66280D - Crocker's

r
9 CAMA / ❑ DREDGE & FILL ` �\
'EN ERAL PERMIT Previous permit # A B
*4ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
// -- Rl Ruules attached.
t Name Cry ✓ l.,� /h . THE . Project Location: County Al, u_-r
0�x ley
+✓I k_r504 lli State /Ve ZIP
E-Mail
ed Agent %'t4 4).*A
❑ CW VEW EPrKA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
❑ PWS:
yes /� PNA yes / r%
Street Address/ State Road/ Lot #(s)
13 ;� t/ %i /; - //:r jam. ,
Subdivision
City WdvklAn ZIP
Phone # VO ) River Basin
Adj. Wtr. Body / W KI (nat
Closest Maj. Wtr. Body
' Project/ Activity l4wZtgle a",.- %C�/O/11�f E�i(%r�T//-i•} �l{�'7
ck) length
I � I
atform(s) t-- — - .
- —�
Platform(st#�—
)
�_ I
ngth
,nber
J/ Riprap length
distance offshc
x distance offs
cannel
sic yards
ip
Aldozing
Length
cum: n/a yes nd
yes
i
\ttached: yes ` no
Vh"
ig peru4t may be required by: �f err-).
Local Planning jurisdiction)
it ��. A-7 / 1
/ '<
i
(Scale: 3
❑ See note on back regarding River Basin rt

NC Division of Coastal Mgt- Habitat impact Computer Sheet
Permit*
Applicant; Cj^OC /-S SOS. -F,-.
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
FINAL Feet
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
for.
(Anticipated final
(Applied for.
Disturbance total
(Anticipated final
disturbance.
(Applied
Disturbance
disturbance.
Habitat Name
DISTURB TYPE
Choose One
includes any
Excludes any
total includes
any anticipated
Excludes any
restoration and/or
anticipated
restoration or
restoration
ar4l6rtemp
restoration or
temp impact
Dredge ❑
Fill ❑
Both ❑
Other [^
! 6
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑ Fill ❑ Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Dredge ❑
Fill ❑
Fill ❑
Both ❑
Both ❑
Other ❑
Other ❑
Dredge ❑
Dredge ❑
Dredge ❑
Dredge ❑
Fill ❑
Fill ❑
Fill ❑
Fill ❑
Both ❑
Both ❑
Both ❑
Both ❑
Other ❑
Other ❑
Other []
Other ❑

uction Inc
William Adams
First Citizens Bank
BB &T
B of A_
Wells Fargo
Corning Federal Credit Union
4002
$400.00
GP 66199D JD rct. 4002D
GP 66265D SF rct. 1604D
GP 64728D SF rct. 1603D
majorfee, 421 6th Street, SB, BrCo HS rct. 1509D
mod fee, MP 108-14 JD rct. 1569D
renewal fee, MP 10-03 RM rct. 1457D
GP 66266D RM rot. 1458D
uctlon Inc
Irene Hoffman
2231
$200.00
i LLC
Russel and Cynthia Davis
8092
$200.00
same
6917
$400.00
ig LLC
Surf City Crab, INC
1046
$100.00
al
Ben Barker (Holmes, Sherrill, Miller, Griffin)
TD Bank
5341
$100.00
on LLC
David and Suzanne Price
Wells Fargo
3634
$200.00
p Inc
Steve Malone
First Bank
46275
$100.00
mod fee, MP 37-07 RM rct. 1459D
renewal fee, MP 7-09 RM rct. 1460D
GP 66251D _ HS rct. 1511D
GP 66250D 1HS rct. 1510D
major fee, 250 RM rct. 1461 D
GP 66252D HS rct. 1512D
GP 66278D SF rct. 1605D
GP 66279D RM rct 1462D
GP 66276D JD rct. 1571D
GP 66204D JD rct. 1166D
GP 66203D JD rct. 1165D
GP 66280D RM rct. 1463D
GP 66205D JD rot. 1167D
ors Inc
Robert Gibbons
PNC Bank
5117
$100.00
Charles Tilson
Woodforest National Bank
2117
$400.00
Ron Sinclair
First Bank
1140
$200.00
ors Inc
Joel Killion
PNC Bank
5118
$250.00
_
Maritech, LLC
B of A
2136
$400.00
LLC
same
BB &T
7568
$200.00
same
BB &T
1882
$400.00
Tager
same
First Citizens Bank
5038
$200.00
same
BB &T
1054
$200.00
rs (via Pat Antinori)
same
Southern Bank
6554
$400.00
Crockers Landing Association Inc.
Coming Federal Credit Union
1248
$200.00
truction Inc
Gordon Maxwell
B of A
5729
$600.00

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 1/6/16
Name of Property Owner Applying for Permit:
Crocker's Landing Association, Inc.
Mailing Address:
PO Box 1304
Wrightsville Beach, NC 28480
I certify that I have authorized (agent) Taylor Pleasant & David Logan
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) relocation of Mr. Pleasant's boat lift, V-0" westward ,
at (my property located at) 1324 Airlie Rd in Wilmington, NC
This certification is valid thru (date) 6/7/16
h--eay rp- 64-4 /A,A
Property Owner Siknature Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
1322 Airlie Rd
Crocker's Landing Marina
(Name of Property Owner)
I
(Address, Lot, Block, Road, etc.)
on Wrightsville Sound , in Wrightsville Beach N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to t,10
`�' r
iai-► I have no objection to this proposal.
10
I have objections to this proposal.
1�- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
f EN� �5
51' 12'4T E 4000S O UtHERN UNE
105.18'
h+ Existing Boat Lift Location
r
00, New Boat Lift Location to
be 5-0 Westward, within
boundaries of boat slip
n G
O
Co
WAIVER SECTION
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.)
al* 4-- 1 do wish to waive the 15 setback requirement.
I do not wish to waive the 15 setback requirement.
(Property Owner Information)
Signature
David Logan (Agent)
Print or Type Name
PO Box 1552
P o erty Owner Information)
Print of Type Name
PO Box 381

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Crocker's Landing Marina s
(Name of Property Owner)
property located at 1322 Airlie Rd
(Address, Lot, Block, Road, etc.)
on Wrightsville Sound in Wrightsville Beach N.C.
(Waterbody) (City/Town and/or County)
The applican at'Fi s described to me, as shown below, the development proposed at the above
locatio
Initial► 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)
Ur�E
f Ai t..r.
51•12'48-E 40 0SOUTHERN aN .. an .r•
OE
�`• V Existing Boat Lift Location
44:A"
;n na
h �
r`
:--O
New Boat Lift Location to
be 5-0 Westward, within
boundaries of boat slip
0
r
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 15Ffrom my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I doyAgfi to waive the 15[8etback requirement.
Initial♦l /J I do not wish to waive the 151-getback requirement.
(ProWrrty Owner Information)
1 Y
Signature
David Logan (Agent)
Print or Type Name
PO Box 1552
(Adjacent Property Owner Information)
Signature
Print or Type Name
Mailing Address
Mailing Address