74522D - Landis

.CAMA / ❑ DREDGE & FILL NO. 74522 C D
"GENERAL PERMIT Previous permit #
I�New '-]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 1
As auth rued by the State of North Carolina, Department of Environmental Quality ^ f�
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
,� ,� 1 O Rules attached.
Applicant NameC�����1�1 `l� Project Location: County & i/�%�
Ad Vn��� t Street Address/ State Road/ Lot #(s)
Citys State�Z ZIP�L� `d m
Phone # ( ) E-Mail
Authorized Agent
Affected )1 W XgW ',>*TA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
❑ PWS:
ORW: yes / no PNA yes/ no
Type of Project/ Activity
Pier
Fix
Boat
Fing
Groff
Bulk
Basin
Boat
Boat
Beac
Oth
Shor
SAV:
Mo
Phot
Waiv
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body �r-V_ (nat /man /unkn)
Closest Maj. Wtr. Body ov�g .
(Scale: I j_ T )
.-i
MEM■
■NONE
■■�■■■■■■■■■■■■■��E;�/I■!■■
■■..N■EN■NEE■■N■■l
.■NCI■■i1N■■ONN■E!■■NEE■■
length
eN�■■NEE■NiE
■■■
■NEE■NN.i■EN■N■■■■ECN■N■
number
'eale
�.
EMEM
■/.i►��ENE'■■OE
■
fi IE\l■IN■N■�!�■ilNN■■!1,!■rap
ONE■
max
Eii■NNEOE,E■■■■SIG;l�1/�%■■Cr!���1111!'ONN■1►:■■■■NE
ON
�E�■■■►\■E
■
C;::E■■■■■■■Ef
� 11■■■■■NNN■NEE■
cubic yards
ram 3
■■\.■■NOON►I■■
�
in■■■■N■■■■■E■■■■E�NNN■ENE
Bulldozing
MON
MEN
Pq
����
i •
i■■■■Nl�■O■
■
■■!■■■■N■■■ENE■■■■O■N■■■N■
-
N■■���'i�l�■OEN■EI�DEi■NNE■■■
■EN■■EPEE■■■NNE
sl
�/IL�i■C\!Ef
�■Nf
!%O�iflIlwEA�l►`�I■!\
�iM`J■■
NN■■Naw
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/\S�ecial Conditions
t[\' A -1 N. 1a�S
? �Y'---
** Please read compliance statement on back of permit **
T-\ U See note on back regarding River Basin rules.
-U- A
Application Fee(s) Check #

41
1;
it
K

U
moo,

�. Ali ,.•_'". =.yi :�.:a 1)`'►
r
♦ti '
LU
I. s r .. . 4 •"ia.:.
-77
j � e
IWilm{

Mal
A

Dete Received
DeteDeposited
Check From Nam,
Nam. or Permit Holder
Vendor
Check Numher
Check
amount
Permit Number/Comments
Receipt or Refund/Reallocated -
Columnl
Column2
Column3
C.1-4
Columnb
Columns
Column?
Column!
Columns
7/2512019
McPherson Marine Services LLC
Lighthouse Marine Conet/Darrell Emy _ _
Martha M and Gary 0 Pam_ _ _
Lillie L Hewett
Backwater Marine Constr/Ted Helms
Suzanne Landis
Marcell Allen
Martha and Gary Pope_
Lillie Hewett _
BobbyIrvin
First Citizens Bank
Coastal Bank & Trust
BB&T
First Citizens Bank
BUT
iParagon Bank
2651
2758
7357
7901
1267
$ 200.00
$__606.00
GP #74522D
GP #74517D _
GP #74350D
1 GP #74351D
GP #74332D .. _ _
ma or renewal fee #132-96 Anchors Bend Marina NHCo
Tmac rct. 8475
BB rct 1543
TMc rct. 9129
BB rct. 9131
TMc rct. 9130
I PA rct. 9158
7/25/2019
7/25/2019
$ 200.00
7/25/2019
S 200.00
7/25P2019
$ 200.00
7/25/2 19
_—__—__
AB Marina Owners
_
I Anchors Bend Marina
103001S
100.00