64630D - Buccaneer

Cr._.
,AMA / DREDGE &FILL
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized 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
l ( i� Rule�s"attached.
it Name Ica ruty �l 1I 1� J i' G�tji1-E. y% LSD -, . Project Location: County OMI"'! I I
U 3kA Ll Street Address/ State Road/ Lot #(s)
State �i ZI P N 0 W i t G t Y-C.Gk
Fax # ( ) Subdivision ' oC r'" �!") :ed Agent f City CLx w 14, ZIP76,41 (d
El a EW PTA ES ElPTS # ( ) �— River Basin LwA i
n OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
yes'/ no PNA yes no
f Project/ Activity
ck) lenjh
1(s) L xL
ier(s)
ngth
tuber
d/ Riprap length
distance offshc
uc distance offsh
cannel
sic yards
np
ise/ Boatlift
e Length-�
not sure
yes no
s: not sure
yes -I no
ium: fi%a dyes no
�••.�/
kttached:
es nod
yes not'
C-
ig permit may be required by:
Crit.Hab. yes /( no
Adj. Wtr. Body M L^,) V—
Closest Maj. Wtr. Body Al W ('3
(Scale: I ff
❑ See note on back regarding River Basin r
_ l e
. — ( l . I . % t

7 7a Amen manne ,onwo=15, LLIi
5/1/2015
5/8/15
1 Land Management Group, Inc
5/6/2015
5/8/15
Eastern Builders Inc
5/6/2015
5/8/15 Eastern Builders Inc
5/1/2015
Bald Head Island Ltd.
5/7/2015
5/11/15 Don B. or Connie C. Jordan
- _ -, Irienry von Murray m
-
r5 or Fi
�3ri6
76tlUU.W CaV b4blau Q
Andrew Bray
-�
GP 64619D
Mary Ann Tally
_ _ _ _
GP 64620D
Orton Plantation holdings, Allen's Creek Bridges
First Bank
45408
$250.001
major fee, Bill
Thompson
First Citizens Bank
3322
$100.00
minor fee, NI
Thompson
First Citizens Bank
3323
$100.00 minor fee, NT
same
First Citizens Bank
1511
$100.00 mod fee, 199
same
NC State Employees' Credit Union
2806
$200 00 GP for Jordat
5/8/2015 5/11/15, Wayne Smith & Son, Inc Joe Smith _ BB &T __ 19291 $400.00 GP 65138D
5/8/2015 5/11/15 Ricky Hewettconstruction Ruth Netherton & Vicki Jesse BB &T 4488 $200.00 GP 64603D
5/8/2015 5/11/15 1 Ricky Hewett construction Reaves, Corbett & Rowell Branch Banking and Trust Co 4629 $400.00 GP 64604D
5/8/2015 5/11/15 Backwater Marine Construction Inc Jim Tobin BB &T 1911 $200.00 GP 64607D
5/8/2015 5/11/15 Steven T. Farmer, Robin G. Farmer Eric & Christi McComb BB &T 7151 $400.00 GP 64605D
Harriett Howe GP 64606D Q
5/11/2015 5/11/15 Thornton Builders & Investments LLC Lot 11 & 12 Peninsulas BB &T 1895 $200.00 minor fees, S
5/11/2015 5/11115 Thornton Builders & Investments LLC Lot 15 Peninsulas_ BB &T 1922 $100.00 minor fee, Sc
5/11/2015 5/15/15 AWA Buildiers, Inc Allan Funk TD Bank 7198 $100.00 minor fee, NT
5/11/2015 NCWRC same electronic transferfinvoice 576 $100.00 renewal fee, 1
5/12/2015 5/15/15 Coastal Land Design, PLLC Bald Head Island, Palmetto Bridge I B of A 5054 $400.00 major fee, Bri
5/13/2015 5/14/15 Jeanne L. or James S. Wallis Eagle's Watch HOA PNC Bank 3859 $100.00 renewal fee, 1
5/13/2015' 5/14115 Robin G Smth same First Citizens Bank 6653 $400.00 NOV 15-07D
5113/201515/14/15 IVCC. Inc. 1190 Yacht Watch, Holden Beach IBB &T 3386 $600.00 GP 64625D
6/12/2015
5/12/2015
lstruction Inc
Marine Construction Inc
Lra Milligan
l Construction LLC
Lynn & Michael Seel
B of A
7040
$100,00 minor fee, 36
Dorothy Medlin
First Citizens Bank
3798
$200.00 GP 64621D
Priscilla Clark
BB &T
1176
$200.00 GP 64624D
Chades Darsie & Sandra Cook
_
NewBridge Bank
6162
$200.00
GP 64609D
Thomas Young
CresCo_m Bank_
2098
$400.00
1 GP 65186D Q
Rick Billings
GP 65194D
6/12/2015
5/14/15
Official Check from BBT/Kapkowski, Ronald
William Yanlandingham
BB &T
5007090239
$400.00 GP 65195D
5/14/2015
5/15115
Allied Marine Contractors, LLC
Robert Lakey
B of A
7431
$200.00 GP 65148D
5/14/2015
5115115
Town of Ocean Isle Beach
same
Branch Banking and Trust Co
68435
$475.00 major fee, Oil
5/14/2015
5/15/15
Larry Francis
same
Four Oaks Bank
4402
$250.00 major fee, Bill
5/15/2015
5/18/15
Jerry Smith Builders, Inc.
,same
PNC Bank_
101220
$200.00 GP 64626D
5/15/2015
5/18/15 It's Better Built Inc
Walter Barton
First Bank
3726
$260.00 GP 65196
5/15/2015 5/18/15 Grice Construction of Brunswick Co Inc
Fairmont
1BB&T
10323
$660.00 GP 65200D Q
Marlin
Wilmington St. OIB, Allen & Faulk
Anfinod Construction, Inc. James Zolzer
Antinod Construction, Inc. Chris Barnhill
Dennis Woehrle or Evelyn Woehrle same
Lighthouse Marine Construction Inc Daniel Murdock
LISPS Money Order from Joel Klass Gina Gaines
Patrick Judge
Holden Dock & Bulkheads Obern Pigg & Claude Bobitt
Coastal Earth Works Inc. Greenville Sound Gardens Yacht Club
Harbour Assn of Bald Head Island Inc same
IRichardson Construction Morris_ Purdy_
1 Buccaneer Hills Land Owners Association Inc same
5/15/2015
5/18/15
5/15/2015
5118115
5/15/2015
5/18/15
5/18/2015
5/19/16
5/19/2015
5/20/2015
5/21/2015
5/21/2015
5/21/2015
5/21/2015
GP 65199D
_ _ B _
of A
B of A
PNC Bank
B of A
USPS _
CresCom Bank
3663
$200.00
GP 65157D
3661
$200.00
GP 65166D
877
$200.00
GP 65162D
GP 65159D
GP 65140D I
GP 6461OD
2 GPs
GP 64644D
GP
1 GP 64642D
GP 64627D J
5374
$800.00
22630262398
$400.00
1 2090 $400.00
4222 $200.00
1095 $200.00
6012 $800.00
First Bank
BB &T
BB &T
,BB &T
2636, $200.00
1 GP64630D

IC Division of Coastai Mgt. habitat impact Computer Sheet
aphcant:
►� !-� S �i dew h e� i
ate:
aermnn �`iOcC
ascribe 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/c
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
a
O
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 0 Other ❑

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: elc an1ee r A.4Ls Iasi & x ,
Mailing address: AD, Rta 3 V�e ► Skma.0 v N. C. Aey6 2—
Phone Number: %f ©aw, e- Lt,44EW&11 Y. A
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of
at my property located at
oLLvHc,
in Bra N s Gv r c K County.
This certification is valid through
Date
(Property Owner Information)
/i ev7—
Signature
Ro N,V )' e- IA/1'9 9 "N
Print or y e Name
Vl 'e e Pr, e c d e A.� 7—
Title

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 'Gur'c2.g e-e-r i
(Name of Property Owner)
property located at Fwa of .To L, /- V R-
�, (Address,
on if, i
in
(Waterbody)
Block, Road, etc.)_
u S wt'C /� o4u / l/ N.C.
(City/Town and/or ounty)
Th applicant has described to me, as shown below, the development proposed at the above locati
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 bac
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wz
the setback, yo ust 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)
Signature
Print or Type Name
/ 2 -,-'nn d ins?.
r T wyame
Pr
0.x /V,7 2
-4-4

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
XJCyr yd,J-[.s A4A.)doWNt ts,s
Name otkroperfy Owner)
(Afidres's, Lot, Block, Road, etc.
on in A6ru x)S W i CA- 0wu / Y N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above locat
�SdLL 1 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 bac
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to w;
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) (Adjacent Property Owner Information)
Signature
ignalure
Print or Type Name
Print or Type Name

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