54524D - Davis

❑CAMA / - DREDGE & FILL 5
GENERAL PERMIT Previous permit # 54s�4
New Modification ❑Complete Reissue El 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 7 H , (, (,
ules attached.
nt Name M . J&H-iQ DAV15 Project Location: County
;s (,)i J y ;� r . Street Address/ State Road/ Lot #(s)
State N(.. ZIP fly C5 (G( 6t "
Fax # ( ) Subdivision
,ized Agent 1Jry1CJ? ICATJ FLSN CZ— t'Y,'M q City OAK ZIP7R
,d Cw I7 Ew APTA ❑ E5 ❑ PTS Phone # ( ) River Basin c aP
OEA iJHHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body IDA VIC) ( AL- (�
C PWS: ❑ FC:
yes / PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body) caw
of Project/ Activity IVN(- One i ro, £�.yu llNCB 0,'Ciel06 . AC
P,CIvM+E(Scale: ��_
lock)length
length
camber
:ad/ Riprap length
,vg distance offshore
nax distance offshore
channel
:ubic yards
amp
ousel Boatlift
Bulldozing
f, - —..,, n_... it'."-),
ine Length lacy,
not sure yes /iie�
ags: not sure yes �Tio
orium: n/a yes o
r Attached: (f9 no
ding permit may be required by: _(-We , SLI NO ❑ See note on back regarding River Basin

PLAT OF SURVEY FOR
JOHN R. & JEAN C. DAVIS
LOT 24, BLOCK 182, SECTION N6
SMITHVILLE TOWNSHIP, BRUNSWICK COUNTY
OAK ISLAND, NORTH CAROL I NA
0' 30' 60' 90,
I❑NS: EP��
10042.6 SQ,FT, `— _ 1.8
307) = 3012.8 SQ.FT, BOAT
DEPT LIFT
2.30'
❑T = 4519.0 SQ.FT.
REA (30%) = 1355.7 SQ.FT.
N °o°°°ao°oOoo
IFY
CA /� 0 °°oO
�
ERDMY
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'ISION;
co ��FESS/��/,i��i
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EAL e
EYED
OTTED
o
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i THE
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oOOOOe000a°u°°noa
D. 20
e
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DATE SURVEYED: JUNE 21, 2010
SURVEY BY: DW/BM
DRAWN BY: C.KENNEDY
LEGEND:
EIP = EXISTING IRON PIPE FOUND
NIP = NEW IRON PIPE SET
EIR = EXISTING IRON ROD FOUND
NIR = NEW IRON ROD SET
TBM = TEMPORARY BENCH MARK
�i
AS�SHOWN HEREON ARE BASED ON ABOVE—
GROUND STRUCTURES AND RECORDED DRAWINGS
PROVIDED THE SURVEYOR. LOCATIONS OF
UNDERGROUND UTILITIES/STRUCTURES MAY
VARY FROM LOCATIONS SHOWN HEREON,
ADDITIONAL BURIED UTILITIES/STRUCTURES
MAY BE ENCOUNTERED. NO EXCAVATIONS
WERE MADE DURING THE PROGRESS OF THIS
SURVEY TO LOCATE BURIED UTILITIES/
STRUCTURES.
SCALE: 1 INCH = 30 FEET
JOB NUMBER: 10-0131/10-0266
FIELD BOOK: LB-2010-2/1-8-2010-5
McHENRY SURVEYING
PROFESSIONAL LAND SURVEYOR
P.O. BOX 433 - 8509 E. OAK ISLAND DR,
OAK ISLAND, N.C. 28465

-25-2011 18:24 AMERICAhFISHCO 9104576551
PAGE1
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PLAT OF SURVEY FOR
JOHN R. & JEAN C. DAVIS
LOT 74. ULOCK W..SP1 -T LIN N6
i;"(It+Y1LLC IOWNSNII:, AftflhSWLA G6l.;1\'T1
OAA 1$t AND . NIOP711 :ARULo44
r _ _
LOT 20
/
OAK ISLAND, N.C.
mo 15 PC IL B.C.R.I
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VAS DATED ON 0,
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EOt/Pa# — ! Li CM TWS IAAr. TnE S.URVLY Lift 407 PJRPWI
rj. FTR� FJI.-�r��.ys L7 TO REFLECI ANY CF '11E FOLLOW;w11fSi MAY
"R i EC All+tafcE TO TW. 51NI.ECT REAL is IA If:
�. EASt7AL441y. OTHER THAN PM, a .E EA_SEKNIN
THk- WERL Y11.41F AT THL 11YI TIF MAIUNG
Y IF ')nS SAIRVLY: WIDOW s0uAM LINES.
P.ES RA".IIM CrENANTS. cN11)mFA01`- RESI-C'
N1As, ECNNG ry 0 "F.R LAND JSL firDmAUCNS
NCR/I'Dl ANU ANt OTHER FACT
r•IAT AN N:Wj AIf' AND
0TIP A ��i� �T CUHHCNT TITLE sLAucII
4/V is NAY DSCLO•-:1
f 1?.tt
+ �TT)4p
NDTESL ~ ��( 7�•-.COASTAI. AREA VETLANK AS
' �KFp ! '� FLAGGED DT LiI AL CAM OFFICER
TIC PRoPeRTY SHOWN NEREQE TS LWATED
IN A FLOOD HAZARD 7RW 'AE•. RASE
CLEVATIM VAM!6i REF., FM -TY
NudFR 3705£S. PANEL 2056, SUFFIX •-r
��/ L.
`� �
7R 1�><wnONS OF 11"WWAOUNO URIIn1M
AS SKIM 4FREON ARL UA!FD CAL ABDYL-
DATED 6/06.
00. — •.I
ookM SO w(UFFS AND FMIlt1f4 MAIMS
_
--/I!
,f
~-�'^�
F'A&"r D-L 'IhVF.YDR. LOCATIONS OF
99"V101IS OR" CALCLL-TIM +
TIFTAL FREA MITNN LDT . Wa6 SUM �� , 4►T
'T
UNIY IIIAIDUW UT1L1111 •:/i1RACTURLS WAY
VARY FNOM 1 .V.AroNS S i(vimm 1EREON.
USABLE E1IPEMMM AREA (3M = M" SOFT,
(LL
AUIITCN,u BIL90IITILITIE5/51NI)CTIRFS
NAY UL rNI:OJNTLRW NO EKCAVAIKIAr.'I
AEt- AREA CALCUI.AT13*S
R•�'
VA'RE NAOL D1,111INIC THE PRWItti OF TFIS
BURIED ITIES/
TL7TAL AEC. AREA vrmtN LET ^ 4519A SOFT,
C;,,WWY T3 LOUATF UIIL
::TRUCTJRES.
USAnLC Dd ERVIOA AEL AREA (3BY) w 121&7
SOFT.
STATE Q -N7i T�. CIJIDIN A
ruma1T:U: •UNF 11. 2010 I31-ILA1

AM Prlc O `dish Company
P,o, Box 11046
Southport, � orth Caro!!na 28461
FR�m'.`Tor,h«�� Qerc� 4L,3 LiS
RECEIVED
FEB 0 7 2011
•
DCM WILMINGTON, 4
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PL

PLAT OF SURVEY FOR
JOHN R. & JEAN C. DAVIS
i r,7 11,. rSF,:T,0N N6
_r+rrrwL�fl' TpWlr,'Pf'. RRj;,5V1-'.a L-,uNT,
4r: ':'L4NO . NJRT-i C.4RCILI !A
r -- --
LQT 20 /
OAK ISLAND, N C.
_
a$'
MB 15 PG 14 B.C.R.
4:��
I
ELECT S 1 it
/ � '
I
,ATV £ 6RO& VAfFJt �
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UR 23
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$. �f AR LDT 24 !k 4
n FT.
fow-r.
0.23 ALi2E5
NOTE THE FRUPERTY SHMON HEREON
r Q ! � 1,T)
VAS SURVEYED IDF 6/21/10. D KX MAT
W f eFi
LIFT AND VATER DEPTH AT HEAR LOV TIDE
VAS LOCATED ON 12MUM
75y,�
N
IYtT I -I A'; yr COICAJ.lr!:uq, O t1l �IONN
F1R�R� 15AHI F A. .F. ARF Fj' ON IHS KAI. THIS SURVEY DOES NOT PUPPORT
3553 So. 'Cr'! ">.�{.� E j TO ReFiccr ANY OF TFE FcuovINC W.Icn MAY
Nf AFF'I "ftf TI, Tm WI;U„T;I kLAL L'iIAIL:
EAm&:Nry OTHER THAN POSSSLE EASEMENTS
- m THAT WFRF NSIRIF AT THE TwE (jr m0JNU
•If •IaO' IN II'I•: AIkVI Y: LIO LIMNO SL rBACK UWS.
VF1iF. 1. J� RESRICIIVE OOVENWr-. SLODI'A5106 RF57RICT
gtA-j.F�A IJiDLr I IONS; 7RIINC OR OTNFP. IAM L.Sf NF41 All(";
ANTI ANY OTIIF1 FM�Tf; TIIAT AH Ac;,I,"AIL W
ueul NI I4 11 -a.Akrk MAY US]LOSE.
NOTES- T (,r
_,-C1MSTAL AREA VETLMUS AS
D
FLAGGED DY LOCAL CAM OFFICER
THE PRCNJtTY SHOWN HEREDN IS LOCATED
IN A FLMD NAIARD ZONE W.DASE
ELEVATI N VARIES. AM, FIJ M CbNDFITY DAVIS
/CANAL
NUNDER 3T'Q M PAmD- 2a6, Suffix 1-r / L.
T14E LOCATIONS OF LNIDERC i0mD 011ITIFS
DAZED 6/DG a00' J
_ `
✓ AS 9+JwV WKt)N ARF BA:YO IN AJON.-
(.1i M 5rRU.TURES AND RE_OREED DRAWN(.,
__
OpERVMUS ATEA CALCULATHM& _ jr P�-
TDTAL AIKABF WITHIN LOT - tW --- y�]/Ip
,,NUfgOGN�OUME uSRI N Ilalr•�NEIS MAY
- MA
usABLE llPERVDRIS AREA (3oxD - 30fPP sorT.� ,t l(
/)g TAT VAk, rleUl+ Lor A'. 511ONN HEREON.
ALt-174AL
OE 9
JLIFT LN)MCD JTLTIES/ST9UC'TURES
AEG AREA CALCWITD]N9 �.go*
WAY BE EVCOLlNr-: iED. NO EACAVATI'In F:
AfAt NATIF DuRN6 'Id �•I•Uli1�i u pisTOTAL
AFL AREA WITHIN LOT - 4519Q SOFT.
�UJAVtY tC LUL-AI- UUNIED UTILITIES/
USABLE INPERVIDUR A6.C. AREA (3n) - 1355.7 SQFT.
1,INI:IIAR`i.

r
1 0 ; ')45 76 y51
K\
Name of Individual Applying For Permit: o kr
Address of Properry� Ig
(I.,ot or Street #, Street or Road)
(City and County)
:�creby cenify that I own property adjacent to the above referenced propcc"-y-. The ind,
applying for this pernut I;as described to me its shown on the atmched drawing the (fevelopme
are pro;r)oSine. A description or drOwing, with dimensions, should be crovided with this It
have no objections to this proposal,
}'ou Nave objections to what is being proposed, pleise write the LUi,isiorl of C
N'Inaagemcnt, 127 Cardinal Drivo Extension, Wilmin.ran, NC 28405 r>r c:,il �1? 79r1 within 10 days of recaip.t of this notice, No response is considered Tho Some as no objec
YOU have been notifTed by Certified Mail,
WAIVER SECTION'
I understand that n pier, dock, moorlog pilings, bronlnynter, boat house or boa; lift must
bcl; a minimum dlstance or is, from my area of riparian access. unless ►vaived b%, me, �
Wish to waive Tire setback, you must initial the ;appropriate blut1k brio++..
ao Wish to waive the 15' Setback =LiremAl -:
----�----f l ,� D m"ish io W ljvc tht: 13' sctback
C'Son
?rir.tNa, c �,A

o : --45 7 6551
W
Neme of Individual Applying For Permit., 214r,
Address of l?roperry }�
,Lar or Street jo, Street or Road) _._... -
(City And County)
I hereby certify that .I Own property adjacent to the above. refercn,cca proper*v. The fine
appl}ping for this permit Ims described tome as shown on the axched drawing the developm
are proposing. A description or drawing, with dimensions, should to ^rovided withihis 1,
r have no objections to this propose;
L't' you have objections to tivlrat is being proposod, please wrirf! ncc. dF�i,i;gin of c
hlatzagemont, 127 Cardinal Drive ExtBrtsion, Wilmine art, NC 28445 or- c;11i yl -79
witbin 10 days of receipt orthla notice. No response is considered rite same as nq obit
ycu hove been noriCed by Certified Mail,
WAIVER SECTION
I understand thot a pier, dock, mooring pilings, broulovater, bout itOUso or boat lift etas
bck a minimunt distance oriv from my area of riparian access - unless Wjive6 bN me,
%nisi] ro waive the setbsclt, you must initial the appropriate blank below'!
S1gn Nn
do wish to waive the 15' Setback reauirern��_
I do not' ish to waive the i-5$Ctback
-4z/'
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American Fish Company
P.O. Box 11046
Southpcwt, North Carolina 28461
—�' Email: [e-mail]
ejpp? 1� F't Fr --
I Own OF E.* Z?
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ACC
11' X
16; R-4
INVOICE NO. #
Fimt",
D oc.K 'UI(P
(910) 457-54�
(910) 457-65;

Division of Coastal Mgt. Habitat Impact Computer Sheet
ilicant: LA V IS RitO Permit #:
©: • Z/ 17/ 11
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
id in your Habitat code sheet.
itat 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/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 and/
temp impact
amount))
c vj
Dredge ❑ Fill ElBoth ❑ Other �/
"'ov
I
C (0
l�
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 ❑