22685D - Pottle (2)

CAMA AND DREDGE AND FILL
" • GENERAL N9• 22685- 1D
PERMIT
as authorized by the State of North Carolina
/�� Department of Environment, Health,and Natural Resources and t e C astal Resources Commission
in an area of environmental concern pursuant to 15A NCAC '7 j j 0 0
cr
Applicant Name 1 0 � r e CYo F- /S In'�!rf' ) Z
rrI M-P Phone Number(9) -s4 - 30Coca
Address te elT sj,4c
City L. b 11✓+ I A,,.. State N C. • 2.S y' °
Project Location Courtete Road, Water Body,e .) S P''i L A —e / '�re -Al(A) `^+
�`edax t& Ekrritr C� (ka.Nc�Q , ►.).--4� 1-4q-�,�A� Cin .
Type of Project Activity y(
tl
O ka-lkievAl
PROJECT DESCRIPTION SKE CH (SCALE: I n = Q, Q )
Pier(dock) length 1
/ ..~
/
Groin length
number \ i'
BulkheadI\Ck
length r t.,0-,�,', `A, _
310 LF \,, P �v -1wAet
max.distan eoffshore \ - +NII
Basin,channel dimensions acl -31e•m
Nc I- u s
•
cubic yatds !1 _ / l
•
Boat ramp dimensions i
4:
Other • i \ /4 u
to
1r t I S t 4 �� V b--c�,cr Eh. h^onv„„r_u
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any (466)v7
violation of these terms may subject the permittge to a fine, r
imprisonment or civil action; and may cause the permit to be-
come null and void. E ---T20--) 0-17_ applicant's signature
�n--2._
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- — ))--9C ) 0 r t a-- -99
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 `"') , 1 Q
objections to the proposed work. attachments
A I

APPLICANT NAME: 1T6.)r\e‘
ADDITIONAL NAMES:
AEC DESIG DEVELOP AREA _.L PROJ DESC:F - I I
(WM only sake 6) —
(Will only take 1)
WORK: -1 l+ 3 l a(Will only only take 4) . 16.0.0.01
MAIN:
(Will only az 4)
•
IMP: S I, 3 16
(will only isle 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
C_&MA MAJOR DEVEL REQUIRED: 7 I 10 - (�S I

t • •
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
/ DN /2)
ame of individual applying for permit rc )a 9On b-
e
Address of property (650 /�5- II))AI6ti°'''J N�
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.
n Please initial below if you have no objections.)3og// 8hlknz..5fr+o ,-r
Rziwrotri At Aita giLd»T PO'2 App , as r'
I have no objections to this proposal.
If you ave 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.
�yGu71 Signature & Date
rint Name
— � 3 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]

c'' SENDER:
D •Cornplete items 1 and/or 2 for additional services. I also wish to receive the
w •Complete items 3,4a,and 4b. following services(for an
N ■Print your name and address on the reverse of this form so that we can return this extra fee):
Lard to you. a
j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ElAddressee's Address c
d permit. a
w •Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery U
■The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. ..
o a
3.Article Addrt�sed to:
�(] 4a.Article N mber a-0a) R� IJy2ni� Z 0:,-t y 7.�.a 33.2- aE
E IA�, 4b.Service Type a
a 0 Registered Certified a
w �1-V
� Mt- k111,d ❑ Express Mail ❑ Insured c•
CC l �,�� El Return Receipt for Merchandise 0 COD
o )ba c 7. Date of Delive
z ( , -Ci 9 (- C-)
m 5. Receive. By: P i- •= • 8.Addressee's Address(Only if requested I
w and lee is paid) r
o
T b.N
PC l rrm_ "11_ Mariam -r 1QQ• 102595-97-B-0179 Domestic Return Receipt

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21-
I I CONTRACTORS, INC.
FANDSMARINEC / / ,,�'+ 66-85/531
P. O. BOX 868, TEL. [phone] (, � p272005809
WRIGHTSVILLE BEACH, NC 28480 �✓_��
0
DATE-
PAY r
TO THE C� ' ^`
ORDER OF d ✓ 1.
DOLLARS 8."""
y It
Century B
. C
Wtlm1n 0fl NC 28401
FOR 599u' A 1:053 L008501:0 2 7 200 5130lin' IIP- • -'I