52038D - Shepard

'1.CAMA / DREDGE & FILL i .'
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources 9 / •/`P
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC �'7
❑Rules attached.
nt Name Ale li4 n e -S 4`x0.fr Project Location: County /(/i /71 ..,or.�-r
s /,' Me (yam 5— Street
Street Address/State Road/Lot#(s)
r'�Y/34f3d/We' efUe 4 State NC ZIP -2 f i/i CU Se 4-4/i
It(9/4 ) 2"56 . 244 z Fax#( ) ___ Subdivision
zed Agent Ed r/t�,rjfj ' City - t-we ZIP -974
d CW ❑EW -PTA ❑PTS Phone# ( ) S�L4,. River Basin
OEA ❑HHF 7 IH ❑UBA ❑N/A Adj. __�S 741
Ad'.Wtr. BodyXi si C i.cs#vi (nat
f... PWS: UPC:
yes / no PNA yes /�io Crit.Hab. yes / no Closest Maj.Wtr. Body g/Y.+v" 4 S �.,,
>f Project/Activity / Cfr i s1^i-1��h A/1 r-7`t-1, � i/ Ate i.,��77it-1.0*i�4
/''%Sf/h) T/ "//h, t 1,14-4l41e1 (Scale: /l
ock)length
m(s)
pier(s) J I �� /� V1�yV1/1I'
ength 7 .
umber I ("-k/15 /,{ Dr��0fi /i/ •
ad/Riprap length / /DP / / I
✓g distance offshore e { i
I
iax distance offshore API
:hannel - I -
ibis yards
imp1/w 4 . ✓ t''yi �s =L7Y
use/Boatlift : ' - ----i
—.---1------' I . ?-----:1' -
Bulldozing > _ /' — _-. - N -.
— >Pp c w
z-z7 ,
ne Length (u
not sure yes no L 1
I ` i
gs: not sure yes no I ��//
,rium: n/a yes no In x i 11,0, I r
yes no i t9I. I � i—
Attached: yes n% - :
ling permit may be required by: / /I5t1 ////( /C4'l/ U See note on back regarding River Basin 1
., • ... .. ._ ✓n. / h// /inn - /

f&S Marin Ceatraeter:, Inc.
Complete Marine Construction Servic
For Over 32 years!
CAPT.ED FLYNN �! � DUR't
as�
Piers,Floating Docks,Pilings,Bulkhead:
Boat Lifts,House Pilings,Repairs
P.O.Box 868 Phone/Fax:(9
C 51 Wrightsville Beach,NC 28480 email:e
Sad Cia}tik f& cf,farlift aodrtmeto , ,
2 0 P.O.Box 868�f
•'g" BGVchr NC 28480Q/�Q(�
[phone]
frjb st,061. /24 - .54 ,64/1)1
iveJAAhato v,,,4/40D) "/
NE COpI40,
m
1975 33ra l)
ANNNEASIo
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at eve
PD3� Ao 3

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit fi.k /‘ 54 )f4,t
rt /j(
Address of property /0 /�t`L"Yl-f7 d U /M/C 2iwo
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*s-fid,,IL , d
Ed 1 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-
.596-8988-within 10 days of receipt of this notice. No response is considered the
74'd-jo2J 5 same as no objection if you have been notified by Certified Mail.
WAIVER SECTION /4
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.
gry, y 41x,Jô Signature & Date

B-29-2008 03 : 26 Ni CVS/phareiacy 4298 910 452 2375 P. 01/
FE -29-2008 01;33P FROM:F&S t*RRIt•E 9102563062 TO:45c22375 P.1
- Ay•f
,_..„
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
ttionsiti F,Way,Governor Charts S,Jones,Dlfector William G.Ross Jr.,Sure
Authorized Agent Consent Agreement
•
-+ per.:---= M 0 emOvittrrotAj .,
('rr.widMarne orr�
is��v AI>t11Ari7wri to mrt c�etntil,
in order to obtain any CAMA permit(e)required for the property listed below. The authorization is limited to tt
specific activities described in the attached sketch.
LOCATION OF PROJECT: „,‘ f*Agauto
fA Noth fp•
,a v r Ca NC Z8* ,
PROPERTY OWNER MAILING ADDRESS;
JI 54thwitse `
5315 inghisw toe 1211
r 7Ph I) �yD' PHONE NO,0754 31 1
6140w)
1
AUTHORIZED A ENT MAILING ADDRESS:
(14 Flyititii •01'.5#1,10.04 edvivedwA)
RD 4
nu/wig A It zoV&
to PF744r
PHONE NO o256d Sa6) g
rITX
gnerture of Property Owns: / ct (2,
Signature of Authorized Agent
14 �;rr / R

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signatu
item 4•if Restricted Delivery is desired. 0 Agent
• Print your name and address on the reverse X 0 Addressee
so that we can return the card to you. B. Received by(P Name) C. D e of livery
• Attach this card to the back of the mailpiece, �`
or on the front if space permits. L (4 b�
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
` If YES,enter delivery address below: El No
/ DUI kj*Mdbt
tg33 ", mL-1.d01
Su )e 362 3. Vce Type
rtified Mail In Express Mail
in3I In/yr,,�t fit).
❑Registered ❑Return Receipt for Merchandise
�' �/ 0 Insured Mail 0 C.O.D.
4/10 O - JO yb 4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article I
(Transfe
PS Form 95-02-M-1540