42098D - Elmore

.CAegEMA / DREDGE & FILL /fp
N9 4299
NERAL PERMIT
�� Previous permit#
_New Modification Complete Reissue __Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources ? `' ' ZDa
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7 f"!
❑Rules a ed.
Applicant Name jDin ///MQ/l Project Location: County /� Owl'
/Address j Ore f{ ,3e. Street Address/State Road/Lot#(s)
City / PI /fg l 1 State /te ZIP 1git8t /eS /;'lee ‘,0,/..
Phone #( # ) G2%,306 2 Fax#( )jam' Subdivision �� �! /
Authorized Agent ���1%7 City �l/X7k0:,/� f 4'i ZIP 2gitg
Affected ❑CW VA- ES PTS Phone# ( ) :5 r River Basin Clia° 'i
AEC s : ❑OEA ❑HHF ❑IH UBA N/A Adj.Wtr. Body /A��� ' /
O ❑ PWS: FC: �'" 4e J, (gnat OW/unkn)
ORW: yes / pr PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body �f/�`� /�
Type of Project/Activity i1 / �e.' 1y/ /rf
J '2 . (Scale: ///z.--Zd )
Pier(dock)length
Platform(s)
lLZe///?2,0 .��Finger pier(s)Groin length
number ---
Bulkhead/Riprap length F ' jP�
avg distance offshore
max distance offshore /1 /Y
Basin,channel w� - - ._ i
cubic yards
Boat ramp
Boathouse/ oatl �0) L�)l/3 i/tS /j, /' //Beach Bulldozing LL��`
Other
/%01/V..
,Shoreline Length
SAV: not sure yes ® ,j /yf
® ✓ / lie//lh
Sandbags: not sure yes /� �xvS Jam„
Moratorium: n/a yes ff6 ,/'/
Photos: yes / /
Waiver Attached: ye no /Q,r /fir/ 2V,
A building permit may be required by: h/'lei /. I See note on back regarding Riv Basin rules.
Notes/Special Con ' ion' Cf/�.s Y . 2a/D� ,i//,)/ 4--4f 7 5
�y�,'' lei' "' /Pl/ //j��s� ? .
f.,./a/f",11 n __,,,,//i,ii;
Agent ore Appli rin d Name Permit Officer's Sig ature
Aftsurr"
Sionatue I Pleac ad rmm�l'ammo etatomn karir of normit # Issuine Uate Expiration Date

FAS Marine Contractors, Inc.
N Complete Marine Construction Service
•
For Over 27 Years
•
CAPT. ED FLYNN -,&117t4
, - DURWOOD SYKEE
f JfLi 01t E/Mb Piers, Floating Docks, Pilings, Bulkheads,
tD`�jt ,f� n�. Boat Lifts, House Pilings, Repairs
d u �j P.O. Box 868 Phone/Fax: [phone]e
/,/,t,/ t Wrightsville Beach,N.C.28480 email:[e-mail]
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
= �W' AM1t i �c�r/04T^
Name of individual applying for permit _ � � � d:
C � thAddress of propertyl D S LJ MIA41 Vy4 S NG1
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 objections ) �arrd,C��'frj'
I have no objections to this proposal. ,Qo.. ,L1oi j,� ,
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 beset back a minimum of 15' from my area of ri ess
unless waived by me.(If you wish to waive the setback, you m st initial t
appropriate blank below.) \---_--.
�'DO wish to waive the 15' setback requirement.
I DO NOT wish to waive the 15' setback requirement.
/7 ./:
Q G "iVki'liggri-ature & Date 7 2 3- o S
.1 o, / 116.1.7x14 f ix Print Name
n
9/�— S�- C 3 Telephone Number wi Area Code
PLEASE SIGN AND RETURN TO; F&S Marine Contractors,Inc,
P.O. Box 868
Wrightsville Beach, N.C. 28480
Phone/Fax [phone]

1
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
i ni, r
Name of individual applying for p/1ermit
Address of property f D(Cj/(.uk 6/1- Pkdgrf/y BC777-41 /1-)L1
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 abjecions. ): ty
have no objections to this proposal. r✓v Vo �
If you have.objections to what is being proposed, pleasewrite the Drvision 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 beset 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.)
V 1 DO wish to waive the 15' setback requirement.
I DO NOT wish to waive the 15' setback requirement.
I Signature & Date 7- Z3 - of
(G,.t.e7. - /-PJ' 24-10.''" L Print Name
9/9,.- 6,13 (c r 4'1 ,,4 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]

JLVJO
F AND S MARINE CONTRACTORS, INC.
P.O. BOX 868, TEL. [phone]
I WRIGHTSVILLE BEACH, NC 28480 /cn
ii D( 66-85/531
DATE !I
PAY
TO THE
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ORDER / " C D I $: �QD
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