55863D - Prestage

-`CAMA / �❑I DREDGE & FILL
NERAL PERMIT
Te
Previous permit#
w _ 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 �7 ����
in an area of environmental concern pursuant
to 15A NCAC •
Name " Pr C (
t ' ❑ Rules attac ed.
/�/��/ �JZo
nt
Project Location: County
s <AIVIdIl►
Street Address/ State Road/ Lot #(s)
1l
n State ZIP 2 , l//l
� l= t�yt-t C
AA /_
# ('! h 2s (P , Z Fax # ( )
Subdivision
-ized Agent ed l /
City ZIP
ElCW 5� i�li A El ES ❑ PTS
CI-
Phone # ( ) Basin
E El OEA HHF ❑ IH ElUBA � N/A
/River
Adj. Wtr. Body L- IJ✓ nat
❑ PWS: ❑FC:
es)/ no PNA yes / of Crit.Hab. yes / no
L_ ' r
Closest Maj. Wtr. Body �/� �i�0
Df Project/ Activity
(Scale:'
lock)length
pier(s)
length
camber /n
md/ Riprap length
wg distance offshore
nax distance offshore
channel /
ubic yards
amp
)use/ oatl' X
Bulldozing-
1i I L�-Ai
E I >r
ne Length
not sure yes no _
igs: not sure yes _ -- / -
)rium: n/a yes G/
• yes
•Attached: yes o
ling permit may be required by: IVi4 eQ ,
❑ See note on back regarding River Basin i

yrn�
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;) snip- rAe
uA'toak/-
F&S Marine Contractors, Inc.
Complete Marine Construction Service:
For Over 32 years!
CAPT. ED FLYNN DURWO,
Piers, Floating Docks, Pilings, Bulkheads,
Boat Lifts, House Pilings, Repairs
P.O. Box 868 Phone/Fax: (910
Wrightsville Beach, NC 28480 email: efly
rAI �-

DIVISION OF COASTAL MANAGEMENT
AlD iACENT RIPARIAN PROPERTY OWNER NOTIFICATION & vyA AR FORt
Name of individual applying for perm
Address of property a3 f)
1G zgq�
I hereby certify that I own pr6pertY adjacent to the above referenced property. T
individual applying for this permit has describes to € as si;own on the attache
drawing the development they are proposing. A des%edption or drawing, With
dimensions should be provided with this letter of notificati n.
PleaE a intgLbejowr if you have no objecctions. 5 ,�
1 have no objections to his ;;roposal.
if you have objections to what is being proposed, please write the Division of Coa
Manegement,127 Cardinal Drive Extension, WAmington, N. C. 28405 or call 9t
.within 10 days of receipt of this notice. No re-sconse is considered thi
7% �Q/S same as no objec-ton if you have been notified b Certified Mail.
WAIVER SECTION /�/p
I understand that a pier, dock, mooring pilings, breakwater,boat wuSe-Ji.. or
sandbags must be set back a minimum of 15' from my area of riparian access
unless waived by ,me.(If you wlsh'o waive the setback, you must initial the
appropriate blank below.)
I DO wish to waive the 15' setback requ remant.
100 NOT wash to give the 15' setback requirement.
AUG 3 p
Signature & Date `
1k

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FOF
Name of individual applying for permit
Address of property
P _
4)r
W zgg1
I hereby certify that 1 own property adjacent to the above referenced property.
individual applying for this permit has described to me as shown on the attach
drawing the development they are proposing. A description or drawing, witt
dimensions should be provided with this letter of notification.
Please initi below if you have no objections.-�,t,s�# 1
- d
I have no objections to this proposal. 1-il-7�J41
If you have objections to what is being proposed, please write the Division of Cc
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 28405 or call 9
.395-3960 within 10 days of receipt of this notice. No response is considered t
nP
� 16 ���same as no objection if you have been notified by Certified Mail.
WAIVER SECTION % fJ f
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.
AUb � u
/0- /` Signature & Date

1 (-6b10 bt: s 0' r KUM: F &b MHK1Nt ylbt56 ib62 T0: 6865971 P. i
APR-14-2010 0e:52 From: To:9102563062 P-I/
RR
North Carolina Department f Enalron egemand Natural Resources
UvIsIan Dee pmern;
Beverly Eaves Perdue James H. Gre9son Secrete
Director
Governor
A EN7 AU7WOR1 ION FORM
onto.
Namefof Pro rty Owner Applying for Permit. Name [oJ,Authorjzed Agent for this project
Owner's Mailing Address.
Phone Number
Agent's Mailing Address:
& S Awl* ewrixfom' No.
TA
l0) 256M2
Phone Number
I cediy that 1 have authorized the agent Ilstecl above to act on my behalf, for the purpose j f applying
il if
for ass obtaining all CAMA Permits n8cesMY t inpo tali or construct the following %ac v y .
B ill
(my property located) 0t
b
This car ification Is valid thru (dale)
tJ ,
Property Owner Signature
ME
r
Date
/L I10
RECEIV;: '
..— n n f%ff&fl

NC Division of Coastal Pdlgt. Habitat Impact Computer Sheet
Applicant: � � � IG I r�s -� Permit #: ��3
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat 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 fina
disturbance.
Excludes any
restoration and/(
temp impact
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 ❑

F AND S MARINE CONTRACTORS, INC.
p.O. BOX 868, TEL, 256-3062
WRIGHTSVILLE BEACH, NC 28480
38529
66-85/531
?�
DATE
PAY IVC OL ft l yz— p .,
TO THE C DOLLARS
ORDER OF 110
/
RBC Bank'
3
FOR L.` c
u'000 38 5 2 9"m 1:0 5 3 L008 50�• _ y =-