75876D - Pasquantonio

-. ❑ CAMA / ❑ DREDGE & FILL } NO. 75876 A B C
GENERAL PERMIT Previous permit #
PNew --Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an �ea of environmental concern pursuant to 15A NCAC
/ , , / , i G Rules a ched.
Applicant Name ���'" `, �G / Project Location: County ��/lil
Y
City t v ,
State ZIP 7 RY L S
Phone # (U) ( I _'/CV E-Mail
Authorized Agent N / 40 5; d
❑ CW
)6W
"A ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /
PNA
yes /25>
Street Address/ State Road/. Lot #(s)
Subdivision
City �J ZIP
Phone # River Basin '
Adj. Wtr. Body na man unkn
Closest Maj. Wtr. Body ll
r�Tar�r�■■■■��:��I■�(G���i:.mow■■■■■■[i'�iil�►'�rl�r■■■
�■■����f�i�w■■�1■■I■i'c���®■■■■■■w■■fir■■I!■■■
-
■■■■■■■■■■I ■ ■■■flr(r■/
1■■■Il®■■■(�i■■
M.■■■r
NN
NOME
■ I I ■■
ii �wii�ii
li■■ ■■■■
®Ci®i�IEEE
ME■iOEM
■■■■■
• ■ ■■■■ ■ IIIMMEME
■N■■�■ ■I
A 1■■■!'�� MEM ■■■
NUFi�1■■■1�1/■■M■■■
11■■1■■■■ ■■■■1■■■
HEMINEME
■■■1�■■■■■■■■III■w
■■ w■■
I V F,(_It e-
Agent or Applicant Printed Name
c
Signature ** Please read compliance statement on back of permit
�60 652
Application Fee(s) heck #
Per is 's rimed Name
SignaXq
G
, /! • Z?v
Issuing Date Expiration Date

©MSION OF COASTAL MANAGE§Wff
ADJACENT RIPARIAN PROPS M NOTIFIGAPONNAWER FORM
Name of Property Owner S -eyc �V�f
s�clah n !U
Address of Property: l l 5 S Df� 1`— ./�� ✓ ✓l t! Z
(Lot or S igeet #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Mailing Address: 15/+l'n e
I hereby certify that I own property adjacent to the above referenced property. The individual
applyi V 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.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to whatis being ProPed you rrsus# notify the Division ofCoastal Management (VC A�)in
►rating within 10 days of receipt of this notice. Correspondence should be marled to 127 Cardinal Drive Ext,
Wi7mington, NC, 28405.3845. DCM representatives can also be contacted at &10) 796-7215. No response is
considered the same as no objectfw if you have been notified by Certified /Fart
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
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.
Print or Type Name
115- S J/W p2
Marling Address
NC
City/Statwzi
yo 38 6g
Telephone Number
(.0" a
Mating Address
City/Stateop
TeMphone Number
'L- (")
Date ' t' Date
Revised 611.812012
dri, � ZY

0
rti
n,
I
01
1%.
At
N

I

l I qittiolt{} P!1en si uoqeoyl;Jao S341
I�1
N --dA.i " Asid
.ogu�$ *wad
s" of pajejai uog"tu &genla Aa qpM arMaauuo~i car sPUGI P®uUoquacVaraje GEP uo
.raga a4 s7ua6e Jaaw We JQ--90 PLwad MOO'7 OW ]WRIS Iuacua6euaayy Je�seoo jo uorswp
of uotss=jad ;uez6 pEy to op Pus ';ueu6 o; PazPo47na we I ;eLp Ajqrao amu--v4pnj I
X ap ul
i� � � le pa�eool a(;aadoid Aw je
r
=3uawdolanap pasodoid BuvAoliq et4 iq Ajessaoau
svwjod brWbrO lie 6wugo pue jo; 6uu(ldde ;o asod�nd gar: `eyaq l+ua ua pe ol
pazuoyane aa+e4 1 Wuj Aypao 1
I`
f 2 :'agwnN auo4d
io t IA 2A d sugsanbeN o d +,
NbLL "v lI 3+d vwvo do:i NoijLvzrdoHinv 1N3 V

,.
. , .. �:" m �s h:'�-`s��d ice.. i�'-..���9 r,.a..Y-+ �.� ._ � t.. �;� "?, - - •r�tr_ �..

Date Recelvsd
Dea De ited
Check From Nome
Name of Permit Holier
Vendor
Check Number
Check
amount
Permit Number/Comments
clshow
COM M2
Column3
Column4
CoArmn6
Cohomne
Coltlmn7
Column8
4117AM
oas,W brash 1 Oak Mond tek. LLC
oak island tek ac
BB6T T. — -
- -
96379
$ 200 00 GP f718620
W17/2020
_ YghB— nxkw
Larry Lakins II _ _ _ _
_ - —�
Coaalal Beak end Trust
- —
31l7,
, ---
_S 200.00 GP f74875D
411712828
Vance Morgan Money Order
JM Hamel
USPS
26583354077
_ _
$ 400.00 GP f75837D
4117/2020
I Harbor Marine Construction, Inc. _
Steven PeaquantoNo _ _
Bank of Amedca
1056
-_
$ 200.00 GP %758760
4/1712020
__ McPherson Marine Services, LLC --
Dennis, True --
Fkat CWzern Bank
2388
S 400.00 �GPf745836D
4117rl020
_ � Ke1M Popkin
same _
P14C ft*
1817
S 20000 GP %76258D
N1712020
-_
_ WNIie Clarence RkhardsoNRicherdson Cormau_e8on
jemee and aura cakt
:BBBT _
7888
_
$ 200.00 GP f75855D
4117ii020'
McPherson Marine Services, LLC
Michael and Amy Brian
First Citize" Bank
3017
_
$ 200 00 GP i75835D
4117/20Y0
Carokna Marine Construction. Inc.
Joseph R Sterks
First Bank
12642
$ 200.00 GP 075818D
//172020
HS Corstruclion, LLC
KenrroM Keels Jr.
BBBT _
2491
S 200.00 GP e781160
411712020
McPherson Marine Services, LLC
Ti. Gammons
First Citizens _
2Y84 S 200.0_0 GP i788B3D
4117f=
Steven Na el
Coastal Credo Union
200.00 GP