18196D - Senter

CAMA AND DREDGE AND FILL
GENERAL NY 018196 I)
PERMIT
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 r1'iI 160
Applicant Name I l i CiP I- S i 1c � % F J1 S mar 6 Phone Number t i O . .,S(2-306a.
Address D-2. SiW QV N T *-16 , S 1-St 44-.11
City V`1 %L m I Nt-y State N C. Zip -2-9)+OS
Project Location (County,Alde Road, Water Body, etc.) ' mE it=•It.: L. al _a
AN
Type of Project Activity
*14 (10 Bu I I4.1- Ji
PROJECT DESCRIPTION SKETCH / (SCALE: 11 ' _ 4-0 ( )
Pier(dock) length _-/ '1-71•A DV')
Groin length _ •
Nk
-.DBL. 4x4 pascs , (,
number v
Bulkhead length (pS
max.distant offshore
9
Basin,channel dimensions
cubic yards w - ,"..
•
Boat ramp dimensions M r ,
Other
4, ,
2z sdk.Dy poi -T /
a
This permit is subject to compliance with this application, site L''�" ��r�
drawing and attached general and specific conditions. Any f-7 rS L
violation of these terms may subject the permittee to a fine, applicant's signature
imprisonment or civil action; and may cause the permit to be- 2 !
come null and void. Y
permit officer's signature
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance. p,
The applicant certifies by signing this permit that 1) this pro- -2._ - I S - 1 ! S - CS -- )C -1
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 '---? .—t 1 ( 3 CD
objections to the proposed work. attachments
at

kitAINE.KAL I'I K v11'1' COMPUTER FORM
APPLICANT NAME: 111 S E'ti T-
ADDITIONAL NAMES:
AEC DESIG: C S DEVELOP AREA: PROJ DESC: P - i I
(Will only take 6) ————
(Will only take 1)
•
WORK: P� E I
(Will only take 4)
MAINT:
(. (‘‘47
(Will only take 4)
IMP: ti1 2
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: 2- I •S' `� `� S-/ S-�(

;; SENCER:
73 ■Complete items 1 and/or 2 for additional services. I also wish to receive the
to ■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):
card to you. a
j •Attach this form to the front of the mailpiece,or on the back if space does not 1. El Addressee's Address •t
d permit. a
w ■Write'Retum Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery V
F ■The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee.
0
e 3.Article Addressed to: 4a.Article Number a
m
°' �}ls, Z v 75 J% 3i '!
E /C AlotsN 4b.Service Type a,
�� �)9 0 Registered LzI Certified x
L �' S.
" 0 Express Mail 0 Insured .c
j 6A7 ��25d� //%ip30 y ❑ Return Receipt for Merchandise ❑ COD
/� — 3 1 7.Date of Delivery
et
�,.A- l /?v/9 it
z
m 5.Received By: (Print Name) 8.Addressee's Address(Only if requested 11
Lu // �1 and fee is paid) .r
2 [/7GL!r' L .1,.. / t—
g 6.Signature:�(Addressteee or Agent)
No
• " `„'j 7/
PS Form 3811_ DAcemhpr 1994 102595-97-B-0179 Domestic Return Receipt

MON 02 :00 PM F&$ MriRth1E CONTR'aCTOPS 91025r.:O62 P.01
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVFR FORM
Name of individual applyirtcD for permit A L /?lii + c ✓01/1.11.
Address of property t* vac S�I��. �a►�� 4vpC 1F� f,�..,�n�► ��
I hereby certify that t own propel ty adjacent to the above referenced property. The
individual applying for this permit has described to rrie aG shown on the attached
di awing the development they are proposing. A description or drawing, with
dimensions should be provided with this letter of notifi "'
Please initial below if you have no objections /'
iy��04 pka:>7U �r
J I have no objections to this proposal. ei'nr)
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
seine as no objection if you have been notified by Certified Mail,
WAIVER SECTION NA
I understand that a p dock, mooring pilings, breakwatat housc,lift or
sandbags must be set bac reinimum of lb' from p :rea 01 riparian access
unless waived by me.(If you wista- • -ive th- : - ack, you must initial the
appropriate blank below.)
I DO wish to . -'•e the 15' setback requir t.
I *. 'OT wish to waive the 15' setback requirement.
.07
•
.J7Z ..41a'i.<.� � - /py Signature & Date
_cc24- cf t rl . r t- o t.r _Print Name
�_1 Q- 6 16- -_,.ZjY j _Telephone Number w/Area Code
- - ...PI-EAUSIGN AND RETURN TO; F&S Marine Contractors,lnc.
Posl-It' Ea"Note 7671
ir�NA a, " Ln.ar1% c y_ .. P.O. Box 868
Wrightsville I?each, NC, 8480I 61n1�� fd zyu� Phone/Tax 256 306�(ozwe C J_ro iL c,—M-?;5 111/04idd _
M ray• ;1 8J `�3�1 �a A la" ZS6�._,_

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tFZ j)rraKA Pe,ivT
f&S Marine Contractors,Inc.
jl h,d m x�, P.O.J Wrightsville Beach,NC 28480
[phone]
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23057
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F AND S MARINE CONTRACTORS, INC.
III P. O. BOX 868, TEL. [phone]
WRIGHTSVILLE BEACH, NC 28480 DATE/���� /��( 66-85/531
0 0272005809
OTOTHE • IV`—'/?A/ f I $ 2 `J GG
ORDER OF_ f
of (1Hvavy( PI r 4 °UI. �L/ ---- --- -DOLLARS 8 r..—: i
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�= 111
Centura Bank.A 21,.E mom,._ 1
Wilmington,NC 28401 I
FOR feL/Wri fa irt:3 A6/.6 J M,1£*/1tTd f1,i/atiia, ---- 1M-_-
"•OOO 2 30 5 711' 1:0 5 3 L008 501:0 2 7 200 580 9u■ ,
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