72390D - Zeko

�CAMA / ❑ DREDGE & FILL No 723 90 A B C
GENERAL PERMIT Previous permit#
New Modification LIComplete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC (_) �W I f Q 0
❑ Rules attached.
Applicant Name
SA11n Ztko
Address 5 2 A Le S v.-t C; ( e
City i J. j m �!-e r State AJC. ZIP 2 610 1
Project Location: County I/( LJ +1 A "(JVt r
Street Address/ State Road/ Lot #(s)
166 / (_' k-A 0 hE I
Phone # (152) 347-- �t 119 E-Mail Subdivision
Authorized Agent :FJ 1• I.J nr City (\J" Tests v: f 1 t 3mC' ZIP 2 v `t 80
Affected ❑ CW ❑ EW ❑ PTA YES EYPTS Phone # ( ) River Basin CFR
ElOEA ElHHF ElIH ElUBA El N/A AEC(s): Adj. Wtr. Body GtO k S 0114 h �^-�. � (na /,an /unkn)
❑ PWS:
pfi t IPrinted Name
Signature �"�" Pllease read compliance statement on back of permit �"�"
Lyon ✓ ��q
Application Fee(s) Check #
Permit Officer's Print am
ignature
►liol�5 <11nl1�
Issuing ate Ex-pihtioA Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
J
.�1
'r r
J
Agent ! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: At/"I LsZ"
at my prope located at ��� f /Y' /4rn► x� %Ji : 1 1�✓r- � /f7
in Lr� t�iCounty.
I furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
i
Signature
Print or Type Name
0 uw t^ti
Title
�! 9 ? I ;3
Date
This certification is valid through `1 !
f do glowgo aw"twe, AV.
P.C. Box 868
VVrightsvilie Beavh, NC 28480
1910) 25 /6'-3062
('9 P
�tij . L
V c
02- Z 8 2018 c
OFU, 2 8 2018

Sam Zeko, 108 N.Channel Dr., Wrightsville Boach, N. C. 28480
P4 InatAll nmy treated limber bulkhead at approved CAW,311,4nrrent.
A�d
F&S Marine Contractors, Inc.
Complete Marine Construction Services
For Over 40 years!
;e
CAPT. ED FLYNN DURWOOD SYKES
Piers, Floating Docks, Pilings, Bulkheads,
Boat Lifts, House Pilings, Repairs
P.O. Box 868 Phone/Fax: [phone]
Wrightsville Beach, NC 28480 email: [e-mail]
JV0

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONWAIVER FORM
Name of Property Owner.
Address of Property: I
(Lot or &tree# Street or oad, City & County
Agent's Name MSailing Address: L
0,01
Agent's phone #:
I hereby certify that I own property adp:cent to the above referenced property. The individual
apptying for this permit has described to me as ehOw n on the attedied drrmng tine development
are proposing.
p I have o ons to thisproposal.
7�I have sw objections to ttris proposal. _ _ b1�
tt,Rn- � co warn ar��o�oa� ►+�Y
w ViV grit tb 10 der of r*CW of flfs nCavtespwxhme should be volMd to 127 CardbnW DAm &t,
i1Mffift1on, NCB M405-sw, tM repmeorms— ear+ &fw be cmbcbd at ("M 7gd-nl& No respor w !s
conk*red Ow sans as no WM how boar rfo~ by Cs ! ft U&U-
WAIVER SECTION N
I understand that a peer, dock, moarkV piienga, fir, lift, or groin must be set
back a minimum dWarnoe of 15 from my area of riparian scow unless waived by me. (If you
wish to waive the setback, you mug MKI&I the apKopna% bleak below.)
I do wish to waive the 1 S setback requirement.
I do not wish to v+ratve the 15 setback requirement.
(Property er )
Sigrxrhve
Print or Type AWM /
Melt Address
Telephwne Number
Date
(Adjac hiformstton)
Signatu
Print or Type Name
�} �jx�r:4��5ji��.
Maib7g Akidness
C1ty/5taft27p
Telephone Number
c' O
Duce
Revised 611 & 12012
RECEIVED
DCM WILMINGTON, NC
0i�C 2 8 2018

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONtWAIVER FORM
7:
Name of Property Owner:
Address of Property:
1(Lot or Street ;#, Street or oad, City & County
Agent's Name #: L�l%? "[ ,tu Mailing Address: / ► �� r✓�!ix'
)
Agent's /y/ � F 1'ti3d dd %JC^?t,�� /41 !. mt!x
g phone #:
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 drawinst with dimensions must be Rroyidec1 vrith_thi- letter.
have no objections to this proposal. I have objections to this proposal.
j� (_I^ R
''g ed, you must notify the Division of Coastal Management (DCM) Jn
ff you have objections what is n propos y
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
wlimington, NC, 2W5-3W. DCM representatives can also be contacted at (910) 796.721& No response is
considered the same as no objection ff toou have bean notified by CertJfled Mail.
WAIVER SECTION 1T
I understand that a pier, dock, mooring pilings, breakwater, b athouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
garish 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.
(Property Owner Inform 'on)
SignW&
� � J
Print or Type Name
Mailing Address
JJ,,
Cny/StatelZ0
Telephone Number
Date
(Adj t Propertij .Owner Information)
Signat:are
print or Type Name
aAP,, d4 %,;.
Meiling Address
Clty/statelLip
Telephoneumber
Date
Revised 6/1&2012
RECEIVED
DCM WILMINGTON, NC
is 2 8 201E

Date Received
Date
D osited Check From Name
Name of Permit Holder
Vendor
Check Number
Chock amount
Permit Number/Comments
Receipt or Re/und/Reo/locaW
Columnl I
Cowmml Cowrml
Colum 4
Cokmm5
Columns
Cowmn7
columns
CQIa 9
1/10/2019 Ed FI nn/F & S Marine Contractors Sam Zeko
'PNC Bank
7546 400.00 'GP #72390D
BS rct. 7423D
k