64785D - Lewis

' CAIVIA DREDGE & FILL 64
&
3ENERAL PERMIT Previous permit # ,0-?- -24
9New -1 Modification LJComplete Reissue Ll Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources 4-7
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0
17J P
Rules L.
ed
t Name �_-Ttrltj el
zWe
& e, 1k Stater ZIP ZY
Fax #
:ed Agent <X
-cw [!4W ePTA Ll ES Ll PTS
El OEA D HHF El lH El UBA El N/A
El PWS: El FC:
y / no P N A /`yes,%/ no C,it.Hab. yes / no
es
f Project/ Activity
L'i
Project Location: County llwf
Street Address/ State Road/ Lot #(s)
YLOL.11 to PI 'yw., '-&4e
Subdivision
city ZIP
—
Phone # ( IMP ftVRiver Basin
Adj. Wtr. Body- X/w nat
Closest Maj. Wtr. Body 0le
(Scale: ' ''
,ck) length
1(s)
ME■MWCFA
4er(s■■�Ii���11�►I■■■■■■■Z■l.Lus�■■■■■f■■■1
ngth
mber
0■a=
■■■■��Ti�irLTI
■■■■■
11■■��
1:Lt:'�G:�(J�.
MEMOU-MM■Mal
��j
■rr�■■■■��■��■■�■■■11■■■IniC■iiCn�C
-EWMAMMU■V
VIdozing
on
MINIMME
VANN
mom
NANO
ON
■SIMMUHMEr
0
ON
HOW
IMMEM
NEMENIMMEM
■IMMEM
MUMEMEM■NONE
MIEMMIEMMMMMM1941
RMEJEMErAMNIFIES119MEMMUMMIMI
MMEEMMIMMMMMMIM!
■■■■CS:C■11MER111111110
am
■CCwICME
I
;eLength-!�:W'
I
1
wi
not sure yes
I sJ
ENEEMEMEMMIAMMEMMEHIME■ommoommoomm
�s: not sure yes
�v
MW
yes no
yes
a
FEMIN
0
am
ME
w
Attached: yes 01
M
Ing permit may be required by: See note on back regarding River Basin
if -/ j '

7/16/2015
7/24/15 iMorgan
or Erica Mehler
Highland Shores HOA Park Sterling Bank
same B ofA
same Wells Fargo Bank
r hr B of A _
Moh
Anna Odam & Rufus_Yates CresCom Bank
David Brinkley BB &T
Patricia Welfare Wells Fargo Bank
1017 $100.00
4859' $200.00
1434'$200.00
renewal fee, MP 1
GP for 1304 Carol
GP 64712D
7/17/2015
7/20/15
Stanley or Sharon Stubbs
7/17/2015
7/20/15
Richard or Sharon Love
7/17/2015
7/20/15
Antinori Construction, Inc. _
37801 $200.00
GP 84715D
7/17/2015
7/20/15
Holden Dock & Bulkheads
2181 $200.On GP 64697D
11791' $200.00 GP 1460 Point Ha
17-213876532 ! $200.00 GP 64717D
7/17/2015.
7/20/2015
7/20/15
7/24/15 1
Atlantic Coast Industrial LLC
Money order from Brandon. Grimes
7%20/2015 7/24/15 Robert or Candace Rice
7/22/2015 MHCDO River Bluff Holdings LLC
same
BB &T
10394 $200.00 GP 65041 D
1121 $100.00 renewal fee, MP 6
6063 � $600.00 GP 64698D @$2(
GP 64700D @$2(
GP 64699D ®$2(
same
?
7/22/2015 7/24/15 Richardson Construction
Michael O'Hem
BB &T
Lennon Smith
Geneveive Cassese
7/22/2015. 7/24/15 Backwater Marine Construction Inc
Matt Hendrix
BB &T
2017
$200.00
GP 64701 D
7/22/2015
7/24/15
Clements Marine Construction Inc
David &Ann Sneeden
First Citizens Bank
3856
$200.00
GP 64756D
7/23/2015
7/24/15 1
Coastal Earth Works Inc.
Rick Edwards
First Bank
4236
$200.00
GP 64734D
7/24/2015
7/29/15
Town of Oak Island
same
BB &T
59968
$100.00
mod fee, MP 152-
7/27/2015
7/29/15
Waterfronte Villas Owners Assn./CAMS
same
North State Bank
1703
$100.00
transfer fee, MP 8
7/27/2015
7/29/15
Logan Marine LLC
David and Diane Rodger
Coming Federal Credit Union
1208
$200.00 GP 64777D
7/27/2015
7/29/15
Charles Riggs & Associates Inc
Charles Riggs & Associates Inc
James Bresee First Citizens Bank
CJL Partners, Inc First Citizens Bank
CJL Partners, Inc First Citizens Bank
Rudy Warren Wells Fargo Bank
same PNC Bank
- -
Orlando Powell B ofA
141021
14099
$100.00 minor fee, NTB, C
$100.00 minor fee, 1538 S
7/27/2015
7/27/2015
7/28/20151
7/29115
7/29/15
7/29/15
Charles Riggs & Associates Inc
Trip Pippin
14100
$100.00
1 minor fee, 120 N.
8679
$200.00
GP 64778D
7/28/2015 % /15,Thomas
-
7/29/2015' 7/31/15
7/29/2015 7/31/15
7/29/2015
7/29/2015 7131/15
or Sandra May
670
$260.00
major fee, 19 Bah
-
Antinori Construction, Inc.
Lighthouse Marine_ Construction Inc
3797
$200.00
GP 84757
John Johnson B of A
Rand Nickerson SunTrust
! Rob Buckfelder PNC Bank
River Hills PDA LG Federal Credit Union
Mark Sutherland First Bank
-
same Navy Federal Credit Union
same First Bank
5479
$400.00
GP 84759D
David Cronick
3218
$100.00
transfer fee, MP i
F and S Marine Contractors Inc.
4690
$200.00
GP for #3 Jib Roe
7/30/20151 7/31/15
Chad or Beth Ann Hicks
3762
$200.00
GP 64682D
7/30/2015 7/31/15
JRW/RDW Inc
20422
$200.00
GP 6473
-
7/30/2015 7/31/15
7/31/15
Jason McEntarfter
293
$200.00
GP 64736D
James or Marie Warren
1124 $200.00 GP 64779D
1664 $100.00 renewal fee, MP!
-
4116 $400.00 GP 64764D
3812 $200.00 GP 64760D
_.
1281 $200.00 GP for 406 W. Y.
1520 $200.00
4317 $200.00 GP 64785D
8/4/�7/30/2015
/6/15
-
_ 8/4/2015 8/6/15
8/4/2015 8/6/15
Robert or Alison Boswell
--
Coastal Dredging, LLC -Mary
Antinori Construction, Inc.
same B ofA -
Miller BB &T
Pat Toth B ofA
--- - -
Doub BB &T
BHI LTD/BruceMarek First Citizens Bank
8/5/2015
8/6/15
H5 Construction, LLC
8/6/2015
8/6/2015
Bald Head Island Ltd.
Overbeck Marine Construction Inc.
Joyce Hall Lewis
SunTrust
T
- a1
E N
- U c
I.- -J o O
-'-
-

HC Division of Coastal Mgt. Habitat Impact Computer Sheet
r,
W/4�1
Permit *6j1�g.Applicant: (fe ..4,1 z �S
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.
TOTAL Sq. Ft. FINAL Sq. Ft.
TOTAL Feet
for.
FINAL Feet
(Anticipated final
Disturbance
(Applied for. (Anticipated final
total disturbance.
(Applied
Disturbance
disturbance.
Habitat Name
DISTURB TYPE
Choose One
includes any Excludes any
total includes
any anticipated
Excludes any
restoration and/o
anticipated restoration
restoration or and/or temp
restoration or
temp impact
Dredge ❑
Dredge ❑
Dredge ❑
Dredge ❑
Dredge ❑
Fill ❑
Fill ❑
Fill ❑
Fill ❑
Fill ❑
Both ❑
Both ❑
Both ❑
Both ❑
Both ❑
Other
Other ❑
Other ❑
Other ❑
Other ❑
temp impaacts im%paacct amount
U.S. Postal
CERTIFIED oRECEIPT
temp impacts).amount
�v
Dredge ❑
Fill ❑
Both ❑
Other ❑
Domestic Mail Only
-
ru
For delivery information. visit our website
at
.E
Dredge ❑
Fill [I
Both ❑
Other ❑
ul
ni
'
YIL11I
Certified Mail Fee
C�
Dredge ❑
Fill ❑
Both ❑
Other ❑
.�
$
-
fU
Extra Services & Fees (check eox add
❑ Return Receipt (hardtop»
�P�
Dredge ❑
Fill ❑
Both ❑
Other ❑
p
O
O
❑ Retum Receipt (electronic)
[]Certified Mall Restricted Delivery
❑ Adult Signature Required
1
^ Her)OD
U /O
LDredge
-
OD
❑
Fill ❑
Both ❑
Other ❑
O
❑Adult Signature Restricted Deliv =
Postage SO 9
06/30/
Dredge El
❑
Both ❑
Other ❑
Total Postage and Fees
Dredge ❑
9
Fill ❑
Both ❑
Other ❑
u7
o
$
Sent To
Siiee�endAp[ - .; or gor
13-1yity;
----------
Dredge El
Dredge ❑
Fill [I
Fill ❑
Both ❑
Both ❑
Other ❑
Other ❑
Ste ; 21P+d---------- .
t 1� j'V _' 6 A) e-
PS Form 3800, April 17530-02-000-9047
See Reverse
for Instructions
Dredge ❑
Fill 171
Both 0
Other ❑

WDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis
Governor Director
Dee Freemai
Secretarr,
AGENT AUTHORIZATION FORM
Date: (o l,5-2d �S
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
Owner's Mailing Address:
ZZfo 0 7 A/G XJ
Cl
Agent's Mailing Address:
ar--
Phone Number (Wo) 75 9 -zv -7/ Phone Number (7/0
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
-a4 Ll,
For my property located at L6 d 7 AI&IJ � Lk
This certification is valid thru (date) /2Z/4/20 /S
Property Owner Signature Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner. , S U y C L; 1470-1. t
Address of Property: `��c�..-7 /lJtr7t,, ACC, L.t/
(Lot or Street #, Street or Road, City & County) �r
Agent's Name #: i s�.it.Z. �t��2LL y Mailing Address: 7�I z-&�--
Agent's phone #: `Jig; �� �Q��,S L✓ I<<'7 iv C 2�:YO�
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 Ert.,
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.)
AIIA I do wish to waive the 15' setback requirement.
91�_ I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Sig atu e
Print or Type Name
(Adjacent Property Owner Information)
Sigrature
Lz igV i/�,7yr�2-& S l L. L.
Print or Type Name
260 % /yt3✓ C'a LA'

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Tp-{Ccs- L�AU- LL•yy
Address of Property: y& e-7 GA.,'
(Lot or Street #, Street or Road, City & County)
Agent's Name #: L 4-iui -L 'y Mailing Address: 9504, Tf+L(- P,,-vC- q
Agent's phone #: 'J/ o 3o (o _ PEE ZU,"u--+ 60-t - , 'Wie zd'Ygy_
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.)
A%A- I do wish to waive the 15' setback requirement.
_ I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner I mation)
A A tA-, #"1U liid
Sig -nature S&P&e
SO�JcC hAi(_ C4--Z"J15
Print or Type Name
F'4* `.e,S 2ka)dV\PLA
Print or Type Name
1/to o --I iV&,w U)gc< Lv
/ -15 e-,4c1

of 1 jLL L&iv ( S
006ie earth feet 400
meters 1100
Y.�Mom- OUZKVU /3 n l3 t5oAT LrF-T-. 7z� tinrtr� G-�v/�
d F L�I-J<<Si7/u(o -F�A Trw(o 60Cp2 .4T
,Y6 0 r7 N & Z,) -F?9 cry 4-iv G-, /4-, - � � 2RAI 0 1
c4n.r7ZA e rW-► Z . d v &^7213 6"-u
-3 7�q I C- Airy
IV 141& U&XzsIAIl •v e 2�y