66231D - Kauffman

�CAMA / ❑ DREDGE & FILL
3ENERAL PERMIT
A B
Previous permit #
TNew ❑Modification El Complete Reissue ❑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
W
I
t Name `Uk / l U T 1 Y lif 1 j i
Project Location:
Rules attached.
County yr Q 1(Au
')14j'1�YI1C(�
Street Address/ State Road/ Lot #(s)
{(.
�W(r Y �- StatJ4Q IP b 4
(` 0) a, ` 3. +0 E-Mail
Subdivision
ed Agent ` -
City
� 1 ZIP '
❑ cW ��EW XPTA ❑ ES ❑ PTS
Phone # (JtD--)
River Basin LVY"
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
Adj. Wtr. Body
�QV1 nat i
❑ PWS:
yes / no PNA yes o)
Closest Maj. Wtr. Body A'U���J
f Project/ Activity ' `� - V1J 41 (', ( Z
ck) length
atform(s)
Platform(s) X L
ngth
mber
d/ Riprap length
g distance offshore_
uc distance offshore
cannel
bic yards_
np
ise/ Boatlift
ulldozing W
KAY H V-
Flo
e Length
' Il
not sure
yes
no
•ium: n/a
yes
no
yes
no
Attached:
yes
,`no
(Scale: )ri
ng permit may be required by:
Local Planning lurisdiction) i i -
i (. \. ❑ See note on back regarding River Basin r

12/17/2015 [ 12/21/15
Lighthouse Marine Construction
Jack MacKnoll _
B of A
6671
$200.00
GP 66210D
12/17/2015 12/21/15
David or Nancy Taylor
David Taylor
Wells Fargo Bank
2090
$100.00
minor fee, 3627 Island
12/17/2015 12/21/15
Pippin Marine Construction LLC
Richard Woodbury
Wells Fargo Bank
3599
$200.00
GP 66237D
12/21/2015 9/25/02
Oyster Bay Homeowners Assoc
Thomas McCurley for Oyster Bay HOA
First Bank
999
$100.00
renewal fee, 41-89
12/21/2015 12/21/15
12/21/2015 12121/15
12/21/2015 12/21/15
12/21/2015 12/21/15
12/21/2015 12/21/15
American Marine Construction
Peggy Roberts
Overbeck Marine Construction Inc
Town of Ocean Isle Beach
Jim Nelson
First Citizens Bank
86080 $200.00
1499 $400.00
4540 $100.00
GP 66188D
Ralph Gibson
Branch Banking & Trust
GP 66238D
NC Baptist Assembly, Fort Caswell
SunTrust
Branch Banking & Trust
BB &T
mod fee, MP 36-10
GP 66178D
same
70607 $200.00
Backwater Marine Construction Inc
Warren and Kelley Miller
2193
12/21/2015 12/22/15
New Hanover County General Account
Layton Bedsole for same
BB&T
_ �$2OOT.00GP6179D
331294
wal fee, 151-01
12/21/2015 12/22/15
12/22/2015 12/22/15
12/22/2015' 12/22/15
Hampstead Pool Spa & Patio, Inc 'Michael Schwend
Bradley Creek Boatominium Inc Laurie Baldwin for same
Bald Head Island Ltd Bruce Marek for Deep Point Marina
Bald Head Island Ltd Bruce Marek for same
Richardson Construction Steve and Sandy Dellinger
Coastal Dredging LLC Craig Youndt
Allied Marine Contractors LLC Kenan Brock
Coastal Marine Piers and Bulkheads LLC Southside Dock Assoc. - Larry Mehl
First Federal
5510
r fee, 1605 New R
First Citizens Bank
1461 $100wal fee, MP 106-7
1530 $100.00 mod fee, MP 91-96
1531 $100.00 mod fee, MP 191-86
6198 $400.00 GP 66227D
4394 $600.00 GP 66239D
First Citizens Bank
12/22/2015 12/22/15
12/22/2015 12/22/15
12/22/2015 12/22/15
12/26/2015 12/29/15
12/26/2015 12/29/15
First Citizens Bank
BB &T
BB &T
B of A
8052 $250.00 major fee, 1182 B. N. f
Wells Fargo Bank
20606 $200.00'
GP 66240D
12/28/2015 12/29/15 Connaway Marine Construction
Mike Hamilton
B of
1150 $200.00
GP 66117D
12/28/- 15
12/29/15 Allied Marine Contractors LLC
Bill Cherry
-A
B of A
8051
$200.00
GP 66207D
12/28/2015
12/29/15 Charles Riggs & Assoc.
George & Christine Allison
First Citizens Bank
14357
$100.00
minor fee, 119 S. Perrr
12/28/2015
12/29/15 Susan Ballard
Susan & Rex Ballard and others
B of A
1141
$100.00
minor fee, emergency e
12/30/2015
SeaScape at Holden Plantation, LLC
same
First Citizens Bank
1071
$100.00
mod fee, MP 05-01
12/30/2015' VCC, INC
same - Brian Murdock
BB &T
3662
$400.00
GP 66228D & GP 662:
12/30/2015 Ronald or Clarice Holden
same
First Bank
1368
$200.00
GP 66230D
1/4/2016 Todd or Kelly Surratt
same
First Bank
7758
$100.00
transfer fee, MP 66-15
1/4/2016 Goodrich Architecture, PA
David Carr
First Citizens Bank
7987
$100.00
minor fee, 603 Maritime
1/5/2016
i
Otter Creek Landing Yacht Club
Loretta Whelan, agent for Otter Creek
First Citizens Bank
4364
$100.00
renewal fee, MP 7-11
1/5/2016
Clements Marine Construction Inc
Steve Dutton
First Citizens Bank
3985
$400.00
GP 66253D
1/5/2016
James or Marie Hardee
same
BB &T
5472
$100.00
renewal fee, MP 66-12
1/5/2016
Masonboro Landing Homeowners
same
BB &T
379
$100.00
renewal fee, MP 109-01
1/5/2016
Money order from Brandon Grimes
John Eubanks
BOKF, NA
R206357380449
$200.00
GP 66254D
V7/2016
Richardson Construction
Doug Garrison
BB &T
6220
$600.00
GP 66234D @$200
Richard McCain
GP 66233D @$400
V7/2016
TRA COM Services, Steven Farmer
John Kauffman
BB &T
4752
$400.00
GP 66231 D @$200

IC Division of Coastal Mgt. 'Habitat Impact Computer Sheet
PP
licant: I� f�l�t J F Permit #:
V � �l
ate:
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
abitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/oi
temp impact
amount
(<
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 ❑ 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 171 Both ❑ Other ❑

AWIFA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
!cCrory Braxton C. Davis John E. Skvarla, III
ernor Director Secretary
AGENT AUTHORIZATION FORM
Date: Z� — S- /
of Property Owner Applying for Permit: Name of Authorized Agent for this project:
t�LLGC ��irvl /.k hY1
"s Mailing Address:
I m-V66 i ank-yu.b(,�, 0V
�p�r� ►�� zg4-� 1
Agent's Mailing Address:
133
Number31 1ko Phone Number( fy 1#13 " i%el3
that I have authorized the agent listed above to act on my behalf, for the purpose of applying
ing all CAMMAA Permits necessary to install or construct the following (activity):
X )-D,
11 _ , I, \i
y property located at 1 122 C-- n2L12 — b(o-� T-fie 2e-A-C� AIL
Mification is valid thru (date)
�-Z
roperty Owner Si a ure Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: )Ok"
Address of Property: 13. C 5 7—
(Lot or Street #, Street or Road)
(City and County)
hereby certify that I own property adjacent to the above -referenced property. The indiv
applying for this permit has described to. me as shown on the attached drawing the developmen
Are proposing. A description or drawing, with dimensions, should be provided with this lett
IN�
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cc
Management, 127 'Cardinal Drive Extension, Wilmington, INC 28405 or call 910-796
Zk
within 10 days'of receipt of this notice. No response is considered the same as no objeci
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
bek a minimum distance of 15' from rriy area of riparian access - unless waived by me.
wish to waive the.setback,-you must initial the appropriate blank below.)
I do wish to waive the 1 5' setback requirement.
I do not wish to waive the 1 5' setback requirement.
I
Sean Name Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION(WAIVER FORM
Name of Individual Applying For Permit:...
Address of Property: . I � 3 C
(Lot or Street #, Street or Road)
D Cam• �u�
(City and County)
hereby certifytat own property adjacent to the above-refe--r--e-n-ced property. The indiN
applying for this permit has described to.me as shown on the attached drawing the developmen
Are proposing. A description or drawing, with dimensions, should be provided with this lett
LT I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cc
Management, 127 'Cardinal Drive Extension, Wilmington, INC 28405 or call 910-796
within 10 days�of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
bck a minimum distance of 15' from my area of riparian access - unless Nvaived by me.
wish to waive the.setback,-you must initial the appropriate blank below.)
AA I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign Name Date

■ Complete items 1, 2, and 3.
A. knature
■ Print your name and address on the reverse
X n
❑ Agent
so that we can return the card to you.
GA�`�
❑ Addressee
Received y (Printed N e)
C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Avg
1. Article Addressed to:
D. Is delivery address different from item 1? ❑ Yes
��, • I`
� �✓'e
If YES, enter delivery address below: ❑ No
t/�/I V CY
j)-3,i,j1 S. `OW Z)-
("f&rivAbc-� )4G d43-5',--�-L
3. Service Type
❑ Adult Signature
❑ Priority Mail Express®
❑ Registered Mail
II I'lll'I �'ll I'I II II I II I I III II I III I it I I I I I III
❑ Adult Signature Restricted Delivery
❑ Certified Mail®
❑ Restricted
Mail Restricted
Delivery
9590 9401 0024 5071 4927 39
El Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
❑ Collect nn nelivery Restricted,Delivery
Merchandise
Signature Confirmation'"
2. Articles Ni imhar ?rancfar frnm candrp.lahArl .
7 14 0 510 0 01 9271
1887
I . ! '
❑ Signature Confirmation
Restricted Delivery
Restricted Delivery
PS Form 3811, April 2015 PSN 7530-02-000-9053
r
Domestic Return Receipt

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