64635D - Blake

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�'CAMA / ❑ DREDGE & FILL (j,I'Z, I�
' 64
'ENERAL PERMIT Previous permit#
New --]Modification ❑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 I SA NCAC +�V
+ , _�� 5 ��', �� r l �(tules attached.
t Name 1i1�11 ice- Project Location: County �(�k'AC►,�j ► (. ��
RZ ( [CA U Vye Street Address/ S to Road/ Lot # )
,,
r WX YGl State ZIP o —
("f 't �P �(� Fax # (T-) Subdivision
ad agent �' � - City � h ZIP
❑ CW W 0� TA ❑ ES ❑ PTS a Phone # ) ? �o River Basin (%
❑ OEA "❑ HHHF /❑ 1\H ❑ UBA ❑ N/A PA.
❑ PWS: ❑ FC:
yes '/ no PNA yes no Crit.Hab. yes no
Project/ Activity 11tif
:k) length
(s) 2a
er(s)
igth
nber
I/ Riprap length
distance offshore
c distance offshore
annel
is yards
P
e/ Boatlift
Adj. Wtr. Body V\ !tN' (nat tr
Closest Maj. Wtr. Body
UJ 1 )
����■ 1r"riflAm NEI
0
(Scale: t
❑ See note on back regarding River Basin rl
1 n i 1 ' r

6/28/2015
6/1115
Carolina Marine Dredging Inc Ricky Hancock First Bank
Lary Rice Construction Ricciardi BB &T
Forest by the Sea HOA Inc same B of_A
Mark Armstrong same Wells Fargo Bank
Allied Marine Contractors, LLC EPC Holdings 846 LLC B of A
James McGhee
Thad N. and Erin M Cable same NC State Employees' Credit Unio
Senter Home Builders Neil and Heather Senter Wells Fargo Bank
Waters Edge HOA, Inc. same Park Sterling Bank
1094
$200.00
GP 64652D
5/26/2015
6/1/15
2243
$100.00
minor fee, NTB
5/29/ 0015
6/1/15
10676
$100.00
renewal fee, MI
renewal fee, M
GP 65149D @I
GP 63278D @9
GP 63279D
9/29/ 0015
6/1/15
_ 1070 $100 00
2005' $400,00
2937 1 $200.00
5/29/2015
611/15
5/29/2015
5/29/2015
6/1/2015
6/1/15
6/1/15
1471
$200.00
GP 64632D
6/3/15 1
1536
$400.00
major fee, Ham
6/1/2015 6/3/15 Northern Riverfront Marina and Hotel, LLLP City Marina of Wilmington, LLC PNC Bank 3857 $100.00 mod fee, MP 44
6/1/2015 6/3/15 City of Wilmington _ same B of A 319610 $100.00 renewal fee, MI
6/1/2015 6/5/15 High Tides II Inc Johnny and Susan Sides B of A 1903 $100.00 minor fee, #8 0
6/2/2015 6/3/15 Inlet Watch Yacht Club, Inc same BB &T 15636 $100.00 renewal fee, MI
6/2/2015 Allied Marine Contractors, LLC Kevin Finger B of A 2036 $200.00 returned to con'
6/3/2015 6/3/15'Alton L. and Sherry D. Jenkins same B of A 1395 $200,00 GP 64661D @9
6/3/2015 6/3/15 Alton L. and Sherry D. Jenkins same B of A 1396 $400,00 see above entn
6/3/2015 Charles F. Riggs & Associates Inc Richard and Linda Baker First Citizens Bank 14048 $250,00 major mod fee,
6/4/2015 6/5/15 James W. and Donna M. Jones same PNC Bank 1911 $200 00 GP 64654D
6/4/2015 6/5/15 Pullen Place Townhouses Condominium__ same/Kerry Avent First Bank 1220 $200,00 transfer & rene�
6/4/2015 6/5/15 Coastal Marine Piers Bulkheads LLC William Creasy Wells Fargo Bank 20242 $400.00 GP 64665D @9
Gasser GP 64666D @9
6/4/2015 6/5/15 Overbeck Marine Construction Inc. John Kane SunTrust 4468 $200.00 GP 64660D
6/4/2015
6/9/15
Beam & Associates
Sea Mist Camping Resort, Inc.
BB &T
4824 $150.00
addl. $150 for n
6/5/2015
6/9/15 West P. Hunter, Jr.
same Wells Fargo Bank
7596 $200.00
GP for 1 Raefoi
6/5/2015
6/9/15 TI Coastal Services, Inc
Wooten Holding Co. Inc./Hampstead Marina Coming Federal Credit Union
Brunswicktown, Ft Anderson Wells Fargo Bank
Bailey and Associates First Bank
Steve Lilly PNC Bank
Ri enbark BBel sTFargo Bank
Milton & Dawn Hardin B of A
Robert and Julie Blake First Bank
629 $100.00 renewal fee, MF
20190 $400.00 majorfee, Brun
45250 $400.00+majorfee, Sumi
4550 $250 OOlmajorfee, 4121
6/8/2015, 6/9/15 SEPI Engineering and Construction
6/9/2015 Land Management Group, Inc
6/10/2015 F and S Marine Contractors Inc.
6/11/2015 Will 6/11/2015 Money order Brandon Grime Richardson/Richardson Constructio'Morrison
y
6/11/2015, Antinori Construction, Inc._
6/12/2015 It's Better Built Inc
59147268015 $400.00 GP 63280D
$400.00 GP 646630 @9
3683 $400 00 GP 65160D
3757, $200.00jGP 64635D

I.0 Division of Coastal Mgt. Habitat impact Computer Sheet
pplicant: f5 V - 5 `ake ?�Oju Permit* �q('Ss)
V
ate:
<S
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
fund 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 Tina
disturbance.
Excludes any
restoration and/c
temp impact
amount
AA)
Dredge ❑ Fill ❑ Both ❑ Other
l W
11Q�
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 ❑
Dredge 0 Fill ❑ Both ❑ Other ❑

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 6 — ol- , Iy
Name of Property Owner Applying for Permit:
Mailing Address:
S aX l,� raj* L vtn
0,00 nC-ord , N C." 990 all
ptj + u; j ,wj-
I certify that I have authorized (agent)S.�•,r, }� ,.�,,�. 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)
n ea'a„ Ss 1., gam,, N (, AM
This certification is valid thru (date)
Owner Signature Date

yl Avu
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby verify that I own property adjacent to �4 .�� I,',.d 0 64e
� // (Name of Property Owner)
property located at ^ 39 �-f' %Re-%S , 4�O -ifd9na I ZO, Zc�j
(Address, Lot, Block, Road, etc.)
on W, o in O e-00. =sic N.C.
(Waterbody) (City(Town and/or County)
Agent's Name #: C &A*-WD;;►, Mailing Address: /Sqp a?T4,PL(,f �(
Agent's phone #: 1
;W.W3 NCi C;4?4b7.
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
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 athtt:llwww.nccoastaimana-gement.net/weblcm staff -listing orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information)
144Q
ignature
Print or Type Name
(Riparian Property Owner Information)
Sig ure
Print or ype Name
"OVAL, I CA 10;_ (oA-L.
Mailing Address Mailina Address

DIVISION OF COASTAL MANAGEMENT
A24AMW RIPARIAN PROPERTY OWNER N-071 CATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
l hereby cer* that 1 own property adjacent to
&&A A�
(tea of Property Owner)
property bated at , , �r..: A :z
(Addreess, Lot, Block, Road, etc.)
one , i� id.R. in d ' .. sl. N.C.
(WaWbody) (City/Town and/or County)
Agent's Name # �—Ri!
�tS� WANAddress: %sgf %rT�(�
Agents phone #- . .�.�_�, 'V t- WV q'a2.
He!She has described to me as shown below the development he/she is proposing at that location,
and 1 hem no objections to the proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
Om*vkkW proposing development must fill in description below or attach a site drawing)
"6u'44VW.�
� j
'.
ffYW+ have o4mod" to what tabeing you nwa na ry dw Drv+ W*n of CmW XwNgwrrent
(DM In wrftV witiun ffl days of rovelpt of tltfs nodm. Contact 10onm6w for DCCM dflees is
8va€ &W* ath WAvwwi ntnatiwWcm/sta f-ksfin a orbyc0hV f-8U-4RCOA87
NO nspo+sse is carxsfalir,ed the sarrw es no objeWon if you lows been noitllfid by Cwdhi€sd iW
( perty owner Information) (Ripa Qrreter Information)
turf signature
� �• LAI- ►r+s.
- t{ r�arc
.,_ �_

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