41555D - Shackleford

CANIA/ A 'DREDGE & FILL N9 4
;ENERAL 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 ISA NCAC )H , �x,c)
)'Rules attached.
Name 0 t a t, y S►-Tye 1L.L - C 3 L _ Project Location: County Ow)S W L.
)3; 217 b t L i5 ic{} Street Address/State Road/Lot#(s) L DI. 2Z
k w N P si t- State )4 . ZIP LSL14 3
(00,3) Lf z I-) 5' Fax#( ) Subdivision 1A p E "S 5‘,p,�
.d Agent 1 0A 4.-SU z City ► ,l" S', ZIP 2_,29 Li;
cw XEw ETA ❑ES ❑PTS Phone# ( ) River Basin W HTS
OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ Pws: ❑FC: Adj.Wtr. Body STkA r^0 SJv%.1 1 (125%,
Zno PNA ICS?/ no Crit.Hab. yes / no Closest Maj.Wtr. Body aIv'
Project/Activity wl>!xl L c. �,,,a-f i.-T GT e
1 ►J t- u T C1..-i & S 1 J P(Scale: )" = 2
k)length
;s) — : I
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er(s)
igth
fiber
/Riprap length t s
distance offshore E)cIc 4- Do O`• i
c distance offshore i V
snnel
is yards 20 N T
P atli 21(R..... I 1
Ildozing
Length
not sure yes no
not sure yes Ao
Jm: n/a yes Q ,
yes N\
ttached: no
g permit may be required by: O(11+f l
I V is all- g. - -#. I See note on back regarding River Basin ru

•
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
lame of Individual Applying For Permit: 0 r1v&'i S K 1c r-j, j
kddress of Property: G aAi'PL. I S Z)O
(Lot or Street#, Street or Road)
N -\\ -NUc Ste,L 'i . ON c44, c-0.
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individuw
pplying for this permit has described tome as shown on the attached drawing the development the
7e proposing. des -ption or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coasts
[anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
ithin 10 days of receipt of this notice. No response is considered the same as no objection i
►u have been notified by Certified MaiL
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
t bck a minimum distance of 15'from my area of riparian access-unless waived by me. (II
u 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.
i>41(1 /0, •
xi Names
Date
iOrle) ' -L - ., g. 1. o5

17/2005 14:10 9103281824 CAPE FEAR REAL ESTAE PAGE
CAPE ISLAND ARCHITECTURAL REVIEW BOARD
5/i6i05
A &T Marine
Via Fax [phone]
RE: Marina Slip#6
Dear R &T Marine,
Your request to install a boat lift on slip #6 at the Cape Island Community Pier is
approved.
Thank you.
Sincerely,
Mark Evans

ADJACENT RIPARIAN PROPERTY OWNER NO IIFICATION/WAIVER FORM
dame of Individual Applying For Permit: )c 'J N`1
kddress of Property: L \ S
(Lot or Street#, Street or Road)
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individu
pplying for this permit has described to me as shown on the attached drawing the development the
re proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coasts
lanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
ithin 10 days of receipt of this notice. No response is considered the same as no objection i
)u have been notified by Certified MaiL
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bi
t bck a minimum distance of 15'from my area of riparian access-unless waived by me. (L
lu 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.
5 -11- o:
n Name Date

• I.
R:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
)fete items 1,2,and 3.Also complete A. Signature
4 if Restricted Delivery is desired. X ❑Agent
your name and address on the reverse AL,,,,A_ I'?'(iy ❑Addressee
at we can return the card to you. B. 9e ed by(Printed Name) C. Date li -
h this card to the back of the mailpiece, �.,
the front if space permits. V" -.► ' ' �"'viv
D. Is delivery address different from item 1? El Yes
Addressed to: If YES,enter delivery address below: 0 No .
- I1 OOLCVsidf Rd
o c / Fgo
3. Service Type
z
❑Certified Mail 0 Express Mail O w 2
❑ Registered 0 Return Receipt for Merchandise ru G
0 Insured Mail ❑C.O.D. '' I.-v _
4. Restricted Delivery?(Extra Fee) 0 Yes .a
-k]
:Number 7004 1160 0006 5200 2998 ••
cr-
fer from service label) -] (...4 illi
13811,February 2004 Domestic Return Receipt 102595-02-M-1540 r `'�\
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