46136D - Fickling

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JCAMA/ E DREDGE & FILL
GENERAL PERMIT Previous permit#
UJV w __:Modification ❑Complete Reissue Partial Reissue Date previous permit issued
>rized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC 2/1,,//, /2 o 0
D �Rales attached.
it Name/ 1e 9 .' A c k (,,j Project Location: County RI?c1,4(.,f La/i C it
13 Pc A'1)E/L ,_‘7. Street Address/State Road/Lot#(s) _s--e/77 6-
PAN : 152.1. 46/Ac A State/V C- ZIP 21y A 9
P( ) Fax#(W FS 2) /) Subdivision
zed Agent �" C/KK//Adf)P., L.4,/,.5 City0C11,r -1 40 QoAG / ZIP 2 17
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•.e.,. . •\ ,, -
John R. West -- 12973
DBA West Docks, Inc.
1595 Crown Creek Cir.
Ocean Isle Beach, NC 28469 DATA `1✓ M,1
910-575-5271 67-7235/2532
PM TO
T4I1 O111441 OT itJ c D ‘ S
'Ft Np ln,,wvt AI ea ...,., DOUAI o•n4LDED A
COASTAL FEDERAL BANK
- SUNSET BEACH,NC 28468
Ill
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• II.O297310' 2532723551: L25E300590gv ✓
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Ocean Isle Beach; NC 28469
[phone]
[phone] — Fax
i ; 0 0
'8 X 16 Dock
New 12K Boatlift
0 0
CL
CO
M
4X4 Landing _
1 Pender Street 3 Pender Street
Center of Lot

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of. Individual Applying For Permit: Pe-it- ckl;'j
Address of Property: . 3 '?eield
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indiv
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lett(
W I have no objections to this proposal.
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If you have objections to what is being proposed, please write the Division of Co;
Management,. 127 Cardinal Drive Extension, Wilimington, NC 28405 or call 9I0-395.:
within 10 days of receipt of this notice. No response is considered the same as no objectil
you have been notified by Certified Mail.
WAIVER SECTION
[ understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mug
;et bck a minimum distance of 15' from my area of riparian access - unless waived by me
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.
9'aS_D6
lip z Date

sMC7itzuir3:741.�}CE9,
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signal
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse X w!^ �� -�� gent
so that we can return the card to you. 0 A d►essee
• Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of. ry
or on the front if space permits. VI D;('r 5 -C)"--. /'.9 47
1. Article Addressed to: D. Is delivery address different from item 1? IIYes,
If YES,enter delivery address below: ❑No
Br4'ado h L(kw h
1 .94 tIor}-t,. Mahn &iree 4-
Be l mo hi-, P\1C ago, a 3. Servjce Type
Certified Mail ❑Express Mail
0 Registered ❑ Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7006 0100 0004 0 810 8522
PS Form 381 1, February 2004 Domestic Return Receipt
•• •. . ,„ ;. _ ._ 102595-02-M-1540