64744D - Mylroie

64_
"AMA / ❑ DREDGE & FILL
ENERAL PERMIT Previous permit #
Jew ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
ted by the State of North Carolina, Department of Environment and Natural Resources
>astal Resources Commission
�intan area of environmental concern pursuant to 15A NCAC Rules attached
ni�...e lA t S <T/A t� l i t ti Vb 1 Project Location: County U 1 ��4� 1 �� C✓
State_ ZIP `,` 5t7
❑ CW VEW 0 PTA ❑ ES ❑ PTS
❑ oEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
fes / no PNA yes no Crit.Hab. yes kno
'
Project/ Activity
:k) length
igth
nber
I/ Riprap length_
distance offshore
x distance offshore
cannel
)ic yards_
ip
se/ Boatlift
ulldozing `!
e Length
not sure yes i no.,:
;s: not sure yes no.
ti
•ium: n/a j' y��es no
`w.„.Y W
Attached: yes �no
ing permit may be require
Street Address/ State Rgad/ Lot #(s)
Subdivision N r�
ity ! k Y pU ZIP }2
f°hoi # ( 1 0) l 0 River Basin l►U �4i�.
Adj. Wtr. Body nat
Closest Maj. Wtr. Body
In
(Scale:
r�

Receive I I tea
8/19/2015 8/24/15 Rick West fo
8/21/2015 8/24/15 NC Baptiste
8/21/2015 8/24/15 Johnnie S H
8/21/2015 8/24/15 John King
Vr)BVR VFW",
John Aldridge for NC Baptist Assemoly
— ---
r _ Specialty River Woods Go Steven Woc
Butch Saunders
Bank
NC State Employees Credit
First Citizens Bank
1$600.00 P 64
GP 64740D @$20
5436, $100.00
. renewal fee, MP 31
393 $400.00 major fee, 1 mile c
1428 $200.00',GP 64786D
15880 $475.00 major mod MP 28-
8/24/2015 Nortn carouna wasmi rcu.—uvii
Isame
8/24/2015 8/26/15 Christopher Lutterloah Sr _— —
B/26/15 Donald and Joanna Reich
W8/24/201 —
8/26/15 Bald Head Island Limited LLC
8l26/15 Bald Head Island Limited LLC
8/26/15 Pippin Marine Construction LLC
8/26/15 Edwin or Sandra Bartlett
�•• -
BBB&T
_ --
same'
Bruce Marek, representative
Bruce Marek, representative
Chris Hughes
same ---
Bruce Marek, representative
Donna Lanier
David Jones
Dale Osborn
same
John Odum
same --- -
Rick Woodard _
Joan Lee
Robert Eidson, Sr.
Pamela Everhart _
Chris McCall, asst. manager
BB &T -- —
11651
5294 $100.00
renews _
minor fee, 209 Ca
renewal fee, MP 1
First Citizens Bank
1523
$100.00
renewal fee, MP 1
First Citizens Bank
Wells Fargo
US Trust$250.00
First Citizens Bank
—
B of A
Four Oaks Bank &Trust
B of A
North State Bank
NewBridge Bank
BB &T
B of A
First Citizens Bank
First Citizens Bank
PNC Bank
1522
3483 $100.00
$200.00
1521 $100.00
34483 $200.00
1283 $200.00
7_069 $200.00
619 $10o.00
6197 $200.00
4962 $100.00
— ----
7756 $600.00
14147 $100.00
14148 $100.00
58324 $200.00
GP 64795D
major fee, 44 Palk
mod fee, MP 172-
GP 1161 Spot Lai
GP 64761 D
8/26/15 Bald Head Island Limited LLC
5 8/26/15 Lanier Family Limited Partnership
8/25/20 8 25/2015 8/3/20151 1/15 LLBBD, LLC
Connaway Marine Construction
g! Waterfronte Villas Owners Association _
GP 64800D
mod fee, MP 8vei
GP for 1244 Rivei
minor fee, 840 Ca
GP 64799D @$21
major fee, 514 Ev
minor fee, 6902 1
minor fee, 1707 C
2 renewals, MP 1
8/28/2015 8/31/15
Joseph and Lars Milligan
8l28/2015 8/31/15
8/28/2015 8 --5
—
Paul J. Schadt
Allied Marine Contractors LLC
8/31/2015 9/1/15
8/31/2015 9/1/15
Charles Riggs & Assoc.
Charles Riggs &Assoc.
8/31/2015 9/1/151village
of Bald Head Island _
Sue Todd
B of A
7715
$800.00
GP 64742D @$2
911 /2015
9/2/2015
9/2/2015
9/2/2015
9/2/2015
—
9/1/15
-
Allied Marine Contractors LLC
—
_ - -
Dominick and Maureen Owens
Dominick and Maureen Owens
Lighthouse Marine Construction
Grice Construction
-- ---
Lee and Carolyn Harrington
Thad Cable _
-
same
same
James Blair III
Elliott and Debbie Harrell
Augusta Mylroie —
BB &T
BB &T
B A
BB &T
5091
5086
5530
15530
$200.00
$200.00
$200.00
$2 0.00
GP 64796D @$2
GP 64797D
GP 84765D
GP 64763D
GP 64762D
GP 64762D @$2
GP 64782D @$2

4C Division of Coastal Mat. Habitat Impact Computer Sheet
applicant: i 1�0 i Permit #:
AV `
Date: (�
al �r .
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
Found in your Habitat code sheet
-iabitat 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)
RJDredge
❑ 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 ❑
Dredge ❑ Fill ❑ Both 171 Other ❑

�� �,� C 1nC. RR, Gbw.
rCDEWR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
t McCrory Branton-C-Davis
overnor Director
John E. Skvarla, III
Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FuKm
Date:
ne of Property Owner Applying for Permit: Name of Authorized Agent for this project:
iy AV S� H1,y Iro it ��e.�. ��•�c�� �1ra
ner's Mailing Address:
oD r6UV1hna MeU
)ne Number (aIQ ) A
Agent's Mailing Address:
(�cQ.c�n,�s1� �aeac�n Or 5�
Phone Number 8M� )�'Z�j,'"��� S—
;rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining all CAMA Permits necessary to install or construct the following (activity):
r my property located at Li(54 'Dr% J4 5�ms,e. $C&c� NL arg4b S
is certification is valid thru (date)
CUAI
Property Owner Signature Date

CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: t Q`1►S `rU% :P,
Address of Property:
(Lot or Street #, Street or Road, CitJ & County)
r)SL
Agent's Name #G. 1��`'15��� �-) Mailing Address:
��
Agent's phone #:q�l�'� u�� ��}S1( 4-
1 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.
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 rive 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.
(Property Owner Information)
Signature -
u
Print ype Name
`106C5-1,06\%„►A
Mailing Address
�nm
City/S te/Zip
a\G - Q4x=��c�z
(Adjacenerty O n r Information)
igi tire
Print or Tye Ndme
7,la,-1-(ALA�
Mailing Address
City/State/ZIp
al6__9s.�- ST

CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:1
13 nsl`
Address of Property:
(Lot or Street #, Street or Road, Cit & County)
Agent's Name #���ns�c1� , Mailing Address:
Agent's phone
0-
% 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 p o 'd . with this letter.
r
I have no objections to this proposal I have objections to this proposal.
I if you have objections to what is being proposed, you must notify the Division, of Coastal
y 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 hoye been
Q notified by -Certified Mail.
/l WAIVER SECTION
SI 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.
(Property Owner Information)
�k \riA-1%,r. �AA A �(-LC\1'.n��
(Signanire -
k SylpVI.b\-"N �
Printo\7Jrype Name
`106ekc-,�\s. ► %.A
Mailing Address J "� - Z(� t
CitylllatelZip
aAG . 4(Zkx
djac rop rty Owner Information)
Signalnre
Prir or Type Name / 4 /l
27
Mailing A r ss
C� do
City/State/Zip
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Postal
MAIL - RECEIPT
(DomesticCERTIFIED
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Postage
$117
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Certified Fee
$Z.
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Return Receipt Fee
(Endorsement Required)
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Restricted Delivery Fee
(Endorsement Required)
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Total Postage & Fees
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Stat`C(7v� co l�f L3�
CDaits
MHCDO
Tyler Crumbley
LPO
DW Review

■ 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. Article Addressed to:
1111111111111111111111111111111111111111111111
9590 9401 0024 50?1 4920 43
o A.tlrlu Numher (Transfer from service label)
7014 0510 0001 9271 8961
PS Form 3811, April 2015 PSN 7530-02-000-9053
■ Complete items 1, hand 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. Article Addressed to:
�3
IIIIIIIIIIIIIIIIIIIIIIIIIIIIII I II Ilillll IIII
9590 9401 0024 5071 4920 50
2. Article Number (Transfer from service label)
Is delivery address plffere Y CJ
If YES, enter delivery add S J&: ❑
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered Mail-
0 Adult Signature Restricted Delivery
❑ Registered Mail Restricted
Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationT.,
r-1 I—ed Mail
❑ Signature Confirmation
ed Mail Restricted Delivery
Restricted Delivery
$500)
Domestic Return Receipt
A. Sig ture
X Agent
Addressee
B. RJkeived by ted Name) D t e of D;I very
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Prii16* Mail E,ipress®
❑ Adult Signature
❑ Registered MaiIT-
❑ Adult Signature Restricted Delivery
0 Registered Mail Restricted
Certified Mail®
Delivery
Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
13 Signature Confirmation-
- nsured Mail
0 SignatureConfirmation