64624D - Clark

CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit # 6 li
i !New Modification —Complete Reissue El Partial Reissue Date previous permit issued
iorized by the State of North Carolina, Department of Environment and Natural Resources oU
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC •
+ (( Rules attached.
Lint Name ' L 1 110, c l A idt Project Location: County3a Y1 sw I u,
+ 04�Gt1�VAf 1 Stre(et{�Address/ , to Road/. t #(Is)
1� State ZIP
# Subdi'nl�&
IV A
ized Agent �; Ayi a lcf.ity 6 % ZIP �-•D
d CW ❑ EW PTA ❑ ES ❑ PTS PhiSe River Basin YI i
1
OEA ❑ HHF ❑ IH ❑ USA El N/A Adj. Wtr. Body nat
PWS: ❑ FC:
yes / no PNA yes �o� Crit.Hab. yes no Closest Maj. Wtr. Body w
A Project/ Activity 011111 - 1 ftme,
n. (Scale:
lock) length'f
'm(s)
length
umber
ad/ Riprap Ii
vg distance 4
iax distance
channel
ubic yards
imp
Ouse/ Boatl
Bulldozing
Kim
COMM
. - - _■L"![!:pit."9��ii/I:II�■���■■�■I■■■�1■■_I�■■�li■■
■■M■■N■■■■■■■■■E"E■ ■■■
i

'4
� CAMA / El DREDGE & FILL
3ENERAL PERMIT Previous permit #
6.New ElModification ElComplete Reissue El Partial Reissue Date previous permit issued
)rized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC u bo
1Rules attached.
nt NameYE0 —" I Project Location: County A-,Sa k-
Street Address/ State Road/ Lot #(s)
lileahY61 JAIU!�J StateK ZIP V6 14 kil -if
lrt;tA -9V6-J9Fax #
Subdivision
zed Agent F &n*vu city zip
I -
El Cw El EW PTA DES D PTS ;Ph River Basin one
1: OEA D HHF El 1H 0 UBA El N/A Adj. Wtr. Body yt-1/
at
E PWS: El FC:
yes / no PNA yes 'I no-, Crit.Hab. yes no Closest Maj. Wtr. Body
V�4
f Project/ Activity 14,LN"I LY A t A " 1,
-A- L.-K-L-
i r/
�ngth
�mber
M
0���■E�■■■■■■■■L��■iti:�i�l■■■■■■■■■■
EOS
N
0
NO
ulldozing
zl_ength___�)7
not sure Pno
I i
I
z: not sure yes 1�1 no j
ium: I" 10
yes -'no
M
9A
6
WPOK
U
iZ
0
N
WPIM
M
0
N
I F
V.P.
M
112EMMAEON
0
0
M",
AN't
Tf
F I
M
0
Mim"MIN■N
m
011,1UNW2
�ttached: yes 0
ig permit may be required by: El See note on back regarding River Basin ru

same Marine Federal Credit Union 3013 $200.00 GP 64617D
Henry Von Murray III B of A 7366 $600.00 GP 64618D @$200
Andrew Bray GP 64619D @$200
Mary Ann Tally GP 64620D @$200 _
Orion Plantation holdings, Allen's Creek Bridges First Bank 45408 $250.00 major fee, BrCo
Thompson First Citizens Bank 3322 $100.00minor fee, NTB 15-12
Thompson First Citizens Bank 3323, $100.00,minor fee, NTB 15-13
same First Citizens Bank 1511 $100.00 mod fee, 199-87 check returned 517/15
,same NC State Employees' Credit Union 2806 $200.00 GP for Jordan _
Joe Smith BB &T _ 19291 $400 00 GP 65138-1
Ruth Netherton &Vicki Jesse BB &T 4488 $200.00 GP 64603D
Reaves, Corbett & Rowell Branch Banking and Trust Co 4629 $400.00 GP 64604D
Jim Tobin BB &T 1911 $200.00'GP 44607D
Eric & Christi McComb BB &T 7151 $400.00 GP 64605D @$200
Harriett Howe GP 64606D @$200
Lot 11 & 12 Peninsulas BB &T 1895 $200.00 minor fees, SC 12-11 & SC 15-12 PNCo
Lot 15 Peninsulas BB &T 1922 $100.00 minor fee, SC 15-13 PNCo
Allan Funk TD Bank 7198 $100.00 minorfee, NTB
same electronic transferinvoice 576 $100.00 renewal fee, MP 65-10
Bald Head Island, Palmetto Bridge B of A 5054 $400.00 major fee, BrCo
.LC
Inc
r
Sion Inc
Farmer
ments LLC
ments LLC
Ilis
Eagle's Watch HOA
PNC Bank
3859
$100.00
renewal fee, MP 120-08
same
First Citizens Bank
6653
$400.00
NOV 15-07D
190 Yacht Watch, Holden Beach
BB &T
3386
$600.00
GP 64625D
Lynn & Michael Seel
B of A
7040
$100.00
minor fee, 3674 Island Dr. NTB
lion Inc
Dorothy Medlin
First Citizens Bank
3798
$200.00
GP 64621 D
Priscilla Clark
BB &T
1176
$200.00
GP 64624D

A C Division of Coastal Mgt. habitat Impact Computer Sheet
i
Applicant:
Date:
1
Permit #: ZIf r
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impaccts"
FINAL Sq. Ft. TOTAL Feet
(Anticipated final (Applied for.
disturbance. Disturbance
Excludes any total includes
restoration any anticipated
and/ortemp restoration or
impact amount temp impacts)
FINAL Feet
(Anticipated fina
disturbance.
Excludes any
restoration andh
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
I Zr
112'
Dredge ❑ Fiji ❑ 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 ❑ Other ❑

North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarl
Governor Director Secretary
AGENT At1'�"�I�i-IZATION FORM
Date: Lq a
7e of Pro�riyui� Applying foa Permit:
. A _B qI, Wir k
)wner's i ffgqg Address:
i
, ,
Authorized-
AA
g` ,.', t..i B.B
Phone Number (Ij
certify that l have authorized the agent listed above to act on my behalf, for the purpose of applying
x and obtaining aq CAMA Permits necessary to install or construct the following (activity):
�or my property kwuitedl at
his certification is valid ihru (data)
la 3
PWP" a ew 319snLatum Date/

wv I r:c 60OZA)Z&
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTX OWNER NOTJn(-ATION/WAJVER 1~UIZP
Name of Individual Applying For Permit:
Address of Property. J/Oe7
(Lot or Street #, Street or Road)
A/c"- a 8 Y76
(City and County)
C cx/.11�
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 draw
the development they are proposing. A description or drawing, with dimensions, shou
be provided with this letter.
I have no objections to this proposal.
if yo■ have objections to what is being proposed, please calf Debbie Wilson with
Division of CoasW Managemient,127 Cardinal Drive Extension, Wilmington, N(
28405 or can 910-79&7215 within 10 days of the receipt of this notice. No respon
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, moorings piWugs, breakwater, boat house or boil
must be set back a mhdmum distance of 15' from my area of riparian access- ua
waived by me. (If you wish to waive the setback., you must initial the appropriatA
blank below.)
I do wish to waive the IS' setback requirement.
1 do not wish to waive the 15' setback requirement.

WV t I:L 600E/OZA
DMV 10N OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTMCAT10N-'WAIVER FAO,"
Name of Individual Applying For Permit:
Address of Property: 16(Lot Or Orr� Street #, Street or Road)
AC . eP5? 4170 I/ %,5-li
(City and County)
ecz-f/t/
1 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 draw;
the development they are proposing. A description or drawing, with dimensions, shoul
be provided with this letter.
Jevz` I have no objections to this proposal.
I/
If you have objections to what is being proposed, please call Debbie Wilson with t
Division of Coastal Management,127 Cardinal Drive Extension, Wilmington, NC
28405 or can 910-796-7215 within 10 days of the receipt of this nodcx. No respons
considered the same as no objection if you bave been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, moorings pilings, breakwater, boat house or boat
must be set back a minimum distance of 1S' from my area of riparian access- ual
waived by me. (If you wisb to waive the setback, you must initial the appropriate
:blank belo
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
OM
4,) YV!Z� dA, hc

.0
9
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