66387D - Gasque

ICAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
lNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
•ized by the State of North Carolina, Department of Environment and Natural Resources U 7
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1
❑ Rules attached.
t Name Q � CC a Y Project Location: County &nM.<, tN1 �
3� v rC d Street Address/ State Road/ Lot #(s)
State N(_ ZIP 1'i t i M C'0 r .
E-Mail Subdivision-'—
edAgent Cc-kYa\"n"\ e'1evJ4t1w UvlS�"C,)aW Cityt.Xe�AA n ZIP
❑ Cw )KEW XPTA O ES ❑ PTS Phone # ( ) River Basin
❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A Adj. Wtr. Body CCA,�AG�. 1 (nay
❑ PWS:
yes / -) PNA yes / Closest Maj. Wtr. Body
Project/ Activity
Or=Ii ■MINE
1wMATI
- shore-
hore-
��.. ._
iic
,p
14 D..tliJ;1 1
e
dldozing
-(kVAp Wit 16
: Length Sol
not sure yes 0
�, j
um: n/a yes 'tom
yes
,ttached: yes no
ig permit may be required by:
_ocal Planning jurisdiction)
(Scale: 1
❑ See note on back regarding River Basin rL

3/182016 3212016 John & Mary Richardson
same
B Of A
4741
$200,00 GP 66367D
SF r
3/182016 3/212016 Peter Mueller
_- _
Edward Hathaway
B of A
5025,
_
$200.00 GP 66346D
_
JD r
3/182016 3212016 Brently & Sherrie Turner
sam— a
Wells Fargo _
6740403431
_
$100.00 minor fee, Lot 4 Chestnut St. Exl NTB Ons
_
JD r
3/182016 3/212016 JRW/RDW Inc
Louise_ Mengel
First Bank_
1026,
$400.00 GP 66365D
32120161i 3/24/2016 Charles Walters, Jr
same
BB &T
8125 '
$250.00 major fee, 9197 Schuyler Drive, Calabash BrCo
-SFr
SF r
3212043/24/2016 F & S Marine Contractors Inc
Richard & Laura Fisher
_
PNC Bank
_
5239
$200.00 GP 66372D
_ _
3/212016 3/24/2016F & S Marine Contractors Inc
_
Dennis Farrell -
PNC Bank
5194
_ _
$450.00 GP 66371D @$600
_RM
RM
3212016 27-V2016 F & S Marine Contractors Inc
Dennis Farrell
PNC Bank
5198
_
$150.00
RM
3/22/2016 3/242016 Town of Carolina Beach
same
BB &T
66194
$100.00 minor fee, CS 16-03
RM
3232016 3242016 Mike Gallant/ANA Builders Inc
Mo Afify
TD Bank
7823
$100.90 minro fee, 9 Hunter Heath NTB Ons _
JD r
3232016 324/2016 Richard or Erica Penny
same
USAA Federal Savings Bank
782
$200,00 JGP 66370D
JD r
323/2016, 3/24/2016'Antinon ConsWction Inc
Ed Ball
B of A
4163
$200 00 GP 6630 1)
JD r
3242016j3/29/2016 Proper Building Group Inc
Ed Hill
First Citizens Bank
1829
-
$100 00 minor fee, Lot 4 Majestic Oaks, Hampstead PN
-
Mir
3242016 - —
{3/29l2016 Bradford Stevens
same
NC SECU
1037
$200 00 GP 64727D
3/242016 3/29/20 66 Rhonda WooterdTown of Holden Beach
same
BB &T _
28499
_
$400 00 GP 66360D _
-SFr
_ SF r
32520163/29/2016 Mike Conard/Coastal Marine Construction Inc
Michael McDaniel
First Bank
10169
$200.00 GP 66380D
JD r
32520163/29/2016 Chris Conaway/Connaway Marine Construction
Georgia Rasmussen
IB of A
1223
$200 00 GP 66381D
_ HS r
3/282016 3/292016 Rods Solid Construction
Linda ccirillo
CresCom Bank
1527
$200.00 GP 66383D
—SFr
3282016 329/2016 Adam Knierim/Maritech LLC
-Pi
Steven Matthews
IB of A
2142
$250.00 major fee, 223 Florida Ave, CB NHCo @$400
RM
328/2016 3292016 Adam Knierim/Madtech LLC
Steven Matthews
B of A
2143
$150,00 major fee, 223 Florida Ave, CB NHCo @$4W
RM
328/2016 3/29/2016 Brandon Gnmes/money order
Eric Cassidy
Wells Fargo 17-3356_5WS 1
$200 00 GP 66391D
JD r
3/282016 3292016 Jerry EnnetVAntinon Construction Inc
Chris Barnhill
B of A
4165
$200.00 GP 66297D
JD r
3292016 Jimm North/Coastal Marine Piers Bulkheads LLC
y
Gene Hodges
g
Wells Faro
g -
20793
$400.00 GP 66393D @$200
RM
-
.-
Sterling Kenan
GP 663920 @$200
3/292016 Mark Clements/Clements Marine Construction
I Channel Walk & Shore Line HOA
First Ctizens Bank
4061
$250.00 major fee, 199 Driftwood Court, WB NHCo
RM
3/30/2016 Nicholas Nixon III
Ysame
BB &T
4462
$400 00 major fee, 115 & 125 Hollis Lane, Wilm NHCo
RM
3CJ02016 Donnie Reid/Reid & Cook Builders LLC
_
John & Jan Best
B of A
1628
$100 00 minor fee, 409 S. Anderson Blvd., TB PN
JD r
3/30/2016 Jerry EnnetVAntinon Construction Inc
Will Russell -
.B of A
4164
$200.001GP 66298D
IJD r
3/30/2016 Chris Gibson(rl Coastal Services
Mallard Bay HOA
-
Coming Federal Credit Union
- - ---
755
$400.00 GP 66395D
JD r
3/30/2016 Jerome &Joy Kay
same_
Branch Banking and Trust _
5219
$200.00 GP 66396D
JD r
3/312016 Enck Olsen/Olsen Associates, Inc
Village of BHI, Inc. _
Wells Fargo
2218
$400.00 major fee, Row Boat Row, BHI BrCo
HS I
_
3/312016 April and D. Page Wilson
1 same
Bank of Oak Ridge
3207
$200.00 GP 66382D
SF r
3/312016 Carolina Bluewater Construction
Boyd & B e cWy G a s q u e-
BB &T
9458
$200.00 GP 66387D
SF r
-

n V NC Division of Coastal Mgt. Habitat Impact Com
Applicant:
Date: C"j 7, %G/ 1 Y
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.
(A
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
di:
Habitat Name
Choose One
includes any
Excludes any
total includes
Er
anticipated
restoration
any anticipated
re:
restoration or
and/or temp
restoration or
tei
tern' impacts)
impact amount
ternp impacts)
an
/
©Vv
Dredge ❑ Fill ❑ Both ❑ Other Pr
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other 171

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date ji—W l'
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) (A r l� (�a�i to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
e
at (my property located at) b.
This certification is valid thru (date) 0

CAROLI NA BLUEWATER CONSTRUCTION
Custom Beach, Mainland, and Golf Course Homes
Complete Design / Engineering / Building
6934-9 Beach Dr. SW, Ocean 15le Beach, North Carolina 28469 [phone]-10
10'-11" 1 28'-0" 10'-11"
• 16' x 8'
Alum. Floating
12' x 12'
Dock w/ 8" Piles
Boat Lift
h
& 8" Piles
€�
CANAL3
a
a
MHVA-
C
'a
S20'00TM 49.79'
F mh CWS
Existing BWkhead I
I
nl
t —
ate,
I�
I
1
108 SF of Open Deck
located 91 W Setback
(2 Floors a 54 SF Each
o
I
Semadc
—
Line
--------------
i
Covered i Deck
neck — —

16 11:12a Kristin Dowdy State Farm
16 09:33a Carolina Bluewater Const
9107549566 p.2
910-575-1214 p.2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERMOOR7_NG PILINGSIBOATLIFTIROATHOUSE)
I hereby certify that I owvn property adjacent to 64-Al h5Aq., 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on in 5 A�5
(Waterbody) (N C
Town andlor County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatiif�boaihouse
roust be setback a minimum distance of fifteen feet (IS') from my area of riparian access unless
%valved by me.
I do not wish to waive the setback requirement
I do wish to waive that setback requirement.
DESCREMON AT-D/OR DRAWING OF PROPOSED DE VELOP_�NT:
(To be filled in by individual proposing adevelopmen#
(Szem 14o
I,(A,Ra-�l�yYon ns�dfGrlo�l-�y t
Mculingl4cfdress
I(RipariSn Owner Inbrmation)
Si e

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILIIVGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to &Al _4QVq, 's
property located at
15`
(Name of Property Owner)
i�
Rd
(Lot, Block, Road, etc
.) /'
onl A' I J in Yl/I l.�, N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
/C-Z I do wish to waive that setback requirement.
A:Con/-g
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
('5cv;; 4ftoo)
(A p]ican nfo tion
-Ot OL W 4VV &r;�vww 0�'M�
-Lull- 9 60" a- 1-w
(Riparian Property Owner Information)