75878D - Humphries

A / DREDGE & FILL No. 75878 A B C D
GENERAL PERMIT Previous permit#
.New -Modification ❑Complete Reissue ElPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality Z�©
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 67 !T
Rules
atykched.
Applicant Name /L'U 1! V11 Project Location: Countyyyl�--Pi�--
Address I ZZ a I r( 145a Street Address/ State Road/ Lot(s)
City S , Stat ��IPe LY/ :3 ) 77
Phone # (11 ?D _/03�4 E-Mail
Subdivisio r
Authorized Agent
!�
City /
ZIP
cW
Affected `'
'4 OEA
fjPV A [I ES ❑ PTS
�T
7 HHF ❑ IH ❑ UBA ❑ N/A
Phone # (
Riv r Basin
AEC(s):
Adj. Wtr. Body/ u ��
. a unkr
❑ PWS:
Closest Maj. Wtr. Body
ORW: yes / rio
PNA yes / no
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t or Ap0licant Printed Name
Signature ** Pl�ad compliance statement on back of permi100 � �"q P
ApplicationFee(s) deck
Issuing Date Expiration Date

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 herebycertify that I own prop" adjacent t G pq�c -S 9
fY P p" ��
*� N • of Property Owner)
property located at Z � M A iL 4n t 7
(Address, L t Bloc Road etc.)
on ..(..; f.... -CJ 4 +E l4 in c=j` __ , N.C.
(Waterbody) (CityiTown andlor County)
The applicant has described to me, as shown below, the development proposed at the above
loc ti n.
nave no objection to this proposal.
i nave objections to this propoosal,
DESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
NoHtP�R�e'S
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boatcuse, 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 C=ank below.)
I do wish to waive the 15' setback requirement.
V
I do not wish to waive the 15' setback requirement.
Ad cent Property Owner Information}
na re
ASignature
wn r nformation} ( j i
v - Print rType Name
Print or Type Name
tinff dress
Ci ISt1fitBlLt /L < 41M qhg
�/� • ..► v �� r�d1 Tel
Tsl�phorne N bar/amen ad
1)gte
,Elate
t
*Valid for one calendar year after signature
t co �t
N mbar / email address
(Revised Aug. 2014)

7
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to G a % r ry) J 14 �r41,?/ ZFJ- 's
(NarpeAof Property Owner)
property located at 1 Z 2 7 A A L L A QA 114
(Address, Lot, BI
on JAI I in
(Wa erbody)
;k, '-'c'� Road, tc.
1�'
(City/Tow and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
X_ 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)
S
Mk OOL e [ 12 c t((
ears rNr, �_—
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Hum PilQJC'5 kopWry I
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.)
_ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Qwn�r,lnformation) (Adjacent Property Own 1nformatlon) n
/`� m
Signature tg�ature _ R1
Sc & 7T IVO tit )6h�21 ��- C� �S �5 /./3 So � � <
Print or Type Name Print or Type Name _A v
1,7 z 1'�AL4- At>A 1r'?A V g4e L A e/)
ilin sdress , I Zgiling �� .l Cf
J4
City/State2i City/State2ip
f2a - /o S /tA ! 9 la S(2 -.3 0 �6 %CCU Il3So <f1�.7"jcd cis T� .�cf
Te/ep n N ber / email address Te/ephon u b�r`�/ e ail address
za
Date Date
(Revised Aug. 2014)
'Vabd for one Ca:ar year after signature'

7
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent toJCp� /7 U� pal �1 C s
N me of Property Owner)
property located at Z Z ALL A
(Address, L t Bloc Road, etc.)
on _n�iL� C �y` �� in 1`}51"C—A6 , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati9n.
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)
--� u
WODLE CacFCA-
s
FA IFwrn
WA� YL
w e
c �
= y P`
Y
�{UTA Poswec5 PQ�A t7y
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.)
_ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop wn r nformation) (Adjlcent Prop e Owner Information)
71
Si ature nature * �•
F i 7- 61�G
Print or Type Name Print o Type ame D p
? 12 2 M&e-�9 L�� l�� 1 I �i o �4 Z
ilin � ��, Z� M 'lin Q
Cit /State/Z1 City/State/Zip f
�/s•f2a - It, No7".A911.,coAA
Telepibgr►e N tuber/email address `Telephon Number/email address
IL I ��
Date Dhte
m
m
m
Q
(Revised Aug. 2014)
*Valid for one calendar year after signature*

Gb RacNwd
Date Da, o Ibd
Cheek From ame
Name of f4rmlt Holder
V—dor
GYlaek khOldiar
Check
amount
Aermft NumberXommwta
Rece t or Refund/Reallocated
columml
Column2
C01umn3
Cok
c.1-5
COMWO
Cohnnn7
col--
Cdumn9
4/22/2020',
4/22/2020
4/23/2020
423/2020,
V 2020
-4
Dawn and Scott Humphries same
Randall Caudle same
Carolina Marine Construction, Inc_._ Turtle Harbour Association
Duncan Marine Contractors, Inc. William MasseyBranch
Land to Sea Construction, LLC Mark Maynard
Dave Resource Grow Village of BHI
Alliance Credit Union
Wechovla
First Bank
8061
$ 200.00
GP #75878D
GP#76221D
Major Renewal 064-00, Turtle Harbour Association,
Wilmington NHCo
JD rct. 10338
JDrct.10337
PA rct. 9750
PA rct. 9748
PA rck. 9747 _
will be TP left receipt book at offic
45M
$ 200.00
4/22/2020
12641
E 100.00
4/22/2020
4/23/2020
Banld and Trust
8323
S 400.00
_
GP #75896D
4/22/2020
423/2020
First Citizens Bank
193
= 600.00
_
GP #75895D
Major fee, South Beach Renourishment, Bald Head Island
BrCo SPLIT 60/40
nited
17 7
7 .
W,
1 r