18159D - Running

" 1 _ CAMA AND DREDGE AND FILL
/ GENERAL
918159 - D
KJ'
PERM I T
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 f.+ I _..©0
Applicant Name le� rç4 t �i/ck) l (� Pi Mom( tJ`e Phone Number 9 O ZS1.'36Gest
Address `']' ✓�L.1 CA I� �
City U VJt .,4 su't.XQB CX
a . State N C— Zip zg 450
Project Location County, State Road,Water Body,etc.)
o .Q / 14DJ R C.a L _ _t S
�...C ( N3 P¢ .f {r Co .
Type of Project Activity,
1)lr'i v--d±E. i l t- r t
•
PROJ ECT DESCRIPTION SKETCH (SCALE:I l l _ 4 v )
Pier(dock) length
Groin length
number
S.Bulkhead length
max.distance offshore
Z!
•
Basin,channel dimensions , 5IVI rill.
cubic yards I
i
Boat ramp dimensions 20 iS
Other—_ . 45 l I----->
FIo2r}s ' 3 x a ,
`'x i
&AIR Iti-/v ti l/ 74- t el tc.a,.. bp..
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any 69 4-; Y—
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-
come null and void.
....- 4/1 (Mr—L....-
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. S, /L _ 9 S
_q _ 1 S
The applicant certifies by signing this permit that 1) this pro-
ject `T
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 '7 1-4 , I 2r3-0
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
•
APPLICANT NAME: Qiv f r 1 .L1:•
ADDITIONAL NAMES: c(3 k- 4 S n Prr
AEC DESIG: WIN' DEVELOP AREA:_ .L_ PROJ DESC: a - IZ
(Will only take 6) (Will only take 1)
WORK: T )-G Ps 3 , 6
(Will only take 4)
1 i y t Z � 5 Z� �„ 3 C
MAINT:
(Will only take 4) 52)
IMP: 6 w
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: S - 9 Fj q I 5)

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1yfidlcri" 'a' f&8 marine Contractors, MC:
P.O.BOX 868
dal In ci,1le �� �iVG Wrightsville Beach,NC 28480
(910)256- 06
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for permit 2 ��n av1 12L1Y)b
Address of property 9 ( P6•hc at 6Ai6 trr3 U, 132Yitht NJ1-
J
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.
A'kr. I DO NOT wish to waive the 15' setback requirement.
811.
SCWA.Z.r\. Signature & Date
AKM-Ohl F, Tlc14I t,C.wiocCE2 Print Name
4 ,0 ( 2- `a w 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 12630 1 Rjy11)hh1 P/G
Address of property 9 / k 11041\ Oa J124 . 4 i'"-`A "L L
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.
r 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.
64{ I DO NOT wish to waive the 15' setback requirement.
i,,-. .---4:-:0 •1 1,00 4- 2o- `'(e Signature & Date
FkaL ,L(,,,J Print Name
(ci ) 36b-23 f? Telephone Number w/Area Code
PLEASE SIGN AND RETURN TO; F&S Marine Contractors,Inc.
P.O. Box 868
Wrightsville Beach, N.C. 261 ;0
Phone/Fax [phone]

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0 4F AND S MARINECONTRQCTORS, INC ~" "• 4 ;s�,, 'M sA.... , . O. BOX6 , TEL256-308 � v . 4yliws ~ 4 ° ',.. ,, ." ^"1' ,, . WVRI 8 BEACH, NC 28480 w .r^n.'b,o;`°#".+''
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R NC 28401 ,.."�"' "sue"`"dm"'" 4,.ra`.i"`
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