64683D - Crawford

v-P1o�7--C--V-D
-CAMA / - DREDGE & FILL
iENERAL PERMIT
New -]Modification LIComplete Reissue -Partial Reissue
Previous permit #
Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources -�—"T q ' + Y1 . �ro
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Name h9clAx UYAWEYA Project Location: County Ot,
%2:: W ��} Street Address/ State Road/ Lot #(s) 1-2
Al1(1(1cc�,,,,,,��, + State zip 2 �f � � row L.o(,k000A � M L
( 16, )-77U ' � 13 Fax # ( ) Subdivision J�V�St+ ✓ p r'
:d Agent 5 ty ) Y ► (, ZIP 4 Z�
❑ CW AEW XPTA ❑ ES ❑ PTS e # f al�S- tidag River Basin LI,w
ElOEA ❑ HHF ❑ IH ElUBA ElN/A Adj. Wtr. Body A,4 lUjW nat n
ElPWS: ❑FC:
les no j PNA Closest Maj. Wtr. Body
�, yes / no j Crit.Hab. yes.!/ no
Project/ Activity
k) length I t6 %(
s)
!r(s)
gth
fiber
f Riprap length
distance offshore
distance offshor
innel
c yards
31
e/ Boatlift
Idozing 1
Length �
not sure yes noj
K.�
not sure yes no
im: n/a yes no
i6fin
(Scale:
yes no i—
�
tacked: yes
r
permit may be required by: 91f oric 11 uL, C. ❑ See note on back regarding River Basin
'111 ^..-- - i - tt _1 t

6/18/2015
6/23/15
Willie Clarence Richardson
Jerry and Lisa Sroka BB &T
Michael Gerke
Smith First Citizens Bank
Smith
Harry L. Kraly Crescent State Bank
same High Point Bank and Trust
Alan & Tambra Lewis First Bank
6036
$400.00
GP 64678D @I
GP 64639D @4
6/22/2015 6/23/15 1
_6/22/2015 6/23/15
6/22/2015 6/23/15
6/22/2015 6/23/15
Clements Marine Construction
3826
$1,200.00
GP 64679D @9
GP 64680D 08
Radiant Investment Inc.
Dennis or Beverly Morgan
! East Coast Engineering & Surveying, P.C.
4380
$100.00
renewal fee, MI
5001
$200.00
GP for 124 Cha
1419
$100.00
minor fee, 491 E
6/2212015 j 6/23/15 VR Properties, LLC Robert Huckabee
Robert Huckabee
6/22/2015 6/23/15 Money order for Brandon Grimes Jerrell & Patricia Brown
6M/2015 Lighthouse Marine Construction Inc Joe Mark Rose_
6/23/2015 Maritime Coastal Construction LLC Doug Terry
6/25/2015 Hunters Appartments LLC same
6/25/2015 Marion or Eula Howard same
6/25/2015 Allied Marine Contractors, LLC Betsy Boddie
6/25/2015 Anglers Marine NC Crawford/Hamilton
NewBridge Bank
542
$600.00
GP 64675D @9
GP 64676D @9
Wells Fargo Bank
59147268345
$200.00
GP 64703D
B of A
5430
$200.00
GP 65040D
CresCom Bank
2116
$200.00
GP for 115 Sou
TrustAtlantic Bank
5659
$100.00
transfer fee, MF
The Little Bank
3265
$200.00
GP for 209 E. F
B of A
2085
$200.00
GP 64681 D
BB &T
4380
$200.00
1 GP 64683D

C Division of Coastal Mgt. Habitat Impact Computer Sheet
plicant: ' I Y t �J V t/�'lN C 4fye'-r)mit#:
te:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
bitat 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
impactt amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/o
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
b
v
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 171 Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
L. ,- 1 2<�, 9 T-�

7�
A*
NCDEE R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Ives Perdue Braxton C. Davis Dee Freeman
Director Secretary
AGENT AUTHORIZATION FORM
Date: �' /s,
,,o/perty Owner Applying for Permit: Name of Authorized Agent for this project:
/1 fl m , L -�o n) � % 1 i Cam! < Z4-)e 6-r
tiling Address: /
L.o �W o�
�4a,, Ivc-
fiber (c%IT�S`U
Agent's Mailing Address:
Phone Number f7c V) 243-06,6 8
I have authorized the agent listed above to act on my behalf, for the purpose of applying
ining all CAMA Permits necessary to install or construct
c.s
party located at
(tion is valid thru (date)
-ILc) K--)/
A_ �.
(11
)party Owner Signature`- \ Date •
following (activity):

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
McCrory Braxton C. Davis
)vernor Director
John E. Skvarla,
Secretary
AGENT AUTHORIZATION FORM
Date:
e of Property Owner Applying for Permit: Name of Authorized Agen# for this project:
er's Mailing Address:
k 3 Lc c,
ie Number (7/0) .5
Agent's Mailing Address:
v r�
Phone Number (?1c,) S yG. - / ) ? S
ify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
obtaining all CAMA Permits necessary to instal -I or construct the following (activity):
ny property located at
certification is valid thru (date)
4 i
Property 0 er Signature Date

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
,q g 3 o 4Jc(c� PI-) ll/y �c�l
- j3 L( V r .Lf C �2 0 T: Z
A. Signature
X ❑ Agent
Addressee
8. ived b ( me 74
e) Date D iv ry
Lr
D. Is delivery address different from item 1? H Yet
If YES, enter delivery address below: No
3. Service Type
❑ Certified MailO ❑ Priority Mail Express"
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7014 0510 0001 9268 9384
(Transfer from service label)
PS Form 3811, July 2013 Domestic Return Receipt
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits,
1. Article Addressed to:
C�yrG'�.
2. Article Number
(Transfer from service label)
A. Sig
X 4- ( �' ❑ Ager
❑ Addr
B. Received by (Printed Name) C. Dateof De
u,)s
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: 0 No
3. Service Type
❑ Certified Mail® ❑ Priority Mail Express"
❑ Registered ❑ Return Receipt for Mercha
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee)
7014 0510 0001 9268 9377
❑ Yes
PS Form 3811, July 2013 Domestic Return Receipt

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i
Name of Property Owner. - �-
Address of Property: c c ; �, r t✓ l
/!5,)d'- iUt
(Lot or Street #, Street or Road, City & County)
Applicant's phone 4: C- /v Mailing Address: %ri .—
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pe
has described to me as shown on the attached drawing the development they are proposing. A dgspail2tion of d rAw
with dimensio s must c provi e wilhfilys i
V 1 I have no abjection% to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DC]
in writing within 10 days of receipt of th)s notice Correspondence should be mailed to 121 Cardinal Drive J
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
jolgideLed the 3ame as no ob'ect on if you have been noffled by Cerfifled Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distanc,
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.)
1 do wish to waive the 15' set back requirement.
1 do not wish to waive the 15' setback requirement.
(P_ werty)�wner 1
at or Type %me,
ailing Address
,v �c 0
ry i State 1 Zip
lephone Number y /
(Riparian Property Owner Information)
Si atu /
/ !ett4
Pr' it or ype Name
1FC7--L4
Mailing Address
tJ - 6 a LCO, 0! s?
City / State / Zip �] '+
'TplenhnnP Mimhpr. �(/ D 9 % A

�hht� i LI L- C
CERTIFIED MAIL — RETURN RECEIPT REQL`ESTCD
DIVISION OF COASTAL MANAGEMENT
ADJACF.N`I' RIP.aiRJAN PROPERTY OWNER STATEMENT
Name of Property Owner: r f //� A
Address of Property: r 7 c� L� �' �t� ` /V,c
(Lot or Street #, Street or Road, City & County)
Applicant's phone #: c — J `f (,' �/ 2— Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permi
has described to me as shown on the attached drawing the development They are proposing. A dgscription of drawinc
with dimensions rQyided with this letter.
. I have no objections to this proposal. I have objections to this proposal.
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. Correspondence shwald be mailed to 127 Cardinal Drive Ex
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no oB ection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or l,F must be set back a minimum distance e
IS, 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' set back requirement.
I do not wish to waive the 1 S' set back requirement,
(Property Owne Inform r}tion
Signature
Pri tit or Type Name
Mailing Address
J�,,1., 1. !1 illy
(Riparian Property Owner Intormation)
Signature
Print or Type Name
C\_ r• ,
Mailing Address

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse .
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
3. Service Type
Adult Signature
❑ Adult Signature R

1 4wdi e+�

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