22663D - Gorrell

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CAMA AND DREDGE AND FILL 1 ° 22563 " p
GENERAL
R �'
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as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC Z 1—r
�f �y� l _
I d S 1 i l one Number ( ! v
Applicant Nagle �0 U- p Fr c e "� ��
Address �� `�-� '*"� -Y�_ / Zip 2��}'US
City It �Y�� "��N% State N C.
Project Locatipn (County, 'a ter-goad,Water Body,etc.) ' R �5
r . .1, , W rt
Type of project Activity S ri. u 5rP►� L ► .a--zn r r-N. — (`srt)Tr'.•. �-;rrr4 4-c-►- -�� -iv-•
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PROJECT DESCRIPTION SKETCH (SCALE: III, _3© )
Pier(dock) length ff--
fla r,J
Groin length •
1 c%j 41
r
number
Bulkhead length
Cr)
max.distan offshore
—k
Basin,chPmensions r` ,..-
(S/ mkt , 7 r
cubic yards jr_ - " �(0
i
Boat ramp dimensions E.X(SIN Es 'Y e
PkrAl Nit.*
Other V..1Pt'W
w t
This permit is subject to compliance with this application, site , ��
drawing and attached general and specific conditions. Any �."'
violation of these terms may subject the permittee to a fine, .f applicant's signatun
imprisonment or civil action; and may cause the permit to be-
come null and void.
permit o fiver's signatur
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance. /f, _ r h'� � ' (�� B�
The applicant certifies by signing this permit that 1) this pro- `T I issuing date expiration dal
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no attachments "�
objections to the proposed work.
c i/L

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit U 6 1/
Address of property -611 &WA '12vtn
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.., ,�y/) j30/lures ,
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.
age,414 Signature & Date
--� N crri 44 c 44w ,r, Print Name
D 5DC/ - / 9 6 Z Telephone Number WI 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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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for permit (Bo- 6&L1 I
Address of property gi Be>ii Aft 5
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.., 3 7rei1 �j, {� frr
fi 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.
<-( fpl . . s -/�is/oc
'T/ Signature & Date
10 Na rat• IM 41. Print Name
9/0 - 492• '9d' 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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t SENDER:
D •Complete items 1 and/or 2 for additional services. I also wish to receive the
N ■Complete items 3,4a,and 4b. following services(for an
H •Print your name and address on the reverse of this form so that we can return this extra fee):
h car:'to you.
> ■Attach this form to the front of the mailpiece,or on the back if space does not 1. 0 Addressee's Address <
d permit.
y ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. 0 Restricted Delivery L
Y •The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. 1
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ma 3.Article Add�ssed to: 4a.Article Number a
111 ; rJ l�� 2 02:I i52 348 °
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6.Sign re: ddressee4/1-1....
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102595-97-8-0179 Domestic Return Receipt
PS Form 381 . Decemb r 994 P

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2 4 6 16
F. AND S MARINE CONTRACTORS, INC. .,
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1'., • P. a BOX 868, TEL. [phone]
WRIGHTSVILLE BEACH, NC 28480
/y g, ),44. 1 ato6 66-85/531
0272005809 .
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Centura Bank,
Wilmington,NC 28401
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