HomeMy WebLinkAbout66150D - FarrA kCAMA / j DREDGE & FILL Q ,1,2 66150 A B
3ENEAAL PERMIT '1 Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued_
irized by the State of North Carolina, Department of Environment and Natural Resources t� t \`►\, \
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑RI hd
it NameVI,I � jam''
V ► ,n
+�9te�LZI
( 1
�) L11 9 E-Mail
zed Agent
i ElCW )4PTA f ,Es ❑ PTS
ElOEA [IHHF ❑ IH ElUBA El N/A
❑ PWS:
ie Length
not sure yes o
rium: n/a yes
yes no
Attached: yes no
u es attac e .
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIPS
Phone # ( �""'-- River Basin
Adj. Wtr. Body S l at
Closest Maj. Wtr. Body Y:: VL
ing permit may be required by:
Local Planning Jurisdiction)
❑ See note on back regarding River Basin i
10/20/2015 10/23/15 Antinori Construction Inc Roger Lewis
10/20/2015 10/21%15 Custom Island Homes by Ken Kiser LLC Ken Kiser
10/20/2015 10/21/115 Custom Island Homes by Ken Kiser LLC Ken Kiser _ —
10/20/2015 10/21/15 Custom Island Homes by Ken Kiser LLC Ken Kiser _
10/20/2015 10/21/15'Custom Island Homes by Ken Kiser LLC Ken Kiser _
10/21 /2015 10/23/15 Money Order for Brandon Grimes Scott Pindell
10/21 /2015 10/23/15 Money Order for Brandon Grimes Scott Pindell
B of A
3890
$400.00
1 GP 64767D + GP I
CresCom Bank
3844
$400.00
major fee, 7404 E.
CresCom Bank
3845
_
$400.00
major fee, 7406 E.
CresCom Bank
3846
$400.00
m_ajorfie, 7408 E.
CresCom Bank
3847
$400.00
major fee, 7410 E.
Wells Fargo Bank
59183420318
$400.00
GP 66167D @$601
Wells Fargo Bank
59183420329
$200.00
GP 66167D @$601
10/21 /2015 10/23/15 Clements Marine Construction Inc em Hawkins _
10/21/2015 10/23/15 Ocean's Edge Ventures LLC Margaret Ann Maids, LT
10/22/2015 10/23/15 TRCK same
10/22/2015 10/23/15 Town of North Topsail Beach same
10/22/2015 Allied Marine Contractors LLC Becky Olbrych
10/23/2015 Grice Construction BarryWisho_n
10/23/2015 _ Holden Docks and Bulkheads John Kozak
10/23/2015 JRW/RDW Inc Rick West
10/23/2015 Live Oak Enterprises Inc (Future Homes) Larry Norris
10/2612615 HDI Holdings, LLC Robert Huff
10/26/2015 Clements Marine Construction Inc Jam Properties
10/26/2015 Live Oak Enterprises Inc (Future Homes) Dowell Gray Jr
10/27/2015 ANA Builders Inc Karen Hartman
10/27/2015 Charles Riggs & Assoc. Charles F. Riggs
10/27/2015 David Lee Builders, Inc Warren Bell
10/27/20151 CLB Custom Homes Inc. ' Deborah Showalter
First Citizens Bank
3933
$250.00
major fee, 202 Kinl
GP 66131 D
BB &T
6777
$600.00
BB &T
First Citizens Bank__ �_
1529
$100.00
renewal fee, MP 6"
40151 $400.00
7923 $400.00
10618 $400.00
2286 $200.00
1180 $200.00
35653 $100.00
1017 $400.00
3938 $400.00
35652 $100.00
8324 $100.00
14231 $100.00
20389 $100.0O
4785$100.00
GP 661100
B of A
GP 64772D
_
6B &T
GP 66132D
CresCom Bank
GP 66135D
First Bank
GP 66133D
BB &T
minor fee, SC 15-2
First South Bank
major fee, 402 N. L
GP 66180D + GP t
minor fee, 8708 3n
minor fee, 3693 Ish
minor fee, 111 Top
minor fee, 410 Eve
minor fee, Lot 18 T
First Citizens Bank
BB &T
First South Bank
First Citizens Bank
B of A
South State Bank
10/27/2015
Island Contracting Inc
Island Contracting Inc
Island Contracting Inc
Lillian Carter
Brandt Banking & Trust
27864' $200.00
27879_$200.00
278781$400.00
GP 66151D
10/27/2015
Wiliam & Roberta Hardaker
Branch Banking & Trust
Branch Banking & Trust
GP 66152D
10/27/2015
David Farr _
GP 66150D
NC Division of Coastal Mgt, Habitat Impact Computer Sheet
Applicant: �V �' Permit #:
Date:
�D)�.1 I�
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 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 [IFill Both ❑ Other ❑
��'t7
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 0 Other ❑
Dredge ❑ Fill ❑ Both 171 Other 0
VC Division of Coastal Mgt, Habitat Impact Computer Sheet
kpplicant:
)ate:
Permit #:
)escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
ound in your Habitat code sheet.
labitat 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)
�—S
Dredge ❑ Fill Both ❑ Other ❑
V
Dredge ❑ Fill ABoth ❑ Other ❑
a' 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 ❑ Other ❑
N.G. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date � ° )-7 °') a ) S
:Name of Property Owner Applying for Permit:
AN a bt 1 0- , ) -
Mailing Address:
____ 1 2�`�-6-``--
r CZ��
certify that I have authorized
(agent)
to act on m,
1
rehalf; for the purpose of applying for and obtaining all LAMA Permits necessary to
istall or construct (actiiity)
t t my property located at)
his certification is valid thru (date)
CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
S!reeo! St,ee! or Road City 8 Cou!:�
,Ay ^
ei�t s Name :: \�- 1n.Q� �S-� Malting Address `O &X Li01 Zt -,5oJTn,P,,k
4-;tent s phone = °I O -
ecy cen !, inw i own property adjacent to the above referenced property. The !ndlvlduai
`c- oe -i! ^as described to me as shown on the attacned drawrng_the oevelopmeni
? -) 0 S C1 A -1esci pI or- it dlaw.ng with dimensions n11..st pe provided with ibis oltei
I .,'1L',11t111. It' 1111% 111,0po",ll I h;l\C tthlL'111(1ll1, hi 1111� 11n111�1�;11.
rf 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. Contact information for DCM offices is
available at http, www..nccoastaltnanageinentrret_weblcm. staff_listiior by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
-,cerstand that a pier. dock. mooring pilings. boat ramp. breakwater, boathouse. or lift must
bac.-. a .I-)Imun, distance of 15' from my area of riparian access unless waived by me ill
.3,j w-sn to waive the setback. you must initial the appropriate blank below. i
do wish to waive the 15' setback requirement
do not ,%, " :o waive the t 5' setback real. , c
Proper y n In or a one 1 (Riparian Property Owner Information)
rVC.� a��t Co l
,,A/-C. �l� Cfl�
6 2015 23:01 Island Contracting,Inc. 9104575099
page 1
' Complete items 1, 2, and 3. Also complete
itn 4 q Restricted Dellvery is desifed-
No print your name and address on the reverse
So #wt we- can return th 8 card to you.
Attach this card to the back of the malpiece,
or on the fnxlt K space Perm
G�' :
grlicia Arts essed to:
r�
Oual
A. Signature
Fri. Received by printed Name)
D. is delivery address different lrom item
If YES, enior dollvary address below:
p Agent
of Djivery /
17 No
3. Service Type
❑ Certified "0 ❑ t?,wrtty Mail Exams
O Reglstared ❑ Retum Reoeipt for M81Ul dN i
13 insured Mail ❑ Collect on Delivery
4. Restrlotad DuRvery? (Extra Fee) 13 Ybs
Article, Num 7013 2630 o0ol 8825 4679
(Transfer from
5 Form 3811, July 2013 Domestic Return Receipt
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