68567D - Fisher

JCAMA / E DREDGE & FILL H r�
kaHS! A B
.ENERAL PERMIT Previouspermit# m
New —Modification [/'Complete Reissue LPartial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources 1 I
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC O'1 T �2t/U
Y) - r A I tules attached.
it Name 1` j a G! id t" IS r Project Location: County I V� Iti (L 11 Oy it
I Lv� SU-u.fik /act to Si.
>lAIW�,IWO-CY1 State %Vli zip
:ed Agent 1-4A h 0
❑ CW ' ] EW YPTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A
❑ PWS:
yes / 1�) PNA yes / no
f Project/ Activity I2
ck) length I
atform(s)
Platform(s)
ngth
mber
d/ Riprap Ii
distance i
uc distance
cannel
sic yards_
np
se/ Boatlift
e Length t/
Street Address/ State Road/ Lot #(s) 177 -1. N. L
Subdivision
city kfSyil kc jScGtc l zip
Aq,KlPhone # ( L) 2S'CP �u 1 Q2 River Basin C'g J P
Adj. Wtr. Bod IAI,hvlCt' a
Closest Maj. Wtr. Body h'L k)
s �ralax moll �ijr.�A■■ 1111
MN
.• u. ...
.x
(Scale: t Ile,
❑ See note on back regarding River Basin ri
Local Planning lurisdiction)

W LINE
W OF
4UE
DOD
IER
OF
ILLE
INUAR
V.H. W.L.
HIGH
'_INE
PYLON
(TYPICAL)
00
I.P.S.
WOOD BULKHEAD
' WOOD WALK
4' PICKET FENCE
TO REVIEW AND APPROVAL " ' T�
FLOA77NG ,,�09 BY All RELEVANT PARTIES. S
DOCK Gy
FLOA7ING c� a°
DOCK a yFs
RCIF /AZ _
-`lly
�P,y-
9.8'
CONCRETE
LOT 3-4 X
ADJOINER'S !
PORCH CH LIL/NE
r 2 OF 2:
DOCKS
JU' COA1 9'• 1"- an'
RAMP
DE�' ��VICINITY MAP NO SCALE
i 1JL SEE SHEET 1 OF .
FOR LOT SURVE
c 30' CAMA 61Y�6
SETBACK
y 75' AEC
(AREA of \
ENVJRONMENTAL
/ CONCERN
NOTE:
iucitFtekl
r i.) THIS LOT IS LOCATED IN A,
N.P.S. AREA OF 100 YEAR FLOOi
2.) OWNERSHIP OF FENC
ALONG IS UNKNOW
WOOD TO SURVEYC
IER
1. Lps ;r= ;\JED
P.O.L.
4'PICKET C', I IMINGTON, NC
FENCE 'Cl)
OC; 2 e.201�
� • I ,o '� v 0 Jg� �i I ,Y�rMll/
f & X/�ar, ('artrcaa /�a,
I p P.O. Box 868
Wrightsville Beach, NC 28480
[phone]
!
1 -
1Q REVISION: 0.4
C
ADD CAMS

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner
Address of Property: f ��, .1 �� Z-4" .siu f /i�`S �'� r� i �,4' l�t;i" l��C , 2b? �61)
(Lot or Street it, Street * Road, City & County) -'
f r ,
Agent's Name # L:. �! ����rl1t Mailing Address:
Agent'8phone# 56'3�'���-7.�yJ
I hereby certify that 1 own property adjacent to the above referenced property. The Individual
appiying for thls permit has described to me as shown on the attached drawing.#* development
they are proposing.
I have no objections to this proposal. � 1 have objccdons to this proposal.
HyoAbays cbjec4 ru b iv ti rs Wh9 priapotad, you must notify tha WvWon of CoasW A/trngsmsnt {DCU; In
wtfting wfbhln 10 days of r+etsrpt of this m*Uc*. Corfwg)ondwca should bo mtilsd to f27 Cwd/na1 Brtw Q2,
YY1lmington, NC, 2W54M DCU nprsrsr►ardves car► also bo corrOWW at M10) 7Wnfd. No rogxm•a is
cwmt aed the "Mo as no obJ M)g N Yeu hava bw nyiVW ?I Caftlllad Rill.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, bolt _use, Itft, or groin must be set
back a minimumdistanceof 15' from my area of riparian acoew'i,unless waived by me. (If you
i ,wish to waive the setback, you musr, t initial ft appropriate bla4 below.)
p� I do wish to waive the t 5' setback requirement,
i do not wish to waive the 15 setback requirement.
(Pro Owngs�nformativn)
fgnature ,
P/(I IM0
Print or Type Name
ayn S' AMA) fir:
Maffing Address
(Adjacent Property Owner lnformatIon
Sigr�6e turee
Prfnt or Type Name /
McNing Address
41 1 "1-1, ✓

11/1/2017
Jerry Mills Contruction Inc
William Kelley
First Bank
1873
$200.00
GP 66535D
11/1/2017
Backwater Marine Construction
Rodney G. Smith
BB&T
3039
$200.00
GP 68571 D
11/1/2017
WU Money Order from John West
Rick Whitaker
Wells Fargo Bank
17-649204322
$200.00
GP 66572D
11/1/2017
Kathryn Langford & Thurman Binkley
F and S Marine Contractors
Kathryn Langford
BB&T
1008
_ $200.00 GP 68569D
$200.00'GP 68567D reissue of 69:
11/1/2017
Richard Fisher
PNC Bank
6678
319D