20255D - Fishman

r CAMA AND DREDGE AND
ND FILL
GENERAL I 029255 — D
�11 —__
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Cgpastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 1/j I o(U '
Applicant N e 1 + `) I,i 14 NiAr) �1 'S'1M 4 i, Phone Number
Address .1110/11. 'en"
City ROC.K1/1 r State N w 1:)1--K. Zip /8 5 70
Project ocation (Co ty/Stat Rota Water Body,etc.) /60 G�n o r I /'� S W C�b T 7��
( t /cwt.a.1 f =' 1( S C.)U , OA /(... C�tui 1 Foils/ 1C! ✓(_ ,' r r/✓n f. Cz,...
Type of Project ActivityT`�n5 r (-'� 6 x /C k 'iee- wt L /6 X / -"^eq a# 1"k r
�,��
e n 4_ .i- r'a +=> $ ' x /6 ' F/D-,,k, LJ o....aC . -/s' o n c t r 'l�'. /s�►' a21' C.b✓rt r
6,24-- I r P All (.6)-1 )c-1- /.,. sL oP as alickac 4 , sv6.1, He f i4 fi Ai(
1-,4 /o,t1 be /hi / aDO $ . 11 c I / ,.
PROJECT DESCRIPTION SKETCH (SCALE: )
� ')( 1 F,"
. '
Pier(dock) length -
Groin length S'-'62 A ,�4 ` d ?4 /-1--
number
Bulkhead length
max. distance offshore
Basin,channel dimensions
cubic yards
Boat ramp dimensions
Otheri-�t' 6,d /6 'k (‘a.
Flui-,3 OK l'x ,�•
rl La Bo4fr L14n1
1 ,;
x
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,imprisonment or civil action; and may cause the permit to beapplicant's signature
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. 6706c,b401;:c.. ._:;3x.
/�/ (/ i). -/i-
rThe applicant certifies by signing this permit that 1) this pro- / r _II `j
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 '7// 1 CI
objections to the proposed work. attachments q

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: I ar
ADDITIONAL NAMES:
AEC DESIG: PT DEVELOP AREA: .119.,PROJ DESC: P-
(Will only take 6) (Will only take 1)
TillitRx: E I lox I li $ x Ito
only t�s�;a�., ^ ILL
2'g
MAINT: �11�1
(Will only take 4)
IMP: ©�.1J� �1S I c)S
(will only take 6)_ _
`w"" �v ACTION EXPIRATION
DREDGE&FILL REQUIRED: 9- -` / I 1--99
CAMA MAJOR DEVEL REQUIRED:

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•
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• 96-168A
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
•
I hereby certify that I Own property adjacent to Trudy and Marshall Fishman 's
property located at ; 160 Genoe's Pt. Rd., Sw, (Lot 304 Lockwood Folly Subdivision
on the Lockwood Folly River ,in Brunswick County ,N,C.
(Water body) (Town and/or county)
•
He has described to tile,as shown below, the development he is proposing at the location,and I have no
objections to his proposal. I understand that a pier must be set back a minimum distance of fifteen feet ..
(15') from my area of riparian access unless waived by me.
Please initial one:
r' l/to not wish waive that set back requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
•
•
•
•
•
•
• Signature
•
tint or Type Name;
Telephone Number;

96-168A
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to Trudy and Marshall Fishman 's
property located at 160 Genoe's Pt. Rd., Sw, (Lot 304 Lockwood Folly Subdivision
on the Lockwood Folly River , in Brunswick County ,N.C.
(Water body) (Town and/or county)
He has described to me,as shown below, the development he is proposing at the location,and I have no
objections to his proposal. I understand that a pier must be set back a minimum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
ase initial one:
I do not wish to waive that set back requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
ignature
7 /,I i 4S L /11,4P1�i .
Print or Type Name
Telephone Number

D ■Complete items 1 and/or 2 for additional services. I also wish to receive the
e ■Complete items 3,4a,and 4b. following services(for an
o ■Pnndttyour name and address on the reverse of this form so that we can return this extra fee): a
r. Yo i
CI
j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. CI Addressee's Address
- o permit. m
o ■Wri1e'Retum Receipt Requested'on the mailpiece below the article number. 2. 0 Restricted Delivery (r)
r •The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. °.
o - 5)
O 3.Article Addressed to: 4a.Article Number m
a tR �., �.4Cam5byt
£ 4b.Service Type
/0 P- ,�
15
c°� 5 ❑ Registered 12r6ertified cc
rn
1-1-0/6e4u /� ' ❑ Ex ss Mail 0 Insured
/ !v C. turn Receipt for Merchandise 0 COD
c g'i//„; 7.Date of Delivery °
S , 41, _g9 3
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5.Received By:(Print Name) 8.Addressee's Address(Only if requested c
and fee is paid) ,_
1-
6.Signatu : e orAg nt)
°. X
In
PS Form 3811, December 994 Domestic Return Receipt
•
•
N1 SENDER:
'°° ■complete items 1 and/or 2 for additional services. I also wish to receive the
an ■Complete items 3,4a,and 4b. following services(for an
co H ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. k
> ■Attach this form to the front of the mailpiece,or on the back if space does not 1. 0 Addressee's Address .-
2 permit. i
d ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. 0 Restricted Delivery 4
L •The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee.
o r
v 3.Article Addressed to: 4a.Article Number i
I 16 YYtA /�$ L. / N ape 0 1 / 3
- 7 ( 4b.Service Type
c, 0 Registered E ertified a
•
� � bli/ 0 Express Mail 0 Insured -
/� o
/ e um Receipt for Merchandise 0 COD
%�) Tl0 0� 7.Date of Delivery_l 9_ l l i
5.Received By: (Print Name) 8.Addressee's Address(Only if requested i
and fee is paid) s
I-
6.Signature: (A dresses oSAgent) �
>. X e / rrL
• PS Form 3811, December 1994 Domestic Return Receipt
0

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ir
7897
BRUNSWICK SURVEYING INC. BRANCH BANKING AND TRUST COMPANY
1027 SABBATH HOME ROAD SW 910-842-9392 SUPPLY,NC 28462
66-112-531
SUPPLY,NC 28462
8/24/99
Y a tothe o
D.E.N.R a
r e��rof a
�I. **S000
Filly and 00/100*******************************************************************************************************4
DOLLARS
li
'• D.E.N.R
127 Cardinal Drive Ext.
Wilmington,NC 28405
0
`1CP10
f
Job#96168,Trudy&Marshall Fishman;dock premit app.fee
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H.00007897HI' I:053 LO l 1 211: 5 2 L7675792n'