18195D - Johnston

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cCAMA AND DREDGE AND FILL
" ;.GENERAL
Y IERMIT
N 018195 -D
0 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 N . 1 2-00 t , 1 t 0 c) .
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Applicant Name ��[1ak(. �lOkms-rpN C,0 Phone Number c'fI0 254,-3o 6a-
Address . a lib t2• C-14.8 TStomil>
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City w I�..mi. +24A, State 1-S C Zip LS LI o s
Project Location (County, State Road, Water Body, etc.) S Privy 4 -rA d\-/.---Q- J PrZ)3A-c LP, it 0ov.a Q4--Q
B A$(1-S a el—:0 1'4 j �r..W E-1-'°tlVh r CO •
Type of Project'Activity' ' PP: .E12. a-r-11 B L-1-61-t4- a C
PROJ ECT DESCRIPTION SKETCH Lokj (SCALE: ` r- 2 0 )
Pier(dock) I gth &'--
36' x 6 '
Groin length JS/ ..�
`.I
� x 14/ BoeiT(�Er
number tC
Bulkhead length/
max.distance offshore 1 J' 4xl .
2/Ar
Basin,channel dimensions
cubic yards
Y /
Boat ramp dimensions _
I g 1
(S/
Other _ __
loa l i --r 14 X ►mi l
0 •
if .AD 1 -'X 12'
_ a. ., La 'o as) '4—
This permit is subject to compliance with this application, site V)7174,tiAS ,-/t/T
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, i applicant's signature
imprisonment or civil action; and may cause the permit to be- '
come null and void. /
6".----' Yam..-
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. 4. _3(3 —
The applicant certifies by signing this permit that 1) this pro-
ject —1 ` 3 D � c
_I ]
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 ii ( ( 0cD I �00
objections to the proposed work. attachments
J- -, it n., I

liI1N LKAL FE MIT COMPUTER FORM
APPLICANT NAME: Jo h N 1.0 h�
ADDITIONAL NAMES:
AEC DESIG:
(WM only take 6) , DEVELOP AREA: _ I _ PROJ DESC:P - ( Z
(Will only take 1)
ARK: H I O 4 , ( ).--
(Will only take 4)
MAINT:
(Will only take 4)
•
IMP: S t50
(will only take 6)
OW 5
ACTION EXPIRATION
DREDGE&FILL REQUIRED: ` "O 9` 7-- 30.-g9
CAMA MAJOR DEVEL REQUIRED: + - 30- - 3 0

9,i p'1'D 46. Aid Jogrown F&C Marine Contractors, Inc.
Complete Marine Construction Service
fli I?d For Over 25 Years
/ �))��h� J/ CAPT. ED FLYNN \ DURWOOD SYKES
(�(/ l PVC. Piers, Floating Docks,Pilings,Bulkheads,
Repairs,House Pilings,&Boat Lifts
P.O. Box 868 Phone/Fax: [phone]f
gt,t1t4dAnn 45 Ot. 4 Wrightsville Beach,N.C.28480 email:[e-mail]
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s• SENDER:
D •Complete items 1 and/or for additional services. I also wish to receive the
0) ■Complete items 3,,4a•and 4b. following services(for an
ai ■Print your name and address on the reverse of this form so that we can return this extra fee):
card tr•you.
j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address •
E permit.
w ■Write"Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery t
•The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee.
0
v 3.Article Addressed to: 4a.Article Number
E• 02. 'Pic v 4b.Service Type
0
u fied t
jvD (/Zdt/n jti� Registered❑ Certified
❑ Express M � C Insured
/ D�,/ ❑ Return Rey r Merchan. = COD
�^�:L,y�V,l(�� N U T 7. Date of •• 4o C�
a
IE 5. R I d B : (Pri Name) / 8.Addresses ..• ess r4/ 4 nested •
W k� 1)-7/1' and fee is p:�sit
�� "'� i
g 6.Signature: ( r ssee Agent)
O X
co PS Fo 811. December 1h' 'i 102595-97-B-0179 Domestic Return Receipt

t'' SENDER:
•Completa items 1 and/or 2 for additional services. I also wish to receive the
H •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):
1, card to you. • i
j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. El Addressee's Address •i•
v permit. i
■Write'Return Receipt Requested'on the mailpiece below the article number.
2. 0 Restricted Delivery
c •The Return Receipt will show to whom the article was delivered and the date p
delivered. Consult postmaster for fee. c
o e
3.Article Addressed to: 4a.Article Number
E t2, ( 4b.Service T e
J i
u < IIIRegistered Certified C
4 k J 4,,ress Mail ❑ Insured a
cc
o (1,''16 J NC t 2./i c/ 4 i�a Receipt for Merchandise ❑ COD
z v /, � a :Q Delivery c
a
r4
m5. Received By: (Print Name) G\ 8.Addressee's Address(Only if requested
la %los— .si lee •is •paid) F
6.Sign ur�� ,`ent) �._.�'
o x `� ,{{( V "1
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PS Form 3811, December 1994 102595-97-B-0179 Domestic Return Receipt

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
i/ -�
Name of individual applying for permit /)/2---, J 61 J
Address of property �)6 h AD )1 t 71 ' Ait_,
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.
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.
j` !Z/ff
�f �Signature & Date
47 5 (TX 9,9 c- Print Name
`f7 v- 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]

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F AND S MARINE CONTRACTORS 3 3 21
P. O. BOX 868, TEL. [phone] ' INC.NCB
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WRIGHTSVILLE BEACH, NC 28480
r.
u PAY DATE 2 3 V 66-85/531
ORDE E OF O C_- ! N� 0272005809
60
fvJ $.
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OLLARS M ti„'J C
Centu
ra Bad
Wilmington,NC 2e401 Bank..
FOR 7rI %Qeil (11�z i >'X C
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