66393D - Hodges

J,CAMA / ❑ DREDGE & FILL C �'��\ A B
3 NERAL PERMIT Previous permit #
rew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued /
Ized 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
/ Rules attached.
t Name ' Project Location: CountyP�+/
Street Address/ State Road/ Lot #(s)
tate Aofe- ZIP Z ���/ !
E-Mail __ Subdivision
ed Agent vt� P" City 1Y //*;7)�Fsa ZIP
❑ CW M/ r9WA ❑ ES ❑ PTS Phone # ( ) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A % ,.
J PWS:
yew no PNA yi
' Project/ Activity
ck)length
itforr>1(s) 6
Platform(s)
ier(s)
ngth
nber
i/ Riprap length
distance offshore
x distance offshor
cannel
sic yards
kttached:
Adl. Mr. Bodinat
Closest Maj. Wtr. Body ��
(Scale*
ng permit may be required by:
Local Planning jurisdiction)
'��7'SyaCaCtl;t'.i S P/ ❑ See note on back regarding River Basin n
A. % i e rt

3/18/2016 3/21/2016 John & Mary Richardson same B of A 4741 $200.00 GP 66367D SF
3/182016 321/2016 Peter Mueller Edward Hathaway B of A 5025 $200.00 GP 66346D J10
3/18/2016 3212016 Brently & Sherrie Turner same Wells Fargo 6740403431 $100.00 minor fee, Lot 4 Chestnut St. Ext NTB Ons Jc
3/18/2016 3212016 JRW/RDW Inc Louise Mengel First Bank 1026 $400.00 GP 66365D SF
3212016 3/242016 Charles Walters, Jr same BB &T 8125 $250.00 major fee, 9197 Schuyler Drive, Calabash BrCo SF
3212016 324/2016 F & S Manne Contractors Inc Richard & Laura Fisher PNC Bank 5239 $200,00 GP 663720 RA
3212016 312 12016 F & S Marine Contractors Inc Dennis Farrell PNC Bank 5194 $450.00 GP 66371D $600 RA
3212018 324/2016 F & S Manne Contractors Inc Dennis Farrell PNC Bank 5198 $150.00 RA
3222016 3242016 Town of Carolina Beach same BB &T 66194 $100.00 minor fee, CB 16-03 RA
3231201613/242016 1 Mike Gallant/ANA Builders Inc Mo Afify TD Bank 7823 $100.00 minro fee, 9 Hunter Heath NTB Ons _ JD
3/232016 3/242016 Richard or Erica Penny same USAA Federal Savings Bank 782 $200.00 GP 66370D _ _ J0
3/23/2016' 3/24/2016 Antinod Construction Inc _ Ed Ball B of A 4163 $200.00 GP 66307D - JD
3/24/2016 Proper Building Group Inc Ed Hill First Citizens Bank _ 1829 $100.00 minor fee, Lot 4 Majestic Oaks, Hampstead PN JD
3/24/2016 Bradford Stevens same NC SECU _ 1037 $200.00 GP 64727D _ SF
3/2,10016 Rhonda Wooten/rown of Holden Beach same BB &T 28499 $400.00 GP 66360D _ SF
3/252016 Mike Conard/Coastal Marine Construction Inc Michael McDaniel I First Bank 101691 $200.00 GP 66380D JD
3/252016 Chris _Connaway/Connaway_Marine Construction Georgia Rasmussen IBofA 1223 $200.00 GP 66381 D H:
3/28/2016 Rock Solid Construction Linda Piocirillo I CresCom Bank 1527 $200.00 GP 66383D SF
3/28/2016 Adam Knierim/Maritech LLC Steven Matthews B of A 2142 $250.00 major fee, 223 Florida Ave, CB NHCo $400 RA
328/2016 Adam Knierim/Mantech LLC Steven Matthews B ofA 2143 $150.00 major fee, 223 Florida Ave, CB NHCo Q$400 RA
3/282016 Brandon Grimes/money order Eric Cassidy Wells Fargo 17335655485 $200.00 GP 66391D JD
328/2016 Jerry Ennett/Antinon Construction Inc Will Russell B of A 4165 $200.00 GP 66298D JD
3/292016 Jimmy North/Coastal Marine Piers Bulkheads LLC Gene Hodges Wells Fargo 20793 $400.00 GP 66393D $200 RA
Sterling Kenan GP 66392D $200
U.S.
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PS Form 381 , JUIy 2015 PSN 7530-02-000-90
Domestic ReturnReceipt
111
3800, July 2014 See R,t

NC Division of Coastal V9t. ftbftt Impact Cc-mputer Sheet
t
Applicant:
Permit*
��,� C�
Date:
Describebelow 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,
pINAL 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
Exdudes any
total includes
any anticipated
Excludes any
restoration and/or
anticipated
restoration or
restoration
awortempL`
restoration or
temp mpact -
© I/V Qredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑
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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 ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
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Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
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Total Postage & Fees
03/22/2016
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Dredge ❑ Fill 0 Both ❑ Other ❑ I

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
t McCrory Braxton C. Davis John E. Skvarla
iovemor Director Secretary
AGENT AUTHORIZATION FORM
Date: 1.
ne of Property Owner Applying for Permit: Name of Authorized Agent for this project:
ner's Mailing Address:
-�(A
ail: /�,��sc�s 1 �i�/c�'�:, c,r)l, co.^-►
me ( )
Agent's Mailing Address:
63/c-/ nl-)
Email: ! ; ,--I, 4
T
Phone 6i/c3)
:rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining all CAMA Permits necessary to install or construct the following (activity):
my property located at
s certification is valid 1 year from (date)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
I (Name of Property Owner)
property located at � � P ac,ln �Je�.�, L�,�e
(Address, Lot, Block, Road, etc.)
on I IGS�iJ�JO^u Soutio� , in CIL,
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
f,.
` I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAV 1NG OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�s e atfGc It cc�
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back
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.
(Property Owner Information)
s�
Print//or�JType
/ A hma y /le '
(Adjacent Property Owner 1
V ]may,
o JN

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