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Home My WebLink About65142D - MillerrCAMA / --'DREDGE & FILL 3 . . aN ERAL PERMIT Previous permit # `3 �g O New --Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued t -ized by the State of North Carolina, Department of Environment and Natural Resources ;oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC FQ-W- attached Name_ n YI State / LC ZIP 2k41/% ( 1/0 ) k4 f— 2 Fa�^/x^ # () ttf ad Agent ( 1"04 (1 +► CW 6. f& �f�TA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ees / no PNA yes /� Crit.Hab. yes / no Project/ Activity /2er.&117 C'*11 S k) length is yards Project Location: County Akt y �i`T`wrOde Street Address/ State RoadA Lott #(s) Subdivision f /�✓7�ti'S 104& City ZIP — Phone # ( ) l River Basin C"Z11,114 Adj. Wtr. Body Closest Maj. Wtr. Body / (Scale: g permit may be required by: ❑ See note on back regarding River Basin ru nc. eying, P.0 Is LLC n Inc Name of Permit Holder Vendor Roy Gilbert & Brenda Madison First Citizens Bank Dennis Michael Security Savings Bank Dennis Michael Edwards _ B of A John Clark First Bank Dinah Gore First Bank _ John Ledoux Yadkin Bank James Harren Wells Fargo Bank same PNC Bank Rick Rouse B of A Timber Creek HOA Wells Fargo Bank same Alliance Credit Union same CresCom Bank Kathryn Bradley CresCom Bank Lockwood Folly, POA replacement for rtned check' -. same NC State Employees' Credit Union BB&T Poteat-Smith Properties, LLC Sea Mist Camping Resort, Inc. BB&T same B of A Jon and Diane Miller 8 of A O r— n ri O fD n 4 rD N (7 n 3 rD Check Check Number amount I Permit Number/Comments Refund/Reallocated 1138 $600.00JGP 65079D 1847 $400.00'GP 65102D @-$200 GP 65103D @$200 19918 $100.00 minor fee, TB 15-0� _ 9496 $400.00 GP 65093D _ 1308 $100.00 i minor fee, SB 15-01 22714 $200.00 GP 65037D _ 20059 $100.00 renewal fee, MP 119-10 795 $200,00 GP65121D_ _ 5269 $600.00IGP 65035D 1433 $400.00 major fee, Timber Creek, BHI, Br 10240 $250.00 major fee fee, 6134, 2/13/15 2017 2016 $25.00 return ck $400.00 GP 65109D @$200 GP 65056D @$200 repayment 1044 $200.00 GP 57442D 3275 $100.00 transfer fe_e, MP 6-15 4773 $100.00 renewal ree, MP 162-09 9035 $200.00 GP 65143D reissue of 65019D 7276 $200.00 GP-65142D JC Division of Coastal Mgt. Habitat impact Computer Sheet kpplicant: Toll e�wI / el/' Permit #. 5 / V2- )ate: 3/11 /15 lescribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremem Fund 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 fina disturbance. Excludes any restoration and/ temp impact amount iow 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 ❑ Other ❑ Dredge ❑ Fill ❑ Both 0 Other ❑ kMA 10 DREDGE & FILL , 'N ERAL PERMIT PV v ElModification OComplete Reissue OPartial Reissue Previous permit # by the State of North Carolina, Department of Environment and Natural Resources Date previous permit issued_ 11 Resources Commission in an area of environmental concern Pursuant to 15A NCAC L)JA MIt /Ze Project Location: County El Rules attached. 217 1 , , '- State ZIP Fax # � Cw DEW 0 PTA -------- 'OEA El HHF 0 1H DES D PTS I Pws: 11 FC: 0 USA 11 N/A no PNA yes / no Cril. Hab. Yes / no Activity length offshore' offshore- ----------- re yes T 'e yes 'a yes yes may be required by: Al Street Address/ State Road/ Lot #(s) Subdivision ----------------- Ci A zip Phone # River Basin Adj. Wtr. Bocly—.-1 .zi ,± ,,,:n8 Closest Mai. wtr. Body 1, :) (Scale: � N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date February 3, 2015 Name of Property Owner Applying for Permit: Jon and Diane Miller Mailing Address: 8608 Bald Eagle Lane Wilmington, NC 28409 certify that I have authorized (agent) Hal Fogleman/Allied Marine Contractors to act on my ehalf, for the purpose of applying for and obtaining all CAMA Permits necessary to istall or construct (activity) pock replacement and upgrades (my property located at) 8608 Bald Eagle Lane Wilmington NC 28409 its certification is valid thru (date) 12.31.2016 1p Owner Signature .. . CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Jon and Diane Miller Address of Property: 8608 Bald Eagle Lane, Wilmington, NC 28409 (Lot or Street #, Street or Road, City & County) Agent's Name #: Hal Fogleman/Allied Marine Agent's phone #: 910-367-2159 Mailing Address: 92 Harold Court Hampstead, NC 28443 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. Contact information for DCM offices is available at ./.nc ' ilm - gement.r `' veL. i/staff-listing or by calling 1-888-4RCOAST. 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, boat ramp, breakwater, boathouse, or lift 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. tlo not wish to waive the 15' setback requirement. (Property Owner Information) Signature Jon and Diane Miller Print or Type Name (Riparian Property Owner Information) Signature Mervin Griffith Print or Type Name 8608 Bald Eagle Lane CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Jon and Diane Miller Address of Property: 8608 Bald Eagle Lane, Wilmington, NC 28409 (Lot or Street #, Street or Road, City & County) Agent's Name #: Hal Fogleman/Allied Marine Agent's phone #: 910-367-2159 Mailing Address: 92 Harold Court Hampstead, NC 28443 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. Contact information for DCM offices is available at hi •Icc nt.net1web/cm/staff-list or by calling 1-888-4RCOA ST. 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, boat ramp, breakwater, boathouse, or lift 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) Signature Jon and Diane Miller Print or Type Name (Riparian Property /Owner Information) Signature Lois P. Furr Print or Type Name 8608 Bald Eagle Lane 314 West Renovah Circle ' Ili Gg� n oe e ��.4 zpi- G xt3' new Alt, IA o a I i � { �xSK i IF -i G8 � Afprok i -?I t,-0;9 P P `J kA?-jcLAd 4 CIZ) L1 �1-6 1M � ol(:3-Z- W C �\ 'bvVJ?5 �A-)�>>w � �o04// \ / Ex Mo�ffl I - )kl D )(-� 04