39819D - Metcalf

1CAMA/ ❑DREDGE & FILL
IEN ERAL PERMIT Previous permit#
1New _i Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
lzed 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 74'
❑Rules attached.
t Name ED /e7C4L-f Project Location: County l/ ai(G-e—
lig C.24 ve-/) S7 Street Address/State Road/Lot#(s)
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mCW �EW i PTA ❑ES ❑PTS Phone# ( ) River Basin Z.Z.447
❑oEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body ,411t/ le,i
❑PWS: ❑FC: 1/ �'
yes /Rio PNA yes /® Crit.Hal). yes / no
Closest Maj.Wtr. Body
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rig permit may be required by: t 2.1 (S(e 2C=4 . n See note on back regarding River Basin ri
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Ed Metcalf G McGille
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".E Barham
120 Tall P
6928 Slade Hill
Lake Wyli
Raleigh Nc. • ,-,v--i--grx,. /),
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225' +or-
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Boat Lift ,
Boat Lift
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WEST DOCKS INC.
17 Newport St.
Oceanisle Beach
North Carolina, 28469
910-575-5271
[e-mail]
To Whom It May Concern,
West Docks has been asked to apply for a CAMA Permit,
to install a new dock system on the property described
on the attached drawing.
Please review the drawing and sign the included CAMA
form so that we may proceed with the construction.
Please forward any Questions to me directly _John West
910-575-5271 .
Thank You for your time & consideration in this mater.
1 2005 �1
1 t•ir►�� �. C.J
DIVISION OF
COASTAL MANAGEMENT

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47 Craven 49 Craven Q 51 Crave]
Ed Metcalf _ ti•. Ov G McGil:
E Barham
120 Tall
6928 Slade Hill
Raleigh Nc. Lake W}
60'
6' walk
225' +or-
14X 14
Gazebo
0 ®• 0 0
Boat Lift Boat Lift
0 0 0 0

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: eD Ne/Kirk
Address of Property: (-f l t ecu pp C tc(')
(Lot or Street #, Street or Road) S
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indivi
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 lette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management, 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 objectic
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..
MAR 2 1 2005
DIVISION OF
COASTAL MANAGER
Sign Name Date
TWA

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a,- 3. F� : 2 r- • Print your name and address on the reverse ti_ I .
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O d N 2 U U 2 N T I PS Form 3811, February 2004 Domestic Return Receipt
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