61538D - Peters

LICAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
:INew ❑Modification ❑Complete Reissue [--,Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attaShed.
nt Name Project Location: Countydvy.
s ! /M' 10 Street Address/ State Road/ Lot #(s)
State tV ZIPVYWI-
O Fax # O - Subdivision U/!
ized Agent City 1"' IA-i"l, l r! ZIP 2IO
d ❑ CW ©W ❑a PTA ES ❑ PTS Phone # ( )�✓ River Basin fi
❑ OEA ❑ HHF C IH ❑ UBA ❑ N/A
❑ PWS: ❑FC: v�
dyes` l no PNA yes /1 Crit.Hab. yes /eyl
A Project/ Activity
ock) length
pier(s)
length
umber
ad/ Riprap length
vg distance offshore
iax distance offshore
i
channel
ubic yards
+—
imp
ruse/ oatl� 1 j 12
Bull ozing —❑�
-
6
ne Length
not sure
yes lY
gs: not sure
yes
)rium: n/a
yes
i�
yes
Attached:
(el) no 1
ling permit may be required by:
T,
Adj. Wtr. Body (nay
Closest Maj. Wtr. Body
.(Scale:
New H (W.*W r CO . ZN 5)Z1 /5'r ❑ See note on back regarding River Basin
. /. - 1J t1 -n win 1 i -.

pAvadv Eaves Perdu
"
REC'D FEB 12 2nn
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
$ James H. Gregson
Director
AGENT AUTHORIZATION FORM
Date,
Nam of Prr owner APPtying for Permit
Dee Fmema►
Secretary
Nan)
,er�oiiAuthorized Agent for this project
MaNing A.Jd(©ss'
s Maij�ng A dreams-s-
P.a BMW
ILL, 1.,1- .--' -_.. `r J,_� Y S2"�•.^. il.' ..
Phone N�
Pho'le N jrnber JLX21__ __--
I certify that I have authorized the agent listed above to act On my f & ar"f" 140
P.Q. Boo W
for and obtaining.all LAMA per .iit�s'h�cO sa t tan or constn � �t 4 NC
r^cale�} at vx f^iN�� • 1?_ �-.---_- --- U15 � � I — � r�'"'►
This certification is valid thru (date) `' ✓3
Property owner Sign ure

DEC-12-2012 08:59A FROM:F&S MARINE 9102563062 T0:7995411 PA
d
\�o
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for
Address of property 02 BA
NT
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 descdpbon or drawing, with
dimensions should be provided with this letter of notification.
Please initial below if you have no objections. �oovpy7,
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington. N. C. 28405 or call 910-
-393n3W within 10 days of receipt of this notice. No response is considered the
;';t it/< same as no obAcfion_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 beset 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 tto
appropriate blank below.)ej
I DO with to waive the 15' setback requirement. � � Cad S '
I DO NOT wish to waive the 15' setback requirement.
i
Signature & Date FE I V
Print Name prp 17 9

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for
Address of property C� IN,
d�
&VAL
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 should be provided with this letter of notification_
Please initial below if you have no objections. '0otk&q0yM
I have no objections to this proposal.
if you ave objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 28405 or call 910-
395-3 9 within 10 days of receipt of this notice. No response is considered the
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.)
�C { DO wish to waive the 15' setback requirement. Eta aAC(IkAt4>
_. I
_ —
I DO NOT wish to waive the 15' setback requirement.
Signature & Date
Print Name
FEB 12 2013
.... . s 1 a 1— 7 i .

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IGURE 8
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FEB 12 2013
.� ch,�,L"P�
ICFIMARK� i r LOT 2 � JCM waLNJIm TO K IN CASTING p SECTION 4 BLOCK A -
ISK M�CASTi�F6 �� FIGURE 8 ISLAND
alp M.B. 13 PG. 12 �,
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LEGEND '21' w
- - — PacPER-�� qc J
-ENTERLIhE /�-� / �O RIPARIAN SURVEY
— - - - RtGNT IS Mc' Fat
-- — - RIPARIAN Ik: NAtl n rw,&oI Tr PrTrQC

F&S Marine Contractors, Inc.
Complete Marine Construction Services
For Over 37 years!
CAPT. ED FLYNN DURWO
Piers, Floating Docks, Pilings, Bulkheads,
Boat Lifts, House Pilings, Repairs
1. P.O. Box 868 Phone/Fax: (910
lWrightsville Beach, NC 28480 email: efly,
l
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jib � 17�
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C Division of Coastal Mgt. Habitat Impact Computer Sheet
>plicant: k", �-( ,A�l �5 Permit #:
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
,jnd in your Habitat code sheet.
ibitat Name
/1w
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/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 y
152)y�
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 ❑

F AND S MARINE CONTRACTORS INC.
P.O. BOX 868 TEL [phone]
WRIGHTSVILLE BEACH, NC 28480
DATE
2916
15-3/540
893
/4U DOLLARS
�CBANK
ank, N.AA.. 04007 /�%�