66174D - McCormack

CAMA / ❑ DREDGE & FILL
"ENERAL PERMIT Previous permit# A B
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources 4 1' G O
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
r` ji,, Rules attached.
Name IC �U�✓� i �l ift Project Location: Countyt-VmS.n/k a,
I. WE Street Addres# State Road/ Lot #(s)
a Y1C� l v �l State ZIP G'��" 'i 'Y' V C
() i E-Mail r
,dAgent ���T1iY1C 1 A.� l(k��YVZhc�..1
❑ cw X` Ew PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PW:
res ( no J PNA yes
Subdivision
City!Ul f It'd... ZIP ' L.�! C.rPf,� i # (� ��) 0 nnd��1"12A River Basin
Adj. Wtr. Bod� nat %r
Closest Maj. Wtr. Body L�
Project/ Activity �'.� Vl ��'iVi } �'U lj bo l "1>o d AM111
t
k) length
tform(s)
'latform(s)
ar(s)
gth
fiber
/ Riprap length
distance offshore
:distance offshore
tnnel
I.
is yards
P
e/ Boatlift
not sure yes (no
im: n/a yes no
_ _...
yes)o
ttached: yes no
g permit may be required by: _
ocal Planning Jurisdiction}- i ,
Itch -
11 , di 1.1-t_I , 1fl-y.I <Li. '.._a 1-1. _f ,-".1_L._

11/12/2015 11/13/15 Allied Marine Contractors LLC
11/12/2015 11/13M 5 Richardson Construction
11/12/2015 11/13/15 Carolina Marine Construction Inc
11/12/2015 11/13/15 Clements Marine Construction Inc
11/12/2015 11/13/15 City of Wilmington
11/12/2015 11/13/15 Eduardo San Miguel
11/12/2015 11/13/15 Charles or Linda Honda
11/13/2015 11/16/15 Carolina Coast Contracting, Corp
11/13/2015' 11/16/15 Coastal Land Design
11/16/2015 11/16/15 Allied Marine Contractors LLC
11/16/2015 11/17/15 Charles Riggs & Assoc.
11/16/20151 11/17/15 Charles Riggs & Assoc.
11/16/2015 11/17/15 St. Moritz HOA Inc
11/16/2015 11 /17/15 Charles Riggs & Assoc.
11/16/2015 11/17/15 Sunset Dock Assoc
11/17/2015 11/17/15 County of Brunswick
11/17/2015 11/17/15 Benjamin Spence Albright
11/17/2015 11/17/15 Money Order from Brandon Grimes
11/17/2015 11/17/15 Southeastern Coastal Construction Co
1 f/17/2015 11/17/15 Lee Thornton
11/2012015 JH5 Construction LLC
Scott Tucker
Brian Hennessee
Federal Point Yacht Club
Ray Sito
same
same
same
470 Anderson, LLC
James Taggart
Hays Lambert
Michael & Becky Steed
Sandy Feet, LLC
same
Dennis & Mary Backer (BoekerQ
same
same
same
Chris Lutterioah
Robbie Brooks
Lee Thornton
Richard James
B of A
BB &T
First Bank
First Citizens Bank
B of A
PNC Bank
Navy Federal Credit Union
B of A
B of A
B of A
First Citizens Bank
First Citizens Bank
North State Bank
First Citizens Bank
First Citizens Bank
BB &T
BB &T
Wells Fargo Bank
First Federal
Coastal Bank and Trust
BB &T
7909
6162
9922
3957
324120
1007
4012
7000
5123.
7996
14263
142651
$200.00 GP 66192D
$200.00 GP 66187D
$400.00 major fee, 910 Basin R
$250.00 major fee, 462 Causew
$100.00 renewal fee, MP 61-12
$600.00 GP 66197D
$600.00 GP 66115D
$100,00 minor fee, 179 Topsail
$100,00 minor fee, 230 N. Ande
$200.00 GP 66215D
$100.00 minor fee, 135 Soundvi
$100.00 minor fee, 111 Permud
1563
14264
1103
742767
18168
59183420956
9640
992
1367
$100.00
$100.00
$536 00
$400.00
$200.00
$200.00
$400.00
i $100.00
$600 00'GP
minor fee, 4110 Island
`minor fee, 614 Hampto
NOV 15-18D, $250, $2
GP 66219D
GP 66216D
GP 66217D
GP 66218D
minor fee, S. Lloyd Lt 1
66170D
11/20/2015
11/20/2015
11/20/2015
11/23/2015
11/23/2615
Holden Docks & Bulkheads
Frederick H. Kart
Logan Marine LLC
Money Order from Dixon Broadfoot
Mike Milligan Painting
Michael Huskey _
same
SEL Property Investors LLC
Burmah Broadfoot
George Garalis
Robert McCormack
CresCom Bank
BB &T
Corning Federal Credit Union
Wells Fargo Bank MO
BB &T
CresCom Bank
2303'
$200.00
GP 66172D
GP 66171D
GP 66220D
1000,
$400.00
1236
17-269805108,
11712
2195
_
$200.00
$200.00
$400.00
$400.0o
_
GP 66221D
GP 66173D
11/23/2015
—,
Maritime Coastal Construction LLC
GP 66174D

C Division of Coastal Mgt. Habitat Impact Computer Sheet
plicant: A`iWnuul' Permit #:
te: 1 t
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/or
temp impact
amount)
Dredge ❑ Fill oth ❑ Other ❑
13�
L)
Dredge ❑ RIX Both ❑ Other ❑
D
Dredge ❑ Fill ❑ Both ❑ Other
0 ©�
V
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 ❑

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date /�/ 67
Name of Property Owner Applying for Permit:
Mailing Address:
Mf
611 7�, r,-.,
I certify that I have authorized (agent) e4-e 6e;_YW 6�s7i to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date)
Ir
2-971-161,,
7f-__ _--_ ___ G12-
�— [S-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to kh 6-'-�- M C ('orro ('L'G' 's
� , (Name of Property Owner)
property located at �� �. - � l.p :IXi Ve
(Address, Lott, Plock, Road, etc.)
m M 1,�LJ , in_ ci--L'%—
(Waterbody) (City/Town and/or County)
N.C.
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 rill in description below or attach a sitq drawing)
I
C
�-�cuoI 1
/G WAIVER SECTION
inderstand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
nimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
s setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1� I do not wish to waive the 15' setback requirement.
•operty Owner Information) (Ad' ent Property Owner Info mation)
nu�rrture
� b.L r-� h�� �� m c��..i,ti.. � .I! YI ilVll✓l Q (I .Q,C)� �i11 y�'�-0 �/YI ��c�
t or Type Name Pri r Type (dam

JSPS.com® - USPS Tracking®
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USPS Tracking®
Tracking Number: 70151520000241851048
On Time
Expected Delivery Day: Friday, October 30, 2015
Product & Tracking Information
Postal Product: Features:
First -Class Mail® Certified Mail"
Return Receipt
See tracking for related item:
9590940304355163074508
DATE 8 TIME STATUS OF ITEM
LOCATION
October 30, 2016, 12:33 Delivered
SOUTHERN
pm
PINES, NC 28387
Your item was delivered at 12:33 pm on October 30, 2015 in SOUTHERN PINES. NC 28387.
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October 30, 2015, 8:01 am
Out for Delivery
SOUTHERN
PINES, NC 28387
October 30, 2015, 7:14 am
Arrived at Unit
SOUTHERN
PINES, NC 28387
October 29, 2015, 11:05 pm
Departed USPS Facility
FAYETTEVILLE, NC 28302
October 29, 2015, 10:25 am
Arrived at USPS Facility
FAYETTEVILLE, NC 28302
October 29, 2015, 3:05 am
Departed USPS Facility
CHARLOTTE. NC 28228
October 29, 2015 , 12:38 am
Arrived at USPS Facility
CHARLOTTE. NC 28228
t
October 28, 2015 , 2:43 pm
Departed Post Office
SHALLOTTE. NC 28470
October 28, 2015 , 1:22 pm
Acceptance
SHALLOTTE, NC 28470
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■ Complete items 1, 2, and 3.
■ 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.AArrticle Addressed to:
�j Cd�i C �cvr�ec San
Zg38�
A. Signature
X Z / J Agent
❑ Addressee
B. Rec/v�d �K (Printed Name) I C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
II I IIII'I III I'l ll I I I I I IIII III I I Ilil I I I I'II III
3. Service Type
❑ Adul gnature
❑ Priority Mail Express®
O Registered MaiITM
❑ A Signature Restricted Delivery
❑ Registered Mail Restricted
9590 9403 0435 5163 0745 08
ertified Mail(D
. Certified Mail Restricted Delivery
❑ Return n Delvery Receipt for
2. Article Number (Transfer from service label)
❑ Collect on Delivery
O Collect on Delivery Restricted Delivery
Merchandise
❑ Signature Confirmation^^
7 015 1520 0002 418 5 10 4 8
-----
J Insured Mail
1 Insured Mail Restricted DeliveryRestricted
lion
❑ Signature Delivery
Delive
(over $500)
PS Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt
CDaits
MHCDO
Tyler Crumbley
LIDO
1�1
DW Review