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Home My WebLink About66205D - Maxwell�CAMA / ❑ DREDGE & FILL Ra� \ -` O- �U GENERAL PERMIT �Nevv ❑Modification El Complete Reissue ❑Partial Reissue >rized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 6VO5 A B Previous permit # Date previous permit issued it Name '� G >n W { ❑ Rules attached. Project Location: County I/t/ 01- U hb l Street Address/ State Road/ Lot #(s) rr -- U State ZI PZ t� ;E �l E-Mail t Mf�d mn Subdivision zed Agent 12A lie n c•t . City / ZIP 2 U i El GREW PTA Aps ❑ PTS Phone # ( `-j----� — River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body /_lfl ✓1G�-r 6� �G (nat ❑ PWS: yes / no yes /'no ,) Z4- Closest Maj. Wtr. Body �D PNA if Project/ Activity ack) length 'latform(s) 17 ength umber adl-Riprap length t 9c) ✓g distance offshore iax distance offshore_ :hannel ibic yards imp \ ne Length G not sure yes no/ >rium: n/a yes yes OnoInL Attached: `'ryes Ping permit may be required by: Local Planning lurisdiction) i (Scale: I r ❑ See note on back regarding River Basin 1/15/2016 1/19/2016 Backwaer Marine Construction Inc Irene Hoffman BB &T 2231 $200.00 GP 66265D 1/15/2016 1/20/2016 1/20/2016 1/20/2016 1/20/2016 1/21/2016 1/19/2016 Allied Marine Contractors LLC 1/21/2016 Kathi and Steven Todd 1/21/2016 Southern Coast marketing LLC 1/21/2016 Armand and Phyllis Daniel 1/21/2016 Pippin Marine Construction LLC 1/21/2016 Land Management Group Inc Russel and Cynthia Davis B of A 8092 $200.00 GP 64728D some Wells Fargo 6917 $400.00 major fee, 421 6th Str Surf City Crab, INC Coming Federal Credit Union 1046 $100.00 mod fee, MP 108-14 Ben Barker (Holmes, Sherrill, Miller, Griffin) TD Bank 5341 $100.00 renewal fee, MP 10-0t David and Suzanne Price Wells Fargo 3634 $200.00 GP 66266D Steve Malone First Bank 46275 $100.00 mod fee, MP 37-07 1/21/2016 1/22/2016 F and S Marine Contractors Inc Robert Gibbons _ PNC Bank 511 $$100.00 renewal fee. MP 7-09 1/22/2016 1/22/2016 1/22/2016 1/22/2016 1/22/2016 1/22/2016 MONTCO JRW/RDW Inc F and S Marine Contractors Inc Charles Tilson Woodforest National Bank 2117 $400.00 GP 66251 D Ron Sinclair First Bank Joel Killion ' PNC Bank Maritech, LLC B of A same BB &T i same BB &T same First Citizens Bank same BB &T 11401 5118 2136 7568 1882 5038 $200.00'GP 66250D _ $250.00major fee, 250 $400.00 GP 66252D $200.00 GP 66278D 1/22/2016 Maritech LLC 1/25/2016 Atlantic Coast Industrial, LLC 1/25/2016 Aqua North Carolina Inc Stephen and Rebecca Crager John and Janel Brogan W.J. and Carolyn Knowles (via PatAntinori) Logan Marine LLC $400.00 GP 66279D 1/25/2016 $200.00 $200.00 GP 66276D GP 66204D 1/27/2016 1054 1/27/2016 same Southern Bank 6554 $400.00 GP 66203D 1/27/2016 Crockers Landing Association Inc. Coming Federal Credit Union 1248 $200.00 GP 66280D 1/27/2016 Lighthouse Marine Construction Inc Gordon Maxwell B of A 5729 $600.00 GP 66205D NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: (�;r e * o h ✓VNay- Vv Date: ( — 26 — IG 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 F (Applied for. (Anticipated final (Applied for. 0 DISTURB TYPE Disturbance total disturbance. Disturbance d Habitat Name Choose One includes any Excludes any total includes E anticipated restoration any anticipated n restoration or and/or temp restoration or tE ternimpacts) impact amount temp impacts) a (� w 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 ❑ NC®ENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis John E. Ski Governor Director Secre AGENT AUTHORIZATION FORM Date: Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: MIA, we.X 1 --DorreI i r r U Owner's Mailing Address: Phone Number (I (% 7 -78 — 5 ( 3 0 Agent's Mailing Address: �X53 z Phone Number IG �� ' 2,2L�%3 I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity): i For my property located at te This certification is valid thru (date) Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at (O 0 �- ihskwel (Name of Property Owner) (Address, Lot, BI ck, ?.oad, etc.) on C.0 l . 0�, in N.0 (Waterbody) U (City wn and/or County) The applicant has described to me, as shown below, the development proposed at the abov Io fopt�, ��((// , 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 groi must be set back a minimum distance of 15' from my area of riparian access unless waived b me. (If youWishto waive the setback, you must initial the appropriate blank below.) LI-1/ll J � , I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adj a Pr perty Ow r f r a ion) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to (Name of Property Owner) property located at 11 (Address, Lox, Block, oad, ) on �� in v ,�, , N.C. (Waterbody) (City wn and/or County) The applicant has described to me, as shown below, the development proposed at the abov( 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 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groi must be set back a minimum distance of 15' from my area of riparian access unless waived b 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) Signature i,A. G. /►/lw�weLt.� f -:._t _- T...__ AI_.v_ (Adjacent Property Owner Information) Sign at e 71, c e� Ar0 to I JS--3�AfV r