65161D - Cavenaugh

CAMA / i7l DREDGE & FILL ,�'J <<65
19NERAL PERMIT Previous permit #
New ❑Modification OComplete Reissue CPartial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources / f
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Name Alet4 4
iat- ,
Statey( ZIP Z��t%
C QQFax
# ( )
:d Agent ,` r "✓mod
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CW ❑ EW ❑_PTA
❑ ES ❑ PTS
- OEA ❑ HHF ❑ IH
❑ UBA ❑ N/A
L PWS: ❑FC:
es / no PNA yes /-no Crit.Hab. yes /
Project/ Activity
A 1e. k
Project Location: County
Street Address/ State Road/ Lot #(s)
'3-0 (0 t St,4_� �j t .S� .
Subdivision
City �L'� � �`f � ZIP
Phone # ( ) ~- River Basin iC
Adj. Wtr. Body 00 (nat JO
Closest Maj. Wtr. Body >
(Scale: / /,�- C
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,Aprap length
distance offshore
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Length
sure yes
not sure yes
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3 permit may be required by: 5y�� 1 ❑ See note on back regarding River Basin rul

5/28/2015
5/1/15 Carolina Marine Dredging Inc Ricky Hancock
611 /15 Larry Rice Construction Ricciardi
6/1 /15 Forest by the Sea HOA Inc same_
6/1/15 Mark Armstrong _ same
6/1/15 Allied Marine_ Contractors, LLC EPC Holdings 846 LLC
James McGhee
6/1/15 Thad N. and Erin M Cable same
6/1/15 Senter Home Builders Neil and Heather Senter
6/3/15 Waters Edge HOA, Inc. same
First Bank 10941 $200.00 GP 64652D _
BB &T 2243 ' $100.00 minor fee, NTB
B of A 10676 $100,00 renewal fee, MI
Wells Fargo_ Bank 1070 $100.00 renewal fee, M
B of A _ 2005 $400.00 GP 65149D @I
GP 63278D @I
NC State Employees' Credit Unio 2937 $200.00 GP 63279D
_5/28/2015
5/29/2015
5/29/2015
5/29/2015
5/29/2015
5/29/2015
Wells Fargo Bank
1471
$200.00
GP 64632D
6/1 /2015
Park Sterling Bank
1536
$400.00
major fee, Ham
6/1/2015 6/3/15 Northern Riverfront Marina and Hotel, LLLP I City Marina of Wilmington, LLC PNC Bank 3857 $100.00 mod fee, MP 4�
6/1/2015 ' 6/3/15 City of Wilmington _ same 6 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 O
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 64661 D @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 615/15 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 6/9115 TI Coastal Services, Inc Wooten Holding Co. Inc./Hampstead Marina lComing Federal Credit Union 629 $100.00 renewal fee, MF
6/8/2015 6/9/15 1 SEPI Engineering and Construction Brunswicktown, Ft. Anderson Wells Fargo Bank 20190 $400.00 major fee, Brun
6/9/20151 1 Land Management Group, Inc Bailey and Associates First Bank 45250 $400.001 major fee, Sumi
6/10/20151 F and S Marine Contractors Inc. i Steve Lilly PNC Bank 4550 $250.00 major fee, 4121
6/11/2015 Will Clarence Richardson/Richardson Constructio Marijon Clarke BB &T 6030 $200.00 GP 63280D
6/11/2015 Money order for Brandon Grimes '' Morrison Rivenbark Wells Fargo Bank 'j111W 59147268015 $400.00 GP 64663D @9
6/11/20151 Antinori Construction, Inc. Milton & Dawn Hardin I B of A 3683 $400.00 GP 65160D
6/12/2015 It's Better Built Inc Robert and Julie Blake First Bank 3757 $200.00 GP 64635D
6/12/2015 Grice Construction of Brunswick Greta Lynn Wood BB &T 10372. $400.00 GP 64636D @9
Lee GP 64637D @9
6/12/2015 Holden Dock & Bulkheads Larry Morris CresCom Bank 2113 $260.00 GP 64634D
6/12/2015 Holden Dock & Bulkheads Gary Holbrook CresCom Bank 2114 $200.00 GP 64633D
6/12/2015 Cavie Homes LLC Mark Cavenaugh First Citizens Bank 1260 $600.00 GP 65161 D
r

NC Division of Coastal Mgt. Habitat impact Computer Sheet
Applicant: Al ot Permit W � /6 /
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
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 impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Exdudes 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/or
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 [:1 Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

gi
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
John E. SkvE
Secret
AGENT AUTHORIZATION FORM
Date:--I--
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
04 qC, /4"�aj1, �c�rr�ll rr
Owner's Mailing Address:
Phone Number/y) 330-706a
Agent's Mailing Address:
Lin hAh o o se M m i nt C;�n
G C),x Z
C '� f1l) C gLI
Phone Number (41 c) --2/03 - 2g 413
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
For my property located at 70 6
This certification is valid thru (date) 9— /`16
� vG
Property Owner Sign re
,S—Z 9 —/S_
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to .III,&r-k OC, ��✓a w a. N s
(Name f Pro erty Owner)
property located at 70 i 7--fA 5�� 157lx� C, �
on C�►,...r �-. I
(Waterbody)
(Address, Lot, Block, Road,
(City/Tov
0Ws le, . N.C.
and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc!t-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
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
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.)
KIF) r, , .
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (A 'acent Prope y Owner Information)
S' ature ture
/�1 R r-,L �� v �./4 l.. 14 �Oi✓i>2 ZZ /i ' K per'
Print or Type Name P�r Type Name
AAA;H— A,4,4, ec . AAAH rv-i ArOnoc-c

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
ltlAi'/< e- A I
property located at -70 6 1 7 t'
(Address, Lot, Block, Roat-'/
etc.)
on L.�t�a ) , in cw - GiOAJ:5le'J , N.C.
(Waterbody) (City/To n and/or County)
(Name of Property Owner)
The applicant has described to me, as shown below, the development proposed at the above
location.
✓' 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
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Si&n yture
�t4#4e Zk V-q.✓a.a I¢
Print or Type Name
'0 o 'ef- I - /
(AdjacenjVPrope
Si ature
Print or Type Name
rmation)

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