35079D - Dworsky

a' IV
CAMA/ I DREDGE & FILL 3
PENERAL PERMIT Previous permit# `~--
New -Modification Complete Reissue Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources � ' 2-(DO
Resources Commission in an area of environmental concern pursuant to I 5A NCAC
Name LL i)I S �W oe.K Project Location: County
N� es attached.
'( J
IuQ,`(�& 1 N , C - !EL C- Street Address/State Road/Lot#(s)
�( Ittt (c.CC". State NC ZIP 7 (1,k) ki b N i C j 1J�k,. D
( MO -Ct440 Fax#( ) Subdivision� / ' ' e
:d Agent �J41
c� , t ly1 ,--.. City V yF t(941 VI � 6� ZIP 7�`i 6
❑CW W TA U ❑ES ❑PTS Phone# ( ) River Basin ,�'/C
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body t,^'CfV a C Cf f IV N L—(nat /0
❑PWS: ❑FC:
des no PNA yes Crit. Hab. yes / no Closest Maj.Wtr. Body V I p7U61; 4OJ
Project/Activity CttlI S 1 tJCk f(' oa—t 4 do CAC-
(Scale: W 13
k)length
s)
igth . — ( p - j
fiber ( ; ` /�J 1_
I/Riprap length
distance offshore --___-- ._ -__.._
c distance offshore J .T WO< (jf 'I( I.LI
annel / ppp ��� 'Cr-------
I
lic yards
4 �4 K`6 C
ip
se/Boatlift
illdozing
=1,0 !�Nil(6° f IA-Troll-r
:Lengf ?—t) !' ee‘P ST 1 CY b
not sure yes f )
not sure yes no
um: n/a yes r/ff$D
dio no - �1�1 _ t 1 ` ' _
ttached: yes no {�, ,,fy/ / / �,��j ( I
fig permit may be required by: N V V * l -f V vY-( //I.t i1See note on back regarding River Basin rt

GENERAL PERMIT COMPUTER FORM
CA TNAME: L-o w's o, 5 JL
[TONAL NAMES: "'Ed
T
►ESIG: P r DEVELOP ARE A.:d O PROJ DESC: 77 - 12-
take 6) (R(Will only take l)
tam 4)
FS c 1,6
1:
•take 4)
take 6)
ACTION EXPIRATION
E&FILL REQUIRED: 2 " (6 "O C/ S" (6 `0
MAJOR DEVEL REQUIRED: Z-l G y /� -O�

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit./ OwL'%%K
Address of property �� I( �11 1dy.� /J%; �i�tc` i°ai�� ,&/(
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 gon.
Please initial below if you have no objections. ;tt')1
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,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.
Gw cg/y. ,� 2,- / - 04 Signature & Date
,-7.Av ( 9 '-\ . c'.-1 'xi Print Name

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit ZCLil J. ub)"45/7
Address of property KO l 14., e rt ��l t'j Wt4d t.'iI 13� � .
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 notifica'on.
Please initial below if you have no objectionsi
,1, oaeuL a
12 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,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.
14-A-A 10
Signature & Date
IVCA Ccc\/( c'I Print Name

F&S Marine Contractors, Inc.
Complete Marine Construction Servi(
For Over 27 Years
41
CAPT. ED FLYNN �� DURWOC
)0bwiti Piers, Floating Docks, Pilings, Bulkhee
//��
Boat Lifts, House Pilings, Repairs
a r►nGf I at.
P.O. Box 868 Phone/Fax: (910)
S VG A ebili)Iv G„ Wrightsville Beach, N.C.28480 email:efly
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