71783D - Vethoven

E�,PAMA / DREDGE & FILL 0 7178 01A 1 B C D
GIEN ERAL PERM IT&44'�tiAI1 `�
Previous permit #
New Modification ❑Complete Reissue [:]Partial Reissue Date previous permit issued
As aut orized by the State of North Carolina, Department of Environmental Quality ZS� O
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC � '
�/ r �❑ Rules attached.
Applicant Name [wrpin- ?V G 1 V�� Project Location: County jre p-
Address y L {r O �%� Street Address/ State Road/ Lot #(s)
City State/V ,'ZlP29-"3 lJ� p PO/N % _ L vO p
Phone # f4CL) (01 ( -0-� E-Mail
Authorized Agent PftN t&L
Affected ❑ CW Ww *A ❑ ES ❑ PTS
AEC(s): El OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
Age"Mor Appf rinted -a
ur ** Please read compliance statement on back off
ermit **
ob (A"I
Application Fee(s) Check #
Subdivision
City I-bkw ZIP
Phone # �� )�7r7/ River BasirJVh1 Q
Adj. Wtr. Body i'�Y V at an /unkn)
i•I­M'; Wr. R-A­ /1 PC7,ki {-
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Printed
Nire
-(5.-- (`)
Issuing 6ate Expiration Date

►n+f tlmt f overt propaft� squirt fo A} oY Vf 4h o Neo y
M"rty locelyd al 330 CIA Pa:+s4 .�J piwmMPropwty Cns1 —
(Addfaos, Ld, mock, �Mc.)
Oft r li h t. 'x 4--ar'h—j . N.C.
(C TOW
The appkw t has dowitmd fo 'm w shown Molar, so dAowwm pf-Wmd of the atxm bow,
_ ' I have no o4ut. tD to pnrpoaLL
I N&O r to aria proposal
DEUMPTON AIADM BR+ttAtl W OF PROPOSED DE48oPIU T
pkltt/N W proposing dry opnafal a W IW kt daarrodm a A r or al/ach a alb
Dl�n� ��ry A�~t� �crteA
WMM MU"
I wndawtand that a pbr, dodo, moorisp pfgR brrslAoaatI I boaMftom. Wt or groin mat be sal bark s
minksras dab" of t 5 from my afoa d riparian sccasa utNlsa +r+a " t V MIL Of YOU *ft tD ww
the softbaoi . you ama Miat tho AMW b" tdara.}
t do OOM to vrWw fhe 45 "A)M* rocsritrrneM
_yam i do not wtch to —w fhe 45 oef & mqlremat
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Dail, Jason
From: Daniel Clements <[e-mail]>
Sent: Friday, January 11, 2019 7:51 PM
To: Dail, Jason
Subject: [External] Fwd: Mark Velthoven Dock Permit Approval
Sent from my iPhone
Begin forwarded message:
From: Vernon Hawkins <[e-mail]>
Date: January 11, 2019 at 3:46:28 PM EST
To: Daniel Clements <[e-mail]>
Subject: Mark Velthoven Dock Permit Approval
The signed dock permit approval is attached.
-Vern

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: HA � ti (--,— JCr C,it
Address of Property: Jay—
z-�? �-q 3
(Lot or Streef #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #:
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 must be provided with this letter.
,(*--,Uhave no objections to this proposal. Ihaue obiectionsta th%�2osal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certirted Mail.
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 etback, you must initial the appropriate blank below.)
`- I do wish to wniv
&A— I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Sigshature 1 I
/�aw,)C V�1967%ltn
Print or Type Name
1330 191111 ��4 1,-,2
Mailing Address
A)(f li
r�
City/St e2ip
Telephone Number
Date
(Ad' property Owner I)fo—r*ation)
Sigeture
Pri t or Type Name
Mailing Address
AIM OS2?71)-�
City/State/Zip
Telephone Number
Date
Revised 611812012

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: /naA Vc 4T %ntjen
Mailing Address:
Phone Number:
Email Address:
Ij
WP OAIM E--
,0i a
IFIN
I certify that I have authorized >��; C''erherJ
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: �ocirt i to 0
at my property located at 330 t9keAc.
in ' re r r County.
1 furthermore certify that l 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
Print or Type Name
&vier
Title
I 1 l D/
Date
This certification is valid through L� l�_l d619

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Date
--- -------
-- --••-- ee.:��rvm �ae
name or rermn Haan
Vendor
Check Number Check amount I Permit Num6edCommenta
Rec!y f or Rehn"oe/located
Column?
1/20/2019
-- --
Column2 Cofumn9 COIumr4
Jeremy Ridenhour/Coastal Carolina Construction Jerem Ridenhour
I Columns
i BB&T
Column8
7703 $
Column? I Column8
200.00 GP #54526D
Column9
TMc
1/20/2019
B and B Marine Construction/Brandon Grimes
-- _ _
Doug Padgett
-
Wells Fargo Bank
- --- --
2003� $
�- -- - --- - -
;GP 972363D
rct. 7312D _
- _
'JD rct. 7050D
t/20/2019
-1/20/2019
_ _ Brian Jay Cox
Davey Resource Group InGMichelle Knotts
same
Michelle Knotts/MGA Grou LLC
_
NC Bank
United Bank
971 $
1272 $
-400.00
200.00 ',GP #72397D __ _ __ _ ___ __
400.00 GP #72395D___
_ B_ S_ _rct. 7425D
- --
BS
1/20/2019
Pink Associates/George Pinkston
Benjamin Zucker ____
_'
Wachovia
8748 $
_
400.00 GP 27# 398D
rct. 7424D
BS rct. 7812D
1/20/2019
PinkAssociates/George Pinkston
Benjamin Zucker _
_
Fargo
_
J 8783' $
__
200.00 GP #72399D
BS rct. 7335D
1/20/2019
Shrimp Lady Seafood Market/Myron Yencha_
Myron Yencha _
_Wells _Bank
BB&T
1198, $
200.00 iGP #71762D
-- - - -- -
JD rct. 6968D
1/20/2019
1/20/2019
Daniel Clements
Mark VethPven _
____
First Citizens Bank
-
'GP #71783D
JD rct 6967D
_ _1/20/2019
;Ed Flinn/F and S Marine Construction
Charles Fox/Charles Fox Homes Ltd.Lisa
Kenneth S runt
Ledford-Cnssey
PNC Bank
BB&T
75581
-- 82 $
- -
2 0.00 GP #72741D _ _ -----
CS rct 6337D _
1/20/2019
_
Grice Construction
_ -
Alvin H att
__
BB&T
- 24970; $
12692 $
200.00 GP #71791D - - --
200.00 GP #71754D
TMc rct. 7322D
- - - --
1/20/2019_
Dustin GrahamlTown of Sunset Beach
_
- - --
-.
Town of Sunset Beach_/Dustin GrahaO First Citizens Bank
-
---
18498 $
200.00 I GP #727101)
TMc rct. 7728D
TMc rct. 7325D
1/20/2019,
Brandon GrimesB and B Marine Construdfon
;John Batal - --
_ .. -
Wells Fa o Bank
-r-
-
1018 $
- - --
'GP #72748D
- - -
JD rct. 73860
1/20/2019
1/20/2018
_Bruce Quaintance
Richard Penny Construction
same _-
Thomas M.
--�
iCresCom Bank
_
L_ 2130 $
-400.00
200.00 GP #71794D _ -_ - ___-_-
TMc rct. 7324D_ -� -
Steed
Navy Federal CU
197 $
200.00 Gl #72747D
CS rct. 6338D
I