52034D - Cody

❑CAMA I ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
Clew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources �J , ` b
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC �/ Q
❑Rules attached.
nt Name 2,t'1 t,A✓#/ C belv Project Location: County Ajet.i, I/K.1g2yi
s 2( (r lA) vt'.c k /i v./ . Street Address/State Road/Lot#(s)
Al d t 11.S /,'ll, ivi State DivC ZIP 284''IV -,ti•-7 e
#(L�'I) 1-54. 3(1.2 Fax# ( ) i Subdivision
ized Agent F- F4/I 11 City ..4I ZIP St
d ❑CW CHEW ❑-P`TA ES ❑PTS Phone# ( ) 1,-c..-►✓)) Riverve Basin ��i
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body I�GK k CL itiry/(nat
❑ PWS: ❑FC: ¢s r44N
yes / no PNA yes / o� Crit.Hab. yes / no Closest Maj.Wtr. Body (..-/1c'rc e.•i j/We Co'C'ei
tf Project/Activity 1 Sf/" 4 '/ /i1 f)i'� 5 77 Gil!/�i.'4'#ci�
/ /S 1/ /�, (Scale: i
ock)length
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length , L
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vg distance offshore /
lax distance offshore w•J�J , ( !Hl1lliliili I
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irium: n/a yes a V iiii ' '4/ f
yes 1Mil. - lirhll�• . Le- _- i
Attached: g no 1 !
ling permit may be required by: L1/1911 h Yt 1/e &lt(4. I See note on back regarding River Basin I
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35882
F AND S MARINE CONTRACTORS, INC.
P.O.BOX 868, TEL.[phone]
WRIGHTSVILLE BEACH,NC 28480 a 66-85/531
/1/��'�'
DATE I
Ak D,i/i I vp50 4'v
7/2ad,,,,e ,,,,,16 06)4)„5._______------------__________
DOLLARS L+J o.' .::a.,.r
RBC
Centura
I
RBC Centura Bank
Wrightsville Beach,NC 28480
'),/41/.) ,.... ........_____.
588 211' 1:0 5 3 1008 501:0 2 ? 200 580911

FAS Marine Contractors, Inc.
•
Complete Marine Construction Servic
' For Over 32 years!
07 CAPT.ED FLYNN ; DURY
riot
Piers,Floating Docks,Pilings,Bulkhead
Boat Lifts,House Pilings,Repairs
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&Velfin6P.O.Box 868 Phone/Fax:(5
!./"` Wrightsville Beach,NC 28480 email:E
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28-2008 11:04 RESTHAVEN 3018983308 F1=6E1
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DIVISION OF COASTAL.MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individualapPlYin9 for permitt1Clm,t!
�.
Address of propertye9/C 44",),44.,gvp.j GiA 1 3Vy1-487-45lu(
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 leer of notification.
Please ini l below if you have no objections. , r 7).#60)Ilex
)b, ( l I have no objections to this proposal. 1-"yis 1s0w1g/P r '
If you have objections to what is being proposed, please write the Division of Coastal
Management 127 Cardinal Drive Extension, Wilmington, N.C.28405 or call 910-
395 3900 within 10 days of receipt of this notice. No response Is considered the
same Os no objection it you have been I:welled by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings. brealobvater.bOat house.tift or
sandbags must beset back a minimum of 15' from my sires of riparian access
unless waived by ms.pf you wish to waive the setback.you must initial the
\ ' apt to blank below.)
It - I DO wish to waive the 15' setback requirement.
t DO NOT wish to waive the 15' setback requirement.
4 utr ti9t ( // ', 4f ature &Date
1.f J 1 '(' `Ni, ' -). -t Print Name
I f. ..�� f�'� , Telephone Number w/Area Code

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit
1Cibio ad/
property �l0 ���jltl� - �!✓�: /,4 m3u1� �L 71( 29
Address of rope / �
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 of notification.
Please initial below if you have no objections ,p 2 / oed-0
,S1 3014"111#9111LIi6,
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, N. C. 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 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.
/lekx) pt<4" Z// a Signature & Date RECEIVEI
RP'.A %MII RAIAMnT(lf'