66246D - Small

llp
l CAMA / D DREDGE & FILLRev ( ` r�
1"ENERAL PERMIT Previous permit#
New ❑Modification El 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 �; • ( �
ules attached.
t Name V1 a �I V1 ' +e& Project Location: County
� Street Address/ State Road/ Lot #(s)
�v,(, i& iT f i State N L zl_ U 11 i` i oe +`
E-Mail Subdivision
ed Agent (1 V1 i' ( L A Si`mb L City k)k1 C )f�tt ck, zlP
F ❑ Cw ElEW ElPTA >:[ES XPTS Phone # (IN ) 9 q � 1G
5 River Basin jYY1 t/
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body V1 G t nat fr
❑ PWS:
yes / n�o PNA yes no Closest Maj. Wtr. Body o L5 V-4
�_
t 1
'Project/ Activity 1"1 l� VL(L"✓%1n�.i lw�IL. iai.
distance offshore ()
x distance offshore
15c)), 2 C
e Length;
not sure yes no
•ium: n/a yes ( —no
no
Attached: yes no 'T
ng permit may be required by: I L
Local Planning Jurisdiction), , , , ,
❑ See note on back regarding River Basin r

12/17/2015 12/21/15
12/17/2015 12/21/15
Maritech, LLG
nnaro noel DUE
Jack MacKnoll B of A
David Taylor Wells Fargo Bank
Richard Woodbury Wells Fargo Bank
Thomas McCurley for Oyster Bay HOA First Bank
Jim Nelson First Citizens Bank
Ralph Gibson Branch Banking & Trust
NC Baptist Assembly, Fort Caswell SunTrust
same Branch Banking & Trust
5671 $200.00 GP 66210D
2090 $100.00 minor fee, 3627 Island I
3599 $200.o0 GP 66237D
999 $100.00 renewal fee, 41-89
86080 $200.00 GP 66188D
1499 $400.00 GP 66238D
4540 $100.00 mod fee, MP 35-10
70607 $200.00 GP 66178D
Lighthouse Marine Construction
12/17/2015 12/21/15
David or Nancy Taylor
12/17/2015 12/21/16 Pippin Marine Construction LLC
12/21/2015 9/25/02 Oyster Bay Homeowners Assoc
12/21/2015 12/21/15'American Marine Construction
12/21/2015 12/21/15 Peggy Roberts
i-921/2015 12/21/15 Overbeck Marine Construction Inc
12/21/2015 , 12/21/15 Town of Ocean Isle Beach
12/21/2015
12/21/15 Backwater Marine Construction Inc
Warren and Kelley Miller
BB &T
2193 $200.00
GP 66179D
12/21/2015
12/22/15
New Hanover County General Account
Layton Bedsole for same
BB &T
331294 $100.00
5510 $100.00
14611 $100.00
renewal fee, 151-01
minor fee, 1605 New Ri
12/21/2015
12/22/15
Hampstead Pool Spa & Patio, Inc
Michael Schwend
First Federal
12/22/2015
12/22I15
Bradley Creek Boatominium Inc
Bald Head Island Ltd
Laurie Baldwin for same
First Citizens Bank
renewal fee, MP 106-71
12/22/2015
12/22/15
Bruce Marek for Deep Point Marina
First Citizens Bank
1530
$100.00
mod fee, MP 91-96
12/22/2015
12/22/15
Bald Head Island Ltd
Bruce Marek for same
First Citizens Bank
1531
$100.00
mod fee, MP 191-86
12/22/2015 12/22/15 Richardson Construction
Steve and Sandy Dellinger
B8 &T
6198
$400.00
GP 66227D
12/22/2015
12/22/15 Coastal Dredging LLC
Craig Youndt
BB &T
4394
$600.00
GP 66239D
12/28/201512/29/15
12/28/2015 12/29/1�Coastal
12/28/2015 12/29/15
12/28/2015 12/29/15
12/28/2015 12/29/15
Allied Marine Contractors LLC
Marine Piers and Bulkheads LLC
Connaway Marine Construction
Allied Marine Contractors LLC
Charles Riggs & Assoc.
Kenan Brock
Southside Dock Assoc. - Larry Mahl
Mike Hamilton
B of A
$052
$250.00
major fee, 1182 B. N. P
Wells Fargo Bank
20606
$200.00
GP 66240D
B of A
1150
$200.00
GP 66117D
Bill Cherry
B of A
8061
$200.00
GP 66207D
George & Christine Allison
First Citizens Bank
14357
$100.00
minor fee, 119 S. Perrr
12/28/2015 12/29/15 Susan Ballard Susan & Rex Ballard and others
12/30/2015 SeaScape at Holden Plantation, LLC same
12/30/2015 VCC, INC same - Brian Murdock
12/30/2015 Ronald or Clarice Holden same
1/4/2016 Todd or Kelly Surratt same
1/4/20161 Goodrich Architecture, PA David Carr
1/5/2016 Otter Creek Landing Yacht Club Loretta Whelan, agent for Otter Creek
1/5/2016 Clements Marine Construction Inc Steve Dutton
1/5/2016 James or Marie Hardee same
1/5/2016 Masonboro Landing Homeowners same
B of A
1141
$100.00
minor fee, emergency i
First Citizens Bank
1071
$100.00
mod fee, MP 05-01
BB &T
3662
$400.00
GP 66228D & GP 662,
First Bank
1368
$200.00
GP 66230D
First Bank
7758
$100.00
transfer fee, MP 66-15
First Citizens Bank
7987
$100.00
minor fee, 603 Maritim,
First Citizens Bank
4364
$100.00
renewal fee, MP 7-11
First Citizens Bank
3985
$400.00
GP 66253D
BB &T
5472
$100.00
renewal fee, MP 66-12
BB &T
379
$100.00
renewal fee, MP 109-0
1/5/2016
Money order from Brandon Grimes John Eubanks
Richardson Construction Doug Garrison
Richard McCain
TRA COM Services, Steven Farmer John Kauffman
Williams Family, Deborah Sheehan
BOKF, NA
R206357380449
$200.00
GP 66254D
1/7/2016
88 &T
6220
$600.00
GP 66234D @$200
GP 66233D @$400
1/7/2016
BB &T
4752
$400.00
GP 66231 D @$200
GP 66232D @$200
1/7/2016
Mark Lewis Crew Boats Inc DBA Old Town Marinai Jason Thompson
F and S Marine Contractors Inc Fredericka Goldenberg
PNC Bank
2174
$100.00
minor fee, 822 Carolim
1/7/2016
PNC Bank
5074
$250.00
major fee, 21 Sandy Pi
1/8/2016
East Coast Engineering and Surveying Michael McCullough
Grice Construction Woody Wilkinson
Frank and Jane Wilmer
Bradley and Jeanine Moock
Robert and Mary Suggs
JoAnn Griffin Small Trustee
First Bank
1627
$100.00
1 renewal fee, MP 105-0
1/8/2016
BB &T
10759
$2,800.00
IGP 66241D @$200
GP 66249D @$200
GP 66248D @$400
GP 66247D @$400
GP 66246D @$400

dC Division of Coastal Mgt.
pplicant. �n /LCJV1 K ►(�VV-�&— / , Permit #.
�,2q�
ate'. Vg/
� V ( ^
Habitat Impact Computer Shee'
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
>und 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/o
temp impact
amount
GHDredge
❑ Fill Both ❑ Other ❑5�3
Dredge ❑ Fi Both ❑ Other ❑
lJ
V
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 ❑

NMENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
'at McCrory Braxton C. Davis
Governor Director
AGENT AUTHORIZATION FORM
Date: `b-210-15
John E. Skvarla, II
Secretary
ame of Property Owner Applying for Permit: (Naame of Authorized Agent for this project:
y sk
-7 �1hv1� li�y1 i� �,�11�,L Z !`� h� n
Nner's Mailing Address:
Z � -f- 5-aten-'aL/e�,,I 1,%e
�062 Za rf
lone Number cQ,Ogy 7 -
Agent's Mailing Address:
Phone Number (an) 5-7 c�-96gS--
: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 n
)r my property located at L�12�
to install or construct the following (activity):
i
its certification is valid thru (date)
Property Owner Signature Date

CERTIFIED MAIL • RgTURN RECgIPT RJE 9Q! STED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER
OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner.
Address of Property: rA 4����-1L
(Lot or Street #, Street br Road, City & County- Q�
Agent's Name #: ri;-��J� MaEling Address: �L v4L�` I�� ��
Agent's phone
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 drawinci the development they are proposing.
� I have m objectioms to this proposai. _ _______ I have objections to this proposal.
If you have objections to what, is being proposed, you must notify the Dlvlslon of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represento9ves can also be
contacted at [phone]. No response is considered the some as no objection if you h",been
notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 u4ist 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 Own r Information)
)
Signalure
Pint or Type Namo
\kS_ 5km c-��,t pr--
Mttiling Address
City/state/Zip
Telephone Number
(Adjacent Property Owner Information)
14
Print or Type Name
Mailing Address
Cl y�2ip
�g�9) 1i4;? -
Telephone Number

CERTIFIED MAIL RETURN RECgIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner.---
��,� S�
Address of Property: -
(Lot or Street #, Street br Road, City & CounWf Q
Agent's s Name #:
- Agent's phone#: ��— Cj-lg`�0A.5
I hereby certify that I own property adjacent to the above referenced property. The individual applying for
this Den -nit has described to me as shown on the attached drawinc_the development they are proposing.
- _ 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. Corresponplence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represehtooves can also be
contacted at [phone]. No response is considered the same as no objection If you l been
notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set. back a
minimum distance of 16' 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.
U l yI I do not wish to waive the 15' setback requirement.
(Property Own r Information)
Srl;anru�•e
Print or Type Name
\(os StArn c' -e _ �f
Mailing Address
Q�N% 'lac 2`b21�
City/state/Zip
Telephone Number
Print or Too Name
cling Address
,t C
City/Stat© ip
Telephone Number
Information)

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
\Z r
A. Sign re
X
Addressee
Receiv by (121(
fi/edName) C. Date of Delivd411//�I/- 2 —i?�U.I
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: No
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Service Type
❑ priority Mail Expresso
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❑ Adult Signature
❑Registered MaiIT^'
9590 9403 0603 5183 4337 66
❑ Adult Signature Restricted Delivery
iiii<ertified vi lO
❑ Registered Mail Restricted
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
2. Article Number (Transfer from service label)
❑ Collect on Delivery Restricted Delivery
0 Signature Confirmation^^
7 014 0 510 0001 9271
Restricted Delive
9098 Delivery
Delivery Signature rtion
Restricted
PS Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt
U.S. Postal Service,,,,
CERTIFIED MAIL,, RECEIPT U.S. Postal ServiceTr.,
(Domestic Mail Only; No Insurance Coverage Provided) CERTIFIED M A I LT,,, RECEIPT
For delivery information visit our website a www.usps.com,, (Domestic Mail Only: No Insurance Coverage Provided)
t '•
ra For delivery information visit our website at www.usps.comc,
- 1
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Return Receipt Fee
(Endorsement Required)
E:3
Restricted Delivery Fee
(Endorsement Required)
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$►1.
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Total Postage & Fees
C]
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C]
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■ Complete items 1, 2, and 3.
■ Print your name and address on the revers
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
r-q
Return Receipt Fee
0 (Endorsement Required)
Z-3 Restricted Delivery Fee
O (Endorsement Required)
0.
Lrl Total Postage & � es
O r1
_emu Agent
❑ Addressee
C. Date of Delivery

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