66282d - Derrick

CAMA / ❑ DREDGE & FILL
a A B
O'ENERAL PERMIT Previous permit#
New :]Modification El Complete Reissue El Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources il
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC O T , �, d
❑ Rules attached.
Name L i ov\,k f� f� ' Project Location: County �� 1(v01—N , At, IL
(� f � 'W o b d � Street Address/ State Road/ Lot #(s) i 3
State ZIPJ-J2kD S
O 7-L E-Mail - - -
W Agent
❑ CW ❑ EW PTA ?<ES 19PTS
❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A
❑ PWS:
(es �n9 PNA yes /
Project/ Activity
:k) length
tform(s)
Natform(s)
igth
nber
V RiPraP length
distance offshore
( distance offshore ZT
annel
/
is yards_
P
;e/ Boatlift
dldozing
50,
jA
Length 5
not sure yes � �
um: n/a yes no 1 .
es) no
,ttached: yes no
ig permit may be required by: 1N h
.ocal Planning jurisdiction) 11
Subdivision
City i�b \'u.n t +vac �l
Phone # ( )
ZIP—(
River Basin L --IV" �
Adj. Wtr. Body l4k V\ A , (nat / o
Closest Maj. Wtr. Body " 1. vi
t VJ D kl+ �•
(Scale: l 11 r
i
GGl �y1 ❑ See note on back regarding River Basin r

1/15/2016
1/19/2016 Backwaer Marine Construction Inc
Irene Hoffman
BB &T
2231
$200.00
GP 66265D
1/16/2016
1/19/2616 Allied Marine Contractors LLC
Russel and Cynthia Davis
B of A
8092
$200.00
GP 64728D
1/20/2016
1/20/2016
1/20/2016
1/20/2016
1/21/2016
1/21/2016
1/22/2016
1/21/2016 Kathi and Steven Todd same
1/21/2016 Southern Coast marketing LLC Surf City Crab, INC
1/21/2016 Armand and Phyllis Daniel Ben Barker (Holmes, Sherrill, Miller, Griffin)
1/21/2016 Pippin Marine Construction LLC David and Suzanne Price
1/21/2016 Land Management Group Inc Steve Malone
1/22/2016 F and S Marine Contractors Inc Robert Gibbons
1/22/2016 MONTCO ' Charles Tilson
Wells Fargo
6917
$100.00
major fee, 421 6th Strer
Coming Federal Credit Union
1046
$100.00
mod fee, MP 108-14
TD Bank
5341
$100.00
renewal fee. MP 10-03
Wells Fargo
3634
$200.00
GP 66266D
First Bank
46275
$100.00
mod fee, MP 37-07
PNC Bank
5117
$100.00
renewal fee, MP 7-09
Woodforest National Bank
2117
$400.00
GP 66251 D
1/22/2016 1/22/2016 JRW/RDW Inc _ Ron Sinclair
1/22/2016 1/22/2016 F and S Marine Contractors Inc Joel Killion _
1/22/2016 1/27/2016 Maritech LLC _ Maritech, LLC
1/25/2016 ' 1/27/2016 Atlantic Coast Industrial, LLC _ same
1/25/2016 1/27/2016 Aqua North Carolina Inc same
1/25/2016 1/27/2016 Stephen and Rebecca Crager same
1/27/2016 1/27/2016 John and Janel Brogan same
1/27/2016 1/27/2016 W.J. and Carolyn Knowles (via Pat Antinori) same
1/27/2016 1/27/2016 Logan Marine LLC Crockers Landing Association Inc.
1/27/2016 1/27/2016 Lighthouse Marine_ Construction Inc Gordon Maxwell
1/29/2016 1/29/2016 Clements Marine Construction Inc Rosario Cappello
1/29/2016 1/29/2016 Backwater Marine Construction Inc Jim and Nancy Yeager
- --
1/29/2016 1/29/2016 Richardson Construction Alton "Butch" Sheffield
_ Tom Earnhardt
1/29/2016 1/29/2016 Milligans Docks & Bulkheads/Joseph & Lara Milligan Paula Wise
2/2/2016 2/4/2016 Charles Riggs & Assoc Jerrold Schuett
2/4/2016 2/4/2016 TI Coastal Services, Inc. Chris Gibson for Ted Kaniuka
2/5/2016 2/5/2016 Mike Conard/Coastal Marine Construction Inc Bryan Batten
2/5/2016, 2/5/2016 Peter Mueller/Larry Naylor Farms Inc. Larry Naylor
2/5/2016, 2/5/2016 Daniel Shirley/Overbeck Marine Construction Inc Joe Green
2/5/2016 2/5/2016 Robbie Morgan/BOKF Money Order Emily Kelly
2/5/2016 2/5/2016 Ronald Boyd/R & B Enterprises Inc Ronald Boyd
2/5/2016 2/5/2016 Mark Schmidt/Schmidt Custom Builders Robert Park & Susan Hastings
2/5/2016 2/5/2016 Kenny Volrath/Future Homes Ent. Inc Larry Norris
2/5/2016 2/5/2016 Mark Clements/Clements Marine Construction Mark Ackerman
First Bank
1140
$200.00 GP 66250D
PNC Bank
_
5118 MO.00 major fee, 250
2136 $400.00 GP 66252D
7568 $200.00 GP 66278D
1882 $400.00 GP 66279D
5038 $200.00 GP 66276D
1054 $200.00 GP 66204D
6554 $400.00 GP 66203D
1248 $200.00 GP 66280D
5729 $600.00 GP 66205D
4005 $400,00 GP 66277D
2181, $400.00.GP 66270D
B of A
BB &T
BB &T
First Citizens Bank
BB &T
Southern Bank
Coming Federal Credit Union
B of A
First Citizens Bank
BB &T
BB &T
--
6250
-
$800.00
-
GP 66268D @$200
GP 66267D @$600
NewBridge Bank
6255
$200.00
GP 66269D
First Citizens Bank
14394
$100.00
minor fee, 502 S. Shore
Coming Federal Credit Union
739
$400.00
GP 66285D
First Bank
10083
2464
4571
R206357391141
7083
3417
35936
$600.00 GP 66288D
$600.00 GP 66118D
$250.00major fee, 401 N. Lumir
$200.00 GP 66208D
$100.00 minor fee, 224 Simmon.
$100.00 minor fee, Lot 21 The P
$100.00 minor fee, 1053 First St
Southern Bank
SunTrust
BOKF, NA
BB &T
BB &T
BB &T
First Citizens Bank
4014
$200.00
GP 66293D
2/5/2016
2/5/2016
Mark Clements/Clements Marine Construction
Kevin Smith
First Citizens Bank
4013
$200.00
GP 66292D
2/5/2016
2/8/2016
Henry Paula
same
Wells Fargo
8118
$250.00
major fee, 701 W. Nass
2/8/2016
2/8/2016
Randy Mosley/Allied Marine Contractors LLC
Kevin Swenie
B of A
8151
$1,000.00
GP 66287D @$200
Bryant Bedingfield
GP 66286D @$200
GP 66281D @$600
Chris Bouldin
2/8/2016 2/11/2016 Elizabeth Hamme/High Tides If Inc Robert Hendrix
2/9/2016I2/11/2016 Julia & Frank Sherron/Sherron & Assoc. Real Estate same
2/11/20163( 11/2016 Taylor Boone/Palmetto Marine Construction Inc. Jane W. Wilson
2/11/2016 2/12/2016 David Edmonds/Coastal Constr. & Consulting LLC Robert Huckabee III, VR Properties LLC
B of A
!BB &T
First Palmetto Savings Bank
PNC Bank
2173
$200.00
GP 66295D
1300
$100.00
minor fee, 406 Evelyn L
2830
$200.00
GP 66284D
5101
$600.00
GP 65006D @$400 reis
Robert Huckabee III, VR Properties LLC
GP 65006D @$200 reis
2/12/2016�
Charles Riggs/Chades Riggs & Assoc. Richard & Linda Baker
First Citizens Bank
14408
$100.00
NTB 16-06, Ons.
2/12/2016
Mark Clements/Clements Marine Construction Mike Riley
First Citizens Bank
4024
$250.00
major fee, 154 Great Or
2/12/2016
Brandon Grimes/North American Money Order Roy & Gay Johnson
BancFirst
2 44490239
$200.00
GP 66211D
2/12/2016
Scott Humphries Dawn & Scott Humphries
Lane Helms/Backwater Marine Construction Inc Charles Bodiford
Will Richardson/Richardson Construction Tim Throndson
Tommy Watters/Coastal Earthworks Inc Windswept Villas HOA/Bob Jones
Greg Holden/Holden Docks & Bulkheads Leonard Derrick
Alliance Credit Union
8479
$200.00
GP 66144D
2/15/2016
BB &T
2261
$600.00
GP 66291D
2/15/2016
BB &T
6266
$200.00
GP 66289D
2/15/2016
First Bank
4296
$400.00
GP 66306D
2/16/2016
CresCom Bank
2433
$400.00
GP 66282D

n NC Division of Coastal Mgt. Habitat Impact Cow
Applicant: beov"o'v�
Date: 2 l (s/( (i
Describe below the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FI
(Applied for.
(Anticipated final
(Applied for.
V
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
di
Habitat Name
Choose One
includes any
Excludes any
total includes
E:
anticipated
restoration
any anticipated
re
restoration or
and/or temp
restoration or
to
ternimpacts)
impact amount)
ternimpacts)
ar
Dredge ❑ Fill Both ❑ Other ❑
Dredge ❑ Fill Both ❑ Otherr
16 D
too
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article A dressed to:
Corm l Afoh eYGA►
7
ay12_ MDOVI-� oernor C'k.9.4
RCL 1 1,e1 �. '(\ L— '7' -) G i `(
A. Si ure
X Agent
El Addressee
B; Received by ( anted Nam Date of Delivery
D. Is delivery it Yes
If YES, FiGere
z
FEB 0 4 2016 4.
II I'III'I
I'll
I'I l l i l l
II I III I Il I II i II
I I I III I III
3. ❑ AdultvSignature 27615
El ess�
�da.
9590 9403 0533 5173 1337 08
❑ Adult Signature Restricted Delivery
ertified Mail
❑ Rrior'
❑ Registered Mail Restricted
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
Delivery
❑ Return Receipt for
Merchandise
caro/rP label)
7 011 2970 O O o 0
❑ Collect on Delivery Restricted Delivery
Insured Mail
❑ Signature ConfirmationT
❑Signature
2 4 6 2
-- -- 12 2 8
Insured Mail Restricted Delivery
Confirmation
Restricted Delivery
PS Form 3811, April 2015 PSN 7530-02-000-9053
(over $500)
Domestic Return Receipt

_j�
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
ime of Property Owner:
ldress of Property:
"G
(Lot or Street #, Street or Road, City & County)
3plicant's phone # :0(0 .3 3 rQ Mailing Address: 5 99 F�CP.wovC/— Oa d.
iereby certify that I own property adjacent to the above referenced property. The individual applying for this pel
s described to me as shown on the attached drawing the development they are proposing. A description of draw
ith dimensions, must be provided with this letter.
have no objections to this proposal. I have objections to this proposal.
you have objections to what is being proposed, you must notify the Division of Coastal Management (DC.
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
lilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response i;
)nsidered the same as no obiection if you have been notified by Certified Mail.
WAIVER SECTION
unders and that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distanc
5' 44 4y area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
?pr p is blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
Property Owner Information)
�C 0 ��%.�� a4l
signature
'rint or Type Name
S� �'J
v1aili ng Address
(Ri arian Property Owner Information)
Signature
IQ e k a —
Print or Type Name
Fling Address

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