43345D - Pier

:New
/ w IREDGE & FILL
ENERAL PERMIT Previous permit#
Modification .Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources 'l
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7 y., /f or Q
RU1es attached.
nt Name P1(4 0 ✓r✓/,t s' i95S 0 c. Project Location: County .71l1 y„r s wi c/(
s Yen 1,10ad _So. .,.SL✓ Street Address/State Road/Lot#(s) j to/z. Qom/,
h.) i •r 13004c 1 State /VC ZIP 2 7 It J /9 SS a G. /VD/t Uoad -0• -C 1
#( ) Fax#( ) Subdivision Sc hi ci,✓ all P
ized Agent ,St^ 79 qua N1 City Ore ties L e 11Pwc/$ ZIP 2 1/,
CW q,ew ZJITA [S ❑PTS Phone# ( ) A River Basin L u,
OEA ❑HHF ❑IH ❑UBA = N/A Adj.Wtr. Body /7 / [•✓ �✓ at
PWS: ❑FC:
yes / o PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body �/ Ai Ai
of Project/Activity R r�LA Le CX 11 Ti 6 8N/Ic'NE I'92'
(Scale:/ ":
lock)length
-m(s)-
pier(s) _
/ /„/ w
length
lumber
�/Riprap length k '
ivg distance offshore 2.
nax distance offshore S •
channel
:ubic yards --E> 1
amp (` ` C X Is .r pit 4
)use/Boatlift C 71/6/4/ 111
Bulldozing - J
t�c Otee5 N£w
11" ,
ine Length 6 K��E
not sure yes Q
tgs: not sure yes
Drium: n/a yes
yes o
-Attached: yes o
Jing permit may be required by: :/"LQ y , S /i✓1 C e Cd See note on back regarding River Basin

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: c-j‘Ocivstd4z)lJj i3 01,1 v c A
Address of Property: Wa?,,JJocD .
(Lot or Street#, Street or Road)
7 9 6
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this permit has described to me as shown on the attached drawing the development tl
are proposing. A description or drawing, with dimensions, should be provided with this letter
141.-- I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coax
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 objectioi
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
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.
C F�� I do not wish to waive the 15' setback requirement.
/i41-4)::Z
1� , 6"
Sign Name Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
ame of Individual Applying For Permit: $e ,aoAJ 5 o � T� P
ddress of Property: /1/c2/?fAlo'r)f) L.1 ,c24/
(Lot or Street#, Street or Road)
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individh
)plying for this permit has described to me as shown on the attached drawing the development th
.e proposing. A description or drawing, with dimensions, should be provided with this letter.
w/f I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coax
[anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
ithin 10 days of receipt of this notice. No response is considered the same as no objection
Hu have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
t bck a minimum distance of 15' from my area of riparian access- unless waived by me.
wu 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.
`, /•0/�� 5
Name
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B & K MARINE CONSTRUCTION
P0.8 OK . PH. 910-231-5438
WRIGHTSVILLE BEACH, NC 28480
14crj
PAY DATE OC
TO THE �N/
ORDER OF C/ /o 7-"%.
CRR Central Carolina Bank 53o
- Wilmington,North Carolina 28403
FOR \CTCiUel/` / -- > --
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