64654D - Jackson

Lk
,TCAMA / ❑ DREDGE & FILL 1� '6 64
-JEN ERAL PERMIT Previous permit #
Alew —Modification ❑Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources �y /
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC i
a Rules attached.
it Narm�er��t� �rT Project Location: County
7 �� ijts'e�41P1.0 y 101Yy Street Address/ State Road/ Lot #(s)
07i State
ZIP s�+� r fCl
` ( Fax # Subdivision4y
:edAgentg /rhnty '< 76i1% SD1� $ City VVj �GHi�"S%jJs� ZIP 2J.'i
©`CW eEW [ TA ❑ ES ❑ PTS Phone # (—) '" River Basin Q
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A "*
El PWS: ❑FC: Adj. Wtr. Body S /ems at
yes / /io. PNA / no Crit.Hab. yes / no Closest Maj. Wtr. Body
f Project/ Activity A<e!
(Scale: /
ier(s) Vile,
d/ Rip length
g distan offshore
ix distant offshore
iannel
bic yards_
np
ise/ Boatlift
INEMMMMOM
b
e Length 'e- l / / — -
not sure yes /ISokj
-i not sure yes �...._.._._ .....
ium: n/a es , V
yes �i-
4ttached: no
permit may bi3 required by: ❑See note on back regarding River Basin r

5/28/2015
6/1/15. Carolina Marine Dredging Inc
5/28/2015,
6/1/15 Larry Rice Construction
5/29/2015
6/1/15 Forest by the Sea HOA Inc
5/29/2015
6/1/15 Mark Armstrong
5/29/2015
6/1/15 lAllied Marine Contractors, LLC
5/29/2015
6/1/15 Thad N. and Erin M Cable
5/29/2015
6/1/15 Senter Home Builders
6/1 /2015t
6/3/15 Waters Edge HOA, Inc.
6/1/2M
6/3/15 Northern Riverfront Marina and Hotel, LL
6/1/2015
6/3/15 City of Wilmington
6/1 /2015'
High Tides II Inc
6/2/2015
6/3/15 Inlet Watch Yacht Club, Inc
6/2/2015
Allied Marine Contractors, LLC
6/3/2015,
6l3/15.Alton Land Sherry D. Jenkins
6/3/2015
6/3/15 Alton L. and Sherry D. Jenkins
6/3/2015
Charles F. Riggs & Associates Inc
6/4/2015
James W. and Donna M. Jones
6/4/2015
Pullen Place Townhouses Condominium
Hancock
same
same _
EPC Holdings 846 LLC
_James McGhee
same
Neil and Heather Senter
same
City Marina of Wilmington, I
same
Johnny and Susan Sides
same
Kevin Finger
same
same
Richard and Linda Baker
same
same/Kerry Avent
1094 $200.00 GP 64652D
2243 $100.00. minor fee, NTB
10676 $100.00 renewal fee, ME
1070 $100.00 renewal fee, M
2005 $400.00 GP 65149D @9
GP 63278D @11
2937$200.00 GP 63279D
_
First Bank
_
BB &T
_
B of A
Wells Fargo Bank
B of A
NC State Employees' Credit Unio
Wells Fargo Bank
1471
$200.00
GP 64632D
Park Sterling Bank
1536
$400.00
major fee, Ham
PNC Bank
3857
$100.00
mod fee, MP 4�
B of A
319810
$100.00
renewal fee, MI
B of A
1903
$100.00
minor fee, #8 0
BB &T 15636 $100.00 renewal fee, MI
B of A 2036 $200.00 returned to con
B of A 1395 $200.00 GP 64661 D @;
B of A 1396 $400.00 see above entr
First Citizens Bank 14048 $250.00 major mod fee,
PNC Bank 1911 $200.00 GP 64654D
First Bank j 1220 $200.00 transfer & rene
v �
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O L
0 L
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NC Division of Coastal Mgt. Habitat impact Computer Sheet
kpplicant: 1 CQ,,- ©n Permit #: � �✓ ��
-
)ate: 6 IqIIS
)escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
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 final
disturbance.
Excludes any
restoration and/o
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other
J
"'Z 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 ❑

Date
:is s
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
,�-- I - f �,
Name of PropertyOwner Applying for Permit:
Sae-nC7er A, -TA e-,�g
OA 1
Mailing Address:
l� '91SGa J--c
10
I certify that I have authorized (agent) C.. �- to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) l-fU IL -
at (my property located at)
This certification is valid thru (date) i � �)•
Prop ner Signature Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S PE N C £ R. J A C. K S 00 Is
r/r., , _ (Name of PrQpertv Owner)
property located at
��s c
(Address, Lot, Block, Road, etc.)
on �Q i�rn�S�A� in ..eaz,1N / ems~ A^Nov&« N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above locati
T I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set ba(
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to w,
the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
perty Owner Information)
Print & Type N me v
Lit; q
(Adjacent Property Owner Information)
TinatureL�_� t'vSS�I� /kip T'Vssl�►J�
Print or T e Name
��►sc

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: -r A.., I.
Address of Property. -,I" YNE .
r (Lot or Street #, Street or Road, City & County)
Agent's Name #: A& Y� �� y Mailing Address: Z 4 MAI P1
Agent's phone #: 26 -( q !fg 2
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
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. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
} I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
�- 1;q gr5c4w z bp.
Mailing Address
(Adjacent Property Owner Information)
Si ature
,lost S. s?iw�cT
Print or Type Name
8 I:%aYmr DQ .
Mailing Address

WxLOL
FLFPIERHEAD
FLOAT DK- 160
PIER HD. 106
RAMP WALK 40FLOAT 70
Alt IUIAL --TIT
400
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