LePc,� Q1° �e m Phone Numbed �'S1 — 55$
Address t.Z S ) L 1 1t-e r ci
City f,, U', teS'L -v z State N Zip 0 ea n6
Project Location (County,State Road, Water Body, etc.) 1 Q--" t� i L S t d r- 3 )V. . ( L.- fed CrL
(?JD�Pc�M-�t tS C fcN k l / ( r K.N co...n `(e C tD .
Type of Project Activity n 1 j
PROJECT DESCRIPTION SKETCH J„'� v l C Cam,? (SCALE: I M = 4(� )
Pier(dock) length
fact c` v
Groin length
number I i
Bulkhe1a� UUle,�length - 5 i 5 j
max.distance offshore
Basin,channel dimensions
cubic yards
Boat ramp dimensions 1 -[
Other �—IN-\S 'r r V� 4' �-S t,c t Na u Prra �-t ed Y l
Ccrrr•-A-C-4 L-4/1r Qx a-c.cn t_?O 6 r AYt&•IBC INA c V,r vr
rp1t
N6 V-c LL, i 1. \dyes 4 -Ty e-e u k ( s . R�•k_. Pr-a. '- t-1.-4�4Jj�,...,4 Gwt
Pt r c� ►.Ka<<S � 1/��t�C�a. l 'dC C�p�:wt t�4 `Lo,�,s L .
v �1
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any I/
violation of these terms may subject the permittee to a fine, %
applicant's signature
imprisonment or civil action; and may cause the permit to be- r
come null and void. I (� /
,
-4
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. �1 7 ��� � , �,�
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 —1 A I I DO
objections to the proposed work. attachments

11� �.v !"1f' U i .ER FORM
APPLIC_ANT NAME: C C_In a(-� ?Ljc7
ADDITIONAL NAMES:
AEC DESIG S( Ci_LL;) 1 DEVELOP AREA: _L_ PROJ DESC: P _ I
(Will only take 6)
(Will only take 1)
WORK: .4- I t o
only take 4)
MAINT:
(Will only take 4)
IMP: c) c
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: - `) ? - c1C7 ,
CAMA MAJOR DEVEL REQUIRED: S ' -7.-Crt '�

The American Fish Company
eitAik--t‘ -,-4t- _ 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 Pe it :
f
Address Of Property: / 4' /
(Lot or reet , St ee 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.
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 .
1� I do not wish to waive the 15' setback requirement .
Signature Date
Print Name
Telephone Number With Area Code

NAM SIU ROSELAND ID :201-228-7813 APR 30 ' 9'5+ 9 : 17 No . 001 P .01
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pxyislov OP COASTAL MIANSMENT
ApaACz )3X�10,) ZAN PROPEATX_ A O L= O_3►XXONfwAxvma pon
llJJ
Name Of Individual Applying For Pe t: /�l 1ha
� ' �( / _
Address Of Property:
t or t set , Str et 'Or Roet
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 dirneneiona,
should be provided with this letter.
I have no objections to this proposal.
-_f von hpve obi golf ions to what is reina flropoae• ,_._g_-g_aae
s v' e^ n of _ C 4na9erner,t . 127 Cardinal. Jr.ve gjcten or
Nil ir�at�� N9xth C rolina�, 26405 str call 9�O �95-3900 within l
4 ys of ceib� o€ this t ce. Nor np9n a �onsidere.dbe_ rle
a; no obisotio.n if you have bepo notified by Certildiwl Mail
NAIvU. SECTYOZ
•
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must ,be sat back a minimum distance Of 15'
from my area of riparian access unless waived by me. (I you wish
to waive the setback, you must initial t ;Fropr' to blank
below. )
•
I do wish to waive the 15'eetback requirement.
• 4! I do not wish to waive the 15'aetback requirement.
Date
�A k1 1epe._FA
m nt Name
Telephone Number With Area Coda
f" ; 173 a3d'•ei6 Z
/1,1to ivc, lU, J 07Se7-0 /6 '

I Y_e'u-Fa��cr_—'d'n
THE AMERICAN FISH CO.
— _ .
�_�
. 61186
CHARLES H. OR KAREN Z. PERRY
P.O. BOX 11046, WEST BAY ST. i
SOUTHPORT, NC 28461
PAY
TO THE
DATE 3 ^, ^�1� 66-3U/531 •
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ORDER OF 453
ill ,� PO ir A----7-------711:2/'
$ ZS a-. .
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jr: � F1iisi'CITIZENS --- -.-----A OLLARS Ch";M" '
BANK ,63 �'
FIrol CltlzoN Bank R Uusl Company
SaWhport,N.C.2646I
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06 L L86u' ;0 5 3 l00 300�:OD
F � �+ 5 3 I. 2099 2 2111
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