27455D - Worrell

• CAMA and DREDGE AND FILL 27455—
G E N E R A L
PERMIT
as authorized by the State of North Carolina
• Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC —i f+ I 0 0
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Applicant Name S rvN W Out- cI k �lv h S Mal Nf hone Number 91 C`n `S6 €-3O
Address 1 q I•Pti C.1_F I N l--b t 1V4 — FIf A L LA-,
C i ty k} (L . WI f t..1A47,--A State i'--. G Zip 2$' 1 1
Project Location (County, State Road, Water Body, etc.) ' Prr-ri¢_ Prig,"- ,_o_ / A-t�yCc2.c.� -
./kt•) L-c, r I-h ti c L 1-1 A-t.1 t7"l r CC) •
Type of Project Activity ..1,LA-Cf SF CTI um o F C L17 U L. ..-H-Pc
PROJECT DESCRIPTION SKETCH (SCALE: I II = 30 / )
Pier(dock)Length 11
111
Groin Length 1111
number '^
RI 111111 ,
Bulkhead Length 7(0 L1= t~� ■ U
max.distance offsh�pre 1111 ■ la 1111
�.111 muammaa
n ■a
Basin,channel dimensions II al III IIIUUhIIu.UuRULI
IIIIIiIIIIIIUI..II!!!
cubic yards •
a I . .1,,
Boat ramp dimensions ..
Ili 0 1 _ 1 '7 o 110,,,,
-. ................ ...
iiii
Other 1III11IIIII1111
Mill RIK m.
I II
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NI� R> mIf
a , .„ <aEi11
M.......
4,._ ,,,,
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions.Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and may cause the permit to become null and void. CTb
This permit must be on the project site and accessible to the permit of- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- S ` --C) I ( ` ! 1 (.' I
fies by signing this permit that 1)this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has + 1 0
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. attachments
ik-
In issuing this permit the State of North Carolina certifies that this project PJ 41..r3 Cf� v '`4` l
is consistent with the North Carolina Coastal Management Program. application fee

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'APPLICANT NAIVE:
ADDITIONAL NAMES:
•
fr AEC DESIG: u1/4-3 DEVF_.LOP PROJ DESC: P -
(vim onlY Ink=6) (WM only take I.)
WORK L/1,4" ° • •
(WM only take 4)
• :1 •
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MALNT:
(WM only takp 4)
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ACTION EXPIRATION
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&FILL REQUIRED: 6 - 1- 0( it - 1 -01
CAMA MAJORDEV REQUIRED: I/

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
uvis Name of individual applying for permit ' J%� �"l'JC V
pig-, /
Address of property �� n �P1rv ✓�iwYTt �+4�_
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. '1j-mif//vL;►,� )L art
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 iYfi•
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.
Signature & Date
AiL 1i-trk_. eh. kr ctf"'A9 Print Name
( 33�) 2B 2 7s Telephone Number w/Area Code
PLEASE SIGN AND RETURN TO; F&S Marine Contractors,Inc.
P.O. Box 868
Wrightsville Beach, N.C. 28480
Phone/Fax [phone]

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F&8 Marine Contractors, Inc.
' / Complete Marine Construction Service
For Over 25 Years
RP-. Jig1� ud / It
/ 9'j/tFin �Dbv CAPT.ED FLYNN .1\\ ` b DURWOOD SYKES
Piers,Floating Docks, Pilings, Bulkheads,
/ ,/Ww3la l i NL 28 i) Repairs, House Pilings,&Boat Lifts
�/ P.O. Box 868 Phone/Fax: [phone]
Wrightsville Beach, N.C.28480 email:[e-mail]
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