66101D - Lanier

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CAMA / ❑DREDGE &FILLP�4 � i A B
iENERAL PERMIT Previous permit# �"
New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources _ t
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC��� �iliJ
in u77-
hed.
Name b c1mu. w ( a-- +)g I R - Project Location: County •Qit.1
7 C,) 1� (� %III 1 I Street Address/ State Road/ Lot #(s)
U (t t State ZI V 11f �. �44P
E-Mail t 0. �? t7 �^ Subdivision
r_
:d Agent O -el A v ( } ! A City `'y ZIP
❑ CW ;W /'CpTA XPiS ❑ PTS Phone # ( y - --` Rlver Basin r�
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ies Lam" PNA ye'' / no
Project/ Activity
k) length
igth
nber
I/ Riprap length
distance offshore
( distance offshore
annel
is yards
;e/ Boatlift
Length t
not sure yes 1\ n
um: n/a yes
yes IT-4
stached: yes ; . L
ig permit may be required by:
_ocal Planning Jurisdiction)
Adj. vvtr. Body G L S nat n
Closest Maj. Wtr. Body r©a
(Scale:
❑ See note on back regarding River Basin rL

_8/21/2015 8/24/15 NCBapbstAssembly _ _
8%21/2015 8/24/15 Johnnie S Hawkins Jr _
8/21/2015 8/24/15 John King -
8/24/2015 North Carolina_ Coastal Federation
8/24/2015 Christopher Lutterioah Sr
8/24/2015 Donald and Joanna Reich
8/24/2015 Bald Head Island Limited LLC
8/24/2015 Bald Head Island Limited LLC
8/24/2015 Pippin Marine Construction LLC
8/24/2015 Edwin or Sandra Bartlett_
8125/2015; Bald Head Island Limited LLC _
8/25/20151 Lanier Family Limited Partnership
:JohnAldridgc
Specialty Riv
Butch Saund
same
same
same
Bruce Marek,
Bruce Marek,
Chris Hughe_i
same
ruce
BMarek,
I Donna Laniei
ably FirstCCluzens Bank
Woodcock Wells Fargo _
NC State Employee:
First Citizens Bank
BB &T
BB &T
First Citizens Bank
First Citizens Bank
Wells Fargo
US Trust
First Citizens Bank
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GP 64740D @$2(
_ 5436 $100.00
_ 393 $400.00
1428 $200.00
15880 $475.00
11651 $100.00
5294 $100.00
1523 $100.00
1522 $100.00
3483$200.001GP64795D
renewal fee, MP 3
major fee, 1 mile c
GP 64786D
major mod MP 28
renewal fee, PM 1
minor fee, 209 Ca
renewal fee, MP 1
renewal fee, MP_1_
UnJ�
77
$25�ajor
$100.00
$200.00
_
fee, 44 Pelic
mod fee, MP 172-
GP 1161 Spot Lar
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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: �/�� t��- ���' c9Lv� r L (� �t.it ca G
Date: ei
Describe below the/ HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
F
(Applied for.
(Anticipated final
(Applied for.
V
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
di
Habitat Name
Choose One
includes any
Excludes any
total includes
E:
anticipated
restoration
any anticipated
re
restoration or
and/or temp
restoration or
to
ternimpacts)
impact amount)
ternimpacts)
ai
W
Dredge ❑ FiM Both ❑ Other ❑
91
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

Tj
Name of Property Owner Applying for Permit:
Mailing address:l>
Phone Number:9/o -Sql-
I
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of v OT
at my property located at /C _(i;a
in Pexide County.
This certification is valid through _ n��)QA-V-, j a'u
Date
(Property Owner Information)
Signature
Print or Type Name

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: aKj !EA,
Mailing address:
Phone Number:�-
I certify that I have authorized bkb,
Agent / Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of/
at my property located at A,01tj l
in County. _
This certification is valid through ���elm
Date
(Property Owner Information)
�"DcSignature Print or Type Name
(� W t� elk -
Title
�►I ►- 11

T //h�
�
I hereby certify that I own property adjacent to V V ,L'���-
11, , ( . -k r . (Name of Property Owner)
property located at .�K
(Address, Lot, ck, oa tc.)
on in C.
(Waterbo y) L (citylTown a dlor Cou )
The applicant has described to me, as shown below, the development proposed at the above location.
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)
-5ele tk-�Xj -)N-A0V
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.
Sign ture
P a,► t&�.
Information) (Adjacent Property Owner Information)
sign 1111al
Print or Typ e
AA.,;I;-- d.J.d— -- A

I hereby certify that I own property adjacent to
property located at
j I (Name of Prop rty Owner)
on 1 (Addressj;=ja
in 114 (Waterbody) , N.
)
The applicant hasdescribed to me, as shown below, the development proposed at the above location.
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)
Sep tkj'dN1�
WAIVERS -CTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
ninimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
he 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.
I-*—
f'•
11�4ressj 1 (
inyormation)
*1'71 L ( /1
(Adjacen roperty Owner Information)
Suture n 4
Pr0nt or T pe f
�5
-1Qar*.4np Addfesr-
1

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNMAIVER FORM
Name of Property Owner:
Address of Property: I cu( �j
(Lot or treet #, Street or Road, City County)
Agent's Name #: jam_ '�� ailing A dress: ;
Agent's phone
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.
;x 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_
roperty wner Information) (Adjacent P operty Owner Information)
Signature ' �Pfint
Sgnnal
rent or Type Name &or Type N e
,-Mbffing Address
Ong Add'r

■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
- Article Addressed
1Timo-Mrm Baker-
2 3 5 to Clork{ Landis /
'Rocky P,f&t, Nc
a�YS')
111111 milli 111111111111
X �iLa.t (/J /%Gj 0 Agent
❑ Addressee
B. Received by (Printed Na
` ��) C_• :Data of Delivery
D. Is delivery address different from item 11 ❑ Yes
If YES, enter delivery address b�(Qrr�y ❑ No
3. Se ice Type
Certified Mail
❑ Express Mail
❑ Registered
❑ Return Receipt for Merchandise
❑ Insured Mail
❑ C.O.D.
4. Restrictfvi
2. Article Number - -- - , �`�"� `a"f ❑ Yes
(Transfer from service label) 7 012 16 4 0 0001 8247 6 2 21
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner.. DC, La,,-�c a- ANN Pruffil
Address of Property: A M10' 3691
(Lot or Street #, Street or Road, City (9 County)
Agent's Name #: Dimnia tP ailing A dress: C. 0
Agent's phone
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.
roperty caner Information) (Adjacent Property Owner Information)
Signature Signalure r
rint or Type Name Print or Type Name
au" � c�
Mailing Address Mailing Address
/

item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
n'lichaeMC, LaAllb
IDI Fair -fix
' a�aya-
X �Y7 _X\ iV U i Ej) Addressee
B. Received by (Printed Name C.,,Ra e Delivery
/'✓l,�C ,�i2 � r�i r
D. Is delivery address different Y
If YES, enter delivery addrea�a el �0.•
3. Service type
1eCertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
7012 1640 0001 8247 6245 111111IIIIIIIIIII�_I��JI�IIIII I�I�I IIIIILII�I�II
PS Form 3811, February 2004
Domestic Return Receipt 1o25s5-o2-M-t540

CERTIFIED MAIL . RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
�FORM
Name of Property Owner• yC '
Address of Property: S
(Lot or treet #, Street or Road, City r
t tY County)
Agent's phone #: ----
Agent's Name #: ��
ailing A dress: l
L
I hereby certify that I own property adjacent to the above refer
applying for this permit has described to me as shown on the attached draw
they are proposing. A d-- scri.Qtion or drawing with dime referenced property. The individual'
nsions ►►,.ie+►,- ..__..:�ng-the development
I have no objections to this proposal.
—_ I have objections to this proposal.
If you have objections to whatis being proposed, you mustnotify the Division of Coastal Man
writing within 10 da s
agement
wring ton, NC, y of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext,
9 28405-3845. DCM representatives can also be contacted at [phone]. No response ) is
considered the same as no ob'ection if ou have been notified b Certified Mail
I WAIVER SECTION
understand that a pier, dock, Mooringpilings, 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 mus____t initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
�roperty wner Information)
(Adjacent Property Owner Information)
ignalure
t , t Signature
LA-
rint or Type Name-
n� Print or Type Name
� J Laddrelhng Address MailisDav i / , ;, 1.1

I hereby certify that I own property adjacent to
property located at/�-�— (Name of Property Owner)
on (Address, Lot, Mock, oa tc )
in J Cl
(Waterbo y) (City/Town a d/or Cou
The applicant has described to me, as shown below, the) development proposed at the ap
I have no objection to this proposai.
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)
SQe t"J -)N1Ov
WAIVER SECTION
understand that a pier, dock, mooring
i
iinimum distance of 15' from my area of riparian ccessrunless waived , boathouse, ftbyrme. I(if my waiout w sh to waibaca
ie setback, you must initial the appropriate blank below.) ve
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Weer inrormation) (Adjacent Property Owner Information)
/inert .C�