48357D - Fox

i AMA/ ❑DREDGE & FILL - -'
jENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ElPartial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources �/
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC II%,i�..,�, 6'
�+
/ [$Rerles attached.
Name CA 04 l of 1r4?c -_ Project Location: County_.,1 a7 e-r.- f-t':c k
2,1 or oW/t 0 Q ,5,1. Street Address/State Road/Lot#(s) 5n/t76
:OPPd ,1S it e4 4 StateNC ZIP 2 F1/f
-(910) V`/, ` '/ 6, Fax# ( ) Subdivision
ed Agent City ZIP
❑CW Ei•eWr- [4PTA Lies---❑PTS Phone # ( ) River� Basin 2y,,
❑OEA ❑HHF 0 IH ❑UBA ❑N/A Adj.Wtr. Body C/i✓.4 t. J 0f 1 w ') (nat j
❑PWS: ❑FC: /9/
y PNA yes / nc z Crit.Hab. yes / no Closest Maj.Wtr. Body
Pro'ect/Activity g into✓t �.,Ci J ,j Rx.. 4,1t%e U: 40,4_44 c.c V. �.✓,S // IX F,t_ ./
4 AO'Cie f l'1 ! (Scale: I "
ck)length ` k'. 2��" _1 1� ��
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i i H
ier(s) 1 i 1 L L —
r ,ng� l--'-"ti t- � 1 - - i
_ +
tuber 1H y i r i
___±_.: _...,,_+_. :_ _......, c
r� �+
d/Riprap length , ! r P l `�t
distance offshore ' i I ;
ix distance offshore --I_- .-- 1-- i
r
cannel
k
i -t
bic yards 1 i h 41 f
- r .
Ise/Boadift !., -r
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i — _.- ----I,--
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a
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1
i M
re Length 4 ' f ' /�
not sure
p:: not sure yes ( b'
rium: n/a yes
Yes
Attached: yes �_ _ .._��_.^^f�.. /. era ..
ing permit may be required by: 4 C'G/>.� -.4-S-L 4' g/G�f,1C. 4 See note on back regarding River Basin
Jo): . / / (_ r, !I 1 - _ , ,. . . -, i. �, -1 iJ _ -.'''A

3CAMA/ ❑DREDGE & FILL
r
3ENERAL PERMIT Previous permit#
iNew III Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources ////
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC /"./2 QU
/ [i.&les attached.
t Name CAf)2 L of f Off[ Project Location: County 1j44I..144/1c k
2) 13 0 Ai it v e Street Address/State Road/Lot#(s) __come-
r 0NN -:Lt '4ci StatelC ZIP 2 F5G5
•(9/4) V s%- Vie, Fax#( ) Subdivision
ed Agent City ZIP
❑CW EI-EW E PTA ❑r!S''—❑PTS Phone# ( ) River Basin Le I'
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body C//4,9 C L ill"'ij (nat li
❑PWS: ❑FC:
ye rto PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body �"�
'Pro'ect/Activity /clef»0✓,L E,C.17),% Re. ✓Al e v: pit/2i'�c 0- .✓,57g// 40,C G✓
(Scale: I
ck)length 6 'r , e 6, /
i(s)
ier(s)
I
I
ngth 1
'Tiber
I/Riprap length distance offshore —1..�+ 77...)
i.f g "�"t��
;_—; L
x distance offshore l I __ I
cannel 1 b
)ic yards fi 0 9 t F
ip
se/Boatlift —
r i 1 i ', —_
lc i
illdozing
fL,SS /4 .)eg '' I —� _
Length S / i d
I
not sure yes '
i: not sure yes f",Jp:,
b'
cum: n/a yes mod ■
es no> — —_-1 _ _
attached: yes 1 I • _ t d 40i eI i i
ig permit may be required by: (/CO,9..i — S'/.e 00,9c 4 n See note on back regarding River Basin n

•
CHARLES W FOX III 1785
NCDL 8763539 PH.910-395-5565
16 CAUSEWAY RD
OCEAN ISLE BEACH, NC 28469 Gate Ste'�ZC 87 66-I 12504
31
ry. $Leeo.e/ Izrz
�v1
BB&T ACCESS
3ANKING
BRANCH BANKING ANO TRUST COMPANY
. If 2J y(IL; ,T30 AIR CAROUNA
I'✓ y/zataeeu L M,
. /!tea f
1053L0LL2Li: 52L821, 70850 0L785
•

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Charles W. Fox III
Address of Property: 21 Monroe Street
(Lot or Street #, Street or Road)
Ocean Isle Beach, NC 28469
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development di(
are proposing. A description or drawing, with dimensions, should be provided with this letter.
1/' I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28.105 or call 910-395-39(
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yc
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.
Sign Name Date

>z
•
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signat.re /9 Fir
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse X ❑Agent
so that we can return the card to you. //�� ^w 1� ❑Addressee
■ Attach this card to the back of the mailpiece, B. Rec ived by(Print;. e
F. Date of Deliv-ry
or on the front if space permits. / ' '
1. Article Addressed to: D. Is delivery address different from item 1? II', Ye
/44(� Q� If YES,enter delivery address below: • No
Gv/1/e d / / it/C � /'/�(�
�3a 3 �i�-(E561ux y 4/J,c/
,l)U,er4 H/ 'O ,,,72767
3. Service Type
El Certified Mail 0 Express Mail
❑Registered El Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number ❑Yes
(Trahsfer from service label) 7006 0100 0002 6659 0873
PS r n �a
Form 38 i i,February 2004 Domestic Return Receipt
102595-02-M-1540
0
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. nature
item 4 if Restricted Delivery is desired. ignature
■/�r�ent
oll
• Print your name and address on the reverse ///fff���. 1T—� r�'
so that we can return the card to you. •dressee
• Attach this card to the back of the mailpiece, B,IReceived by(Pri ted Name) C..Datef gelirry
or on the front if space permits. C /`A-C e- ,�/Es1yr� 7/1 J 'LL 4��1� li
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
If YES,enter delivery address below: ❑No
&2RC6 H S. w-rHci(sG-r7-
2o 6vx 9'6
LA tee- 111/4-ceAa(/1-4), NC
dy� 3. Service Type
7 k9 Certified Mail ❑ Express Mail
❑ Registered El Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) - _ 7006 0100 0002 6659 0866
PS Form 3811,February 2004 Domestic Return Receipt
102595-02-M-1540