64706D - Dellinger

�CAMA / ❑ DREDGE & FILL 64
3ENERAL PERMIT 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 ( `
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ti .
l ules attached.
it Name . ' U1 1641 Project Location: County �Ylu r�w�(�
Street Address/ State Road/ Lot #f (s))
LUi1� f►/i,�Y�� i ' State_ ziP 151 L --- -fit V-U o n! Yl;wy C,
P (�'-) -13c 3 Fax # ( ) Subdivisi n
a iit ` r"^ `� +
zed Agent t,tl(1��(�. � Lt7�t� � �`��Y1<GGiS dty �� J1ALI , zip C�-lav1�i
i �r
❑ CW CM�EW 3 PTA ❑ ES ❑ PTS Oi e ( O ) ✓4 1 River Basin L�
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body IA O nat 1
❑ PWS: ❑ FC: /'�
yes / no PNA yes ,' no i Crit.Hab. yes / no~> Closest Maj. Wtr. Body /� t
if Project/ Activity
EXis-h n
)ck) length
Bngth
ember
id/ Riprap length_
,g distance offshore
ax distance offshore
:hannel
ibic yards
mp
use/ Boat
3u) ozing
V)AA ?x1U
ie Length
not sure yes no
gs: not sure yes no
rium: /�n/a yes no
yes no
Attached: yes r
k
(Scale: 1
ing permit may be required by:;�r+lk �,NaPlCc�- ❑ See note on back regarding River Basin

3512015 14: 34 9107549345
CCAIA^ / 0 DRWM & FILL ftT-rf �
GENERAL PERMIT
W'%v OM04000Wn nCwnpkftRoksm n-P**
hefted by th i Stag of Worth Cwv", DeVotmw" of Envkorgnm
o CamsW R*wurc*:C=nn*,Aaun in w wv* of awkw*wwnw axwe
ri cw *w , XFTA ols orm
nom omw u o" u unA n WA
MS.. OFr-
YOS no PHA yes Cna CftFIajL rp r
N DOCKS 0
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preAms pumft
Daft prew4ma ;A--" jut anow-_
mom to I SA NCAC
, 2
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7Z/X--(-3 t- --, z I P
RW w BrAin LV 'Vi JL
Adj. Wtr.
Cksest Mai. wtr. Body— A
of PmjwV Ac&*y Vltv4 x--,
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of Pi" h-Eth
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Mad ty.. NOVA 51015
Wn* rW be 0 "ob br Ilk- see r 8=41

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KODeri MUCAMIM
NOWDI IUWV Ddl IR
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Vr VYVIJv lw
Robert Huckabee
GP 64676D
6/22/2015 i
6123/15
Money order for Brandon Grimes
Jarrell & Patricia Brown
Wells Fargo Bank
59147268345
$200.00
GP 64703D
6/23/2015
Lighthouse Marine Construction Inc
Joe Mark Rose
B of A
5430
$200.00
GP 65040D
6/23/2015 Maritime Coastal Construction LLC
6/25/2015 Hunters Appartments LLC
_6/25/2015 Marion or Eula Howard
6/25/2615 Allied Marine Contractors, LLC
6/25/2015 Anglers Marine NC
6/26/20151 F and S Marine Contractors Inc.
Doug Terry
CresCom Bank
2116 $200.00
5659 $100.00
3265 $200.00
2085 $200.00
4380 $200.00
4603 $200.00
GP for 115 So
transfer fee, M
GP for 209 E.
GP 64681 D
GP 64683D
same
TrustAtlantic Bank
same
The Little Bank
Betsy Boddie
B ofA
Crawford/Hamilton
BB SIT
Marco valpando
PNC Bank
GP for 28 Pelil
6/29/2015I
Hidden Coast Adventure Company LLC
First Citizens Bank
721
$100.00
minor fee, ??
6/29/2015
Joseph or Lara Milligan
Dellinger
NewBridge Bank
6180
$200.00
GP 64706D

4C Division of Coastal Mgt. Habitat Impact Computer Sheet
I--,
kpplicant: +-Vt a yl— Permit #:
)ate: �}
12-cl 1 t 5
)escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremef
ound in your Habitat code sheet.
iabitat 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
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fin
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 ❑
i_
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 0

25/2015 15:01 9107549345
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25/2615 15:01 9167549345
MILLIGANS DOCKS
PAGE
DIVIRON OF 4
WrRVARUN
Name of ftworty 0wow
Addmw ofPropetW.
1 beraby MY 4w i own property t -occat to The *0
has dmcrRW tv me as sbown an the atac M drawing
I have no objeefim to *b pmposoL
efih exed p Mnsly MwmdhWWapplpnfbriWspv=k
dum4opmag tWyam
I im abjeF tin as to"proposaL
If you kwe objadism to rr W is Wag paces, wad" fire VWWbm of C*WW � QKX)
In wkb" 1@ �p afracelpt aftkk mtk o dmM be mded to W CROW �
moo , NC 2 -� D xoap se iv y� Ire amtmcW at Alf) ?W722:b No was is
15, from my atat OfTkwimp > > waiyW by
bt
Ch�^
I do WM $! MA1ft dw IS' s ice[
I do ant wbh to wahv the 15' at to *
6#9/ lllar-
NW ar Typo Wme
..Td /4� t✓•ctA A-a—
MsftgMdrass
c) ri C o ILO , tv c- -Z Bo-k
b+oa&om% or lift mug be sat be* a s&ho mn disum at
Omer imbruation)
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25/2015 15:01 9107549345
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I1*+rA-. 11 C s
W .zI�i!,
'Icy 4
Name oPPtapdrty Ovaw.
Add= of may.. i
or
Apgiiaanesphamil:
MILLIGANS DOCKS
!l'� t A
e . 1A� MI'l
Sued br RMdL City a(��Y) ,
I A l W 3LS
PAGE
' I barebY ouffy &9 I emn pmperly odd 4D the;d"�p
n+pettr The � i�** for ddm pamit
bm deems to me as shaven (m the stowW am
.Yf
I have no ob eotia� �a tbfs penposaIi Pees. a oi�jaati m to � propm aL
If y" hm 9"ecdow to watt is being propeeed, pilt MddM ey z *"W M=ft&"D rt (DM
in win" 18 do" of receipt of the Metier. sh"M be armed 1e W CudbW D d" $�.
� NC ,U4& D M nWr°mantatWotmebd at MO) TW7215. No im to
W"
I undearst=J dw a pmr, dDck, mooring pilings, breab
15' finny my awes of ripwm scom unites waived by
sWept I blank bokrw.)
Ides wish W waive The 15' ut back
I do not wi* to waive the I5• sat be*
(Pmp*M Owoor o)
Siguwacuu: _ .
Print or 'Type Name
�EC'T.[ON
bag%oom , or Eiftmint be set back a, dixtinx al'
(If y m wish to arrive tho setback, you must iadthd the
i (Riperiaa Prvparq Owner hdWa ndw
f .k. ✓A
.JriA 0 IF","jr, r, !iC�Jk1
Prot or Type Now - A
Mdit Address

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251/2015 15:01 91e7549345 MILLIGAHS DOCKS PAGE
Wit
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All
RECEIVED
DCM WILMINGTON, NC
J U N 2 5 2015
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