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'nCAMA / ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
vNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
horized by the State of North Carolina,Department of Environment and Natural Resources
e Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC '/�/ /��
g�� ❑Rules attached.
ant Name &1#P' 1f C'' Project Location: County N€1 1 /1l*-f-fOv''
ss WO 1' '4i 5?i Street Address/State Road/Lot#(s)
UI/v'I�/4 74'i i� &i✓i State ,' ZI P2g9gg,, :5!t t l
#(4 ) 2 S . 3C,42 Fax#( ) Subdivision
ilietabp rd/ --/ljhh City S.-Am, ZIP -
ed ❑CW 01 A ❑ES ❑PTS Phone# ( ) G'"*s-'u River Basin eG,
)_ El ❑HHF ❑IH ❑UBA El Adj.Wtr. Body /'"I-5 ( `` (nat
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❑ PWS: ❑FC:
�� Closest Maj.Wtr. Body G�''l'9.4"//'� �e'",
yes Cp"1 PNA yes L no.% Crit.Hab. yes / no
of Project/Activity A e /tv-i / n ,l,—`�7 �,if►-i 7/ -.',h'%h '
.; ' .Y!1!( .' b
Gt'�l %°'ye!/ / (Scale:7 =
dock)length
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r pier(s) l
i length vt J�
number I.t/4'i ] +{✓ 4 5'6+f t'`
%r/1"�
ead/Riprap length
I
I
avg distance offshore
max distance offshore
channel / ! li/`fli/ 74//,�/
cubic yards ���
ramp 1 pibeelSioerlht ik+louse/Boatlift
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1 Bulldozing { _
°, !
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line Length �7 0 _ `�
not sure yes ._; Xxis t`'�7 ki'/X / Ai/ f
lags: not sure yes ej:P J�h
:orium: n/a yes r( c'
,s: yes ✓ ' ' _Jj7l/�k
:r Attached: no "'I ipil
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[ding permit may be required by: I1//'r/�h? ' ',/ ' St t , I I See note on back regarding River Basin
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,1 36437
F AND S MARINE CONTRACTORS, INC. 1
P.O.BOX 868, TEL.256-3062 i
WRIGHTSVILLE BEACH,NC 28480
'II DATE/ h(r) 1
PAY v
t
ORDER OF _. ,
-WR.
/
iRBC DOLLARS
Centura O.
RBC ABC Centura Bank
Wrightsville h, 28480 fi
FOR . - 50355 ‘ ,.________.
1'
0000 364 3 ?II" 1:0 5 3 LODE soi:o 2 7 200 5E1090 :1
•
F&S Marine Contractors, Inc.
Complete Marine Construction Ser
For Over 32 years!
CAPT.ED FLYNN ;e'� DUI
Piers,Floating Docks,Pilings,8ulkhe,
Boat Lifts,House Pilings,Repairs
P.O.Box 868 Phone/Fax:
Wrightsville Beach,NC 28480 email
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Plod
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit &Olin, .j�
Address of property 1#1) CkW ,. t146htull ULs 11L 7,goll
j
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. ��ck',,joy n1m
�' I have no objections to this proposal. t X'J OJoi1,
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,Iift 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.)
Yci`I/' I DO wish to waive the 15' setback requirement.
I DO NOT wish to waive the 15' setback requirement.
/ ;t4t/QCr• ;1 6//2/ Signature & Date
I if i /. ,-. I/
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for permit J4ii2i1 *'3
Address of property 9/ Cri11 it`1 / 5 Mkagt 1 Gf9Yt
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. Dj=ek A,,n c,` i
V >0\1\ I have no objections to this proposal. 45iikteIf 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.
"0 VV\ Ni\j\\ck (Q >> g Signature & Date
A�r
MCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F Eastey,Governor Charles S.Jones,Director William G Ross Jr
Authorized Agent Consent Agreement
4-C/ .Z../Ai ILILL---r) /PPP'rid 1_-.411.17.119(VIY3 )
' _ _.__. _ _1 is hereby,al ithnrt7ari to art nn m+r h
(Printed Name of Agent)
in order to obtain any CAMA permit(s) required for the properly listed below The authorization is limiter
specific activities described in the attached sketch.
LOCATiON OF PROJECT:
%'L) 4L .
PR PERTY�OWNER MAILING ADDRESS:
"-4 !)4
i 'fib WI 1 � 2t3�� f1r) 02,s3�a (Oki/A-T.)
I)3 _ PHONE NO.
AUTHORIZED AGENT MAILING ADDRESS:
Cil /V/
74,4.4t.)
A6} 526 gig
iiIo 4 C 1511,
HONE NO ?ID'c;j)-Yo4) ('1" /
Signature of Property Owner
Signature of Authorized Agent: