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Home My WebLink About65106D - AllenLAMA / ❑ DREDGE & FILL 65 GENERAL PERMIT Previous permit # flew —'Modification El Complete Reissue ❑Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources >astal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Name SO rktj PuoQ Project Location: County "l`JSkAJ1 C--k— N 9 0 A I.- Sri 4+ 40a.. VZP . Ir's ex)& State rig zip Z-731Z Street Address/ State Road/ Lot #(s) i Q, � W , ► 5L r'CW V(1. (IA)-1114-- 56 4A, Fax-# �>lt,�(y,�� 3�nnr.f � � ,t �_ .-� `� Subdivision d Agent N�04,t- '—J*+,XatM '�'d`�1-i�% City OA-leISI-OV -40 zip ^Z ki. ! ElCW EIEW PTA ❑ ES ❑ PTS Phone # ( ) River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body L r�,,Le OA-V I s r O' � (nat /R ❑ PWS: ❑ FC: es / ne `�f6'i ; PNA yes /,Crit.Hab. yes / no Closest Maj. Wtr. Body �' W W Project/ Activity <)length NJ� s) 12 �►1.� 'r(g) N7IiA gth � fiber Riprap length_ distance offshore distance offshore innel c yards Itv�►.k t emu' Ildozing PI-OA1 tt„ �-�-I Length not sure yes not sure yes 96 im: n/a yes yes 1 ttached: '� no g permit may be required by: (Scale: l ": 2 0 See note on back regarding River Basin ru Date Received Check From 3/2/20151Pacula Builders LLC 3/2/2015 Pacula Builders LLC 3/2/2015 David Lee Builders, Inc 3/3/2015 Carolina Marine Construction, Inc. 3/3/2015 East Coast Engineering & Surveying, P.C. 3/4/2015 Hunter Development Corp. 3/5/2015 Coastal Marine Piers Bulkheads LLC 3/5/2015 Mark D. Kelly 3/6/2015 Lighthouse Marine Construction Inc 3/6/2015 Bruce Marek, P.E. 3/6/2015 Kenneth W. and Be T. Futch 3/6/2015 Gregory A Holden 3/6/2015 Gregory A Holden 3/9/2015 Garry D. Aldridge 3/9/2015i,Buff Builders, Inc. 3/9/2015 Beam & Associates 3/11/2015 Dale E and Cynthia M Joslin 3/11/2015 Allied Marine Contractors, LLC 3/11/2015 Coastal Marine Piers Bulkheads LLC 3/11/2015 Barry and Shari Golob 3/11/2015 Allied Marine Contractors, LLC Name of Permit Holder Vendor Roy Gilbert & Brenda Madison First Citizens Bank Dennis Michael Security Savings Bank Dennis Michael Edwards B of A John Clark First Bank Dinah Gore First Bank John Ledoux Yadkin Bank James Harren Wells Fargo Bank same PNC Bank Rick Rouse B of A Timber Creek HOA Wells Fargo Bank same Alliance Credit Union same CresCom Bank Kathryn Bradley CresCom Bank Lockwood Folly, PDA replacement for rtned check same NC State Employees' Credit Union Poteat-Smith Properties, LLC BB&T Sea Mist Camping Resort, Inc. BB&T same B of A Jon and Diane Miller B of A Claudia Knox Wells Fargo Bank Golob et. Al. Lafayette Federal Credit Union John Allen B of A ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is'desired. ■ 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. Check Number I Check amount Permit NumbeNC 1138 $600.00 GP 65079D 1847 $400.00 GP 65102D @$20( GP 65103D @$20( 199181 $100.00 minor fee, TB 15-0 9496 $400.00 GP 65093D 1308 $100.00 minor fee, SB 15-0 22714, $200.00 GP 65037D 20059 $100.00 renewal fee, MP 1' 795 $200.00 GP 65121D 5269 $600.00 GP 65035D 1433 $400.00 major fee, Timber 10240 $250.00 major fee 2017 $25.00 return ck fee, 6134 2016 $400.00 GP 65109D @$20 GP 65056D @$20 1044 $200.00 GP 57442D 3275 $100.00 transfer fee, MP 6- 4773 $100.00 renewal ree, MP 1 9035 $200.00 GP 65143D reissu 7278 $200.00 GP-65142D 20095 S200.00 GP 210 Goosenec 2666 $100.00 mod fee, MP 101- 7244 $200.00 GP 65106D A. Signature ❑ Agent X� �� •—�- ❑Addressee B. Receivve by (l�rintyd Name) C. Date of Delivery !C ti// (/• ( {NF D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No ❑ Priority Mail Express'" ❑ Return Receipt for Merchandise ❑ Collect on Delivery —� - --- - 4. Restricted Delivery? (Extra Fee) ❑ Yes I 2. Article Number 7Q11 297p OQQ2 6294.. 1249 (Transfer from service label) PS Form 3811, July 2013 Domestic Return Receipt 1. Article Addressed to: aS11 ler 4 0790(0 3. Service Type Certified Mail® ❑ Registered ❑ Insured Mail C Division of Coastal Mgt. Habitat impact Computer Sheet ,plicant: 'b Gam'' ite: W/ '.S ;scribe below the HABITAT disturbances for the application. and in your Habitat code sheet. Permit #: St 0( All values should match the name, and units of measuremen 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 fim disturbance. Excludes any restoration and, temp impact amount) 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 ❑ rc Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both. [] Other ❑ Dredge ❑ Fill ❑ Both ❑ Other 0 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM )J-�Date 2 ., Name of Property Owner Applying for Permit: 3:9), 4 A ) lov Mailing Address: I certify that I have authorized (agent) AI liyj Aahe-- to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) �n l4% � s, _ a Prnnerty Owner Cianatore Date CERTIFIED MAIL . RETURN RECEIPT RE UESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOT F CATIONNVAIVER FORM Name of Property Owner: lei, l Address of Property: /Q �3 1 (Lot or Street #, Street or Road, City & County) Agent's Name #: AlItJ Mailing Address: Agent's phone #: ! hereby certify that I own property adjacent to the above referenced property. The individua\ applying for this permit has described to me as shown on the attached drawing the 1d-ve►09mQ,"t they are p osing. A description or drawing with dimensions must be provided with this letter. 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. Contact information for DCM offices is availab/eat or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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. ^-Z I do not wish to waive the 15' setback requirement. (Property Owner Information) SigjfOure ~` \ Print or Type Name J � 11 &6 Nailing Address A 1.1., /' k,,..J n' (Riparian Property Owner Information) i Signature / 4,1r � Print or Type kame V�5�ar pr )vl r ee - �j4) Mailing Address CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: 14 Address of Property: ICES /L�'Si �.S�rVJ �>' JAL Z-S/eC!J6")`Xye (Lot or Street #, Street or Road, City & County) Agent's Name #: "i A�, Mailing Address: 6?A - Agent's phone #: S'%d i)3 a c;63 - dam S�PaJy 416- "LiYA3 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 drawing the development they are proposing. A description or drawing, with dimensions must be provided with this letter. � / 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. Contact information for DCM offices is available at or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to give 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 Information) (Riparian Property Owner Information) ;- '000000/ Signature J Signature Z7011 'y&&A &u Wm Print or Type Name Print or Type Name 31V Ak ;l h�� ,Q at11 I. 5� � I 7 ! I � y; f c-(�-N 2 22 o/1