66335D - Litalien

� CAMA J ❑ DREDGE & FILL Q 0 -:�> • ;-o I b �" ,
GENERAL PERMIT Previous permit#
$New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
>rized by the State of North Carolina, Department of Environment and Natural Resources ^-7
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC V
(� ❑ Rules attached.
it Name Project Location: County
p $ LOStreet Address/ State Road/ Lot #(s)
StateJi C ZIP
zed Agent
i ❑ CW k EW PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A
❑ PWS:
yes / 60) PNA yes /(5)
if Project/ Activity G. O Lc � U� +l`�`�� d C
,,A o t (-I A V) �� �.i� 4�1
ock) length
'latform(s)
g Platform(s)a,0
ength
umber
ad/ Riprap length
ig distance offshc
iax distance offish
:hannel
ubic yards_
imp
Ouse/ Boatlift
Subdivision
City \ ZIP �"Vi
Phone # (W) A-1 River Basin L Wy1
Adj. Wtr. Body (nat ,
Closest Maj. Wtr. Body
t•1=IYJWrYliii�N� ���I��•
�WE MR, RPM, BE '�liiil"Lii
� �ii`rl�i�l�i�il■� 1■ t���®11� �I
NW
■■■■■■■■`J■ ■■■■� Mop
. ■■■1■■■■�1■ems■Z��!]I
Op
(Scale:
❑ See note on back regarding River Basin

2/23/2016
2/25/2016
Brent & Sherrie Turner
J same
Wells Fargo
2/24/2016
2/25/2016
Daniel Shirley/Overbeck Marine Construction Inc
Laboccetta and Stokely
SunTrust
Michael Afify/ANA Builders Inc. Carl & Jennifer Sandlin
Vamams Docks & Bulkheads Inc. Emma Mims & Jeri Adams
2/24/2016
2/25/2016
TD Bank
2/26/2016
3/4/2016
BB &T
3/2/2016
3/4/2016
J. Michael Randall Joel Winegarden NC SECU _
MO/Brandon Grimes Lawrence Parks/Parks Family Leasing Co. Wells Fargo _
Stephen Conway/Southeastern Coastal Const. Co Timothy Moore First Federal
Howard Ramsey
Darrell Er_ny/Lighthouse Marine Constr. Inc Bob Barnett B of A
Will Richardson/Richardson Construction Lee McConnell BB &T
Randy Mosley/Allied Marine Contractors LLC Kevin & Wendy Longenecker B of A
Charles Riggs & Associates John and Janel Brogan _ First Citizens Bank
Hobie Buffington/Boatzright Inc. David & Ellen Surprise First Citizens Bank
Hobie Buffington/Boatzright Inc. David Young/Gejan, LLC First Citizens Bank
Kim Louchs & Carolyn Hirst -Loucks same Security Savings B
H5 Construction/Matt Hon Rene Litalien BB &T
3/2/2016
3/4/2016
3/2/2016
3/2/2016
3/2/2016
3/2/2016
3/2/2016
3/2/2016
3/3/2016
3/4/2016
3/4/2016
3/4/2016
3/4/2016
3/4/2016
3/4/2016
38691 $100.00 1minor fee, Lot 4 Chestnut
45801 $450.001 GP 66332D for Labooetta
major fee, Stokely, 512 N.
7774 $100 00 minor fee, 656 Spot Lane
7082 $200.00,GP66304D
2867 _ $100.00 minor fee, 38 Porpoise PIE
5415 $200.00 GP 66341D
9778 $400.00 GP 66339D @$200
GP 66338D @$200
5769 $400.00 GP 66340D
6275 $200.00 GP 66303D
8168 $200.00 GP 66271 D
14449 $100.00 minor fee, 140 Walter R. p
2262 $200.00 GP 66344D
2249 $200.00 GP 66342D
584 $400.00 GP 66337D
1444 $200.00 GP 66335D

NC Division of Coastal Mgt. Habitat Impact Corn
Applicant:
Date: 0
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.
(P
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)
temp impacts)
ai
Dredge ❑ Fill ❑ Both ❑ Other
' 0
t lQ
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 2 - 2 - 2-c-16
Name of Property Owner Applying for Permit:
L i7 A L- tG J 3 2 S wrL-A,-0
Mailing Address:
1�7-1 ?,�00 Voss ter,
(ZAL,C—(61k, (O C 7-77& i 3
I certify that I have authorized (agent)
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) A Z.C) f 20'a'I�.+Jy) "REP�yC � M (5 N `
Zf
at (my property located at)
This certification is valid thru (date)
LIZ
Property caner Signa re Date

6
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Iz� LI� l,tc
,3 2 5 c z'l-u�D ST t E-( ,s
(Name of Property Owner) _
property located at ?J Z 5��9 S�=>�� � " -TSLt� Qc 21
(Address, Lot, Block, Road, etc.)
on , in c7c-' 1--5 L4e�- 13 , N.C.
(Waterbody) (City/Town and/or County)
The ap licant has described to me, as shown below, the development proposed at the above
locati .
F
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)
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 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.
Print ogygeDNAm �s�s
Plri or�ype _rr

G
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
1
UGLG La Lt�
'-5 2 5 4fT jPZ5 !E r— ,s
(Name of Property Owner) _
property located at 3,21 5 �� S�ZC�"� Oc�'"� �S i-i✓ 2Z
(Address, Lot, Block, Road, etc.)
on , in n `- -i-5 t� PJiF7Ac-H , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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)
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 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.
n)
3ynature V
L O-Ai-LetJ
Print or a Name
00 -Pos's C-
(Adjja��cent Property Owner Information)
Sign ture *
dl / l !f N ,� e Cl I �1
Print or Type Name
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