46297D - Roos

tAMA/ J DREDGE & FILL I.
;ENE_ RAL PERMIT Previous permit#
New Modification iiComplete Reissue CPartial 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 15A NCAC 7/7. /2 Q a
1 {16.1e-s attached.
t Name ,O A A 0of Project Location: County„Fa,/,..ire-/i c A
/03 Poo(/v,9l E t C f Street Address/State Road/Lot#(s) y‘:, PL- v )L
9gy State 4/c zIP2 75/9
(21A ,c', -25 o Fax#( ) Subdivision
ed Agent (.n/Cs 1 )Oc/ZS City0eei9 Al 7j La S,a/ve,4 ZIP 2 8/6,
❑CW 5a; N4 -A Es ❑PTs Phone# ( ) River Basin GL1/'+1.
❑OEA ❑HHF 7 IH ❑'UBA ❑N/A Adj.Wtr. Body CjJ i✓A L ,71341 A Li46/(nat4
❑PWS: `__.'FC:
yes d lQ_, PNA yes �'So Crit. Hab. yes / no Closest Maj.Wtr. Body �/ ��
'Project/Activity / (])VCe S/Zt of ix'si ,-S fLA/ of S•../57/.9// /VCcc. &A�,74
_ (Scale:/i'
ck)length iZAM/`(7� / ..V.I -
i(s) 0/ 1
ier(s)
ngth -.....,..---- C t l Pi i ._
mber
— i
d/Riprap length I
distance offshore '
ix distance offshore ,
iannel 7
Aii JO?1/ ,
dic yards (((����f
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oatlift))2)1112 : t
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not sure yes no) De I 1 M ,����
s: not sure yes no r.n )'� l D' - ,/, -41444-4 1
ium: n/a,l yes no �jt)69I l_ 4 L, I ti?. I
c� h,d yes no L.V ! __-__ �l PC: . ,it- I ...._ ? I/ 1_.._ — -
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•
DIVISION OF COASTAL MANAGEMENT
,aD.jAc'ENT I'ARTAftP OPERTYOWNI~RNOTIFICATION/WAIVFRFORM
\Jame of Individual Applying For Permit: ":3c� ,, Roos
Address of Property: 4� Pcnd Ev S*ce t
(Lot or Street if, Street or Road)
NB , 4 C- d84(c Uv U,,,,,, . Co
(City and County) t
hereby certify that I own property adjacent to the above-referenced_property. The indivic
applying for this permit has described to me as shown on the attached drawing the development 1
ire proposing. A description or drawing, with dimensions, should be provided with this letter
✓ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
1 anagement,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectio
rou have been notified by Certified Mail.
AW1 fit SECTION
[ understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
;et bck a minimum distance of 15' from my area of riparian access- unless waived by me.
wish to waive the setback, you must initial the appropriate blank below.)
V I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
7
p--s%r- S//it_.)S
>ign Name Date
-Tki-o f S . .r p/A1 Ala'

FAQ -it '. (g1o�350- 2004 win a�.as, s■w.
t595 Own UM aide
OM isle Bead, NC 2846!
M!) 575-5271
0 0 �I 1+
New 8 K ; 8) 26 Dock
Boat Lift
o 0
10' Setback 3x16 Ramp
1o' se
J� Hodes
87 Norwood Rd. 46 PeRder Sheet John Roos
impel Hdt, NC 27516 OIB,NC 28469 103 Parmelee Ct.
[phone] Center of lot Cary,NC 27519
1_. ...__. 50'Property [phone] -fait
- _II

John R. West 12734
DBA West Docks, Inc.
1595 Crown Creek Cir.
Ocean Isle Beach, NC 28469 PAT. I `7-00 67-7235/2532
910-575-5271
PAU TO
TAB OAD.0 Of KC. D. E.I&c . 5 f-100, op
54 h LA4.2c,C/'e --- DOIIAAI o.FE
E COASTAL FEDERAL BANK
SUNSET BEACH.NC 28468
BOA 4'/P1-A,2176 )t- Cis' !‘‘ Z%2jj A
00 L 27340 1: 253 27 2355i: L 2 51300 5 90 90

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Si nature
item 4 if Restricted Delivery is desired. eJJi ❑Agent
• Print your name and address on the reverse X' 7/746.2 d2lressee
so that we can return the card to you. B. Recei ed by(Printed Name) ye of D very
■ Attach this card to the back of the mailpiece, rr ior on the front if space permits. Y (,/,e f-77�/ )-J U 0 6
Zs' D. Is delivery address different from item . Yes
1. Article Addressed to: 6o3q CI&O If YES,enter delivery address below: 0 No
�, M. C litlfe+brn 0 u
P. t
o 130x tc c, y �M
S kia l l0+{-e� N C. a t. 8 3"1S\ 3. Service Type
Dreertified Mail 0 Express Mail
0 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 8061
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540