65122D - Holden

�CAMA /DREDGE & FILL ,� 65
�'ENERAL PERMIT Previous permit #
Nevv Modification ❑Complete Reissue JPartial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources 1� C
_oastal'Resources Commission in an area of environmental concern pursuant to I SA NCAC 'I
j ules attached.
t�(1�Name � a V1 l�' � f to m tkii _ Project Location: County�V�+�
449 `` �� Street Address/ State Road((/ Lot #(s)
State N � ZI P,�,( �C:O�Z �1 G Y1 Y1 C
` ( 0 �FaxJ#� ( ) Subdivi ion
ed Agent i.U✓� ►..tivl �( ✓) �^��l-' City ' %In (,f ZIP
❑ CW ❑ EW ❑ PTA ><ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
yes / no PNA yes no Crit.Hab. yes no
' Project/ Activity 1 S
W leneth I
W A (lit )3414335 River Basin �„mY
Adj. Wtr. Bod(nat 6
Closest Maj. Wtr. Body k WW
(Scale: ` //
ig permit may be required by: ItJIr+►f1 tTf , 6L ❑ See note og back regarding River Basin rt

L)rNm LAMA ually t ne6K Log Tor vvIKV
Date
Received
Check From (Name)
Name of Permit Holder
Vendor
Check
Number
Check
amount
Permit NumberA
4/16/2015
Archie McGirt and Janet Batten
Mellinee and John Hunt
same
same _
First Citizens Bank
7941
$600.00
bulkhead permit
4/16/2015
NC State Employees' Credit Union
3562
$200.00
GP 65139D
4/20/2015
R. Burak Erem
same
B of A
719
$200.00
GP 65185D
4/20/2015
Charles D. Carmen Jr.
same
Piedmont Advantage Credit Union
1029
$200.00
GP 65197D
4/20/2015
Southeastern Coastal Construction Co. IlKing
Charles Douglas Wilson or Carolyn Wilson same
Maritime Coastal Construction LLC Thompson
Coastal Marine Piers Bulkheads LLC Tatum
Allied Marine Contractors, LLC McLeod
Kayla Midgett same
Backwater Marine Construction Inc Frank Pope
Clements Marine Construction_ Dan Smith
Lucien Ellison
F and S Marine Contractors Inc. Williams
Charles D Carmen Jr same
Willie Clarence Richardson Town of Holden Beach
James and Jane Warren
Mable Buchanan
Elliott W. and Francis H. Shaver
Judy H. and Paul C. Starks, Jr.
First Federal
9440
$200.00
GP 65198D
4/20/2015
TD Bank
4936
$100.00
renewal fee, MP 31
4/20/2015
CresCom Bank
2087
$200.00
GP boatiift 6393 M
4/21/2015
Wells Fargo Bank
20158
$250.00
major fee, NHCo
4/17/2015
B of A
7363
$250.00
major fee, TB, PN
4/21/2015
Marine Federal Credit Union
185
$200.00
GP 651701)
4/21/2015
BB &T
1889
$200.00
GP 84601D
4/21/2015
First Citizens Bank
3779
$300.00
GP 64612D @$20
MP 65-07 renewal
4/22/2015
PNC Bank
4450
$400.00
GP 64611 D
4/21/2015
Piedmont Advantage Credit Union
1029
$200.00
GP 65197D
4/22/2015
BB &T
5995
$2,000.00
GP 65122D @$40i
GP 65190D @$601
GP 65191 D @$401
GP 65192D @$401
GP 65193D @$201

NC Division of Coastal Mgt. Habitat least Computer Sheet
Applicant: U W ►(C���' 41 (J,j Permit #.
1
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
"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 fins
disturbance.
Excludes any
restoration and/
temp impact
amount
S14Dredge
❑ Fill Both ❑ Other ❑
V
G
5
Dredge ❑ Fill Both ❑ Other El
6
O
1:t4?
Dredge ❑ Fill ❑ Both ❑ Other
I
Z
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 El Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

1/13/2015 14:16
19108429315
TOWN OF HOLDEN BEACH
PAGE 01/0
'wx
6evn07 Eaves Pe*e
Governor
,,...,AAA.
MCDM
Noah Carolina Depaftent of Envirrnment and Natural Rescun*s
Division of Coastal Mmagement
James 14. Cieqwn
Dim=
Dee Freer M
Seaver
AGENT AUTHORIZATION_ FORM
Date: - I3
Name of Property Owner Applying for Permit. Name of Authorized Agent for this project:
own
Owners Maf#a!y A d
11Q ice, jtr
Phone Number
I cefify that 1 have avthoriied the agent
for and obtaining all
(my property looted) fit
Property Owner
Agent's Mailing Address:
necessary to instaij or cac k5., --
(date) ,57/%u5-
the purpose of applying
(activity);

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O'F PROJ-IOSL�D
DEVELOPPYIINT:
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