57306D - Serafin

2/23/2016
2/25/2016
Brent & Sherrie Turner
same
Wells Fargo
3869
$100.00
minor fee, Lot 4 Chestnut St
2/24/2016
2/25/2016
Daniel Shirley/Overbeck Marine Construction Inc
Laboccetta and Stokely
SunTrust
4580
$450.00
GP 66332D for Labocetta
major fee, Stokely, 512 N. C
2/2412016
2/25/ 0016
Michael Afify/ANA Builders Inc.
Carl & Jennifer Sandlin
TD Bank
7774
$100.00
minor fee, 656 Spot Lane SI
2/26/2016
3/4/2016
Vamams Docks & Bulkheads Inc.
Emma Mims & Jeri Adams
BB &T
7082
$200.00
GP 66304D
3/2/2016 3/4/2016
342/2016 3/4/2016
3/2/2016 3/2/2016
3/2/2016 3l02016
3/2/2016 3/2/2016
313/20163/4/2016
3/4/2016 3/4/2016
J. Michael Randall
Joel VUinegarden
Lawrence Parks/Parks Family Leasing Co.
Timothy Moore
Howard Ramsey
Bob Barnett
NC SECU
2867
$100.00
minor fee, 38 Porpoise Plao_
_
MO/Brandon Grimes
Stephen Conway/Southeastem Coastal Const. Co
Wells Fargo
17-335655415
$200.00
GP 66341D
First Federal
9778
$400.00
GP 66339D $200
Darrell Emy/Lighthouse Marine Constr. Inc
Will Richardson/Richardson Construction
Randy Mosley/Allied Marine Contractors LLC
Charles Riggs & Associates
GP 66338D $200
B of A
5769
$400.00
GP 66340D
Lee McConnell BB &T _
Kevin & Wendy Longenecker B of A
John and Janel Brogan First Citizens Bank
David & Ellen Surprise First Citizens Bank
6275
$200.00
GP 66303D
8168
$200.00
GP 66271D
14449
$100.00
minor fee, 140 Wafter R. Atli
3/4/2016
3/9/2016
Hobie BuffingtonBoatzright Inc.
2262
$200.00
GP 66344D
3/4/2016
3/9/2016 Hobie BuffingtonBoatzright Inc.
David Young/Gejan, LLC First Citizens Bank
same Security Savings Bank, SSB
Rene Litalien BB &T
Oak Island Beach Villas USPS money order
Tom Tomlinson First Federal
Burrows Smith Wells Fargo
Ben Goetz First Citizens Bank
Kim Morgan BancFirst
2249 $206 00
584 $400.00
GP 66342D
3/4/2016
3/9/2016 Kim Loucks & Carolyn Hirst -Loucks
GP 66337D
3/4/2016
3/9/2016 H5 Construction/Matt Hon
1444 $200.00
GP 66335D
3/7/2016 3/9/2016 MOfrom_CaMn Muncy
3!7/2016' 3/9/2016 Stephen Conway/Southeastem Coastal Const. Co
3/8/2016 3/9/2016 Jimmy North/Coastal Marine Piers Bulkheads LLC
3/8/2016 3/9/2016 Cliff Pender/Solstice Builders LLC
3/10/2016 1 MO from Brandon Grimes
3/11/2016 Mark Clements/Clements Marine Construction
3/11/2016 David Logan/Logan Marine
3/11/2016 Will Richardson/Richardson Construction
23494660885 $100.00
9782 $400.00
minor fee, 1000 Caswell Bcl
major fee, 304 Gull Road, H
GP 66347D
GP 66190D
20730 $200.00
12549, $200.00
204490240 $200.00
GP 66212D
John Tinney
First Citizens Bank
4041 $600.00
5466 $200.00
GP 66358D
Spencer Jackson
Coming Federal Credit Union
GP 64654D
pending
BB &T
6289
$400.00
GP 64725D $200
Michael Serafin
GP 57306D $200

NC Division of Coastal Mgt. Habitat Impact Comi
Applicant. IA
Date: S M
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
includes any
disturbance.
Excludes any
Disturbance
total includes
dis
Ex
Habitat Name
Choose One
anticipated
restoration
any anticipated
re:
restoration or
and/or temp
restoration or
ter
tem impacts)
impact amount
tem impacts)
an
` ,
vV
Dredge ❑ Fill ❑ Both ❑ Other f
'
U
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

MUXIM
North Carolina Department of Environment and Natural Resources
Division of.CoasW Management
Beverly Eaves Perdue ,fames H. Gmgson
Governor Director
AGENT AUTHORIZATION FORM
Date: --
Name of Property Owner Applying for Permit: Name of Authorized Agent for this proje(
Owner's Mailing Address:
50 ,_? j 11
Agent's Marling Address:
Phone Number (_ 3 71 -off,4M -Phone Number C� 3 7.-�__
f certify that I have authorized the agent listed above to act on my behalf, for the purpose of applyir
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
t'1 I i e__� i _
(my property located) at
This certification is valid thru (date)

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18/2016/TUE 08:01 AM FAY No. P.002
ADJAACEM ARIAN PROPIFaM OWNER S7C.AT 04EN T
(POIZ A FZW,4OORYGPIEIIY'GWQ.jT"X.ay1Sa4jH&USF)
I herby cert¢y that I own property adjacent to —MWWUCI�t��`t� is
Na f efproperty Owner)
-(Ldt, Block, Road, etc.)
(Waterbody) dawn and/or County)
Applicant'sphoa*#:Llb-3`71- as1 Mmffi4AdaI e sr
Glenn M`0- j i3a7l
He b-'s de=-jbcd to mey as showa below, the d,,rvejopm4ntbt is proposing attiiat location, ,.� I
have no objections to his proposa I uuderstaRcitat a picr//m+ OdM pings f boatriff / boathouse
nmst be set back a ,mitt, distance ofaeen feet (15) from my area. of
cc
waived by mo. (Ifyo� wish to �e the se � af,Ws uunless
beiow,j tbac�, n must ink the app priate "k
4-0-not with to waive
I do wish to waive that setback xt�uiremextt
MSCRUI'TION ANWOR DRAWNG OF PROI'O5,LED DEVELO.PMENT:
(To lie fzUed in &y individual pro, posing 1opme tj
(U€ormation for property Oar 4plyint;
fo-' Permit) A
ZaZ5 S D nrvo.-� v I-
MaIUng Address
city/ rp
--IS to
(Tl" rro03rxfy Owner Information)
Si�naiure
int or Type l� ataae

I..'# ♦§ '61 %16-
r 6'3
Replace lift in
Same Location
22'
P
CO
F-
16' ---- .-- 1,
10,
17'8—
50,
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