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Home My WebLink About65109D - Bradley�CAMA / ❑ DREDGE & FILL 3'ENERAL PERMIT Previous permit# ,New ❑Modification El 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 • LU )Rules attached. it ame Project Location: County byl-rE AUA- �� Street Address/ State Road/ Lot #(s) A StateV C ZIP, 14" F #() Subdivision N/W t � :ed Agent 'D `jy� �(Llltitl.� C't/yo GY�n� ZIP � ✓y.G ❑ CW[EW CA El ES ❑ PTSie Ul River Basin L V� ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body " na i ❑ PWS: ❑ FC: )^ ' yes no) PNA yesrj Crit.Hab. yes / noClosest Maj. Wrr Bodyi / 1 f Project/ Activity M■■■■■■■■■■■■■■■■■■■ ■■■ NIEMEN■■■■�■■■■■■■■■■■■■ ■■■■■■■■■ ■■E■■N■■■■■■■ ■■ ■ ■■■■■■■■■ENEhME■ 11 ix distance offshore NEWRI LIV AW ■& iannel ■v■r■■Dic yards ■■■■!�/1■■ �' I�'•�I'ff'i■ np ■■■■■■■—ii.� ■�■■■®/■.ri■1■■ ulldozinng „ _J13 (Scale: EVEN --- 110 1 ■■■■■■■■■■■■■ ■■ ■ ■■ram■■■ .-_ ■■■ AWO utnrc %,AFVIA uairy %.necR wg For •VIMW Date Check Check Received Check From (Name) Name of Permit Holder Vendor Number amount I Permit Number/( 3/2/2015 Pacula Builders LLC Roy Gilbert & Brenda Madison First Citizens Bank 1138 $600.00 GP 65079D 3/2/2015 Pacula Builders LLC Dennis Michael Security Savings Bank 1847 $400.00 GP 65102D @$20 Dennis Michael GP 65103D @$2C 3/2/2015 David Lee Builders, Inc Edwards B of A 19918 $100.00 minor fee, TB 15-( 3/3/2015 Carolina Marine Construction, Inc. John Clark First Bank 9496 $400.00 GP 65093D 3/3/2015 East Coast Engineering & Surveying, P.C. Dinah Gore First Bank 1308 $100.00 minor fee, SB 15-( 3/4/2015 Hunter Development Corp. John Ledoux Yadkin Bank 22714 $200.00 GP 65037D 3/5/2015Coastal Marine Piers Bulkheads LLC James Harren Wells Fargo Bank 20059 $100.00 renewal fee, MP 1 3/5/2015 Mark D. Kelly same PNC Bank 795 $200.00 GP 65121 D 3/6/2015 Lighthouse Marine Construction Inc Rick Rouse B of A 5269 $600.00 GP 65035D 3/6/2015 Bruce Marek, P.E. Timber Creek HOA Wells Fargo Bank 1433 $400.00 major fee, Timber 3/6/2015 Kenneth W. and Be T. Futch same Alliance Credit Union 10240 $250.00 major fee 3/6/2015 Gregory A Holden same CresCom Bank 2017 $25.00 return ck fee, 613, 3/6/2015;Gregory A Holden Kathryn Bradley CresCom Bank 2016 $400.00 GP 65109D @$2C Lockwood Folly, POA replacement for rtned check GP 65056D repay MC Division of Coastal Mgt. Habitat impact Computer Sheet Applicant: T � poya Permit #.�5(bclh Date: -� Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen `ound in your Habitat code sheet. -iabitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or ternimpacts) 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 fins 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both [I Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date �j S Name of Property Owner Applying for Permit: Mailing Address: V- I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAM/A Permits necessary to install or construct (activity) D a C P J— a v / Pke C. J at (my property located at) / 3 2 %L.) nA 00 f This certification is valid thru (date) ?, D 3-Y-is Property OwneivSignature Date property-lo-cata-d-at y) (Address, Lot, [Name of Property own and/or County) . lican as eScnb - - p (fie ag s - pyyn-( IpW; the-development-proposed-at-the-above-lo-cation I have no objection to this proposal. I have objections to this proposal. uMiUKIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) /D F i. &4 r f�' CJ i`V1� new .4 WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waiv the setback, you must inftiat 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) Signa' Signature Print or type Name �, Print or Type Name -LIT a ;-x- . n ,. . Mr i I w V_ Er-MM andCountyl q, ALL, i I a I I -,.:t E. 771 ftt 1 74 4: a c ! 1, & I i I u TV I's A. I I . . - k-kAl ft wbat is bebir, prepuseds U,,U_mte- Ike Iftwisimm of 127 Cn A DOM or 4"m qj� I mb� di bir 1 Alm in ym -Mule= w'zkved l3 g iU✓i q x9r, /o R. f/ R eOaaa rf a ct 4 o