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'---- ,1 CAMA AND DREDGE AND FILL
„(......___15._
GENERAL N? 22454 .b
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7 14 .1 1(9t)
— l ?J —
Applicant Name W-E.as • T Sv..._ 6—lit F k S V 'fMPtri►Q (_+ Phone Number(9 10)2S(cy . �z
Address 1 S
City Lid rl� f s. V o c1 State 1' i C Zip 2 $9--SO
Project Location (County, tate Road, Water Body,etc.) Ceu- ' PAt
�.h d t.11J-t U1.1 r t�L�5ve tJt
Type of Project Activity
Zcsfljero.OVe-eArt 6ti_t k-k f AA
PROJECT DESCRIPTION SKETCH �� 1! , / � ` � ( (SCALE: 1 11 - a i )
Pier(dock) length
Groin length I p
i o
2
number . 'RAC C (Su LK-4 ,44
Bulkhead length SOl—T Ne� buueHr •'� O t'FS-r
max.distance offshore �1�� -- _;
Basin,channel dimensions
1
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any C 4,(L�
violation of these terms may subject the permittee to a fine, r✓"� l
C`_._ / applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- " ' t (.Q --con ' ( ' '7 a
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 714 .1100attachments
objections to the proposed work. iJ,,
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Z). -Tr--$7 —
Name of individual applying for permit /!
Address of property -- ---
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 objection1� r4l/4G' .4(
_ I have no objections to this proposal. �'�
/�.�fU 64'mA
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.
M
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
_ �dO C re),A Print Name
33 L - S - o i / 9 Telephone Number wl Area Code
PLEASE SIGN AND RETURN TO; F&S Marine Contractors,lnc.
P,O. Box 868
Wrightsville Beach, N.C. 28480
Phone/Fax (910) 256-3062
02-'ti8;00 14:27 FAX RMIC ZI002
•FCD-A7-00 MON 09 !58 AM FB,S MARINE cCINTRACTORS 9102563062 P. O:
t
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
� idols �/ leName of individual applying for ermit
_
Address of property,- � L'11' Al "/4d 001 NC.
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 ob' ctions. 1//u/ A.<
I have no objections to this proposal ViLoo.st citim3i//
C?)(0
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.
.1/.0--�E. oils/ v o Signature & Date
:r y A- "b(t _ Print Name
--Y_ e - 9 -A 1?7 _---Telepho e Number w/Area
Code
PosWr FAX Note 7871 DW. itko ► x
T.-?_ntim0 - --7, „, tyk�C hn ; F&S Marine Contractors,Jnc.
armar pi _„, P.O_ Box 8$$
A, CA
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24399
F AND S MARINE CONTRACTORS, INC.
P. O. BOX 868, TEL 256-3062
WRIGHTSVILLE BEACH, NC 28480
DATE is4 kfll 21->t)J 66-85/531
0272005809
PAY AifliNf ,
TO THE 1 1
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. 6 F-r) 5 ) y-- ...
DOLLARS
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§...--- Centura Bank,.
Wilmington,NC 2E401 P7.....)::1 1
FOR PLYNir c,'t(i2taritt6g,
0000 2 1-1 3 9 90 1:0 S 3 L00E1501:0 2 7 200 Si30911 paR11-64
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