64738D - Davis

CAMA / ❑ DREDGE & FILL
3ENERAL PERMIT 1 Previous permit #
,New ❑Modification ❑Complete Reissue El 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 I SA NCAC •�
d -- ules attached.
it Name ' 'G J U 1 Llov �r� Project Location: County i uo �
( +t V f 4� Street Address/ State.Roajd/ Lot #(s)
State 'sue' ZIP 2 � 1 01 11 am �w
E (�) F # (_�) Subdivision
:ed Agent j ► liv i ` ZIP
❑ CW 1 EW ,&FTA AS ElPTS ee # (NQ— l 0-286 River Basin iLirk
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body Ad L&Wnat
❑ PWS: ❑ FC:
— f('- '\ OkiA „__ 0--:. Closest Maj. Wtr. Body
f Project/ Activity
t
Yck) length
n(s)
)ier(s) X
!ngth
amber
d/ Riprap length
g distance offshore
ax distance offshore
hannel
bic yards
np
ue/ Boatlift r5 %' 15
not sure yes no
,,s: not sure yes no
Jum: a yes no
yes,; no
Attached: yes
Ing permit may be required by:
(Scale:
❑ See note on back regarding River Basin

nr0rcvio ncyris mSv�yan" ­n 1-111o. ..yo..."..,r. --.... -. _•----- -------_.__,....
7/17/2015
7/17/2615
7/17/201
7/17/2015
7/17/2015
7/20/2015
7/20/2015
--
7/22/Z015
7/2
orSharon Stubbs same BA
Richard or Sharon Love Isame Wells Fargo Bank
Antinod Construction, Inc. Chris Mohr B of A
Holden Dock & Bulkheads Anna Odam & Rufus Yates CresCom Bank
Atlantic Coast Industrial LLC David Brinkley BB &T
Money order from Brandon Grimes Patricia Welfare_ Wells Fargo Bank
Robert or Candace Rice same BB &T
Bluff Holdings LLC same 7
Richardson Construction Michael O'Hern BB &T
Lennon Smith
Geneveive Cassese
Backwater Marine Construction Inc Matt Hendrix BB &T
Clements Marine Construction Inc David & Ann Sneeden First Citizens Bank
Coastal Earth Works Inc. Rick Edwards First Bank
Town of Oak Island same BB &T
Waterfronte Villas Owners Assn./CAMS same North State Bank
Logan Marine LLC David and Diane Rodger Corning Federal Credit Union
Charles Riggs & Associates Inc James Bresee First Citizens Bank
Charles Riggs & Associates Inc 6x Partners, Inc First Citizens Bank
Charles Riggs & Associates Inc_ CJL Partners, Inc First Citizens Bank
Trip Pippin Rudy Warren Wells Fargo Bank
Thomas or Sandra May same PNC Bank
Antinori Construction, Inc. Orlando Powell B of A
Lighthouse Marine Construction Inc John Johnson _ B of A
Jose Gonzales
David Cronick Rand Nickerson SunTrust
F and S Marine Contractors Inc. Rob Buckfelder PNC Bank
Chad or Beth Ann Hicks River Hills PDA LG Federal Credit Union
4859
$200.00 GP for 1304 Carol
$200.00 GP 64712D
7120/15
1434
7/20/15
3780
$200.00 GP 64715D =
$200.00 GP 64697D
$200.00 GP 1400 Point Ha
$200.00 GP 64717D
$200.00 GP 65041D
7/20/15
7/20/15
7/24/15
7/24/15
MHCDOIRiver
2181
11791
17-213876532
10394
1121
$100.00
renewal fee, MP 6
7/22/2015
7/24/15
6063
$600.00
GP 64698D @$2C
GP 64700D @$2C
GP 64699D @$2C
7/22/2015
7/24/15
2017
$200.00
GP 64701D
7/22/2015
7/24/15
3856 $200.00
4236 $200.00
GP 64756D
7/23/2015
7/24/15
GP 64734D
7/24/2015
7/29/15
_ 59968 $100.00
1703 $100.00
mod fee, MP 152-
transfer fee, MP 8
7/27/2015
7727/2015
7/27/2015
7/27/2015
7/27/2015
7129/15
7/29/15
1208'1 $200.00 GP 64777D
14102, $100.00 minor fee, NTB, C
14099 $100.09 minor fee, 1538 S
14100, $100.00 minor fee, 120 N.
_
8579 $200.00 GP 64778D
670 $250.00 major fee, 19 Bah
3797 $200.00 GP 64757D
5479 $400.00 GP 64759D @$2C
GP 64758D @$2C
3218. $100.00 transfer fee, MP 2
4690 $200.00 GP for #3 Jib Roa
7/29/15
7/29/15
7/29/15
7/28/2015
7/29/15
7/28/2015
7/29/15
7/29/2015
7131/15
7/31/15
8/12/15
7/31/15
i 7/31/15
7/29/2015
7/29/2015
7/29/2015
7%30/2015
3762
$200.00
GP 64682D
7/30/2015 7/31/15
JRW/RDW Inc
Mark Sutherland
First Bank
20422
$200.00
GP 64737D
7/30/2015 7/31/15
Jason McEntarffer
same
Navy Federal Credit Union
293
$200.00
GP 64736D
7%30/2015 7/31/151James
or Marie Warren
same
First Bank
1124
$200.00
GP 64779D
8/4/2015 8/6/15'
Robert or Alison Boswell
same
B of A
1664
$100.00
renewal fee, MP 5
8/4/2015 8/6/15 Coastal Dredging, LLC
Mary Miller
BB &T
4116
$400.00
GP 64764D
8/4/2015 816/15
Antinori Construction, Inc.
Pat Toth
B of A
3812
$200.00
GP 64760D
8/5/2015 8/6/15
H5 Construction, LLC
Doub
BB &T
1281
$200.00
GP for 406 W. Ya
8/6/2015 8/12/15
Bald Head Island Ltd.
BHI LTD/Bruce Marek
First Citizens Bank
1520
$200.00
NOV 14-15
8/6/2015 8110/15
8/6/2015 8/10115
8/6/2015 8/10/15
Overbeck Marine Construction Inc.
Overbeck Marine Construction Inc.
Maritime Coastal Construction LLC
Joyce Hall Lewis
SunTrust
4317
$200.00
GP 64785D
Armando Cortez
SunTrust
4500
$250.00
major fee, 5918 C
John & Janice Shagena
CresCom Bank
2140
$200.00
GP 64781 D
8/6/2015 8/10/15
8/10/2015 8/12/15
Wayne Smith & Son, Inc.
The Village of Bald Head Island
Malcolm & Latrelle Jackson
BB &T
19315
$400.00
GP 65187D
mod fee, MP 11-1
same
PNC Bank
58242
$100.00
8/11/2015 8/12/15 JAB Marina Group, LLC
8/11/2015 8/12/15' B & K Marine Construction
8/12/2015 Figure "8" HOA, Inc.
8/13/2015 Allied Marine Contractors, LLC
8/14/2015 Coastal Marine Piers Bulkheads LLC_
8/ 4/2015'i Richardson Construction
Foreverhome of Wilmington III, LLC
BB &T
1016
$100.00
transfer fee, MP 1
Van Steen Moss
BB &T
1194
$200.00
GP 64787D
David Kellam for same
Thomas Evins
Warner
Anderson
Al & Mel Davis
First Citizens Bank
8773
$100.00 minor fee, haybah
$200.00 GP 65005D
$400.00 GP 64789D @$21
GP 64788D @$21
$200.00 GP 64738D
B of A
2187
Wells Fargo Bank
20365
BB &T
6062

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
r
Applicant: G /(J��( �Av►S Permit #.
lY -
Date: t 5
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
I FINAL feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
Habitat Name
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/oi
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
I temp impacts
amount)
V W
Dredge ❑ Fill ❑ Both ❑ Other [X
ob J
3
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 171 Both 0 Other ❑

�R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
��vediy Eaves Perdtlie 1:ar^es . Gregso�
Govemor Director
AGENT AUTHORIZATION FORM
Date-, ~'1
Name of Property Owner Applying for Permit: Name of Authorized Agent for this proje
Owner's Mailing r,udress: Agent's Mailing Address:
Pho e Njmberak .
Fhone NL;mber " t.- <<�
Lee
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CANIA Permits necessary to install or construct the following (actitrity):
--
01y proNerty located; at
This certification is valid thru (date)
r�
Property Owner Signature Date

F,
ADJACENT RIPAR AW- PROPERTY OWNER. STATEMENT
(FOIZ A I'LUBIM00RING.PILINGS1B04 LLFTI80ATH0USE)
1 i:ereby ccrti£y that own property adjacent to A i 1--% ► I I
.(Nacre of Property owner)
proper'y located at W t ► t •ants
.(Lot, Block, Road, etc.)
on LC�1r�i ._.�. _...._. , in �rwt.Ui N.C.
(Waterbody) ('own andlor County)
Applicant's phone #: 10+ _ 3% 3 - 5r-Lq Mailing Address: - f a_ _�� aX j � 7L
He has described to me, as Shawn below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pierlmooring pilings 1 boatliit f boathouse
must be set back a .minimum distance of fifteen feet (15' .from my area of riparan access coxless
waived by me. (if you wish to waive the setback, you Must initial the appropriate hI nk
below.)
I do not wish to waive
I do wish to waive that setback requirement
DP,SCR-U TION AND/OR DRAWLNG OF PROPOSED DENTLOP NT: ��-
(Ib be fztkd in by individual proposbjg development)NIUC�, � C��' Cy-) of +) 0 0'+ -+b 0,0 CaM
re�1©v c�1ci 5-�'i rtq �tx��' 1 I�t atm�i i ti� s�i11�i�ry�
(Iuformatwn for Property Owner Applying
fox -Permit)
3oL3 � :merest _�...
Mailing Address ._'5 SL
CitVIS 4--
(Riparian Property (honer Information)
�z
5 "Ir,atu:e
Pr! Or 1`4re Name

ADJACE-NT RIPARIAN PROPERTY OWNER STATEMN-T
(FOR A .PLEA MOOBING ,AUVNGS/.R04TLUT1 UAT'Ff0USL?
I hereby certify that i own property adjacent to A l� r �,
5
(-Name of Property owner)
Property located at
(Lot, Block, Road, etc.)
ors -
.d.._.�_- - LC _ _ , to — r-�.��.� � ..
(`�'4'aterbody) —. ,N.C.
(Town andior County)
Applicant's phone g:'764 —3to! -5 q tilailing Address: ' P d. l�G L!5
He has described to me, as shown below, the development he is proposing at that 10e �ztion, and, X
have no objections to his proposal. I understand that a pier/mooring pilings / boutlift / boathouse
must be set back a mh�imutn distance of fifteen Feet (.151 from my area of
waived by me. (if you wish to waive the setback,man access unless
below.) 3rou must initial the appropriate b nk
I do not wish to WjLive
I do wish to waive that setback requirement.
DESCRIPTION AND/ORDRAMINGrOF PROPOSED DBVELO -
(To be ailed in b PREEN
.f I': y individual proposing de►'eloptnentj
al��k C" c rernc
�� ex,�-ti 1�:x�+ i ► -�� a�� ►�� s+c� l Ian, �, v-� `
r/ Ottwx Slow'
�,���— Q�� � Y'G w �►1C ►1
(Information for Property Owner Applying
for Permit)
3 a3 5 crest Nye. SW
MaililZIAddress
r . L
City,. e, p
n.—
Property
Signature
' Font or "F�•'Pe Name

10'10
I
14'
N
4'
50'
14'

2