64601D - Pope

OAMA / ❑ DREDGE & FILL Vol, ✓ �`�
PENERAL PERMIT Previous permit#
New ❑Modification [-]Complete Reissue El Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources �— wx o
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Name Yam✓ Project Location: County
} V --^�� Street Address/ State Road/ Lot #(s)
VNl s State�ZIP L �-� 5 Nov �i t6Y VYf Vc d�{
hrFax # (__) Subdivision
_ ,� e
Bd Agent V1 City i1 Y"Ji G L. ZIP
❑ CW El EW [ PTA ❑ ES ❑ PTS Phone # w! —1 � River Basin W wo
❑ OEA ElHHF ElIH ❑ UBA El N/A Adj. Wtr. Body t.A �'t'" ) nat i
❑ PWS: ❑ FC:
es //no es /nno Crit.Hab. / no Closest Maj. Wtr. Body
Y f PNA Y ( � yes t
' Project/ Activity
(Scale: 1
ck) length
ngth
tuber
d/ Riprap length
g distance offshore_
ix distance offshore
cannel
bic yards
np
ise/ Boat
lulldozing
ie Length
not sure yes no
!+K
gs: not sure_ yes Lno
rium: +"�n/a y no
f ves) no
Attached: Yes
_ n�
I
ling permit may be required by: `. ❑ See note�onback regarding River Basin

Date
Received
Check From (Name)
Name of Permit Holder
Vendor
Check
Number
Check
amount
Permit Number
4/16/2015
Archie McGirt and Janet Batten
Mellinee and John Hunt
R. Burak Erem
same
same
same
same
King
First Citizens Bank
NC State_ Employees' -Credit -Union
B of A
7941 $600.00 bulkhead permit
3562 $200.00 GP 65139D
719 $206.00 JGP 65185D
1029 $200.00 1 GP 65197D
9440 $200.00 GP 65198D
4936 $100.00 renewal fee, MP
2087 $200.00 GP boadift 6393
20158 $250.00 major fee, NHCo
7363 $250 00 major fee, TB, PI
185 $200.00 GP 65170D
1889 $200.00,GP 64601D
3779 $300.00!GP 64612D @$i
I MP 65-07 renew,
4/16/2015
4/20/2015
4/20/2015
Charles D. Carmen Jr.
Piedmont Advantage Credit Union
4/20/2015 Southeastern Coastal Construction Co.
First Federal
412012015' Charles Douglas Wilson or Carolyn Wilson
4/20/2015, Maritime Coastal Construction LLC
4/21/2015 Coastal Marine Piers Bulkheads LLC
4/17/2015 Allied Marine Contractors, LLC
4/21/2015 Kayla Midgett
4/21/2015 Backwater Marine Construction Inc
4/21/2o15 Clements Marine Construction
same
TD Bank
Thompson
Tatum
McLeod
same
Frank Pope
CresCom Bank
Wells Fargo Bank
B of A
Marine Federal Credit Union
BB &T
D Logan
First Citizens Bank
Jam Properties/Dan Smith transferred from Lucien Ellison
Williams
same
Town of Holden Beach
James and Jane Warren _
Mable Buchanan
Elliott W. and Francis H. Shaver
4/22/2015
F and S Marine Contractors Inc.
PNC Bank
Piedmont Advantage Credit Union
BB &T
4450 $400.00 GP 64611D
1029 1&0.00 GP 65197D
5995 $2,000.00 GP 65122D @$4
GP 65190D @$E
GP 65191D @$4
GP 65192D @$4
4/21/2015
Charles D Carmen Jr
4/22/2015
Willie Clarence Richardson
Judy H. and Paul C. Starks, Jr.
GP 65193D @$s
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9090 02ZE 0000 020E _ETU

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NC Division of Coastal Mgt. Habitat impact Computer Sheet
Applicant:
Date:
Permit #: YW
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat 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/o
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
L
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 ❑ Other ❑

r�' , e"4— (.N .
NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
N.C. Division of Coastal Management
John E. Skvarla, II
Secretary
AGENT AUTHORIZATION FORM
Date: /
Vame of Property Owner Applying for Permit: Name of Authorized Agent for this project:
z a.4- f
owner's Mailing Address:
rnn-.emu
4fy4
.mail:
'hone JD '7!!5'
Agent's Mailing Address::
Email: Doc. K S
Phone N!6 9 3-ti89I? , ~
certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
)r, and obtaining all CAMA Permits necessary to install or construct the following (activity):
'or my property located at /Zl �o�•%e�-� �r,,;t Je-,j
his certification is valid 1 year from (date) 1

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: ��-,�tik A
Address of Property: / q V,oe k e,
(Lot or Street #, Street or Road, City & County) ""//11
Agent's Name #: a ue C���.k Mailing Address: 1yU7 ,'; 6, ,eA Sa
Agent's phone #: 17/,O
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.
'Ism 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.)
�D ,e— rA I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacen roperty Owner Information)
i nalure Signals e
f-40 �- S N7 a�'{ Ka A k,, &1
'Print or Type Name Print or Type Name
Mailing. Mailing Address
,/

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Tracking Number: 70133020000037200808
Updated Delivery Day: Wednesday, April 29, 2015
Product & Tracking Information
Postal Product:
Features:
First -Class Mail®
Certified Mail'
Return Receipt
DATE 8 TIME
STATUS OF ITEM
LOCATION
April 29, 2015, 8:41 am
Delivered
SUPPLY, NC 28462
Your item was delivered at 8:41
i
am on April 29, 2015 in SUPPLY. NC 28462.
April 27, 2015, 11:09 am
Departed USPS Origin
Facility
GREENVILLE. SC 29607
April 26. 2015, 1:34 pm
Arrived at USPS Origin
Facility
GREENVILLE, SC 29607
April 23, 2015, 2:12 pm
Unclaimed
LITTLE RIVER, SC 29566
April 8, 2015, 12:37 pm
Notice Left (No Authorized
Recipient Available)
LITTLE RIVER, SC 29566
April 8, 2015, 9:49 am
Out for Delivery
NORTH MYRTLE
BEACH. SC 29582
April 8, 2015, 9:39 am
Sorting Complete
NORTH MYRTLE
BEACH. SC 29582
April 8, 2015 , 7:36 am
Arrived at Unit
NORTH MYRTLE
BEACH, SC 29582
April 8, 2015 3:55 am
Departed USPS Facility
COLUMBIA, SC 29201
April 7, 2015, 12:13 pm
Arrived at USPS Origin Facility
COLUMBIA, SC 29201
April 6, 2015, 7:14 pm
Departed USPS Facility
FAYETTEVILLE, NC 28302
April 6, 2015, 7:11 pm
Arrived at USPS Facility
FAYETTEVILLE, INC 28302
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