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Home My WebLink About65183D - Kurich-'CAMA / C DREDGE & FILL �� .6 aENERAL PERMIT New Modification ❑Complete Reissue El Partial Reissue rized by the State of North (.arolina, Uepartment of Environment and Na Zoastal Resources Commission in an area of environmental concern pursu It Name 0 f r d k� r,,, ' 7C/1�i2 State /jG ZI r %d /O ) "s'" °-� Fax # L—) :ed Agent ❑ CW �� EW , tZ TA .,-'QgS ElPTS ElOEA ElHHF ❑ 1H ElUBA El N/A ElPWS: ElFC: yes- no � yes PNA / no Crit.Hab. yes i n� f Project/ Activity - W-A 6C Previous permit # 4P" Date previous permit issued Kesources ant to 15A NCAC ❑ Mules attached. Project Location: County K,14 S / G %/ Ce Street Address/ State Road/ Lot #(s) Subdivision City-- ^ %L ZIP Phone # ("'- ��— River Basin 4! Adj. Wtr. Body ?✓ nat Closest Maj. Wtr. Body ✓ Hti■ ■■■■■■■�■�■■■■■■ ■■■■■�■� ■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■1 ■■■■■■■■■■■ ■■■■■■■■■■■■■�:L'�■■■■■1 mber ■■�■�■�iiiiiiiiiiiiiiiiiiiili�■iii[=,:',■■■■■1 rap length distance offshore tx distance offshore ■■■■■■■■■■■■■■■■■■■■!�■■■� ,■■■�■1 6n:el Ise/ Boatlift ■■■ ■I�ta�■■'�/J�l■: ■■■■■■■■■��■MO M�OMEM�MEM :EMEMCMEMEM■■�■■■AEI -41 not sure yes r�s: not sure yes no -iurn: n/a yes noyes no Attached: Yes no ■■■■■■■■■■■■■■■■ ■■■i�1■■■■■■■■■■■■1 MEMO�S Mi%� ■:MMEEEdE■■ ■■■�■■■■■ ■■■■■■■■■■■i�■■ ng permit may be required by: �j �/�}A/ �i ❑ See note on back regarding River Basin r ULNK LAMA Uanv t neCK LOQ Tor WIKU Date Received Date Deposited Check From (Name) Name of Permit Holder Check Vendor Number Check amount Permit Nu. 4/16/2015 lArchie McGirt and Janet Batten same _ Mellinee and John Hunt same R. Burak Erem same _ Charles D. Carmen Jr. same _ Southeastern Coastal Construction Co. King 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 D Logan Jam Properties/Dan Smith transferred from 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. Thomas Power Systems, Inc. Thomas Besedin Custom Island Homes by Ken Kisler LLC William Chtcher Money order for Brandon Grimes Donald Howell Monev order for Brandon Grimes Michael Kurich First Citizens Bank 7941 $600.00 3562 $200..0 719 $200.00 1029 $200.00 9440 $200.00 4936 $100.00 2087 $200.00 20158, $250.00 7363 $250.00 bulkhead pe GP 65139D GP 65185D GP 65197D jGP 65198D renewal fee. GP boadift E 4/16/2015 NC State Employees' Credit Union B of A Piedmont Advantage Credit Union First Federal TD Bank CresCom Bank Wells Fargo Bank B of A Marine Federal Credit Union 4/2012015 4/20/2015 4/20/2015 4/20/2015 4/20/2015 4/21/2015 4/17/2015 4/21/2015 4/21/2015 4/21/2015 major fee, IN major fee,1 GP 65170D GP 64601D i GP 64612D IMP 65-07 n 64811D GP 65197D GP 65122D_ GP 65190D_ GP 65191 D 185 $200.00 BB &T 1889 $200.00 First Citizens Bank 3779 $300.00 4/22/2015 PNC Bank 4450 $400.001GP 4/21/2015 Piedmont Advantage Credit Union 1029 $200.00; 4/22/2015 BB &T 5995 _ $2,0o0.00 GP 65192D GP 65193D 4/23/2015 B of A 3426 $200.00 NOV 15-061 4/23/2015 CresCom Bank 3317 $200.00 GP 6206 E. 4/23/2015 Wells Fargo Bank 17-182261643 $300.00 GP 65182D 4/23/2015 Wells Fargo Bank 17-182201842 $500.00 GP 65183D V1111111iffil j a a� .n E O L vi p U • U rp O U 5 ABC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: r/�q I� �Permit #. S K Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement 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 fina disturbance. Excludes any restoration and/c temp impact amount Dredge ❑ FM Both ❑ Oth Dredge ❑ Fill ❑ Both ❑ Other -71 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 Q Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ G RTI I AtL • ETIJRN R► t'.r- tiC;Q I I-L. OIVISION OF COASTAL MANAG5MENT ADJACENT RIPARIAN PROPERTY OWKER NOTIFICATIO14AIVAIVF-R FOF Nave of Property Owner; A C I I �' Address of Property; i (Lot or Street #, 5-�: oc ROW1 C#y & county) J Agent's Name MaIngAddress! Agent's phone;: I hereby certify that 1 own property adjacent tc the 3cv*e -ejeronced property. The ii applying for this permit has described to me as sly v on, ttrr attached drawing the dew they are proposing, A descrip+t'T or with !st be pL0ed�r tI L T have no objections to this pc4pecw a�iections to this propo; If yarn have obJortlons to wirer is bglng prppo °od, You abmid M real ed to 197 Cardinal Writing within tP days of receipt o4 MIS n€�tico. 0) 796=r 9a. No ►� Ccarss Wllrrrington, NC, Z8<45-3848. DCAt renrgs®ntatives cast oft*ie ao at (S1 sl...'ft—A no nn ehr4#e&w if you have WAIVER SECTMA I understand that a pier, dvcK mooring pilings- b-es% : bow �ba i ft, ar groin mua bacit a minimum distance of 16 from my ores �' = faived py me, i wish to waive the setback, you must ua( me app-•=Zer'e I do wish to waive the 16' setback,,r a I do not wish to waive the 16 se'ts=-`'oq' (property owner Information) Signature Print or Type Name Marling Address k City/State/Zmp (A t pm"q owner Infoi "k �i f*nntwa 1 Print or TWO FOWW CFRTIFIf;p MAIL, UR�I, RECEIPT KtUUM51 1 Sw INVISION OF COASTAL mMAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONWAIVER FOF '�) �Ve Name of Property Owner: 14 ,��/ e- S,4 - ir Address of Prop®rty; I ' L re, R�ac ft g, County} (Cot or Stmaat #, S � os Agent's Name it: ' Ma Agent's phone #; I hereby certify that I own property adjacent :c the abo" mforenced property. The h applying for this permit has described to me as sho.W ort ft adus ed drawinggjhe deve they are proposing, A descrio ar be T have no objections to this pjoposat. _,__ [have objections to this propo: if you have obioctions to wtiat is being p►opot~od, yw must nWFY**Wv1l0n of Coastal Managomar wrftlna within 10 days of receipt of ff" nodc4. Ca^sss�to eE a mailed to s-7 Cardinal, r wwhrdngmn, NC, Z84t?S W6. CCK roptos®rrtatives cars ba ooltsc od at (stOj 198•f2l5. No rc considomd the same as no c+ com if eu hevo he r nfMd Wait. WAIVER SECT I understand that a pier, dock. mooring pilings, erg' moose` lift, or groin mus back a minimum distance of 16 from my area cif dpar*n accon toss waived by me. i wish to waive the setback, you Mg t _ lal trio anproprilft biers / - I do wish to waive the 15' set' re4u I do not wish to weive the 1 pro"tty Overinfor (Property Owner Information) , Signaturetc Print or Type Name n `y Meiling address - 5,�� S .fie �� A�60 . citYistatazr¢