22591D - Smith

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CAMA AND DREDGE AND FILL
GENERAL 9 22591 -1
PERMIT )tio‘
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources a.jd the Coast I Resources Commission
in an area of environmental concern pursuant to 15A NCAC ! N• 1 i 0- Ll
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Applicant Name �' '\•�m.-L � c 5 �A'r(N-'e Phone Numb���� � 3c6a-
Address S IAJA,t41aV� d= LV�
City W rGk State 1 `C Zip 2� �T�
Project Locati n (C inty, State oad, Water Body, etc.)
Type of Project Activity 'tD CA k r e)-ck.
PROJECT DESCRIPTION SKETCH �� (SCALE: ' (1 _ 2 O I )
Pier(dock) length ^ C k, N f'\) L.-
Groin length
number
Bulkhea length (,�1t.ctN(CN• A-�2 .
x Iv OPEN)
max.distapce offshore IS, —"
2- A�/G • -- ,-- ------- ---
Basin,channel dimensions_ 1 4-3 / I
cubic yards
24'
Boat ramp dimensions
Other
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any s%�!' RcSC_--
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.
This permit must be on the project site and accessible to the permWttreTSsiture
permit officer when the project is inspected for compliance. ' 1 ,t b 7` -2, -
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The applicant certifies by signing this permit that 1) this pro-
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
objections to the proposed work. attachments
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9 Yisinl A A 0149 Contractors, Inc.
CA3avilti Rartigi NC �`S Marine
�'i O.Box 868 28480
Wrightsville
062
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit P e 5:44) .
id
Address of property Jro� , A Via, 14/444 r73v>> & a' NL
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. wail Z1/k.4LArn Ai(
CAM 4 frt.44.,"le
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.
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I ) l 91 Signature & Date
1 W T 0 0 Print Name
t -t ( 13,7 Telephone Number w!Area Code
- . .._.._ .._.__ _- __ALFA AND.RETURN TO; F&S Marine Contractors,Inc.
P.O. Box 868
Post-ft`Fax Nolo 7671 oar c/jy��Og9 S► Wrightsville Beach, N.C. 28480
TD/'''Tnn p1a�+ _ `F`°' C-d pip! Phone/Fax [phone]
. xitk� , Co. �> /hit ._
+f+M-1 1544 K Pnone.Tt D• 2f?'3b4 Z
`Fa:',901. .332-.ales Fa`' lib- 1l6•3Oh2

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for permit P R., JM)pe
Address of property 5-01 0 n'c h, jl N93vrllg lkJ NL
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.;nr/1 /34/14 (L-►ft / (
I /1066 .0"e have no objections to this proposal. ,
C Aivi A
. i.� )c O1`"' pnoPrl l in1
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.
16,11-01 II 1 17 Signature & Date
IiV f �4 M FI 0 y Print Name
10) -7 6 3- Q L-fz-{ Telephone Number w/Area Code
PLEASE SIGN AND RETURN TO; F&S Marine Contractors,Inc.
a,‘NE CO*,. P.O. Box 868
Wrightsville Beach, N.C. 28480
(1 Q7c) ' 4 ?i ggg) Phone/Fax [phone]

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