66188D - Nelson

a A
CAMA / ❑ DREDGE & FILL I �} `�0. f�'To 66-1- "� A B
"ENERAL PERMIT Previous permit# -
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources r�
�astal Resources Commission in an area of environmental concern pursuant to I SA NCAC i2- C'
❑ Rules attached.
Name _ i Ne45r�1n
ukI - 110Aod Ste AIL ZIP _
._._---
:d Agent TOm)fJ Pi"Yy
ACW Zew ETA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
,es / no PNA yes / no
Project/ Activity
length
tf
tform(s)
'latforr'o 10 , k I
gth
fiber
/ Riprap length_
distance offshore
c distance offshorJ
innel /
is yards
P
,e/ Boatl
Length 1 CQ
not sure yes
um: n/a yes
yes i n
,ttached: yep no
Project Location: County 4-J 05 \A4 K � � •
Street Address/ State Road/ Lot #(s) \,O % �t i �1
Subdivision
city o (A k- zip
Phone # ( ) �Rivjer Basin
Adj. Wtr. Body A � w vVa rc
Closest Maj. Wtr. Body AlA `
(Scale: 1 I �- t,
ig permit may be required by: l 0' V, � � � V• ❑ See note on back regarding River Basin rL
.ocal Planning Jurisdiction) _

.... ...........
12/16/2015
... ... ._
12/17/15
.......�..y... .....
Pippin Marine Construction LLC
....... ............
Kevin Dolan
... �. v...�a.,�vonn
Wells Fargo Bank
civi I
3597 $400.00
yr vvccvv
GP 66235D
12/16/2015
12/17/15
Duke Energy
Duke Energy
JP Morgan Chase Bank
1000142791 $400.00
major fee, Caswell Be,
12/17/2015
Maritech, LLC
Noel and Johnson
B of A
2132 $200.00
renewal fee, MP 83-00
12/17/2015
_
Maritech, LLC
Marc Noel
B of A
2131 $400.00
GP 66236D
12/17/2015
Lighthouse Marine Construction
Jack MacKnoll
B of A
5671 $200.00
GP 66210D
12/17/2015
David or Nancy Taylor
David Taylor
Wells Fargo Bank
2090 $100.00
3599 $200.00
999 $100.00
86080 $200.00
minor fee, 3627 Island
12/17/2015
Pippin Marine Construction LLC
Richard Woodbury
Wells Fargo Bank
GP 66237D
12/21/2015
12/21 /2015
Oyster Bay Homeowners Assoc
Thomas McCurley for Oyster Bay HOA
First Bank
renewal fee, 41-89
American Marine Construction
Jim Nelson
First Citizens Bank
GP 66188D
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NC Division of Coastal Mgt. Habitat Impact Cow
Applicant: , 1 VV\ I V e 1
Date: 11/ 1$1
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
FI
(Applied for.
(Anticipated final
(Applied for.
(A
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
tei
ternimpacts)
impact amount)
temp impacts
ar
rl � �
W
Dredge ❑ Fill ❑ Both ❑ Other
�� 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 ❑

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North Carolina Department of Environment and Natural Reswrm
Division of Coastal Management
James K Gregson, Director
Authorized Agent Consent Agreement
is hereby authorized to act nn m
in order It Obtain any GAMA permit(s) rewired for the property listed below. The authorization is limi
specitc aclivittes described in the attached sketch.
LOCATION OF PROJECT:
© L-t (--�i(lc)5 � -
PROPERTY OWNER MAILING ADDRESS:
PHONE NO.3 IC - ,2-�9- IO2
AUTHORIZED AGENT MAILING ADDRESS: '
flfl
� • s
Signature of Property Owner:
Signature of Authorized Agent
PHONE NO. Q `q S -1' !NLi

.* VO*7
?tame of individual Applying fog pest: 1 r tti`. i e 5 0'1
A ddress of PrepeM (n € ! !�< �A S
Ut ar St""t A, Street Ot Road1
.f 1 5
(Ciiv and Coonty)
hereby crrtity that i own property adjwant to the above-mfertnceQ grope.*y. The individt
app1yitt1 f#t this ptrmii has desaibW to ode n shown an the anached drawing the deveiog n nit
art pc000sing. A descrimion or drewing, with dimensions. should be crov;d. ed with leoer
have no objections to this propesai
If you have objections to what is belay, proposed, please wrtre the Dv6si.,n of Cabs
t*'U**gsm+tat, IV 'C`ardtual Drive Extemioa, Wilmingran, NC 28405 or c:11l q1.)-Jg6_-n
witbia 10 days of receipt of this notles. No response is considered the some as no obieCtbv
you have been noriiird by Certifiad Mail,
WANER SECTION
1 uadersrattd rhea a pier, dock, atooringpiliW breakwater, boat house or boot Lift tssu the
bck a minimum distance or 15' from my area of Hparien access. unless Waived bti me. (i f )
uisis to waive the setback, you must initial the appropHS(e blank below
do wish to waive the 15' setback reaLircr•,
da hat *A'ish m Nvaivt the i$* Utback rec_�rc r-
}

+* 1 rS_y'-15 `_•
Nam of Individual Applying pot permit: s:L'
k_fkui�
(`Lot or Street #, Stmat or Road)
�"-k T �> I fV— '?-) I " 5 " Q �
'Ciro and Cowry.) -
hereby ccrtify that I own property adjacent to the above. sefere"ea propc:y. The individW
applying for this permit has descriW tome as shown on. the attached drawing the deve�
are proposing. A descrimion or drnwing, with dimensions, should be rrovided with this k4+er
have no objections to this propesa;
If you have objections to what is being proposed, please wrire the Di%isiun Qf Coutm-
Mansgoment, 127 Ordinal Drivo Utietuiion, Wilmi{neton, INC :8405 or call 91 '�-ig6-711S
within 10 days of rscaipt of this notice. No response is considered the some a$ no obie&6nif
you have been notified by Certified Mail,
WAMR SECTION
i understand that a pier, dock, =oringpiiings, breakwater, boot house or boat sift mtistbzset
bck a minimum distance o€1a' from my area of riparian access. unleSs Waived b% "*.(if yeu
Wish to w3i"t the setback, You must initial the nppropriare blank belott-
�` do wish to waive the 13sedback read. e.
i do not Wish to waive tnc 13' setback
4�stn ?`+i'4�rnc �ca
r..._.._. Print N�mw X"A

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