69140D - Gore

/ ; DREDGE & FILL
LP,��` NO 69140 A B C
iCAMA
GENERAL PERMIT
Previous permrc #
y,New !JModification UComplete Reissue LlPartial Reissue Date previous permit issued
uthorized by the State of North Carolina, Department of Environment and Natural Resources
in of environmental concern pursuant to 15A NCAC 6U.200
the Coastal Resources Commission an area
R.Aes amched
t —
dicant Name ---
Project Location: County tX�
Iress��irtn._.��3cL: ---
Street Address/ State Road/ Lot #(s)—
ockl_d%\'\ '/ __ —State o(, ZIP
'
r ��.
,ne # (Q (_0) 970-U E-Mail
Subdivision_ --_--._-_ — - --- -
_
—_."'
City__Ro �+ 1,1 -- ---- ZIP 2MS'
horizedAgent _ ------
Basin
❑CW DEW )<PTA [ ,ES ❑PTS
acted
D OEA r` HHF El1H : i USA -1 WA
Phone # (_j) ( oRiver
gXVV
od �� t + fir - ---�
Adj. Wtr. Body,
PWS:
W: yes J no� PNA yes J nno�
iUER�
Closest Maj. Wtr. Body.______ ---
pe of Project/ Activity
ier(dock)length (p 1C(o
fixed Platform(s) -__ —
loating Platforms) _$`K?d}-_-_
finger pier(s)
;roin length —
number
lulkhead( R11raP length— _—
avg distance offshore
max distance offshore
Sasin, channel ------.-..
G -
i
--- J
cubic yards _ AGC �4Nj
kat ramp tg 3 -Q`
aoathouwRoatfift_'�
o -hp
Beach Bulklozft
Other-
- -- -
Shoreline Length ----- ------ — ._ �__ — -- — — —
SAM not sure yes O' � JitYx
Moratorium: n(a yes O t
Photos: yes no b .
I,
Waiver Attached: yes rq ---- - - ..-- --- ---'- -- -- ---'-- — --- — --
,7 IL, See note on back regarding River Basin rt
A building permit may be required by:
( Note Local Planning Jurisdiction) j feliabbag Ai
Notes/ Special Condit7ons )C ti/tC �� ri �tr1 [t ��I t n—'u

CAMA / ❑ DREDGE & FILL A B
iENERAL PERMIT Previous permit#
New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources �!
Dastal Resources Commission in an area of environmental concern pursuant to 15A NCAC f 12,06
D Rules attached.
Name 7:7, r TOi Project Location: County L eu
Street Address/ State Road/ Lot #(s)
o[.Ic V ©"n+ State ZIP
(q l 00) E-Mail Subdivision
�d Agent City 1<c)t LI ?n ZIP
El cvii ❑ EW )(PTA ❑ ES ❑ PTS Phone # O River Basin Cj�
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body n� a /r
❑ PWS:
Closest Maj. Wtr. Body
yes /
ck) length (p X L
atform(s) —
Platform(s) r,Tf X�
iier(s)
:ngth
imber
id/ Riprap length
g distance offshore
ax distance offshore
:hannel --
ibic yards
mp
use/ Boatlift
Bulldozing
loom
(Scale:
❑ See note on back regarding River Basin

_ 6/7/2017
Grice Construction.
Frank Ward, Jr.
6/7/2017
Holden Docks & Bulkheads
Town of Holden Beach
6/7/2017
James or Mary Hartsell
same
6/7/2017
Grice Construction
Mom's Revocable Trust
6/8/2017
Jerry_Ennett
Richard Stanley
6/8/20171
Paul or Christine Minervini
Rich B_ alot
6/8/2017
Frank R. Bellini
same
6/8/2017
Carolina Bluewater Construction Co
_
Robert Purcell
6/9/2017
Will Richardson
Wrenn Patterson
6/12/2017,
Permit Pals
Michael Ervin
6/12/20171
_ _
Permit Pals
Julie Elkin Fisher
6/12/2017
Permit Pals
Alonzo Pringle
6/12/2017
Permit Pals
Michael Green
6/13/20171
Allied Marine Contractors/Hal Fogleman
Louis Cox
6/13/2017 '
Allied Marine Contractors /Hal Fogleman
Donald Waters
BB&T
11282
$200.00 GP 69233D
CresCom Bank
2996
$400.00 GP 69232D
SunTrust
2173
$200.00 GP 69231D
BB&T
11283
$200.00 GP 69234D
Coastal Bank & Trust
641
$200.00 GP 69182D
Marine Federal Credit U
2216
$100.00 minor, 146 Oceanview I
LG Federal Credit Unior
7239
$200.00 GP 69141D
BB&T
17781
$200.00 GP 69240D
BB&T
6735
_
$200.00 GP 69239D
CresCom Bank
1580 ,
-
$400.00! major, 10 Monroe St., C
CresCom Bank
1578
$406.00 major, 6 Monrose St., C
CresCom Bank
1579
$400.00 major, 8 Monroe St., Oil
CresCom Bank
1577',
$400.00 major, 4 Monroe St., Oil
First Citizens Bank
5734
$400.00 GP 69183D
First Citizens Bank
5733
$600.00 GP 66324D

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to-6dva./d
11 ,�� Pam'
property located at D¢,�� (Name of Prope Owner)
(Address, Lot, Bio , Ro d, etc.) v
on ��1 L �/ �iye� in /c ;
(Waterbody) N.C.
( ity/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location
--T __ 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, 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 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. nformation (Adjacent Property Owner Information)
1c�� /�ici✓��/�71r� L ®-�
S,gnature
�Si� azure
G- G!'—�'rte11
Print or Type Name Print or T Name
�!� Y ?r!%7C'�- �G�f� reel �G e S
hn Addr s
Mailing Address
City/Sta. Zip

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to s
(Name of Property Owner)
property located at �" :v ltl� y f �iL .�, 6e�1xtis;s;�,,
(Address, Lot, dFock, Road, etc.)
on in RE I��irtit N.C.
(Waterbody) (C /Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
n' I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
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 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.
(Pro Ow-ner Information)
ze��
Signature ,
Print or Type Name_
.41
filfa "
"
re
lf
City/Sta'.p�
(Adjacent Property Owner Information)
c "-:-:> S -,+`

1 C29 -