63195D - Meehan

QW,
CAMA / E DREDGE & FILL
.EN ERAL PERMIT Previous permit #
New —Modification ElComplete Reissue lPartial Reissue Date previous permit issued
sized by the State of North Carolina, Department of Environment and Natural Resources
Zoastal Resour� Commission in an area of environmental concern pursuant to 15A NCAC
PMules ched.
1�s N
It Name�/41r- Project Location: County AW
51
state Alof -iip 17
t ( /' i*11 'Q" 7— /Sy3 Fax #
IV
:ed Agent
low
L6W V(W --rPTA EES
El PTS
El OEA El HHF -- lH ❑ UBA
El N/A
Ll PWS: Ll FC:
no PNA yes 1� Crit.Hab. yes / no
F Proje ctlyl ,py A - -
Ck' length
iier(s)
ngth
tuber
d/ Riprap, length —'
g distance offshore
Lx distance offshore
cannel
bic yards
np
r W�— ise/koatlift�
' ulldozing ---A
e Length ti
not sure yes
s: not sure yes
iurn: n/a yes 6
(ye n o
kttached: yes 0
ng permit may be required by: /I
2 W
Street Address/ State Road/ Lot f(s)
Subdivision
City— L4jl /*lf/Pv 726 ZIP
Phone# -,54h421 River Basin
Adj. Wtr. Bocly--­(nat
Closest Maj. Wtr. Body
OVA
12r-I ZMAVA'S
16d MIN
S1111
01,06. ISOMMENERNO■
0 WON I V i Rrx" V ZAMA7
WEENOMEN0P.MON
0 Is 0 am
INE211
AMENUMIRVE
MUNIME No
a■No
■■��
E or, ObIll
0 01111111111111111111111— '=944
WIDE /,a

-- - --------
F AND S MARINE CONTRACTORS INC
PO BOX 868
WRIGHTSVILLE BEACH, NC 28480-0868
PAY
TO THE
ORDER,'pF
t1l)
PTICBANK
4c Bank, NA 040
FOR
3624
15-3/540
DATE 893
s
F.
DOLLARS
rw
. .... .. .... . . .... . ... ... ..

C Division of Coastal Mgt. Habitat Impact Computer Sheet
>plicant: �Jetev' peg b'e'vl Permit #:
3/
ate: 31/gljq
:scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
and in your Habitat code sheet.
ibitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
ternimpacts'
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fin
disturbance.
Excludes any
restoration anc
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
IN
0
a-%
©�
Dredge ❑ Fill ❑ Both ❑ Other
dCJ
/
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

AGENT AUTHORIZATION FORM
Date: ! P �L 3 3c't V
N me of Property Owner Applying for Permit: Name of Authorised Agent for this project:
Owner's Mailing Address: Agent's Mailing Address:
�h � o � . Flo✓�!'l��' , ., o t,
Phone Number (1 % J) %1-l Phone Number( �.
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for a obtaining all CA�JPermits necessary to install or construct the following (activity):
For my property located at
This certification is valid thru (date)
r perty Owner Signature J
RECEIVED
►IAD n G qm
�, � fzq,,

?1-2014 08:07A FROM:F&S MARINE 9102563062 T0:6866631
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER, NOTIFICATIONIWAIVER FORM
Name of Property Owner: —La
Address of Property. X` �hy I) L'Ije l / y fr ill., K f illy/ /W J ('
/- / (Lot or Street d, troet or Road, ity & County)
Agent's Name 0: Cell
Mailing Address:.
Agent's phone #:iC
hereby certify that I own property adjacent to the above referenced property. The Individual
applying for this permit ham described to me as shown on the attached drawing the development
they are proposing. A description or drawing. wkh dimensions, must be omvided wRh ylio Its.
I have no objections to this proposal. __^ I have objections to this proposal.
if you hays otyecdons to what is being proposed, you mutt nodry the Division of Coasts/ Yanapenwnt(W* in
w►tdng within 10 drys Of MOW of this nodes. Correspondence should be matted to 127 Cardinal Ortm Fri.,
Mimingwa, NC, 200054M DCA1 reprrssnotives can also be conprctsd at (010) 7M7218. No response is
WAIVER SECTION N/�q
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 Int0al the appropriate blank below.)
I do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
(Property owner
' Ir►formtlon)
Q `C.4
Sig attire
7
Print or Type Name
Abyl ov,
Melting Addns'
0, d(I Ml l �C 'lsl
city/5 et&zip
4-1 11/`- qz, I
Telephone Number
Property Owner information)
Print or Type Name
,;, LP P le
Mating Address
Gi�/G
Gity�tere ip
Telephone Number
P.1

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
l (Lot or Street *,ttreet or Road, dity & County)
/- `' l
Agent's Name #: L d t� I'� t'�� Mailing Address: / , C ,
Agent's phone #: 1/0 ' ,��� ` �C�o� (�. r1� � f3 i III ��
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 descxidtion or dmMLIg. wkh dknensions. nvM be provided with this Iatber.
I have no objections to this proposal. I have objections to this proposal.
a you larva ob,Ncdons to what is bNnq pmposed, you must notNy dw DMsion or Cosatal Manayemw* (DCAQ In
writing wWdn 10 days or rncW or this notice. Correspondence should be mailed to 127 Cardnal Drive &t.,
wlbnlnyW, NC, 20406-M& DCM repnswfibtivox can also be vm*cW st ( 10) 7W7215. NO response is
WAIVER SECTION �'IR
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 riot wish to waive the 15' setback requirement
(property Owner k*my Wn)
Si ure
JsILTr�� I/� '.� �►
Printor Type Name
�-nj d. /YJAYft:*'i
Raring Add►e
/fj0 x) ,
QN& a OMP
y
Owner Inforrnatlon)
Paint or Type Nam
3l� -uJ .
Mailing Address
Cityrstaftg0
1K-1�/1/1- 33g%
Telephone Number
Telephone Number

�L TO MA50N'S CHANNEL
-.---- EBB f LOOD --
/la^
N
RECEIVE[
DCM WILMINGT
MAR Q 5 20
Q0
t�
90° r
ORM
5005 113011WhlGtl WATER
5 2.09' --- r ,� tAn6SN

I'LOATING
DOCK
RAMP BOAT
� LI FT
HER •
OAT
` LI FT
N8005 I '30"W
5 2.05'
584005'21 "W
G 1.351
nl/F
vLP i"
NORMAL j
----HIGH WATER 1
k/-- MFM
NO 1 ° 1 3'45"E
L 102.04' ..4
L
�RI 5.47',\1
�WQ4D€N
A-----13U LKH EAD
r — -- al
CAVAt1
LINE A5 PER
Mb13 PG10
11 4
a�

�cl�r�m
NY114i
vy Ck.
161- )(-
S4&w N
1
hA7,
U
Z -( {. -F •� F
.(I_o u
U
F t_cA-M E, r
f5 X Z.�r SNOW N I v
i

4L
Al: 1, -,
U4,
S, �Z
omv
0017
Q)
U4,
S, �Z
omv
0017
Q)
4-j
1
CO