19852D - Thomas

CAMA AND DREDGE AND FILL j�2J19852 --�
GENERAL
(...—Ir_
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coas>;al Re ources Commission
in an area of environmental concern pursuant to 15A NCAC 7 . / ` '-
Applicant Name 5(.44 7-4 a Mu 5 Phone Number e_ 5a) 43I�27 6 3
Address oZ I w'P') tl 14 4 6_ /2�
City /1 'eA aer(. r State Al L Zipl '2 I ' 3/
Project Lo ati n (County tate Rod,Water Body,etc.) //J '30" ° S'4cr Q r in i✓i el A.inll S'✓6 d.
at 1- (to is I,� 5t ik �. o n 4 1 w ' 4 Rr$n s ws� CC) kd,. >�
L ,
T of PLroject Activity C"ns+r"✓T Ii' 6S ' ve- 1,J 1-H 'g ' k /O/° -Ae.,� v/ y'N /H!
c&l4ly+ oc.. q hick teW4r -ek al � co i-v��'Is^ Skwl/ h?-( 47/ e.(1'/ �5/ 'l�" /�IS1Cr
fqL_ .'1r4{P�'tz vs- Se f�j°�c.k , Ail eoA 1 -ht./0 a -- 7/ '1 00 "Aka mli/lI ,
WnC ✓C,Tta^ chA fl 6.0 q c per 4 P-ctLltc p ck
PROJECT DESCRIPTION SKETCH c ' C e +1— ì:;: (SCALE: )
Pier(dock) length iX
Groin length
number
Bulkhead length
max.distance offshore
Basin,channel dimensions
cubic yards
Boat ramp mk dimensions
• Other n{' /NO&at Vloc, 49 DK 'SIX /H'
This permit is subject to compliance with this application, site ,,
drawing and attached general and specific conditions. Any? ( Tha.U.A r' r
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void. 10 ,
This permit must be on the project site and accessible to the dr42(------ ..
permit officer's signature
permit officer when the project is inspected for compliance. �9/1I q
�j / " / 9
The applicant certifies by signing this permit that 1) this pro- / `r
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 94 / a --
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: I ho RAGS, &id cite
ADDITIONAL NAMES:
AEC DESIG: c ' DEVELOP AREA:
PROJ DESC: -
(Will
onlyy take 6) __ I
(Will only take 1)
WORK: 4 (.0 6 Ts: 14
(Will only take 4
MAINT: yv n
(Will only take 4)
IMP: ( ". 0200 0 Ur S(�
(will only take 6)
t I1 &—
ACTION EXPIRATION
DREDGE&FILL REQUIRED: (DI ( ( f Q q q
I I I I a q
CAMA MAJOR DEVEL REQUIRED:

% (f� y,rj ,,,,. NANGE
I HEREBY CERTIFY THAT THE ATTACHED PLAT OF -r"w ` �SS/5.•� '� j�
SURVEY IS A TRUE AND CORRECT REPRESENTATION O �7 MAIN TER��N M
OF LAND SURVEYED AND PLATTED UNDER MY SUPERVISION`' \ S , w.OM CE 1fCE PR`5
AND IS IN ACCORDANCE WITH THE STANDARDS OF `° SEAL
OF FR NA
PRACTICE FOR LAND SURVEYING IN NORTH CAROLINA. r / PR\SM"W W. Mp\Nj�
f ; L-2518 OF .1.01to
� -� 6✓ ray.._ 5-_,,_?? ,: 1,,�� 'y ? Y- SAN
THOMAS W. MORGAN, RLS L-2518 UAL %.0 O SU �• (,t
STp,L
(.1) T
R ACOA
w
N O
TLANTIC
A W ATERWpY
.�
00
Q
M c6 PRISM
z? FS0 +� MA�j�NAN
OF w%�
Et 0 PROPOSED 6 0- OF. A\ \
O FLOATING \
I-- PROPOSED DOCK LIMIT OF \
p Oij
8'X10' ,. RIPARIAN RIGHTS . \
STATIONARY \ `` \ /
Z DOCK ��\ V/ 15' RIPARIAN \ vltr
e 1/ `14r;ill.> \ \ OFFSET \` '
/ \ \Z \\ 1\ yMARSH /�
\ „Ire Q: ci-
,� \ /��
RIPARILIMIT OF AN RIGHTS \\� PROPOSED\ \ //
✓ \ \L 4' PIER \ \ /
\ \\ \\ / / I
EDGE OF MARSH \ \Q, .1Itr \
APRIL, 1999.. \\ \\ \
\ \� - I
�_A '/ 1
15' RIPARIAN- y
OFFSET 1
ATLANTIC INTRACOASTAL WATERWAY
RIGHT—OF—WAY LINE
i —
I APPROXIMATE N A I
' TOP OF SLOPE
I 2 6\ �5 ERB
1 32
I "B" S 1
EIP,' I
BLOCK L LOT
WILD DUNES — 1 6
SUBDIVISION 1
(FORMERLY DR. R.H. HOLDEN LOT I
SUBDIVISON, MAP BOOK 4, PAGE 2) 5 1
NOTES: 1
LOT 5 IS IN A FLOOD HAZARD ZONE. 1 1
* TOTAL AREA OF FLOATING DOCK, STATIONARY DOCK
AND RAMP AREA ABOVE WATER: 211 SQ. FT.
TIE LINE: 1 11R`��

SENDER:
•Complete Iteme�l and/or 2 for additional services. I also wish to receive the
■Complcie items,3,4a,and 4b. following services(for an
•Print your name and address on the reverse of this form so that we can return this extra fee):
card;j you.
■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
permit. v=
'Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery 5
■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee.
3.Article Addressed to: 4a.Article Number
Z042 701 448
Howard H. Lisk 4b.Service Type
Rt. 1 BOX 1 6 7 ❑ Registered IN Certified
Wadesboro, NC 281 70 ❑ Express Mail ❑ Insured j
Il Return Receipt for Merchandise ❑ COD
7. Date oplivery
5. Received By: (Print Name) 8.Addressee's Address(Only if requested c
and fee is paid) r
6.Signature: (Addressee or Agent)
X
PS Form 3811, December 1994 Domestic Return Receipt
SENDER: I also wish to receive the
•Complete Items 1 and/or 2 for additional services.
■Complete items 3,4a,and 4b. following services(for an
■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. ai
•Attach this form to the front of the mailpiece,or on the back if space does not
p' p 1. ❑ Addressee's Address '—
permit.
'Writs'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N
•The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. a
a)
3.Article Addressed to: 4a.Article Number aa,
cc
Z 042 701 447 E
Robert Sheppard 4b.Service Type v
392 Browntown Rd. 0 Registered ® Certified °C
rn
Leichester, NC 28748 0 Express Mail 0 Insured y ��
p Return Receipt for Merchandise 0 COD
1,5
7. Date of Delve
I) /� 0o
T
5. Received By: (Print Name) 8.Addressee's Address(Only if requested c
and fee is paid) r
I-
6. Sig re: A ss or Agent)
PS Form 3811, D er 1 4 Domestic Return Receipt y
4.

99083A
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to BUDDY THOMAS `s
property located at 113 SOUTH SHORE DRIVE,LOT 5, BLOCK L. WILD DUNES SUBDIVISION
on THE ATLANTIC INTRACOASTAL WATERWAY,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.
.)( 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)
Signature
SIt Ar Le. ni ®-- L 5 ft
Print or Type Name
7otte- 272-- .5r '34' .
Telephone Number

• Y
I
99083A
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to BUDDY THOMAS `s
property located at 113 SOUTH SHORE DRIVE, LOT 5,BLOCK L, WILD DUNES SUBDIVISION
on THE ATLANTIC INTRACOASTAL WATERWAY, 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.
XI do not wish to waive that set back requirement.
1 do wish to waive that setback requirement.
•
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
•
?e, Yfc
Signature
Print or Type Name
Telephone Number

1
ti �
— _ — - - 7555 (t1
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Ht � BRANCH BANKING AND TRUST COMPANY
�' ," SUPPLY,NC 28462
4"4" 44e BRUNSWICK SURVEYING INC. 66-112 531 6/4/99 b
1027 SABBATH IiOME ROAD SW 910-842-9392
" , SUPPLY,NC 28462 A
0
•
,y�,�*a a jhe $ **50.00
a 4'ti ;§ j0 o
ilu ," I)a n D.E.N.R
}rs p
x a order of
LARS s
J m ('
Fifty and 00/l00
Y,-.. F;
`° ' D.E.N.R
127 Cardinal Drive Ext. ❑
} "J, , Wilmington,NC 28405
EMO =-_w — ----------- ---- --
M Job#99 083;Buddy Thomas;Dock Permit application fee
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