17652D - Fox

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CAMA AND DREDGE AND FILL 01(� 2_
GENERAL
-1�
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 '7 fr ' /260
....----
Applicant K-9( `/ OQ f4Lt J
Applicant Name , Phone Number �J�`
Address y)0 L,/R y�1)0 e VLido.
City fdQt414T3Uit,G 1304(ri ter State • �. Zip .�
Project Location (County, State Road, Water Body, etc.) /h0 1l) C' MA1 L / A'L i Pli9w4vL1z L01-11-1)
Type of Project Activity /�Ip l) /3d i"-L i P1 lg)4'0 f/rt/1~,Xii C i2/a bL L= A'r L ji1/i 16 / i _
A-oy-r in -Ey1cii 11 p,i9 r
PROJECT DESCRIPTION SKETCH , r� � (SCALE: (I\ : o I )
Pier(dock) length fa) ?)Orri Un-' in , 1
14 f'ILa! ( ._ I . ,
,
Groin length 1
0wA lv.r A-n79c�`""/ - , 1 , I I
''m
number
Bulkhead length #
max.distance offshore
1
Basin,channel dimensions S ��NG' pre r
•
�( �1N 1�
cubic yards )--_�_ j !
,
apJD .vim r '1 . 1-
`�- PArr L i FT w - '
Boat ramp dimensions • � .
t, t
%nner . l , ,
, , �,
u Air pr e p k Y`
1304+li l::
This permit is subject to compliance with this application, site L7'
)ti
drawing and attached general and specific conditions. Any L.
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be applicant s signature
come null and void. ? -a,,,,„,
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- ..
ject is consistent with the local land use plan and all local � ' �isng date �+ �) expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 7 ('a cyo
objections to the proposed work. attachments

. - - - GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: j +L w -L X
ADDITIONAL NAMES:
AEC DESIG: C -J , P T DEVELOP AREA: . PROJ I _ PROJ DESC: t - t�.
(Will only take 6) (Will only take 1)
WORK:
(Will only take 4)(4,L L
�O I
MAINT:
(Will onlyy take 4)
IMP: aCl .) 2_0
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: L.4 -a I -S% -D--I Sj

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72d /dig/NIcc( 13L✓o,
drtamisaied TottiJ,../L f&S NarIPO.Contractors, Int.
Box 868
Wrightsville Beach,NC 28480
(910)256-30662
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for permit /ilk Jdi-tA) kzsx
Address of property 41,2 7A-1 l� '%/t1), L- -611-
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.
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.
05.--/9 gSi nature & Date
Ge t-ç 1 . Oar- < 4 Print Name
6,9 669Kar)-5 3/7 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]

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for permit /2. 6/"N
Address of property ` ) O SOP yNtr K ic./4/041U/ �1t' �� c/i AVC
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.
I have no objections to this proposal.
If u 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.
•g nature && Dat
'>A U ✓65R 444-,c/ P r�i4arr e/ 16
q/ 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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