66268D - Sheffield

Q I�Q
!CAMA / ❑ DREDGE & FILL
A B
aENERAL PERMIT Previous 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 15A NCAC
jj (( Rules attached.
t Name A l k i1 I I b back �� ' ' h 6t 1"1 Q I � Project Location: County
1521 CY-fr 1 41A w 614 Street Address/ State Road/ Lot #(s)
F YyjSStateeZIP,2' 5-5?
E-Mail _ Subdivision ll
ad Agent L'A �4YVL. I(L_ City 1 ZIP ❑ cW X EW ato� �10
PTA ❑ ES ❑ PTS Phone # JAI C
�' � � )��� �.33s River Basin i tJA
C OEA ❑ HHF ❑ IH ❑ UBA ❑ WA .-
Adj. Wtr. Body l.� 0J. (nat /I
❑ PWS: / ` ` KJ V �
yes / -o ) PNA yes no Closest Maj. Wtr. Body
Project/ Activity
:k) length (Q
itform(s)
Platform(s) X
er(s)
igth
nber
I/ Riprap length J
distance offshore
K distance offshore
annel
iic
1p
se/ Boatlift ' X 1 �l
�AMP00,
Length
not sure yes no
um: n/a � O no
,ttached:
ig permit may be required by:
_ocal Planning Jurisdiction 1 1
c
(Scale: , / Z
i Ht 164,1")-t7kt_% ❑ See note on back regarding River Basin
1—�.,� i I, ,I I 1 I r1 __ I ( i i

1/15/2016! 1/1912016
Backwaer Marine Construction Inc
Irene Hoffman
BB &T
B of A
Wells Fargo
Coming Federal Credit Union
TD Bank
2231 $200.00 1 GP 66265D
8092 $200.00 GP 64728D
6917 $400.00 major fee, 421 6th Stra
1046 $100.00 mod fee, MP 108-14
5341 $100.00 renewal fee, MP 10-03
3634 $200.00 GP 66266D
46275 $100.00 mod fee, MP 37-07
5117 $100.00renewal fee, MP 7-09
2117 $400.00 GP 66251D
1140 $200.00 GP 66250D
1/15/2016 1I19/2016
Allied Marine Contractors LLC
Russel and Cynthia Davis
1/20/2016 1/21/2016 1 Kathi and Steven Todd 'same
1/20/2016 1/21/2016 Southern Coast marketing LLC Surf City Crab, INC _
1/20/2016 1/21/2016 Armand and Phyllis Daniel _ Ben Barker (Holmes, Sherrill, Miller, Griffin)
1/20/2016 1/21/2016 Pippin Marine Construction LLC David and Suzanne Price
1/21/2016 1/21/2016 Land Management Group Inc Steve Malone
1/21/2016 1/22/2016 F and S Marine Contractors Inc Robert Gibbons
1/22/2016 1/22/2016 MONTCO Charles Tilson
1/22/2016 1/22/2016 JRW/RDW Inc Ron Sinclair
1/22/2016 1/22/2016 F and S Marine Contractors Inc Joel Killion
1/22/2016 1/27/2016 Maritech LLC Maritech, LLC
1 /25/2016 1/27/2016 Atlantic Coast Industrial, LLC same
1/25/2016 1/27/2016 Aqua North Carolina Inc same
1/25/2016 1/27/2016 Stephen and Rebecca Crager same
1/27/2016 1/27/2016 John and Janel Brogan same
1/27/2016 1/27/2016 W.J. and Carolyn Knowles (via Pat Antinori) same_
1/27/2016 1/27/2016 Logan Marine LLC Crockers Landing Association Inc.
1/27/2016 1/27/2016 Lighthouse Marine Construction Inc Gordon Maxwell
1/29/2016 Clements Marine Construction Inc Rosario Cappello
1/29/2016 Backwater Marine_ Construction Inc Jim and Nancy Yeager
1/29/2016 Richardson Construction Alton "Butch" Sheffield
_
Wells Fargo
First Bank
PNC Bank
Woodforest National Bank
First Bank
PNC Bank
5118 $250.00
2136 $400.00
7568 $200,00
1882 $400.00
5038 $200.00
1054 $200.001GP
6554 $400.00
major fee, 250
B of A
GP 66252D
GP 66278D
GP 66279D
BB &T
BB &T
First Citizens Bank
GP 66276D
BB &T
66204D
Southern Bank
GP 66203D
Coming Federal Credit Union
1248 $200.00
GP 66280D
B of A
5729 $600.001GP
4005 $400.00
2181 $400.00GP
66205D
First Citizens Bank
GP 66277D
BB &T
66270D
BB &T
6250
$800.00
GP 66268D @$200

IC Division of Coastal Mgt, Habitat Impact Computer Sheet
pplicant: Permit
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
fund 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/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Otheri
I �
�_
I
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 ❑
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 ❑
111 (An

NNR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson lee R
Governor Director Se
AGENT AUTHORIZATION FORM
Date: / 7_ P�
ame of Property Owner Applying for Permit: Name of Authorized Agent for this project ij
wner's Mailing Address:
hone Number4919) SUUI
Agent's Mailing Address.::
Phone NumberQJf
:ertify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
r and obtaining all CAMA Permits necessary to install or construct the following (activity):
L . . i . i
tY property located) at
3is Certification is valid thru (date) l to
l� '� i �:%C)l!57

Jan.26.2016 12:45 PM Richardson constr & Marine 910842559
crnaJecj
ADS AC.WT 1UPA.WAN-PROP1 RrY 0WNIM8TAT ONT
(FOR AP=A#OO WGPTA[NGSBt7.etTJ,,f1T112i114T OUS.P.)
i bereby ooft that I ownproperty odl to A —� d� "S be t'iiel �i s
{,10 smsofProperty Owner)
1�I�Y' iocatdd at _,_,._..,_...•1-;�-�' � �6h 61]C. _,....�
.(Lot,1310044Road, cu.) Q, � ",'"
a4 �'Qr �( , in , l a•v� , N.C.•
(Waterbodp) (Town andlor County)
15,14P _P4 .
He has dear-illed to m, as shown bolow, the &volopt t%nt be Is proposing aL that locsgcm, and, X
lasro no abjwdw to his pwsal. I vvderstand (teat x *r/lnOM 9 piiiops ! baea M / bo�use o
tmust be sa bask a mWn m d`sstsa of ii� M rest (15) fib ray au of dpa bn AC"v unloas
waiw d by sue. (if yva wish to wafts thesetback, you cruet ivat l the apprropttte bleak
below.)
�X mat Wish to waift
& visit to waive fag SdtbwckzCgwMwCni. �..
DESCRRMON ANDIOR DR&W'ING OF PROPOSF) IDORL©PMM.
{'!'e ba,jilled irc by lndl vldttal propns{rrg sieur.Yppmare�
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doc frl Tad fn .50AYa ItxA-o ,
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