62580D - Foster

CAMA / ❑ DREDGE & FILL Y
'ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
rized 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 [/
ules attached.
t Name ►`� ! rPr Project Location: County �Alk—tl,,
( N?t Street Address/ State Road/ Lot #(s)
/V/ � bh StateZIP24
E114wax # ( ) s--- Subdivision Fhe/
:ed Agent E5 � h City 1/1// b".oy %h ZIP
❑ Cw fEw Q-OrA ES ❑ PTS Phone # ( ) J^ River Basin
❑ OEA E HHF ❑ IH UBA _: N/A Adj. Wtr. Bodyif nat
❑ PWS: ❑ FC:
es) no PNA yes / �c Crit.Hab. yes / v6' Closest Maj. Wtr. Body `=�+
f Project/ Activity
ck) length
1(s)
ngth
tuber
d/ Riprap length
g distance offshore
tx distance offshore
cannel
bic yards
np
i �Boatri
ulldozing
/h
(Scale: / a
e Length r bQ
—
not sure yes no
s: not sure yes o
ium: n/a yes
- _
o"
LTkttached: e� no i 1
ng permit may be required by:�iy
❑ See note on back regarding River Basin r

kpplicant: /1'eol{ hU5 re.,- Permit
)ate: V
g117- A -g
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
ibitat Name DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/orternp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other X
R
f 82
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

ARINE CONTRACTORS INC
PO BOX 868 3242
iTSVILLE BEACH, NC 28480-0868
15-3/540
DATE 893
$
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DOLLARS 'Dil
ool
210 i:054000030l: 5321814622111
. .......... ......

APR-:�-�28 Eli: Sc Fr-orr,:
ro : 926ic_c,63062
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
sevetiy Eaves Perdue James H, Gmgson
Goverr+or D*ectvr
AGEN AUTHOR1ZATlON t'ORM
.�.,�
Crate: J 1 J
Name of Property Owner Applying for Permit
��w f�
Owner's Mai!!ng Address
11S h/e-!rIA,1,r % i- -
Jy
Phone Number g -nit
ow Freeman
Secretary
F 6P 6w4v.
Nan RG BOX 868
L V-;W s*e, "PZ, PVC 280
('910) 2 62
Age P66 " 4�; P-
I certify that } have authorized the agent listed above to act i
A -Ivey. L,)o m �Illt'-It
r idri , v
`g„o
fora obtaining all CAMA Permits neceissar�,to
ifiY Property iocate9) at ✓t .!h—V, uL j
Thi certification is valid thru {date;
_�-12i�13
Property Owner Signature Date

F&S Marine Contractors, Inc.
Complete Marine Construction Services
9$h2L For Over 37 years!
61t i4v Lh%
CAPT. ED FLYNN DURWOOD
;AP Piers, Floating Docks, Pilings, Bulkheads,
Boat Lifts, House Pilings, Repairs
P.O. Box 868 Phone/Fax: (910) 2!
Wrightsville Beach, NC 28480 email: efly@n'
lup
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5-2013 12:59P FROM.F8S MARINE 9102563062 TO:191996230% P.1
C WJSION OF COA6TAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION a WAIVER FORM
Nome of individual applying for pwm CAa�aa&.�
Address of ompert,►
I hereby certify that I own property adjacent to the above referenced property. The
individual spplying 1br Oft permit has described to me as shown on the attached
drawing the development they are proposing. A description or drowino, with
dimensions mould be provided with this letter of notification.
Please Initial below if You have noej�objediorhs.��•�(p�
/`r na to this 1. f''"W 1 , Qoy
I have no olio pmp� s%
if you have objections to what is being proposed, please WVft the DMWW of Coesti
managemant,127 Cardinal Drive Extension. Wfdmin0n, N. C. 25W or Call 910-
_.within 10 days of reC*t of this notice. No response Is conWered the
/c )Ili same as no ob ion if u have been notated by CettMied Mail.
WAIVER SECTION
I understand that a pier, doM, nworing pfiinge, breakwater,boat house,liR or
sandbags must beset bade a minimum of 15. fhom my arrow of dPadan acvess
unless waived by "*.(If you wish to wahro the eMbsc k. You must In tlai the
Opp blank baba.) -iW
1 I DO wish to waive the 15, sethw* requirement,
100 NOT wish to waive the 15 setback mquksffw .
l/ siAnsture A pate
.. /V&w6vant Name