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. CAMA AND DREDGE AND FILL
GENERAL
N9 019795 - b
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Cgasta{ esou es Commission
in an area of environmental concern pursuant to 15A NCAC 0 IT • r
Applicant Na rrye43(
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b I / p Phone Number
Address r 0 (r �' 4 !� 6w ,
City d C-e`k h ( '3 e L Ai State ,v C Zip '`'
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Project Locatipn (Count State Road, W er Body, etc.) L6 .9 /I IC- fr K Ci 0 C.Pv, Tx-k 6rk 1
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TvofProject ctivi y Conj#r11,c }' 1,)( ¶rpr.'s 2�' p1io- /Iw)�� /0 ' A01 ‘ - A -J qA j //Drxl
4.. 0oG R4' Wk4e.-w4r� -f nol. A)l Cons.truC.4sv,• 5 La( 6f 44 ie.s -s's F. T►'o•"'
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PROJECT DESCRIPTION SKETCH (SCALE: -•
f� , Nod .-r� sue./c
Pier(dock) length6pro X, j; C_- / V w !-<
aDo ' �I II
iiGroin length 20i
l
/0,
number
Bulkhead length 7f5. =(''i
max.distance offshore /2.V
< ? /5'
Basin,channel dimensions
cubic yards /
Boat ramp dimensions Y C( V r r Ir f I/
Other "n(ce A �� . I
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X /c /
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D c e 4. iS if, 13&41 it
This permit is subject to compliance with this application, site
drawing and attached general and specific ecific conditions. Any /�
violation of these terms may subject the permittee to a fine, r' li f�
imprisonment or civil action; and may cause the permit to applicant's signatu
be-
come null and void.
9 ,_ 0 . R_ �,
This permit must be on the project site and accessible to the permit officer's signatu
permit officer when the project is inspected for compliance. _ Q
The applicant certifies by signing this permit that 1) this pro- 2 (�t -1— q 6- " q-- g q
ject is consistent with the local land use plan and all local issuing date expiration da
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no / N I) °J
objections to the proposed work. attachments 1
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GE E- A L 7DERMIT — CDMj -R FORM
•
ED REu� `� '`� ��
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FIE -D•. APP FEE: 5 0.J-� -
'PERIIIT NO: DI /n --5 -0 - .• COUNTY: • (3r 4 /,'1-,,.5,,
AEC DY SIG: • cui t E 5 LWATER BODY: 4 (. IA t .
•APPLI C1INT NAME: - .7)
e-fm. •..Q . -. • r-Au rn, . . • . .
•
ADDITIONAL NAP' (S) : •. • *. _. - ,--"•,* . : -• . • .
MAILING ADDRESS: -` *-- .(11-f95-qq;-4-110
CITY: _R
O c(4•�: e 4-ek STATE: -A/C ZIP:" -�y-o q: -
: PROJECT LOCATION:- - . : -• - _
:..InCLUDING CITY 62 LOCF.LITY. (WHEN-DIFFERENT FROM MAILING ADDRESS)
. ?LIT_ARE •. - . 0:-- LAT• (X) : -. 'LONG. Y -
PROJECT DESC s w ( )
WORK: -. (L - • - - -.. _)
CODE LENGTH -WIDTH DEPTH CODE LENGTH •;. WIDTH:' DEPTH
PINT: ( :- ) ( _
CvDY :LENGTH WIDTH DEPTH -: CODE. LENGTH WIDTH DEPTH
D: : V. gyp O) (bu1� - _0 � --D : 40
_. CODE SQUARE FEET-' • CODE".- SQUARE FEET = CODE': .. SQUARE. •FEET . :•:-
ACTION __EXPIRATION:
DREDGE 1ND FILL REQUIRED:' - • ( C1`,.' i- : -- - ,Cj-'""9,a,_ _
CAMA MAJOR'DE`�'ELOPMENT REQUIRED: - )_ --
*fit X1***** ***********' ** * ***Iiiiitst*i*.******** .i*at2E****.*#* * **i***4ti*ili**il*7
. CODES, FOR ?.EC DESIGNATIONS - -
"OB"..-- Ocean- Hazard - "CW"" Coastal- Wetlands -
"rW":.- Estuarine Waters • "FC"- Fragile Coastal:Natural/Cultural
: nE5" Estuarine Shoreline-. = ,DPW"_ Public_Water=Su
"PT" "_Puhlic I.Trust "OR" - Outstanding Resource -Water
- -_- -; - CODES POR PROJECT' -4 _ - _
"P" Pradate, .isually"a n individual - ."F" Federal
`"C"_:Cc'aiercial= =_ -- - "Z"_ Local Gov• ern_ , ent• � -
"U" Utility "Him_ Housin
"Sa..State•- - _ "; 3 Development
- _ - C Other y;-- _
-..L_ _ - CODES FOR DESCRIPTION _ - _ - - -
-"ila Bulkheads-. RiPrap = t . "16" IItili .
"12"`Piers; Docks"•'_Boathouses • - .� - n 1= • en yiRep _i :
17__= Emergency= Regains.
"13* Boat Ramps . "18"_-Beach: Bulldozing
"14". Wooden Groins_ `- ., -c- - _ "19 n Temporary;Structures
"15" 6.int_narca..of Basins, - Channels; Ditches = - _ -
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/wA_IVER_ FORM
Name Of Individual Applying For Permit:
Address Of Property:
(Lot or Street t, 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.
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 .
Wilminaton . 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 with
to waive the setback, you must initial the appropriate blank
below. )
•
I do wish to waive the 15 'setback reauirement.
I do not wish to waive the 15 'setback reouirement.
Signature at
Dc�_ • A
s a Ni L e_D \
Print Name
9 i - 6- 7 9 _ SEE---HNF 1
Telephone Number With Area Code
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM
Name Of Individual Applying For Permit:
Address Of Property:
(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 EXten_=jo .
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 recuirement.
I do not wish to waive the 15'setback recuirement.
44
..1cna 4f Date •
.),A,Agc, i0 54 iveu
Print Name
/1/0 57g 7731 EDEEE--INIF==1
=1ephone Number With Area Code
�t 1`"r� , C`I c (c.,'E L. L-- 7-'--/(6i b 1
JtWn R. -�b . CL alve_d-S
---- --- — -- -- -------- -- a1
Nets, R. Durham 66-112/531 267 3
L c. 307270 5119034878
P/t. 910-579-4973 Oate 02— 9 7
6811 Roberta Rd., SW
Ocean isle Sear, JV6 28469 eo
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62401
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5002 MAIN STRX 1869 CLASSIC
SHALL TTEI NC� 8459 /e -
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