68055D - Pleasant

ICAMA / -1 DREDGE & FILL
aENERAL PERMIT
aNew -_.Modification ❑Complete Reissue
P H 3,147
Partial Reissue
-� t, A B
Previous permit #
Date previous permit issued
•ized by the State of North Carolina, Department of Environment and Natural Resources i }
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC CO 11. 1 ' , 4 C o
1 � 1 V r µ I(Utf � ❑ Rules attached.
t Name_ Project Location: County V Oy +L-Ja j ut , t Y
1 LZ6A �%JAA e'V WJU Street Address/ State Road/ Lot #(s)
11114 i 1,10 n" stateXt zip MO-3 L im t VYc U-f Y' L L{., u
M$ qL4 (CC E-Mail Subdivision WL1 -ek
ed Agent CityI v t I KA 1 a r ZIP Vc), v
❑ CW XEW PTA ❑ ES ❑ PTS �t We # (I 10) Z t 50ki I River Basin''
❑OEA ❑HHF /❑IH ❑UBA ❑N/A ,+
❑ Pw Adj. Wtr. Body �' V �" V nat
yes PNA yes Cam%" Closest Maj. Wtr. Body i i 1
Project/ Activity I '�-t
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�iasi�ii�n of Coastal Mgt. Habitat IMpOct CORMAPUt"'Ibeot
NC Applicant: T� [ S,Y
V ���'�'� Permit*
Date:
e, and units of measurement
Describ
e. the HABITAT disturbances for the application. All values should match the nam
found in your Habitat code sheet.
S Ft TOTAL Feet FINAL Fee
DISTURB TYPE
Habitat Fume Choose One
�. Dredge ❑
Fill ❑
Both ❑
Other i
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both [I
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dedge
Fill ❑
Both ❑
Other ❑
=D'redge'[]
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill []
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑ Other ❑
Dredge []
Fill ❑ Both ❑ Other ❑
n�eA .o r-i
Fill l`I Both ❑ Other ❑
TOTAL Sq. Ft.
FINAL te4. d final
(Anti Ra
(Applied for.
(Anticipated final
(Applied for.
Disturbance total
diaurbance.
Disturbance
total includes
disturbance,
Excludes any
includes any .
anticipated
Exdudes any
Cesbration _
any anticipated
"toramad or
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restoration or
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a___mounq__ _--

r�EGE1VE
FEB 16 2017
BY: HCC ENR
NoII� Carolina Department of Environment and Natural Resources I;
E V:vision of Coastai management
Pa' 'kCmry Braxton C Daris John E. Skvaria. 19
•;error
D:r tor Secre-ari
AGENT AUTHORIZATION FORM
Date:
Na a of Property Owner Applying for Permit:
Owner's Mailing Address:
>tpflldil'�kr►. t7k�
A1,41
Phone Number ) TT- � 0 0
Name -
of `Authorized Agent for this project:
Agent's Mailing Address:
C 28480
Phone Number 1 (9101256-M
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining ao CAMA Permits necessary to install or construct the flowing ctivlty):
For my property located at
this certification is valid thru (date)
Irb
Property
Owner Signature Date
f& sly% a"a"
PO. Box 868
Wrightsville Beach, NC 284
[phone]

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property: ��/ ��ii�n,�mLr. %N���M{►9G !`�y�' �'�iD3
(Lol or Street #, Street or Road. Ci 8 nty)%)
Agent's Name #: �%�`Y`l'f� Mailing Address: I D'
Agent's phone #: -c;�4 AA4
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 ar proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this propos I have objections to this proposal.
�4snu6 �n�l't�
/f you have objections to wh3f is being proposedF�
, 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 Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION /'
IA
I understand that a pier, dock, mooring pilings, breakwater, boa house, 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.
(Property P-wnor Information)
S.gnaturc
Atr �WISJh�
Print or Type Name
1d14 mom_
Mailing Address
(Ad- ce t Property O ner Information)
Signature
G4Ye
eAJA
Print or Type Name
e,
ls�yB /"'ti
ailing Address
l Jk/*tw A, Jay e . /'IV

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: `!
Address of Property: °I� � � A1 K/ f Alit'
(1-61 or Street #, Street or Road. Ci nty)
Agent's Name* w` PlIA, / Mailing �Address: P77
' f _
Agent's phone* !{l)'� ✓�y� GV� w Ir+� ����I
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 must be provided with this letter.
lkkxve no objections to this proposal. I have objections to this propusal.
Pf If you have objections to what is being ptoposed, you must notify the Division of Coastal Management (DCM) !n
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405.3845. DCM representatives can also be contacted at [phone]. No response is
rnne,dorad tha cama as no objection if you have been notified by Certified Mail -
WAIVER SECTION 'l`W
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.
(P-,.)perty�QAMr information)
S.Xgnalure
AL hww�
Pril or Type Name
ldmX,
Mailing Address
�4.let. -Al,�+ ,,y ---
(Adjacent Property Owner Information)
AK,m I -
Signature
3
Print or Type Name
PO14 /0Jr,
Mailing Address
b1�iMJU9b11 bW - ����

Edgewater POA
Southern Community Management, LLC
PO Box 10267 Wilmington, NC 28404
(P) 910.443.2691 (F) 910.795.2503
[e-mail]
February 13, 2017
Ed Flynn
F & S Marine Contractors, Inc.
P. O. Box 868
Wrightsville Beach, N.C. 28480
910-256-3062 phone/fax
RE: Taylor Pleasant — Boat Lift
Dear Mr. Flynn,
The Edgewater POA has granted permission to Taylor Pleasant to install a new boat lift at the dock.
If any additional information is needed please do not hesitate to contact me.
Sincerely,
Angela, Cov&%�
Angela Goodhand
Property Manager

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