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CAMA/ 1 DREDGE & FILL le 4
;JENERAL PERMIT Previous permit#
'New Modification 'Complete Reissue Partial 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 7/1 . //bv ' • /e/
111 Rules attached.
:Name � l't 401/1.7 ,%V Project Location: County 11/ j$ ✓'-gag Ca te9 Ply' . Street Address/State Road/Lot#(s)
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g permit may be required by: v1//:.# �/'/� 64-.l� . , See note on back regarding River Basin ru

F&S Marine Contractors, In
• Complete Marine Construction Ser
For Over 27 Years
CAPT. ED FLYNN '��,►'�` DURWC
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.ram Q�i� i
Piers, Floating Docks, Pilings, Bulkh
'ArGV /L Boat Lifts, House Pilings, Repair
iiS,�f/�& 0 i l.f P.O. Box 868 Phone/Fax: (91
YY��raF� l�� W. ,p Wrightsville Beach,N.C.28480 email:of
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit na
PipiOit)
Address of property -0L ` 3 bfi-, A/41'41/4 ' .
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me as shown on the attached
drawing the development they are proposing. A description or drawing, with
dimensions should be provided with this letter of notifi n.
ca .
Please initial below if you have no objections. 311 gay
0..G. P I have no objections to this proposal. /4/44 /34I60
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 28405 or call 910-
395 3900 within 10 days of receipt of this notice. No response is considered the
same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house,lift or
sandbags must be set back a minimum of 15' from my area of riparian access
unless waived by me.(If you wish to waive the setback, you must initial the
appropriate blank below.)
6 G, ', I DO wish to waive the 15' setback requirement.
I DO NOT wish to waive the 15' setback requirement.
ix
CY-m--e--7 Cl." c Y--?,k / %/'ignature & Date
0 hi66 A .P e Print Name

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit LIB''4 Pbp/ 1J
Address of property `1L CigO ] 1 ,n A B )4 G
1
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me as shown on the attached
drawing the development they are proposing. A description or drawing, with
dimensions should be provided with this letter of notification. ,
Please initial below if you have no objections?4frt(r______ .rxj/ 462..
I have no objections to this proposal. RA_ j14401
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal'Drive Extension, Wilmington, N. C. 28405 or cai1910-
395 3900 within 10 days of receipt of this notice. No response is considered the
same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house,lift or
sandbags must beset back a minimum of 15' from my area of riparian access
unless waived by me.(If 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.
#16e/
f l_LjrtZ�,?;✓ �i Signature & Date
,{."-EWh,�,t� �,p Print Name

PrintGeneral Page 1 of
Username: ShaunS
CDAITS: General Permit Print MainMenu
ID SELECTED: 35594
Applicant Info:
Applicant(Owner): 17th STREET LLC
Applicant(Owner): DENNIS MOELLER
Addl: 434 CAUSEWAY DRIVE
City: WRIGHTSVILLE BEACH
State: NC
Zip: 28480
Country: USA
Physical Addl: 434 CAUSEWAY DRIVE
Physical City: WRIGHTSVILLE BEACH
Physical State: NC
Physical Zip5: 28480
Applicant(Contractor): ED FLYNN
Applicant(Contractor): F AND S MARINE CONTRACTORS
POBox: PO BOX 868
City: WRIGHTSVILLE
State: NC
lip: 28480
Country: USA
Permit Info:
Permit No.: GP-42848
DCM District.: Wilmington
DCM Representative: Robb Mairs
[ssue Date: 09/09/2005
Expiration Date: 12/08/2005
Fee Collected: 200.00
Fee Description: General permits (2 rules)
Dbjections Received: N
Project Description: CONSTRUCT NEW PIER GAZEBO FLOATING DOCK AND BOATLIFT;CO
BULKHEAD.

PrintGeneral •
Page 2 of
Replacement: N
Dimensions: length_width
Parameterl: 14.000
Parameter2: 14.000
Activity: Pier or dock
Activity Type: NW
Replacement:N
Dimensions: length_width
Parameterl: 30.000
Parameter2: 6.000
Activity: Bulkhead(wood)
Activity Type: NW
Replacement: N
Dimensions: length_width_height
Parameterl: 50.000
Activity: Boat lift
Activity Type: NW
Replacement: N
Dimensions: length_width
Parameterl: 13.000
Parameter2: 13.000
Site
Description:
Adjacent Waterbody: Intracoastal Waterway
Adjacent Waterbody Type: Mmade
Sandbags: N
SAV: N
PNA: N
ORW: N
Shoreline Length: 50.000
Digital Photos: N
15ft Waiver: N
AECS:
07H .0206 Estuarine Waters
07H .0207 Public Trust Areas
07H .0209 Estuarine Shoreline
Project Site:
Addl: 434 CAUSEWAY DRIVE
City: WRIGHTSVILLE BEACH
County: New Hanover
RoverNo: 0080215C
Local Planning Juris: Wrightsville Beach