74622D - Moore

-. ..CAMA / DREDGE & FILL 4 No.,
74622 A B� CO
GENERAL PERMIT Previous permit#
KNew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental- Quality %7 �
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCACy /
I ,/�,, ❑ Rules attached.
Applicant Name ) j M j' �A 0�0 ✓e—, Project Location: County � S�6�c)
Address + (Y� Z (� ��/T
City 0 r2IF CAT Sate NL ZIP ;?-S-4-6 O
Phone # (7V —s 90 E-Mail
Authorized Agent
Affected ❑ CW � )UPTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ' ❑ N/A
❑ PWS:
Printed
D"e readcompliance statement on back of permit **
Fee(s)
Check #
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP 2��Cd✓
Phone # ( River Basin
Adj. Wtr. Body G/ (na an n
Mai Wrr Q—A— � ✓,$,, %% flw"r'
C_.--
Pe O er's Printed Name
ignat
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: � �� o TT / V L� 4-
Af-fvl-Na
Mailing Address: oZ4'— je jjL'V A-
Phone Number. 91 o �� �- �G q 6
Email Address: 15 M a o,-<- C� i9 ,
I certify that I have authorized L W a u S C- MAV-,Ne-,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at D S �- S-� �� S L4
in (% A1S 16 (,J County.
/ furthermore certify that / am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer, and their agents to enter
on the aforementioned lands in connection with. evaluating information related to this
permit application.
Property Owner Information:
Signature,
�v
�C6T-r- Vj6dt
Print or Type Name
Title
6l � .L—1 2,61,'
Date
This certification is valid through I I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 5 c rT Y, f G II % r 1 y s
property located at
(Name of Property Owner)
I G � 2 � �? � •�
5 r f l (Address, Lot, Iock,,Ro d, etc.)
on ,in r ,Road,
,N.C.
(Waterbody) (CityrTown And/ County)
The applicant has described to me, as shown below, the development proposed at the above
to
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
wt A f CC
,J
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance 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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(ProperjPQwner Information) (Adjacent Property Owner Information)
s r n/� i J,��u
e
VI * r
Print or Ty Name. �q� PnntorT Type Name
UrN, '•P Pin _A rS4- l.nne
M,a`in Address Mailing dress
c s� te/zD N` ��Y � ,', N C 'Z 3a 9
p Ci IStateOp
� o �i
Teie ho a Number/email address Telephone Numberl email address t
3-ra-r5
°' Date` —�
'Valid for one calendar year after signature' (Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -S < <' t T Y j u' 1 f 's
' (Name of Property Owner)
property located at 10 S i
(Address, Lot, lock, Ro d, etc.)
on 1 �T C'itnrA// in � trk N.C.
(Waterbody) (City/Townhind/or County)
The applicant has described to me, as shown below, the development proposed at the above
to rn.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
j„Y h14pc c
WAIVER SECTION
I understand that a pier. dock. mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
:ZR
If wish to waive the setback, you must initial the appropriate blank below.)
wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prope,� Qwner Information)
Su(r�T�t��
P , o;Ty Name.
D ♦ �l r �, ✓V P
MilinQ} Address
%a
t o 1 AN i7 . IV,--)
o— -Al —SGgC
Number/email address
'Valid for one calendar year after signature'
(A41%ro a nor Information)
rinr or Type Alamel
ZJ zd l uez r u�0r
Mail? Address
/ �X &) C. 275-6Z.
City/State ip
3 - 2b cd /ys
b2 �3 y C W
Telepho e N ber/email address
Date"
(Revised Aug. 2014)

T
I hereby certify that I own property adjacent to c o
a
I
/ property located at (Name of Property Owner)
_ (� S� � S i
(Address, Lot, Block, ad etc.)
on _ ef't / in 1 /-' N.C.
(Waterbody) (City/Town d/or County)
The applicant as described to me, as shown below, the development proposed at the above location.
70
have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Bulk�.A_P w+ll
Cs« AC14
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distan e of 15' from my area of riparian access unless waived by me. (If you wish to waive
the setback o must initial the appropriate blank below.)
1 o wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
r�
1
Info
C/Q
(Revised 611812012)

I hereby certify that I own property adjacent to 6 07� V Igo s
S� --- (Name of Property Owner)
property located at D,5'
(Address, Lot, Block, Roa e )
on A N A in N.C.
(Waterbody) (City/Town and/gfr County)
The applicant has described to me, as shown below, the development proposed at the above location.
ave no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Lt [ k c Jf ivrt ' (©�
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance 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.)
UA4�L— I do wish to waive the 16' setback requirement.
I do not wish to waive the 15' setback requirement.
ope Owner Info r ation) (Adjacent Prope Ow er I orm io—L"-> �'C'n
n)
S at Si tune/
ne-rT-De Tit C AC
Print or Type Name 1 / Print or Type N me / 1
Meiling A dress � � . � Ming Address
Ci /State i /State ip
Teleph ne N mber WDate
mber (dam
/ / q
Date
(Revised 6/18%2012)

Date P-1ved
Date Deposited
Check From (Name)
Name or Pefmit Holder
Vendor
Check Number
chwk
a wall
P—,f Numb -Comments
Recei f or Refund/Reallo fed
Columnl
Co1utnn2
Column3
colu—w
Column3
cokmM
CokWwy
column9
Cohn 9
6/26/2019
Wellman's Construction Inc.
Wellman's Construction Inc.
Martha O'Neill
BUT
First Citizens Bank
18133
15935
$ 100.00
$ 100.00
$ 100.00
minor fee 7716 8th Ave Lot B, North Topsail Onco
minor fee 334 Caswell Beach Rd Caswell Beach BrCo
minor fee 1808 N Shore Dr Surf City, Orrco
Jd rat. 8781
Tmac rct. 8471
JD rcL $250
6/26/2019
Solstice Builders LLC
6/2612019
Charles F. Riggs and Associates Inc.
William O'Grady_16130
Circle Q Equity
First Bank_
Wells Faro Bank _
Federal CU
6/26/2019
Circle Q Equity
25362
$ 100.00
minor fee 911 Bumble Bee Ln TB PnCo
JD rot. 8778
6/26/2019
Circle Q Equity
Circle Q Equity
25361
$ 100.00
minor fee 938 Observation Ln TB PnCo
JD rot. 8779
6/26/2019
6/26/2019
6/262019
6262019
Heave_ n Scent Mgmt Services
Sonia and Brian Nunn
Kenneth McDaniel
Lighthouse Marine Construction Inc.
Ma aret MacKay
7320
$ 200.00
GP 974333D
TMc rct. 8755
Sonia Nunn
7376
$ 200.00
GP #73548D
PA rct. 7970
Kenneth McDaniel —Coming
Mark Calculi_
Haywood Parker
Tricia Gosnell _ _
Deborah Fish
Brian and Ragan Daigle
Shelton Chaney
John Moore
Clarence Junior Allen
1126
2724
2280
$ 200.00
$ 200.00
$ 200.00
GP #74685D
GP #74692D
GP #74610D
PA rct. 7972
JD rct. 8777
JD rct. 7925
Coastal Bank and Trust
6262019
Jerry Ennett / Ennett Marine Construction
_ _
Coastal Bank and Trust
6262019
AMW Dodos and Marine Construction Inc.
_
BBBT
BBBT
BUT
5500
$ 200.00
GP #74257D
Tmc rd 8489
6/262019
Joel Klass
604
$ 400.00
GP #72303D
Tmc rct. 8499
6/26/2019
Joel Klass
600
$ 200.00
GP #742320
TMc rct. 8500
6/262019
Shelton and Jennifer Chaney
Wells Fargo Bank
309
$ 200.00
GP #73539D
TMc rct. 8751
6/262019
Li hthouse Marine Construction Inc
Clarence J and Kathy Allen
_
Coastal Bank and Trust
2713
$ 6W.00
GP #74622D
JD rct. 7923
6/262019
United Community Bank
9545
$ 200.00
GP 974626D
JD rct. 7920
626/2019
Logan Marine, LLC
Adam Lauber
Coming Federal CU
6561
$ 200.00
GP 974304D
TP rot. 8271
6/262019
Chares Fox Home LTD
Debbie Smith
Branch Banking and Trust Company
25562
$ 200.00
GP #72243D
Tmc rot. 8492
6/26/2019
F & S Marine Contractors, Inc
David Swain
PNC Bank
7912
$ 200.00
GP #74695D
TP rd. 8737
6/26/2019
_ _
F and S Marine Contractors Inc
Susan Culp
PNC Bank
7913
$ 200.00
GP 974696D
TP rot. 8736
6/26/2019F
and S Marine Contractors Inc Joel Killion
JBH Lawn Care and Landscaping Inc Jonathan Holland
Duncan Marine Contractors, Inc. Emmett Aldredge
Grice Construction of Brunswick County In_c Michael Davis
Brandon Grimes MO Murrayand Ann Crawford
PNC Bank
7914
$ 200.00
GP #746383D
TP rct. 8735
6/262019
Fk1el' Bank
13792
$ 200.00
GP #74315D
TP rct. 8734
'628/19
Branch Banking and Trust Company
8278
$ 400.00
GP #746865
TP rct. 8733
6262019
BB&T
13072
$ 200.00
GP #73534D
Tmc rct. 8493
6262019
_
Wells Faro Bank
6.74E+09
400.00
GP #74667D
JD rct. 8782