19766D - Carter

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CAMA AND DREDGE AND FILL
GENERAL . : 019766-0
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Re ourc s Commission
in an area of environmental concern pursuant to 15A NCAC r7 /4• /lo,O
Applicant Name }} �Q nUei �� ��C� LL Phone Number
Address ' o1- [ 4 r ifl C S"'T'"
City J--1'�t/ci?-1 ek l L., Statq N C.- Zip al i-tb a
Project Location (County, State Road, Wfi ter Body etc.) / AO
Cliqr l. 4 54. "1 ill.kle'' ef"i
On MuA- ma ct( Cam i •t r ,, l',,,f,"1 C.
.
Type of Project Activi�yk� t tP b✓�C Ct. lit M A q I n pi(. 4 V4- W o f r vare 04"'
<kl S Yiw b✓ (t il a a/' -411 ,Ir ` 4-0 4 4 51 r ,er tit) _ All ('.'t (1, tot)
a c rig. 11. - 5 Ad.. ` / cip/
PROJECT DESCRIPTION SKETCH (SCALE: No 4.- 1 S4 lc )
Pier(dock) length <- --e,/ MA—
(
Groin length ,�
number I .... I ..�„t=.kl�i,;r
7
Bulkhead length SQ -- -� A
Ji„ r -F- c'h
rNl ir),,,ki
max.distance offshore
Basin,channel dimensions_
a•. ,k'
cubic yards 50 /
Boat ramp dimensions
Other .
1a C�,r /e PC .5
PO /(*IC." Urq L /A
This permit is subject to compliance with this application, siteV
drawing and attached general and specific conditions. Any 7frik.
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-
come null and void.
9 e,Ii __
This permit must be on the project site and accessible to the per_...)
ficyr's signature
permit officer when the project is inspected for compliance. _ �_ q � � ..-_ �^ (�
The applicant certifies by signing this permit that 1) this pro- _J
ject is consistent with the local land use plan and all local issuing to expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 7/4. //O
objections to the proposed work. attachments

GENERAL PERMIT - COMPUTER FORM
FIELD P.EP: r12 1-r'(v ^.. C7—J
• APP FEE: .. rj- .0� - .
PERMIT NO: 6) R CI 7 6 6 - .. COUNTY:
ilEC D/''SIG: 1 IA/ WATER BODY: tv, r►�uJ t
C4n,i,
APPLIC: .NT NAN ': j?evt- .ems/ et- • -
ADDITYO `'�L NAP�H (s) : ,• •
��
MAILING ADDRESS: ;
• • tali� '-. . - ��/t����1 -t, PHONE - -
CITY: .�• �L ;t. I e-tv _ STATE: N ::ZIP: 9=._
PROJECT LOCATION: - • -
Tnc !L` nC CITY OR L c?LITY NN (WHEN DIFFERENT FROM MAILING ADDRESS)
DEV AREA: _ -•0 __7PROJECT DESC: / - `
�1 LAT (X) . LONG. (Y) •:
• WORK: ( - - - _ _ ) .( -- - - -_ CODE LENGTH ,WIDTH =.- DEPTH CODE LENGTH •;_,.: WIDTH DEPTH `, ) -
C .0D LENGTH - ` WIDTH DEPTH CODE '•, LENGTH ) _
_ WIDTH <_ DEPTH
SQUARE FEET CODE SQUARE FEET CODE SQUARE FEET ,
. .. ACTION - - EXPIRATION
DREDGE AND FILL REQUIRED /._, _—. / S :I
LAMA MA:V OR DEVELOPMENT REQUIRED:
4.., ************* ***************4* *" *.**t******4***********-14***** **********i
CODES_ FOR AEC DESIGNATIONS - -
"OH" -. Ocean Hazard " _ C
"CWCoastal Wetlands
"EW" � Estuarine Waters - - "FC": Fragile`Coastal Natural/Cultural
"ES" Estuarine` Shoreline - ."PW", -_ Public Water' Supply
"PT" �- Public Trust "OR" = Outstanding Resource Water
- CODES FOR PROJECT<
"pt4 I"- gat=, u=uaily an individual F
" " F Federal - �_
rcial "L"- Local Government
"U" Utility "H". Housing Development
"s" State _ - _ "O" Other _- _ -
..7-" ..CODES:FOR DESCRIPTION -
•"11" Bulkheads, •p <" "2 Vtili
Ri rap �16 ty Lines
"12'`._Piers, Docks,- Boathouses - �'_- 17-__- Emergency: Repairs ,
"13". Boat Ramps - "18" Beach Bulldozing--
"14". W©aden Groins "19" Tporary Structures
"15" Ms intenance` of Basins,: Channels, Ditches em
.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: S Cakir
Address Of Property: I d l C`ti, t, ‘
(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 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 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.
icy / ydtp- .a tilq
ignatu Date 1 • •
UILIFYICL VF zZi�
Print Name
�EHNR
Telephone Number With Area Code

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: Ae.phttl. Ci-v*.i
Address Of Property: 07 C .
(Lo or Street It , 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 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.
RIA0A I. _X�c�4f1 I 1 - s- 95 T 4;TA
Signature Date Ai;
Print Name
EEHNR
Telephone Number With Area Code

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VARNAM'S DOCKS & BULKHEADS
66 VARNAM TOWN RD. i'
SUPPLY, NC 28462 _ 66-112/531 ,
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DATE 1 --5 - 1 1 I^I
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3226 HOLDEN BEACH ROAD SW
SUPP NC 28462 -
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