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CAMA/ ❑DREDGE & FILL
IENERAL PERMIT Previous permit#
Clew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources _
)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC - 14 - 1 10v
J I Rules attached.
Name 'E3U2-1 ‘IV tt,,-�„,,,,j Project Location: County 13ie i) JS IIu I Gll._
3k k 1 c (+m cI,/0 Sr Street Address/State Road/Lot#(s)
E4A/ ISLE State NC. ZIP 2-81+0i 3(. f1C I-17vtC,ID ST_
MED 3(01-'Z'C]3 2' Fax#( ) Subdivision
;d Agent 40ii-m-fr1&SY)6C/0. City (-%C &AN IS LC C ZIP 14L
❑CW OW M15TA 4(S ❑PTS Phone# ( ) River Basin ` iiiY
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
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❑ PWS: ❑FC:
es / no PNA yes /fio) Crit.Hab. yes / no Closest Maj.Wtr. Body /� I W IV
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John R. West 12
DBA West Docks, Inc.
1595 Crown Creek Cir.Ocean Isle Beach, NC 28469 MI -- 2 S 0 W 67-7235/25
Id 910-575-5271
PICTill o D1-R of 1ft/t D U� S FA—c-;eTL
u o i4 t,.,,wt.re - DOLLARS E
i COASTAL FEDERAL BANK
SUNSET BEACH,NC 28468
HBO L25L2ii' 1: 2532723551: L2 5800 59090

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Rc I Wi I(;
Address of Property: 3(0 P-I'cAxmc i SfrcL
(Lot or Street #, Street or Road)
D 1(S d NC a4'{Vi 3ru L Co tk�.
(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(
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, Wilknington, NC 28405 or call 910-395-:
within 10 days of receipt of this notice. No response is considered the same as no objecti,
you have been notified by Certified Mail.
WAIVER SECTION
t understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mils
;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.
•
Name

r.
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of. Individual Applying For Permit: Roiu..4- W fly
Address of Property: 31D Ric-Lrwkel Sh-e t 016) KJC 2`d14L1
(Lot or Street #, Street or Road)
ru,,Asi.j l51tia}�.�
(City and County) 1
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(
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 objecti,
you have been notified by Certified Mail.
WAIVER 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,
(ou 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.
Name Date
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SENDER::COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature 8�
item 4 if Restricted Delivery is desired. --�Q �� Agent
• Print your name and address on the reverse x
QQ,IG ' g
L- Addressee
so that we can return the card to you. B. Received by(Print .`ame) ate of Delivery
• Attach this card to the back of the mailpiece, `� Y
or on the front if space permits. o
1. Article Addressed to:
D. Is delivery address dlffemn from item 1? !I -s
If YES,enter delivery address below: c.c No
�671(u;!91A S
Sctrak Cuo(.,
15a2 Drvlcv-€, 4- DV.. —
C0 lti evt a e' a cI al o 3. Service Type
al Certified Mail 0 Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
see ArtAgi clam d 900IZ Inc Co
(Transfer from service label) (0 0 5 1820 0005 5493 8115
oft Fo linllickb@aly y_] 1 1 D.XVIdstic Return Receipt 102595-02-rn-i540
COMPLETE THIS SECTION ON DELIVERY
SENDER: COMPLETE THIS SECTION A. Signature
` Agent
• Complete items 1,2,and 3.Also complete ..dresses
item 4 if Restricted Delivery is desired. x Ne�
• Print your name and address on the reverse C. p.te of Delivery
so that we can return the card to you. B. •eceived b •• 'n �N-
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. IsIf YES,deliveryenter addressdelivery differentaddress rombelow:item 1? Yes
0 No
1. Article Addressed to:
Tom 13nd3es
Aaa1, VUioAc_;w Tema
3. Seryice Type
C a� a P Certified Mail ❑Express Mail
Nay �o �C ) ❑ Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra
Fee) 0 Yes
Ile.t.:m .r$ e7 01 7005 1820 0005 5493 8122
.,.oGOF_m-M-1540