69186D - Marquis

DREDGE &FILLwf`A b* N f IENERAL PERMIT
;New ❑Modification ❑Complete Reissue El Partial Reissue
A B
Previous permit #
Date previous permit issued
-ized by the State of North Carolina, Department of Environment and Natural Resources •
.oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 L (: i/-'1 Rules attached.
t Name �, % Project Location: County N-e tlt/ T"� ✓�%' _
Q>va le- Street Address/ State Road/ Lot #(s)
StateZIP 2®-1�3 qVaief Lakii-
(�1�) E-Mail �'iUlgt'�i6t.►gyiS (��fLif � Subdivision ca' {tf 61�"-f'(
tow:ed Agent (Nh Et f�Ctity t' ' �jf it 4 � � T),i 11 ZIP
C CW EEW
7 - VPTA ❑ ES ❑ PTS 'F'lnone # (!'� ) /
7 � 00 2- River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body ' V' ( nat
❑ Pw
Closest Maj. Wtr. Body
yes 0
o PNA yes / no
f Project/ Activity Add 'r 7 x l N -�Vlsbklq SOPat At'100 •
N;
(Scale:
)ck) length,'
latform(s)
Platform(s)
angth
ember
id/ Ripra�IlengAth
rg distance offshore_
iax distance offshore
:hannel
ibic yards `
imp
,us Boatli 1
■■■ ■■■■■■■■■I mill
■■■ ■■■■■■■■■■Ioil
■■■■III ■■■■■■■■■loil
■■■■■■■■■■■■■ ■I wl l
■ ■■■■■■■■■■■■■Hill
E lid
❑ See note on back regarding River Basin
. 111.

9/2017 u F andaS Marine Kraig Marquis PNC Bank 6277 $200.00 GP 69186D
Contractors

NC Division of Coastal Mgt. Habitat Impact Com
Applicant:
Date:
Describe lol" HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FII
(Applied for.
(Anticipated final
(Applied for.
(Ai
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dis
Habitat Name
Choose One
includes any
Excludes any
total includes
Ex
anticipated
restoration
any anticipated
res
restoration or
and/or temp
restoration or
ter
temp impacts)
im act amount
temp impacts)
arr
Dredge ❑ Fill ❑ Both ❑ Other
f
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

R�Cely
V*A MAy a3 2ar
BY.
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
N.C. Division of Coastal Management
AGENT AUTHORIZATION FORM
Date: t 11
Name of Property Owner Applying for Permit:
m, ly,
Owner's Mailing Address*
t,J�lk,,L ti1Y S�o3
Email: Phone �L{�I Ylsl%�[I�G1S e�� tlJMi
t")
Name of Authorized Agent for this project:
Agent's Mailing Address:
• : ::+:
:I V
Email: -4110) 1.
Phone
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for, an obtaining all CAMA Permits necessary to install or construct the following (activity):
YPT%%,��11./li-i7li� %�i+Nk�l►I,tWY%1? /clU�"�/
For my property located at L11 L' 4 v�� �
AUn Alrt�
This certification is valid 1 year from (date) yovJ��

Edgewater POA
Southern Community Management, LLC
PO Box 10267 Wilmington, NC 28404
(P) 910.443.2691 (F) 910.795.2503
southern [e-mail]
April 19, 2017
Ed Flynn
F & S Marine Contractors, Inc.
P. O. Box 868
Wrightsville Beach, N.C. 28480
910-256-3062 phone/fax
RE: Kraig Marquis — Boat Lift
Dear Mr. Flynn,
The Edgewater POA has granted permission to Kraig Marquis to install a new boat lift at the dock.
if any additional information is needed please do not hesitate to contact me.
Sincerely,
Angela Goodhand
Property Manager

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner.
Address of Property: o+�+n rv� �•---- -- •• - -
tot or Street #, Road, co e6m)
/ V�, �j
Agents Name �: Ed Mailing Address:
Agents phone*: �0-1 5 > 3 b4 �' �li
I hereby certify that 1 own property ad*ent to the above referenced property. The individual
applying for this permit has described to me as shown on the after hed d . the dev
eftment
are IN. -
I have no objections to fl* proposal• I have objections to this p
f-&�ff>n
lfyo„ �eft ywr rroal!►th.nlrilonofcoasalMaraga l )
writing withh+ !0 dare of receipt Of rroUce. t o►mspondwx* should be now to f27 Comf al Wire Ed,
�, NC, �0&� CCU erprestn�a cae also be oongcsrd si {9f0) 7f6-72f5. No naporrae tr
WAIVER SECTION "19
I understand that a pier, dock, mooring pilings, breakwater, bosthous% lift, or groin must be set
back a minimum distance of 15 from my area of riparian access unless waived by me. (if you
wish to waive the setback, you MU4t*jnHjij the appropriate blank below.)
I do wish to waive the IV setback requirement.
I do not wish to waive the 16 setback requirement
(Property Owner Information)
Signature.---' G�
4 A*mu
PrintOSITAM Allim
-MaNWMdress
I AVIJ bit DV, tihc 9106
(Adjacent Property Owner information)
Ao�vt-Go► Q
Signature
/W Ile
Type Name
yo.1&?l/D35
Mading Address

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiONIWAIVER FORM
Name of Property Owner:
Address of Property: R � kk
of or Street #, ry y
p Streer Road, City & unty)
D , fkl
Agent's Name #:� Mailing Address: rf ' 09
Agent's phone #:
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 descri u b8 Drovidedwith tt►is le#ter.
I have no objections to this proposal. _ I have objections to this proposal.
If you have objections to what is befog proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Fxt.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
u----- -•-- ..-......, #ML-r h., Ca.tdfwr Mail -
WAIVER SECTION Nllq
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance 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.
(Prop)erty Owner Information)
Signature--,''
Print o ype me
q7a,A, .kf,, ,
Maiilri f Address
Property O ner Information)
Signature
7&0��L-XT'Add,
Print or Type Npme
Mailing Address

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