69302D - Mulligan

Ia
�CAMA / DREDGE & FILL
IENERAL PERMIT Previous permit # A B
New Modification ❑Complete Reissue --Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources I I
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
P60
les attached.
t Name 1 k L� c+" � Project Location: County {�
CA I I, iStreet Address/ Stato`Road/ Lot #(s)
Stated ZIP
7i-PS'�`7 E-Mail Subdivision
ed Agent ar Li is uOf City ZIP 7"'
❑ CW LJW 4 PTA ❑ ❑ PTS Phone # ( '—�"'�River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body�S
❑ PWS:
yes no PNA yes no
Closest Maj. Wtr. Body_/ C2•�x �D �/✓'
Project/ Activity I A �a �! I121:7 q
(Scale:
ck) length ��
igth
nber�
1/ Riprap length
distance offshore
K distance offshore
annel
is yards
gym: n/a yes
yes
ttached: yes
g permit may be required by:
ocal Planning jurisdiction)

7/26/2017
Hazel Carol Larson
Peter Larson
BB&T
13389
$100.00 renewal fee, MP 58-09
7/27/2017
Grice Construction
P.H. McKinney
BB&T
11387
$200.00 GP 69336
7/27/2017
Tommy or Billie Puckett
same
BB&T
1011
$200.00 GP 69344D
7/27/2017
Grice Construction
Jonathan Earl Bowling
BB&T
11369
$200.00 GP 69339D
7/27/2017
Grice Construction
Julia Harris
BB&T
11386
$200.00GP 69335D
7/27/2017
Town of Carolina Beach
same
BB&T
70055
$200.00 GP 69349D
7/27/2017
Sisters Investments LLC
same
Yadkin Bank
1127
$400.00 GP 69210D
7/27/2017
Lighthouse Marine Construction
James Mulligan
Coastal Bank & Trust
15811
$200.00 i GP 69302D
7/27/2017
Lighthouse Marine Construction
Charli Davis
Coastal Bank & Trust
1582
$200.00' GP 69300D
7/27/2017
Carolina Bluewater Construction
same
BB&T
17980 i
$200.00, GP 69345D
7/27/2017
Southeastern Coastal Construction Co.
Becky Hucks
South State
10397
$200.00 GP 69291 D
7/27/2017
Lighthouse Marine Construction
Betty Westbrook
Coastal Bank & Trust
1580
$600.00,GP 69301D
7/28/2017
Frank Williams Building Co
Frank Williams
First Bank
3685
$100.00 ' minor fee, Lot 2 Washington Acr
7/31/2017
Cary or Brandi Kerns
Vivian & Karen Osborne
ElecTel Coop. Federal (
1305,
$548.00 NOV 17-12D, BrCo

TamoNC Division of Coastal Mgt. Habitat Impact Computer St
)plicant:
ate: -+' LAP l U
ascribe below the HABITAT disturbances for the application.
I values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated fina
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
abitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
Dredge ❑ Fill ❑ Both ❑ Other
1
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both 0 Other ❑

l hereby certify that I own property adjacent to dA M PS C. Mu t_L.t Gf5nf s
(Name of Property Owner)
property located atIJ 068kC 'TURr7'y,ciaAl
(Address, Lot, Block, Road, etc.)
on G no ! Tnfl-,a, dlY-.�—, in SyrAC _ N.C.
(Wa rbody) I(C' )Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
1 have no objectlon 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)
�RS�t IsEr
I rfFw
BOAT LIFT
I WIDTH 5or 11 /4S sIVWH
27
1 !6' `''''( PRWtW5
J CRMR i2MtT'
f _ _ �-� ATTACH r-o
i)UTffORtQED VF
i'9u� r
$t T/►� DOcr- 1?/L SOAr
DOCK
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, boat ramp, 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 mast initial the appropriate blank below.)
I do wish to waive the iS setback requirement.
✓ I do not wish to waive the 16 setback requirement.
(Property Owner Information) (Adjacent Property wner Information)
�rn
n
gnature St Itature•
,Tnnft�_C I u/uGAn� -j 7ACK
Print or Type Name Print or Type Name
12- &Oj A.2 A, J_ n.� z. 4 o 5, S Moic.e �[ 2
Madlnq Address Madrng Address
RA I F, - - �, /v c 27An q r j 7 NG
Ckyl5tataZfp—_T—
Te%p�ione Number/smelt address 0 —2� _ S
017 T i-one N lemaN address
Zia / t 7
Dote•
*Valid for one Calendar year after signature•
(ReNtreo' Aug. 2014)

UA
STATE N
ADJACENT RIPARIAN PROPERTY QW�_4 s
Ar
Ms
lhe n4 L L.1
hereby certify that I own property adjacent to _iZ4_&JF_
(Name of Property OWfier)'^'
property located at
(Address, Lot, Block, Road, etc.)
N.C.
on in
(Wa erbody) (Ci /Town and/or County)
The applicant has descriped to me, as shown below, the development proposed at the above
l
location,,-
A. h., A&Ae' Aftrt Ml
I IM I f7U I I rAli MUL-U6.AM
A
*A -A
7W' WAIVER SECTION
I understand that a pier,' dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a. iirijrpum distance of 15' from my area of riparian access 'unless waived by
me. the setback, you must in
itial the a te blank below.)
(if you wish to waive
I do wish to waive the 1r5' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information), (Adjacent Property Owner-Lnformation)
&gnalure Signature
u7^ MUZI-16-AN

;AMA / F� DREDGE & FILL
N° 5'71
ENERAL PERMIT
lew ❑Modification ❑Complete Reissue ElPartial Reissue
Previous permit # ,
Date previous permit issued Z
ed by the State of North Carolina, Department of Environment and Natural Resources
astal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1'T
` Rules attached.
Jame S n Project Location: County ��%lCtLK
Z— l C cVA, Street Add ss/ State Ro d/ Lot #(s) 3(�
State KC, ZIP ' t I 1��
- Ss Fax # ( ) Subdivision 0 5 O(L�
r
I Agent t ✓1 lv i �f ity ZIP_❑
❑ CW A W XPTA ❑ ES ❑ PTS P ne # ( I b) — �f 3 River Basin (ladt�
❑OEA ❑HHF ❑IH ❑USA ❑N/A o. ,,, A n V
❑ PWS: ❑FC:
s / no PNA yes no
roject/ Activity
length
7'x 12-
(s)
h
er
Uprap length
stance offshore
listance offshore
nel
yards
Boatlift
lozing
mgth /
notsure yes no
not sure yes o
c C/a) yes
yes no
shed: yes no
permit may be required
Adj. vvtr. Body.
Closest Maj. Wtr. Body
❑ See note
(Scale:
back regarding
(/ 9
Basin
ecial Conditip"s
�,