14211_WORTMAN, JAMES & FLYNN, ED_19950421

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CAMA AND DREDGE AND FIL
GENERAL APR 2 7 1995
PERMIT
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as authorized by the State of North Carolina �w"'+••'�'•'•••r����rr
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name (" j,. Phone Number -
b�
Address
City State Zip
Project Location (County, State Road, Water Body, etc.) '
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
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e'
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Groin length
A
Ai
number
Bulkhead length
I
t
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max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions -
Other
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i
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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
C r AT
' Z 5
issuing date
attachments f it� S �✓t..�
applicant's signature
permit otticer's signature
t' cl� t .
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

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145 f & 3 Marine Contractors, Inc.
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C Wrightsville Beach, NC 28480
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DID"SION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN_PROPERTY OWNER NOTIFICATION WAIVER FORM
r�r )
Name Of Individual Applying For Permit: �%Z, J%�►'Esl(/U4 mfx,�l
Address Of Property: 91Ll10.AvP,44Y��
(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 sane
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.) K01Fe 1.ntisi,8.c R)piveo To 411 as v-5- JoL4N.
(-�/'
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C I do wish to waive the 151setback requirement ,;t+ �,T4 �.nfR'S<
---- 6 � f� � � R,pe-, 3 c.u5h2'� .� �" �►A r Q�A4� qpo"! N:i.��.�Cwrtt�iC-R -,(Y
I duo note wishY to�`wa�i e 151setback requirement.
Tel6phone Number With Area Code
0I",(� rig-
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F & S Marine Contractors, Inc.
P.O. Box 868
Wrightsville Beach, NC 28480
(910) 256,3062

DIVISION OF COASTAL MANAGEMEtIT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: ��. J/��►res�l/U21��Y�
Address Of Property: %/yit) . z�Vc''4Y'g
fi))Li 6,Y v, A5 &)n �L .
(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
be low . ) /vo'Ee I? J6-y314cp In,s-.r sc A),q;,to To A,)# ad a Tw)`j 1 z44,
a I do wish to waive the 151setback requirement.
I do not wish to waive the 15'setback requirement.
�el� -3 - 31— 9S.
Sig ature Date 1 • 0
Print Name���
io- 22�-7W/EH�IR
Telephone Number With Area Code
F & s Marine Contractors, Inc.
116--)L14A4 ro a RO, Box 868
Wrightsville Beach, NC 28480
(910) 256-3.062