69392D - Finch

JCAMA / DREDGE & FILL , A B
''E"� NERAL PERMIT 5
tPrevious permit#
ew Modification ❑Complete Reissue EPartial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
Zoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC f7
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❑ Rlhed.
it Name)-biliy ? � QiQ �/ — Project Location: County
Street Address/ State Road/ Lot #(s)
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State / ZIP., :> 9:
�^Jj�wGeorge Finch
t t E-Mail - 309 N. Boylan Avenue Subdivision
:edAgent Raleigh, NC 27603 CiZIP
❑ cW '�Ew I9PTA ❑ ES ❑ PTS Phone # River Basin
OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
yes / o PNA yes , no
f Project/ Activity k Cc� a
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atform(s)
Platform(s)
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ngth
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ix distance 11fsh
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bic yards__
np
ise/ Boatlift
ulldozing
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not sure yes
•ium: n/a yes
yes
4ttached: yes
Adj. Wtr. Body
Closest Maj. Wtr. Body
I►
(Scale:
ng permit may be required by: MOSAIC_. /��"c.7�'% ❑ See note on back regarding River Basin r
Local Plannino luricdirtinnl

309 N. Boylan Avenue
Raleigh, NC 27603
August 23, 2017
Mr. Jason Dail
Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
Re: 716 Channel Blvd.
Topsail Beach, NC
Dear Mr. Dail:
Enclosed, please find signed Notification/Waiver Forms, and a copy of the drawing that was provided
both adjoining property owners, for the replacement of an existing damaged floating dock located at the
above referenced address. I am submitting this information on behalf of my wife, Jenny C. Finch, and her
siblings, David Carlton and Julie Carlton, owners of the property.
If you need additional information, please contact me at either 919-833-1212 (office) or 919-740-3687
(mobile) at your earliest convenience. I understand from our earlier conversation that the application
fee is waived for such repairs.
Thank you for your assistance. I will await further notice from you regarding the next step in the process.
Sincerely
George Finch

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: .315j a-i C . ri ► 6A
Address of Property: 1IL 6-ON-alIt:L gLVD rbfif b1c, 131,-Cbit1,J � e ffi�pj5Q LO,
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address: 2313 L0LE1f r<;Cgs:�y PEE
Agent's phone #: 1 N L-y &0, Licye.I Z
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 drawin4 with dimensions must be provided with this letter.
k/ll/ I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Kriimington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Maii
WAIVER SECTION
i understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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 requirement.
I do not wish to waive the 15' setback requirement.
(Pr erty Owner Information)
m
S' ature
:T(�Lj a-1 C.
Print or Type Name
(Adjacent Property Owner Information)
Signature
M iN 0b-e;5 f W .yJ f Lu-&,
Print or Type Name
2913 COL-e-t �c„21 Sr Pt cE
Mailing Address
411 Pl i? Lfi ALA«
Mailing Address
1 114 -.2,►

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to JrL.►l-4 G. r('L-L 's
I (Name of Property Owner)
property located at � 1 Cv C i-1�.i,..�LICL f�LV D
on $A i.J IC�i C1�2i�l,Jr� (Address, Lot, Block, Road, etc.)
in '10 PS J L., 1? D.L�i N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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 requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Si nature
Print or Type Name
2 :; x 3 CvLr -i R,
(Adjacent. Property Own , Information)
Signature
P�Zpe ArPe
J .� ,
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