36874D - Doak

,CANIA/ ❑DREDGE & FILL A7
;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 I 5A NCAC / 1 °1
q foulf�attached.
Name TOk 4- C0� DOS c !) Toe -- I �Project Location: County l�
55 �� 1'oM'�^ 4., /(� n//G� Street Address/State Road/ Lot #(s)
State_. (C) 45 Z 5• LuAA. s A a `-(
( Oro` .5-? 6 Fax# ( ) Subdivision B )/
:d Agent C, �(1,,,_ City W i/f(� l l(r, /ek ZIP 2
❑CW r TA ES PTS Phone# ( UU )— River Basin 4
❑OEA /❑HHF/❑IH �.UBA N/A Adj.Wtr. Body MVO c '`4 C" na
❑PWS: ❑FC: !-o
(es no PNA yes 'no Crit. Hal,. yes / no Closest Maj.Wtr. Body �rP �f (llt. yl
Project/Activity (WV'S 4 . e) . (occt 1 P
(Scale: /f/
k)length
s)
:r(s)
gth I
fiber
/Riprap length
distance offshore
:distance offshore
innel
is yards
14 44I1 I9O1I' (7 A .1-(P 4- liti- —2.'
p oatlift 'Z/x/�/ 14 S i°L z Do4 14 of'Vi)d 3 _SDei
Ildozing it/erlifi-1 te-t7 a11.' (/ / 1 " / / 7j
i
Length f b
Or
not sure yes no
. not sure yes no
im: n/a yes no
yes L no,)
ttached: yes
g permit may be required by: A,N(Jt I See note on back regarding River Basin ru

GENERAL PERMIT COMPUTER FORM
PLICANT NAME: VIM/4 C aIJP?5 C/o 1,-DE
DITIONAL NAMES: Fe (� -
DESIG: E W j Pi- DEVELOP AREA: © O. O ( `PROJ DESC:P -
only take 6) — (Will,only take 1)
IRK: 12 i I `/
only take 4)
TNT:
only take 4)
only take 6)
ACTION EXPIRATION
:DGE&FILL REQUIRED: 3-((a 'O` Co --(6 -Oi
v4A MAJOR DEVEL REQUIRED:

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
hit I
Name of individual applying for permit //7A- . J 0�cf�'I PI 1(1 C
Address of property5 5), Lvry iA *L. ) 1410 1/401-VA ,AJ(
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) ,/ •
I have no objections to this proposal. Slip.
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.
V. �.�. 3 1 ISignature & Date
q- 1,{ - w2«).C{1 Print Name

LI 4 161.JO 71U f 717700 L1.1 .LL IX UL.FN1 LPWI-Gf. ,
+t+fAR-t39-04 TUE 10 :02 Am FaS MARINE CONTRACTORS 91a :,b3c3E•2 F.
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTiFICATION &WAIVER FORM
Name of individual applying for permit" :i o t !de moic .��►h(�^h
Address of property55). ,. �_���,�: > ;���, .}I)m110V-ig e?rd; ,L,,
I hereby certify that I own property zidjacent to the above referenced property. The
individual applying for this permit hat descritied 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 rf you have no objections. 111 f 7.fa4i 2.r
I have no objections to this proposal. si .
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 ob etsLion if ►ou have been ti ed b� Ceti ed Mall,
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 lb ctetpack requirement.
_! DO NOT wish to waive the 15` setback aeguirement.
u � �/�-off Signature) Date
/ 49
/�r� a c/er S >R S•a.c' C,:02 (7e''s�i✓cli=+l'$`-` `
'��``--^^^��� nn4 Nate
' 2 272G - - __Telephone NurnberW1 Area Code

F&S Marine Contractors, Inc.
Complete Marine Construction Servic
For Over 27 Years
CAPT. ED FLYNN - ►'��!- DURWOOI
Fog ki hs
Piers, Floating Docks, Pilings, Bulkheal
✓ Gudos Boat Lifts, House Pilings, Repairs
towediii43 P.O. Box 868 Phone/Fax: (910)
friVIW ,# 144 Wrightsville Beach,N.C.28480 email:eflyC
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