48377D - Mitchener

CAMA/ ❑DREDGE & FILL
IENERAL PERMIT Previous permit#
New ❑Modification Complete Reissue Partial Reissue Date previous permit issued
Iized by the State of North Carolina,Department of Environment and Natural Resources i1 �2�
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC �T
El Rules attached.
t Name 11 (1 Y (tell} C i{r' - Project Location: County '�C° liI-4-
41 ( �Gvt.aui. '/ Street Address/State Road/ Lot#(s)
///��/Mi h3 iii/J State ite ZIP 27 yy/ - - 5 -,e
( gel'
G• 304 Z Fax#( ) Subdivision 1 ejgr - ,
ed Agent F51,h City ZIP
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❑CW [ EG/ QPTA ❑ES ❑PTS Phone# ( ) rt"://
River Basin gw
❑OEA ❑HHF ❑IH ❑UBA I-I N/A " . �^❑PWS: ❑FC: Adj.Wtr. Body 41, ,���/ (nat r
yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj.Wtr. Body ✓�ya�j, _'
Project/Activity 2 i5 r l/447 4 I < :le 7' drn w/ 5 i,L,
ex-/Sl/63 . �i4f. (Scale: I%).
:k)length
(S) !L Al. ?�Ji taxes itf ' __._-
igth '- • � _
nber
i (/I/Riprap length MEM® Y _-�,*- �T-li-- 1 j � j f//
distance offshore ✓, /'��
x distance offshoreMli + / 1
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annel Jr,f1 J ivt✓//9 1 I i I I t
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sic yards 1 4,pft✓ ( bt46/11, '
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dldozin8 :� • +
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Length V
not sure yes o/ �AL Ir �S l, /
M' I Lys Pry �.ef/
: not sure yes n 4
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um: n/a yes i
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,ttached: gi no - :z4 p/ • _ I I '�/
ig permit may be required b ` i4(4 / ""'4l/ 1 I See note on back regarding River Basin ru
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F AND S MARINE CONTRACTORS, INC.
P.O. BOX 868, TEL. [phone]
- WRIGHTSVILLE BEACH, NC 28480
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DATE
PAY L.:,. "L /�
ORDER OF )
5/ (/14,011- 1 //
i RBIII to
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Wn tsville Beac, 28480 L�
FOR I.
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II'00 34906n' ':�0 5 3 008 50u:0 27 200 5E109 '
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from)~ Carolina De,aiimeni of Environment and Neural =.1rce5
O't ion of Coastal Management
naai.f:Eau*,Governor cttarws R.Jones.Oir.ector• WNW G.Roo Jr.,;Am
Authorized Agent Consent Agreement
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,t1RCf, 1 , A rthOri7Pri!n art it,t. .'.2K
(Printed Name,d rg2rr)
"i'n atty CAMA pernntt(s)requiro for the property listed below. The authorization is lur ited to th
icitic activitiee'dscnbed in the attscthe'isketch .
Passt ,pox
PtA7tON:O3t PROS T' e 7877 �,� ,
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tOPERTY OWNER MAILING ADDRESS'
U1 11 Atirti 44LIV444 .
t)4‘l141 I) C. j PHONE NO. g51'.3biot (Aviv)
JTIIORIZEO AGENT MAILING ADDRESS: i
i.:41 1:22:.4
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A.. ALtritsval..e4t1.00/LA/.. i
PHONE NQ, i 5`'11)4?".... _...._._.__
t sip.. arProperty, Owner -
gn.1ture of Authorised Agent // //
Gate L��lui41 - - )X� --- - -----

MS Marina Contractors, Inc
• Complete Marine Construction Servi
For Over 27 Years
CAPT. ED FLYNN �/i1�, DURWO(
-40•
ITC i Piers, Floating Docks, Pilings, Bulkhei
Boat Lifts, House Pilings, Repairs
el
P.O. Box 868 Phone/Fax: (910)
MI Trill Pi ,r) Wrightsville Beach,N.C.28480 email:efly
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applyin for permit L 3iii ro
Address of property /-241t° i "it� Y' 1114-i 11 Ai6
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 ha no objections. kipt ,/2.14,44
% ! I have no objections to this prop al. d/4-i 1 % 42 aL _ -'
i
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 beset 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.)
ciji I DO wish to waive the 15' setback requirement.
I DO NOT wish to waive the 15' setback requirement.
....K"? 7--Signature & Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit Sillfilf ,4e-A/J2-
Address of property 74/5/IP:1t'7 //11,n J C41"''► '77J
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. % e i2i ji
'' 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-
, -within 10 days of receipt of this notice. No response is considered the
/'94,2i 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.(lf 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.
.)7A
1,k�ae c� Signature & Date