23833D - Henry

CAMA and DREDGE AND FILL
GENERAL41
` , 23833 'ID--
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 ---,2E+ 11C9t ,,, e.,. .
PP CA L kN r / �� h- 5 ,r (1.-e hone Nu t I «$ 2S�` r�6�
Applicant Name
Address 4-0 .l51 A t..31. I
City WC t•Jr-- v L 6 aC V State t \�- Zip C
Project oc'atillon,,(Count , tate Road, Water Body, etc.) ar a
&--t (Y\ Cern
r\ l"cK\u-e � j
Type of Project Activity LP‘( L 4+ . Q 4- p r1 uA 2 . -?t ::.c
PROJECT DESCRIPTION SKETCH (SCALE:1 t t = S a 1 )
Pier(dock�Length � �. �. aimm ,t �„ i � ,� ��. � so
4 JS�✓�, )e (�
11111
111
Groin Length
, II "
number } .
i.- i
Bulkhead Length t t *, I1.."-
. , _ n..(i ,r
max.distant offshore �`
111111r,1
111
., _ 1iirii; m. .- r
Basin,channel dimensions n�... •� j
cubic yards Fra 18- I� ( ( ( ! ..
..r
Boat ramp dimensionsI 11111�,
.
Other t
1 ..
= T zS',c (P' 1l
1- , rMiEIiN w_ r_ie 1p-1---
_3-5
1.11
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(OP1.1 hi..." -. °• , fi 11
i
This permit is subject to compliance with this application, site drawing ,111Fe./'
.._C 0-AA '
and attached general and specific conditions.Any violation of these terms rr} applicants signature
may subject the permittee to a fine, imprisonment or civil action; and ( L-
may cause the permit to become null and void. 4.1 -
This permit must be on the project site and accessible to the permit of- permit officer s signature
-, q
ficer when the project is inspected for compliance. The applicant certi- �— r ® © " 0 CD
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 (�,
been obtained from adjacent riparian landowners certifying that they C 1 i 00 I 1 2"0c7
have no objections to the proposed work. �1�} , attachments
in c:c ..;r.rt c.i.k: ....m:f+ C�h-. .t... �. ..€A I....9t.l-......i:.. �-. .... :c:.... L . t...a :.. ` / • - --)i i_`/7+f

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a6, Awe p o 2),��, F&S Marine Contractors, Mc.
�/,R P.O.Box 868
6 aaf si , Wrightsville Beach,NC 28480
�IZ1611'(3Y�lk 'm z� ,�t as MO)256-3062
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for permit /I)2, (4i21
Address of property fi.02, 4/'N C 61- Awil,sii11 /)
J
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. 0pe-1_
I have no objections to this proposal. ' '"l
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.
7ce Signature & Date
LvC—/LE . Print Name
(Ci(6) 2S6_ B3 y Telephone Number w/ Area Code
P
PLEASE SIGN AND RETURN TO; F&S Marine Contractors,Inc.
P.O. Box 868
r..._ ;)y`5 ; ' �. `� Wrightsville Beach, N.C. 28480
11:4 ',_ ,... Phone/Fax [phone]

.
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for permit., egY4 As1111
Address of property 1 S� Dt' /2?F, &-'s" 'r. >UG
f
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. iihlk L2bi-iL
J 2, i!s pr ll r�
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.
Signature & Date
9
Print Name
(,07:a ; Telephone Number w/Area Code
PLEASE SIGN AND RETURN TO; F&S Marine Contractors,lnc.
P.O. Box 868
Wrightsville Beach, N.C. 28480
Phone/Fax [phone]

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l' I1 24499
II F AND S MARINE CONTRACTORS, INC.
P. O. BOX 868, TEL. [phone] �I
WRIGHfSVILLE BEACH, NC 28480 ,Q�,,� �� �/�,yy'' 66-85/531 i
m A►"`�� CCU 0272005809
DATE / i.i
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Wilmington.NC 28401 •
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