HomeMy WebLinkAbout65055D - KnedlikJ c.
LAMA / ❑ DREDGE & FILL
iENERAL PERMIT Previous permit#
qew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
>astal Resources Commission in an area of environmental concern pursuant to I SA NCAC ales attached.
Name d ;� �i P ( fC Project Location: CountyBTU Y1(�v1
StreetAddress/ State Road/ Lot #(s)
%/tt.0 a State S ZIP r GI HC - (,a V'taJ Yi Va
Fax #
.d Agent
❑ CW XEW 07,PTA tV ES ❑ PTS
❑OEA ❑HHF ❑IH 'LlUBA El N/A
❑ PWS: ❑FC:
Project/ Activity
ulldozing_ `y _
e Length 15�-
not sure yes nor
Is: not sure_ yes !'no
ium:a ~) ves no
Subdivision y� e
ity� �1.p3��1 G� ZIP Z�
k4An&erO �) b 40 River Basin LJO rtA
Adj. Wtr. Body O'kvl" nat n
Closest Maj. Wtr. Body
(Scale:
❑ See note on back regarding River Basin r
DENR CAMA
Date
Received
Daily Check Log for WIRO
Check From (Name)
Name of Permit Holder
Vendor
Check
Number I
Check
amount
Permit NumbeNC
Allied Marine Contractors, LLC
2/2/2015 A'N'A Buildiers, Inc
2/3/2015 Dawn Edwards Griffis
2/3/2015 Coastal Dredging, LLC _
2/3/2015 Coastal Marine Piers Bulkheads LLC
2/4/2015 Cleents Marine Construction
m
2/512015 ' Cape Fear Riverboats, Inc.
2/6/2015 Boatzright Inc.
2/6/2015 Overbeck Marine Construction Inc.
2/6/2015 John Anagnost and Kathleen Jewell
Bleu Water
660 Spot Lane
same
Clinton & Corinne Parks
B of A
TD Bank
BB&T
BB&T
7154 $400.001GP 65078D
7072 $100.00 minor fee, Surf Cit
229 $100.00 minor fee, SC 15-C
3752 $200.00 GP 65031D
19997 $200.00 GP 65092D
Bill Scott
Hamilton Wells, Charles Hocking
Riverside Partners
Kevin Thomas
David Starbuck
Sean Crane
Same
Page
same
same
Sweeny
-
Tidal Walk LLC
Ronald Knedlik
Wells Fargo Bank
Fir st Citizens Bank
3697 $200.00 GP 65088D
First Citizens Bank
First Citizens Bank
SunTrust
Wells Fargo Bank
First Bank
SunTrust —
BB&T
PNC Bank
B of A
CresCom Bank
48727 $400.00,majorfee, Water £
1826 $250.00 major fee, NHCo.
4394 S400.00 GP 65095D @$20
GP 65094D @$20
3794 S100.00 renewal fee, 128-1
3980 $50.00 NTBEX 15-04
4095 $100.00 minor fee, Surf Cit
12135 $50.00 SCEX 15-05
4308 $250.00 major fee, NHCo
-
5023 $100.00 mod fee, MP 56-0
2047 $200.00 GP 65055D
2111/2015'Ingram Bros., Inc.
2/11/2015 James and Jennifer Lupi
2111/2015,Wellman's Construction, Inc.
2/11 /2015 F and S Marine Contractors Inc.
2/12/2015 Coastal Land Design, PLLC _
2/12/2015 Maritime Coastal Construction LLC
C.Divislon of Coastal Mgt. Habitat Impact Computer Sheet
plicant: Cwjo( 4yvd,'(k'� Permit #: 5�`5rJ
te 1—
/11' iS
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
bitat 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
b�
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 0 Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
472, -- qI?
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 0 �r
Name of Property Owner Applying for Permit:
lbna/� -ezl�
Mailing Address:
I certify that I have authorized (agent) Z/Z-ZZ to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Pilo an c,1in S lr // a&,n a Az"�, doel<
at (my property located at) y 7 &nA / 114, .Sec-h
This certification is valid thru (date)
Pronertv Owner Signature
Date
7/
y 72,IX surf
2fv
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�""�.St u►uJ� �j J1 �/�l"
i jp 4_
and 3. Also complete
,plete items 1, 2, is desired.
4 if Restricted Delivery
your name and address on the reverse
nat we can return the card to You• iece,
Bch this card to the c backposthe mailp
,n the front if spa
-le Addressed to:
�9 LanSl�n� L/�
2 )Xtl�
Article Number
(Transfer from service label)
Form 3811 ,July 2013
A Sign re ❑ Agent
❑ Addressee
X C. ate o eliveryy
B. Received by (Printed Name) /2
erent from item 1? ❑ Yes
address diff
I D. Is delivery w: ❑ No
If YES, enter delivery address belo
3, ServiceTYPe teas"
❑ CertifiedIa! ❑ Priority Mail P or Merchandise
❑ Registered ❑ Return Receipt--
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee)
❑ Yes
7014 2870 0002 2379 8248
Mete items 1, 2, and 3. Also complete
I if Restricted Delivery is desired.
lour name and address on the reverse
It we can return the card to you.
i this card to the back of the mailpiece,
the front if space permits.
Domestic Return Receipt
Addressed to:
`S X n ve�'fin e�,�s�LC
A. Sign
X ❑ Agent
❑ Addressee
B. Re ' d by (Printed Name C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
J14N Z 92015
3. Service Type
❑ Certified Mail° ❑ Priority Mail Express"
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
Number 7014 2870 0002 2379 8231
er from service label) _ __
3811, July 2013 Dexgestl F�m Receipt
i ii iji ii tu
t-uaits
MHCDO
Tyler Crumbley /�