36948D - Atlantic

CAMA/ DREDGE & FILL
3EN ERAL PERMIT Previous permit#
New ]Modification Complete Reissue __'Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources 3
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Al- Rules attached.
A t Name C T\C N\4)N€ f O C) f t-Ttt N Project Location: County 0 '
( U( EEL ST Street Address/State Road/Lot#(s)
0(0ikic>01 LUC P;: t4 Statew ZIP- x4 go I 0 kE£L St .
( ck O SF Fax#( ) Subdivision
ed Agent City W (-h i(1.1 t k'�("4- ZIP�g t{ 'C
CW ❑EW ❑PTA /SdiS E PTS Phone# ( ) -------- River Basin CT F-
OEA ❑HHF I IH ❑UBA ❑N/A
Pws: ❑FC: Adj.Wtr. Body }M 01T N 7c1\jN (nat
yes no PNA yes /� Crit. Hab. yes / no Closest Maj.Wtr. Body Er; N V( l l E {
Project/Activity 'LPs - OJT f f c: S c C-%ic"_) t}f I2,t)t K :fcy.'
(Scale: I it R
:k)length
i(s)
ier(s)
ngch
nber
Riprap length (,�
distance offshore.-4}—
x distance offshore
cannel
)ic yards
Pz ,
se/Boatlift Z__ krcif re4F ZD.1 f` •�.
_..._ r
�Ildozing j'
— t--"±C--:
T5(51;14-6"\ e'12)
.Length
not sure yes ( �l ! /,.:(L. M I(v
no
not sure yes (fit jEE- ;__C' .
cum: n/a yes
yes no
ttached: yes no ( e i
1g permit may be required by: \ ,�b ,( �.�� f ( ( See note on back regarding River Basin n

GENERAL PERMIT COMPUTER FORM
PPLICANT NAME: AMC, AkiC./NC
)DITIONAL NAMES: Eb F. 11/tf/J
3C DESIG: E s DEVELOP AREA:__O.© 9 PROJ DESC: - I 1
DJ only take 6)
_ (Rill only rake 1)
ARK: g F4-- Z1O
ill only mkt 4)
UNIT: •
11 only lake 4)
P: � , 217o
I only take 6)
� i.
ACTION EXPIRATION
EDGE&FILL REQUIRED: I - -(4 /- / -Q 4
MA MAJOR DEVEL REQUIRED: / t

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit 444'1 L- 14 4
Address of property%t)1 -i 5 J� GJ446' 1/41 PC
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. .iwmo
Please initial below if you have no objections.
d kit o a!bL
G I have no objections to this proposal.
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,Iift 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.)
I DO wish to waive the 15' setback requirement.
I DO NOT wish to waive the 15' setback requirement.
6..),Z=1/Cf c \ Ill \I\0 3 Signature & Date
,_3:-.)✓ v✓ G ;\Q S ,, 7 Print Name

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit 1tn 1 C, /1 i (
ir
Address of property /�1 1.-& i s¢ Wn`�i►I'i�' U r
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 notificati n.
Please initial below if you have no objections. y)iiAsh
)/- I have no objections to this proposal. 13
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.)
I DO wish to waive the 15' setback requirement.
I DO NOT wish to waive the 15' setback requirement.
� � Lb_ Signature & Date
&ixedi /3 . //o va Print Name

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h.a _ y,.,.w.Ts,,",±:,.,., tiro _ ,..a _-.ui.,,..raum •---- ICmieimm -r .' ,rn _� - -
j 29741
F AND S MARINE CONTRACTORS, INC.
P.O. BOX 868, TEL. [phone]
WRIGHTSVILLE BEACH, NC 28480
J�' b 66-85/531
PAYTO THE i DATE
V "1751)
ORDER OF /1t1 '
17
DOLLARS BJ �,.
IRBC • `
Century
RBC Centurn Bank
il' R C 'avllle Beach,NC 28480 {/�9 {�/v�
FOR Arc
/f�''/�,t' 1, .+�'�-/ 3.6/�l/ i.;/, r__________
11■000 2974 ill' ; '1.1053100B501:0272005B090
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