45937D - Hare

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'CAMA/ u DREDGE & FILL
3ENERAL PERMIT Previous permit#
'fiNew ilModification -,Complete Reissue `.Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
2oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 71-1 ,. I Z0v
1 1(ules attached.
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It Name . NELSON) 14A-e'-e Project Location: County 61€VMSL J I C1
PO BOX 8428 Street Address/State Road/Lot#(s)
\PE)( State 1•3(, ZIP ZiSO L 13 P/ 2 sr_
`ia .4, 1-00 1 Fax#( ) Subdivision
i:ed Agent ,/4 j�/— Wt-ST /�G Cr-5 City £% -N ISLE _ ZIP a Lk
❑CW aheW 06A Is ❑PTS Phone# ( ) River Basin LL/f'
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body(a N/4 L(Qf t- f}/VU/4/)(nat A
❑PWS: ❑FC:
yes no PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body Niin
f Project/Activity Pr41 V/1 T6 PI r✓ D 0 C t _
(Scale: /''-1
ick)lengths b v 3 kri7"}'re
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ingth , _ _ _ i I
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imber
:d/Riprap length —r
g distance offshore ,....,., +
ax distance offshore I _hannel 1-----._._ i I
bic yards
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Jse/Boatlift _
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Iiulldozing __ � goraite
L 04T / 1, "'1 ' line
ie Le 50/ i
not sure yes K b C 7
s: not sure yes 0 I` e k tft:40 j'
i l�um: n/a yes rft,
yes ' _ �, l:l l..l'G( , S 1 t I
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Attached: yes g , , , , I

- -
John R. West 12
DBA West Docks, Inc.
1595 Crown Creek Cir.
Ocean Isle Beach, NC 28469 DATA / 2 S-0 W 67-7235/2'
910-575-5271
T ll O DER OT flit D rf c A 00.6
I. r v O h cc,,u l rec(.-- -T DO111 S E
COASTAL FEDERAL BANK
SUNSET BEACH,NC 28468
f041 4-,#07-r6-Li t c, 5cs'1 a T-� c � — -
00L25L20 1: 2532723551: L258005909116
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WEST DOCKS
1595 Crown Creek Cir Ocean Isle Bch,NC 28469
8 XI(, A twmi roan Dock
17' s+crn
17 '
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DIVISION OF COASTAL MANAGEMENT
ti ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: \N. (ve Isom I�w�Q>.
Address of Property: a 3 DaAft S
(Lot or Street #, Street or Road)
018. NC, 93Li `1 Brikvlswid. eu.v
(City and County)
I hereby certify that I own property adjacent to the above-rererenced_.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 lettc
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co:
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-:
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
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set 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.
.i- k -7 ,
iign Name Date
� _ � AA

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete •ignature
item 4 if Restricted Delivery is desired. / ❑Agent
IIPrint your name and address on the reverse X • .L_ ❑Addressee
so that we can return the card to you. B. ••e.-ived by(Printed Name) C. Date of Deliivery
II Attach this card to the back of the mailpiece, 66
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
If YES,enter delivery address below: 0 No
a3 1&r-rl (\1 �tu n 24.
C Y G�{ v---lm J NC a�'0 3 3. Service Type
LL9 Certified Mail CI 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) 7005 1820 0005 5493 8108
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sig tureviA
item 4 if Restricted Delivery is desired. X 0 Agent
• Print your name and addre everse '-� 130ddressee
so that we can return thetard to o B. eceived by(Printed Name) C. Date o Delivery
• Attach this card to the back of the e, 1
or on the front if space permits. /7 C .2)/71
Q I D. Is delivery address different from item 1? Yes
1. Article Addressed to: K If YES,enter delivery address below: 0 No
John R. Mok o 4,
a73 Sedcr- H��O
V l r3 NC, Rq l.t(o C1 {4. Serv)ce Type
Certified Mail 0 Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(transfer from service label)' 7005 1820 0005 5493 8085