66309D - Smith

CAMA / 'O.DREDGE & FILL �t 1 • ' i A
Previous permit
iENERAL PERMIT
New ❑Modification ❑Complete Reissue ❑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
( ,, ❑�`'les'attached.
KJAMP- '1 �,�� ► ?S l/i Project Location: County
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State ZIP��`��
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Bd Agent
1
El CWy �W PTA ❑ ES PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ MIA
❑ PWS:
yes o j PNA yes />o�
Street Address/ State Road/ Lot (s)
! V, i VIA 0/4.
Subdivision
City'. _? �' .. ' f j1��(' ZIP
Phone # ( ---)"'"- }River Basin Ci
w Adj. Wtr. Body VV �2m/r
Closest Maj. Wtr. Body C
Project/ Activity j �� r-� '"y'-�'ff ,t� �yni�� o
(Scale: •
ck) leilgttf
itform(s)
ling permit may be rbcWireq
a Local Plannin¢ lurisdiction)
❑ See note on back regarding River Basin

zrzwzuiti
uzarzuio
tsrent a aneme i umer
same
wens rargo
stuwa Niuu.uu
minor Tee, Lot 4 unestnut st
2/24/2016
2/25/2016
_
Daniel Shidey/Overbeck Marine Construction Inc
Laboccetta and Stokely
SunTrust
4580 $450.00
GP 66332D for Labocetta
major fee, Stokely, 512 N. C
2/24/2016
2/25/2016
Michael Afify/ANA Builders Inc.
Cad & Jennifer Sandlin
TD Bank
7774 $100.00 minor fee, 656 Spot Lane S(
7082 $200.00 GP 66304D
2/26/2016
3/4/2016
Vamams Docks & Bulkheads Inc.
Emma Mims & Jed Adams
_
BB &T
3/2/2016
3/4/2016
J. Michael Randall
Joel Winegarden
NC SECU
2867 $100.00 minor fee, 38 Porpoise Plaa
3/2/2016
3/4/2016
MO/Brandon Grimes
Lawrence Parks/Parks Family Leasing Co.
_
Wells Fargo
17-335655415 $200.00 GP 66341 D
3/2/2016
3/2/2016
Stephen Conway/Southeastem Coastal Const. Co Timothy Mooro
Howard Ramsey
First Federal
9778 $400.00 GP 66339D Q$200
GP 66338D (d$200
5769 $400.00 GP 66340D
6275 $200.00 GP 66303D
8168 $200.00 GP 66271D
3/2/2016
3/2/2016
3/2/2016
Darrell Emy/Lighthouse Marine Constr. Inc Bob Barnett
Will Richardson/Richardson Construction Lee McConnell
Randy Mosley/Allied Marine Contractors LLC Kevin & Wendy Longenecker
Chades Riggs & Associates John and Janel Brogan
Hobie Bufington/Boatzright Inc. David & Ellen Surprise
B of A
3/2/2016
BB &T
3/3/2016
3/4/2016
B of A
First Citizens Bank
First Citizens Bank
3/4/2016
3/4/2016
144491 $100.00
minor fee, 140 Waiter R. A*
3/4/2016
3/9/2016
2262 $200.00
2249 $200.00
584 $400.00
1444 $200.00
23494660885 $100.00
GP 66344D
3/4/2016
3/4/2016
3/4/2016
3/7/2016
3/9/2016
Hobie Buffington/Boatzright Inc. David Young/Gejan, LLC
First Citizens Bank
GP 66342D
3/9/2016
Kim Loucks & Carolyn Hirst -Loucks same
Security Savings Bank, SSB
GP 66337D
3/9/2016
H5 Construction/Matt Hon Rene Litalien
MO from Cahn Muncy Oak Island Beach Villas _
Stephen Conway/Southeastern Coastal Const Co Tom Tomlinson
Jimmy North/Coastal Marine Piers Bulkheads LLC Burrows Smith
Cliff Pender/Solstice Builders LLC Ben Goetz
MO from Brandon Grimes Kim Morgan
Merle Clements/Clements Marine Construction John Tinney
David Logan/Logan Marine Spencer Jackson
Will Richardson/Richardson Construction pending
Michael Serafin
Robert Kean & Carol Keane same
George Montague & Barbara Montague Grover Dillon III
BB &T
GP 66335D
minor fee, 1000 Caswell Bct
3/9/2016
USPS money order
3/7/2016
3/9/2016
First Federal
9782
20730
12649
$400.00 major fee, 304 Gull Road, Hi
$200.00 GP 66347D
$200,00 GP 66190D
3/8/2016
3/9/2016
Wells Fargo
3/8/2016
3/9/2016
First Citizens Bank
3/10/2016
BancFirst
204490240
$200.00 GP 66212D
3/11/2018
First Citizens Bank
4041
5466
6289
$600.00 GP 66358D
$200,00 GP 64654D
$400.00jGP 64725D @$200
3/11/2018
Coming Federal Credit Union
3/11/2016
BB &T
1214
IGP 57306D 0$200
$400.00 GP 66334D
3/14/2018
Wells Fargo
3/14/2016
B of A
8622
41255
$200.00 GP 66357D
$160.00 renewal fee, MP 69-09
3/14/2016
Kevin Smith/Carolina Yacht Club
same
South State Bank
3/14/2016
Timothy Gray II & Courtney Gray
J.W. Lawson
NC SECU
3676
$200.00 GP 66351 D
3/14/2016
Carolina Lifts Inc
Robert Williams
CresCom Bank
1035
$600.00
_
GP 66353D
3/15/2016
Jimmy North/Coastal Marine Piers Bulkheads LLC
Nancy Gerald
Wells Fargo
20767
$250.00
_
major fee, 13 Bahama On
3/15/2016
Jimmy North/Coastal Marine Piers Bulkheads LLC
Philip Brown
Wells Fargo
20768
$200.00
GP 66359D
3/15/2016
Jerry Ennett/Anfinod Construction Inc
Butch Smith
B of A
4154
$200.00
GP 66309D

NC Division of Coastal Mgt, Habitat impact Computer Sheet
Applicant:
Date: 3
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
FII
(Applied for.
(Anticipated final
(Applied for.
(Ai
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dis
Habitat Name
Choose One
includes any
Excludes any
total includes
Ex
anticipated
restoration
any anticipated
re;
restoration or
and/or temp
restoration or
ter
tem impacts)
impact amount)
temp impacts)
arr
Dredge ❑ Fill Bo ther El
7
Dredge El 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
Name of Property Owner Applying for Permit:
BUJWict
Mailing Address:
s IA1 A 11
r
I certify that I have authorized (agent)/whn,6fA- Cofis nj(t O , — to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) & j& Q W4 4- r U' ZAk ,
at (my property located at)
This certification is valid thru (date) (Z (D !
11
Property Owner Signature
Date

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTiFICATIONIWAIVER FORM
Name of Property Owner.
Address of Property:
(Lot or street # tr
Applicant phone#. &-h dam! COO
q I o La'7 24-",
or Road, City & County)
Mailing Address: o`S�
0
l hereby certify that I own property adjacent to the above referenced property_ TEeindividual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A descripf or# 0 drawing with dimensions must be'providetl wftlt` this }fitter.
I have no objections to this proposal. I have objections to this proposal.
ff you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available atwww.nccoastalmangement.net/contact_dem.hbn or by calling 1-8884RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.
(Property Owner Information)
Signutx{re
�rinf or Type Name /�
fdJn _lami/3 �4/OMUAAN// Ad
(Ri rian Property ner information)
gn titre
Print or Type amp Je f
lo'
u
Address _

iq 3� �4 ammmz'lu
4� 1�qt�
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: kl1 k-A
Address of Property:
,(Lot or StreetStreet or Road; City & County)
i•td..r�+u"�
Applicant phone#:��- Mailing Address: %
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing -the development
they are proposing. A description or drawing; with dimensions, must be ip'ovlded with this letter.
I have no objections to this proposal. i have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management.
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangementneticontact dcm_hfm or by calling 9-"8-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
i understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.
(Property Owner Information)
Signature
'N �M4*1
Print or Type Name
WJ 916H0.W;V1/U7AJ'4
(Riparian Property Owner Information)
Si rc�
Print or Type Name

XV
IS