66152D - Hardaker

LAMA / r7 DREDGE & FILL D 4 1` �Z,6 1`1,? 66 r2 A B
IENERAL PERMIT 1 Previous permit#
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources t� '
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC u
❑ Rules attac,hLs�dL
Namebi I +� Project Location: County �JnWSA VOL
HD13 r Street Address/ State Road/ Lot #(s) p
iaA1i���NJ �1' State ZIP 1l 01)
E-Mail _ Subdivision ��
�d Agent V� V Vak Y1 City � AA- : ZIP_ O t
❑ Cw YVA ❑ ES ❑ PTS Phone # ( " """ River Basin hie
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA �� {
Adj. Wtr. Body rr
❑ PWS:
yes 6 PNA yes no
Closest Maj. Wtr. Body
Project/ Activity
(Scale: �E'�t Z
k) length 1 `j Jt u
tform(s)
i Q
'latform(s)
,r(s) --•.
gth
fiber
I Riprap length
distance offshore
distance offshore
rnnel %
is yards
e/ Boatlift
1
Length t-
not sure yes
im: n/a yes
yes
ttached: yes
g permit may be required by: Y �lY �� �,r �( ,N(�' ❑ See note on back regarding River Basin
ocal Planning Jurisdiction) 1/1 1 j_ 1 i t^ db-, i I_

10/20/2015 10/23/15
_
Antinori Construction Inc
same
Roger Lewis
mrst Gitlzens Bank
B of A
10494
3890
$400.00
$400.00
GP 66164D
GP 64767D + GP 61
_
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 _
10/20/2015 10/21/15 Custom Island Homes by Ken Kiser LLC Ken Kiser _
10l20/2015 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
0/21 /2015 10/23/15 Clements Marine Construction_ Inc Vern Hawkins
10/21/2015 10/23/15 Ocean's Edge Ventures LLC Margaret Ann Maida, LT
10/22/2015 10/23/15 TRCK Isame
10/22/2015 10/23/15 Town of North Topsail Beach same
10/2212015 Allied Marine Contractors LLC Becky Olbrych
10/23/2015 Grice Construction Barry Wishon __ _
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
10/26/20151 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
10/270 ANA Builders Inc Karen Hartman _
10127/2015 David Lee Charles lBuil Builders, Inc — Warren Bel. Charles F. l —
10/27/2015
16/27/2015 CLB Custom Homes Inc. Deborah Showalter
10/27/2015 Island Contracting Inc Lillian Carter
10/27/2015 Island Contracting Inc Willam & Roberta Hardaker
i
CresCom Bank _
CresCom Bank
CresCom Bank
3844
3845
3848
$400.00
$400.00
$400.00
major fee, 7404 E. E
major fee, 7406 E. E
major fee, 7408 E. E
CresCom Bank
3847
$400.00
major fee, 7410 E. E
Wells Fargo Bank
59183420318
59183420329
$400.00
$200.00
GP 66167D @$600
GP 66167D @$600
Wells Fargo Bank
First Citizens Bank
BB &T
BB &T
First Citizens Bank
3933
$250.00 major fe, 202 King:
$600.00 GP 66131D
$100.00 renewal fee, MP 67-
6777
1529
40151
$400.00,GP 66110D
$400.001GP fi4772D
$400.00IGP 66132D
B of A
7923
BB &T
10616
CresCom Bank
2286
_
$200.00 GP 66135D
$200.00:GP 66133D
First Bank
1180
BB &T
35653
$100.00
minor fee, SC 15-21
First South Bank
0017
$400.00
major fee, 402 N. La
First Citizens Bank
3938
$400.00
GP 66180D + GP 6E
BB &T
35652
$100.00
minor fee, 8708 3rd
First South Bank
8324
$100.00
minor fee, 36931slai
BiotCitizens Bank
20389
$100.00
minor fee, 410 EveN
South State Bank
4785
$100.00
minor fee, Lot 18 Th
Branch Banking & Trust
27864
$200.00
GP 66151 D
Branch Banking & Trust
27879
$200.00
GP 86152D

IC Division of Coastal Mgt. Habitat impact Computer Sheet
Permit
pplicant: +'nV l
ate:
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
>und in your Habitat code sheet.
abitat 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 final
disturbance.
Excludes any
restoration and/oi
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 ❑
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 ❑

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
{Vane of Property Owner mX7�m&61c
I ,-.^rats that i nave afafto pnmi twrrit1 V • `Q to act Or n1%
pehsti, for the peupoe ofapplyin for anti obtairtiea a8 CAMA Pernuts rtrtivary to
rustait or constant (aetmy) _.
ill (my properly hwated at) _ —
W,-VwSs an
Fbis cendication is valid thro idate)
1
Property Owner SiXnature -Date

CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION, -WAIVER FORM
,me of Property Owner
i.(,,:.-), Scree! u. S!iee: ur Road Ci!y ti County.
„1 s Nar)e a W ckx Q v iz&'�
ent s phone # R LO-1ka' S- 3�'13
MailingAddress:'�0'ZOY IL�0- 2j
Nc. ;M4(o t
ereoy certify that I own property adjacent to the above referenced property. The individual
)lvrng lot this pernnit has described to me as shown on the attached drawing the development
y are proposing A description or drawtng. with dimensions. must be provided with this letter.
1 ll,t\C nu obleChOrr. tit thl,, Illopo.al.-- — I Im%e ohlecnoi, tit (III,, 1711*01)0.;rl.
)u have objections to what is being proposed. you must notify the Division of Coastal Management
'M) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
sable al _. _.. :9..'r.' ;'O�t5t: ;rc'7�trTL)CCLnYenf. ovt web _ tri staff listing or by calling 1.888-4RCOAST.
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
arh lha', a pier -Jock. mooring pilings. coal ramp. breakwater. boathouse, or lift must
3f 15 from try Area of riparian access unless walven ny 111e 1If
SO!t ;ck. yo;r Mhust initial the appropriate blank below. r
i,: Sh 'o ware the 15' setback requirement
xdo not msf� 10 waive the 15' setback requirement.
>perty Owner Information)
(Riparian Prope ty Owner Information)
.11:r;crlf :"
._ +aGa��
proTt or lr, pe Name
74
~-lading Address
c'm, 14/.a1a ?n

CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION; WAIVER FORM
-; P,ocer'. Owner ����«✓vx ? Qo�oe� �.
-c �
Street or Road City„ c;ol,nty ``Jel?✓L�1��
Agents Name rr �� Malting Address TO'- 'i�oX 6 t 0 ?zt
Agent sphone
•,efecy cerl !. 'nal I own property adjacent to the above referenced property.•The indlviduai
:; o!v.n.c fc, !t-,,; oernlrt has described to me as shown on the attached drawing_the development
-ve oi000swg A description or drawing, with dimensions. rnusl be provided with this letter.
1 I1,1', Ilii OhlCL1011% lit 1111♦ 1 I1;1\C lit 1111', I11'ttlltt�;11.
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. Contact information for DCM offices is
available at httN, _www.rrccoastaimanagement.net; web. -cm. stall-listul)g or by calling 1.888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
_,noerstand that a pier. dock. mooring pilings. boat ramp. breakwater, boathouse. or lift must
se! back a .,} ntmun, distance of 15' from my area of riparian access unless waived by me !II
,a,; wish m wa+v:o the setback. you must initial the appropriate blank below 1
do 'wish ;o waive the 1 'setback regUireme.nt
do not •w,sh :o waive the 15' setback requirement
Prop ty Owner Information)
(Ripari Property Owner Information)
Print o,
T,c,t3_o� too? ---- -
Avfadinp A lcr,
city Slate Z,v U\ U-
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1510:21a Wayne krahn / Island cont
'v ! 1 'vo vG.Jup
91 OA54-0430 P.1
P.O."111074
saucer, we 2WI
Phone; 91CA57-5816
Fax glf AW-&M
Lori
TO, �-t6fi-�L�t {ZC08�uQG. _ FrmteIL'i2G�C 1 -
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Phone: -- --- !'ages: "J
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