62618D - Joyner

'CAMA % ' DREDGE & FILL N9 62
aENERAL PERMIT r Previous permit#
New _ Modification ❑Complete Reissue ElPartial Reissue 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
❑ Rules attached
it Name
State/ ZIP 2,42
/n ,9e-7 Fa//x # O -
:ed Agent
CW EW PTA �Es PTS
OEA HHF ❑ IH ❑ UBA N/A
- PWS: ❑FC:
es / no PNA / Q C 't H b
Project Location: County Alle-4 11.
Street Address/ Road/ Lot #(s)
Subdivision
city /6, t %�P�%lh zip
Phone # ( �),�si'.�62 River Basin
Adj. Wtr. Body /��Z�!/� C v�►t�� (nat
Closest Maj. Wtr. Body C�I'�°r�y� j�l Sr'6,rt
y yes o ri . a . yes i + ,[
A Project/ Activity
(Scale:
ock) length
length
ug lcer n/
':N Riprap length !/'
vg distance offshore
iax distance offshore
channel
ubic yards
imp
)use/ Boatlift
Bulldozing_
ne Length
not sure yes 00
gs: not sure yes 60
mum: n/a yes (no
yes no
Attached: yes no
t. / },,
ling permit may be required by: /�� i/ h vs '/ Ile, �� See note on back regarding River Basin

�plicant: / ��I / f Permit #: �,/.
te:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet
iitat Name
Y6
TOTAL Sq. Ft.
FINAL sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
includes any
disturbance.
Excludes any
Disturbance
total includes
disturbance.
Excludes any
Choose One
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/orternp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

................ . .................
3322
15.3,540
%RINE CONTRACTORS 'NC 893
PO BOX 868 -o868
ITSvILLE BEACH NC 28480 DATE
$
DOLLARS
lid
fp
301*-
3 2 2112 .0st,0000
53 2113 It'-r'2 2112

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FOF
Name of individual applying for permit 1�tll ul'�n
Address of property So�� � L10- tt&/0- I�✓k l/rf�3 �L4?7AIG dojjj
I hereby certify that I own property adjacent to the above referenced property. 1
individual applying for this permit has described to me as shown on the attach(
drawing the development they are proposing. A description or drawing, with
dimensions should be provided with this letter of notification.
Please initial blow if you have no objections.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of CoE
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 28405 or call 91
395-3 @ within 10 days of receipt of this notice. No response is considered th
same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house,lift or
sandbags must be set back a minimum 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.
REC:;EI\
Signature & Date DCM WILMING
n /

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F$S Marine Contractors, Inc.
Complete Marine Construction Services
For Over 37 years!
CAPT. ED FLYNN --24K
)113�- DURVV00
Piers, Floating Docks, Pilings, Bulkheads,
Boat Lifts, House Pilings, Repairs
P.O. Box 868 Phone/Fax: (910)
Wrightsville Beach, NC 28480 email: eflyQ
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