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Home My WebLink About66103D - ParkerCAMA / DREDGE & FILL A B 'ENERAL PERMIT Previous permit# lNew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources Z� 7 .oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �G. /r p Ruies attachgtl. t Name l: - ��//ZM r P1 �' c v Project Location: County f- r 4 G(% Street Address/ State Road/ Lot #(s) / s State NCB ZIP Z 7 4 (pL: `% j /�' �j (A 62 — s-,r7 E-Mail / Subdivision ed Agent /�� /2 �i't "w r� �-/ City 1/ 7 / '/Xl ZIP O CW f W ETA 5kES ❑ PTS ❑ OEA /❑_HHF ❑ IH �❑ UBA ❑ WA ❑ PWS: yes / no PNA yes / no ll Project/ Activity i igth nber �Xiprap length distance offshore x distance offshore annel k yards 1p 4 se/ Boaikft Aldozing Length s not sure yes no.� um: n/a yes no} yes no? attached: yes no) Phone # River Basin Cf Adj. Wtr. Body lWe 4 � � (nat Closest Maj. Wtr. Body c%L'r ig permit may be required by:v _ocal Planning jurisdiction) ❑ See note on back regarding River Basin rt NC Applicant: Division of Coastal COf, k't'v Mgt. Habitat Impact Computer Sheet Date: I _ g _ I S 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 FII (Applied for. (Anticipated final (Applied for. (Ai DISTURB TYPE Disturbance total disturbance. Disturbance dis Habitat Name Choose One includes any Excludes any total includes Ex anticipated restoration any anticipated re; restoration or and/or temp restoration or ter temp impacts) impact amount) temp impacts) arr Dredge ❑ Fill Both ❑ Other ❑ I, / Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ m (Name) Name of Permit Holder Vendor Number amount Permit Number/Comments Refund/Reallocated ks William Mauney First Bank 101 $600,00 GP 64739D @$400 HS rct. 0277D Bill and Ann Crumbley John Aldridge for NC Baptist Assembly 'First Citizens Bank 5436 GP 64740D @$200 HS rct. 0278D ' $100,00 renewal fee MP 35-10 PH rat. U8-3 SpecialtyWoods Go Steven WoodcockWells a' Butch SaundersPH _ 393 Y - -- NC State EmPto ees Credit Union 1428 $400.00 major fee, 1 mile of Black River, PnCo rct. 0484D $200.00 GP 64786D RM rct. 0359D 'ederation same First Citizens Bank 15880 $475.00 major mod MP 28-05, Morris Lnd, Ons PH rct. 0485DVOID rtn r :h LLC same same__ Bruce Marek, representative BB &T BB &T First Citizens Bank 11651 5294 1523 $100.00 renewal fee, PM 17-09 PH rct. 0486D $100.00 minor fee, 209 Caswell Bch. Rd, BrCo PH rct. 0487D $100.00 renewal fee, MP 191-86 PH rct. 0488D LLC Bruce Marek, representative First Citizens Bank 1522 $100.00 renewal fee, MP 199-87 PH rct. 0489D ion LLC Chris Hughes Wells Fargo_ 3483 $200.00 GP 647951D JD rct. 03436 same US Trust 7167 $250.00 major fee, 44 Pelican Dr. WB NHCo PH rct. 0490D i_LLC Bruce Marek, representative First Citizens Bank 15 $100.00 mod fee, MP 172-87 PH rct. 0491D rrtnership Donna Lanier B of A 34483 $200.00 GP 1161 Spot Lane, Surf City, PnCo David Jones Four Oaks Bank & Trust 1283 $200.00 GP 64761D JD rct. 0344D (ruction Dale Osborn B of A 1069 $200.00 GP 64800D JD rct. 7 irs Association same North State Bank 1721 $100.00 mod fee, MP 84-05 PH rct. 0492D i John Odum NewBridge Bank 6197 $200.00 GP for 1244 Riverview Dr, Calabash,BR _ same BB &T 4962 $100.00 minor fee, 840 Caswell Bch Rd, Oak Is IPH rct. 0493D s LLC Rick Woodard B of A 7756 $600.00 GP 64799D @$200 + $400 for major JD rct. 0345D Joan Lee _ major fee, 514 Evelyn Ln. Topsail, PN PH rct. 0496D @$400 Robert Eidson, Sr. First Citizens Bank 14147 $100.00 minor fee, 6902 12th Ave, NTB, Ons. +PH rct. 0498D Pamela Everhart First Citizens Bank 14148 _ $100.00 minor fee, 1707 Ocean Blvd. TB, PN PH rct. 0499D ind Chris McCall, asst. manager_ PNC Bank 58324 $200.00 2 renewals, MP 139-10 + CRC Var.9-9E PH rct. 0500D s_LLC Sue Todd B of A 7715 $800.00 GP 64742D @$200 HS rct. 0280D - - 'Lee and Carolyn Harrington GP 64796D @$200 HS rct. 0281D Thad Cable GP 64797D HS rct. 0282D D_wens same BB &T 5091 $200.00 GP 64765D JD rct. 0348D Dwens Isame BB &T 5086 $200.00 GP 64763D JD rct. 0347D ,truction IJames Blair III B of A 5530 $200.00 GP 64762D JD rct. 03466 Elliott and Debbie_ Harrell BB &T 10517 $400.00 GP 64782D @$200 HS rct. 0283D Augusta Mylroie. GP 64744D @$200 HS rct. 0284D Evelyn_ Zezech First Bank 20430 $200.00 GP 64745D HS rct. 0285D same Citizens Bank 3501 $100.00 GP 64748D HS rct. 0287D ison Construction _ _ Bobby Suarez $200.00 GP 64747D HS rct. 0286D BB &T 6102 Anthony Izzo TO Bank $100.00 minor fee, 106 Scotch Bonnet, NTB ON PH rct. 1001D 7458 Magda Holloway BB &T 61550 $100.00 renewal fee, MP 86-10 PH rct. 1002D leads Ken Kirby _ CresCom Bank $200.00 GP 66102D TM rct. 0428D 2231 ntted LLC Harold Wells IFirst Citizens Bank $100.00 mod fee, MP 6-14 PH rct. 1003D 1571 _ Dan Mathews $100.00 minor fee, 106 Caswell Bch Rd, CB BR PH rct. 1003D IBB &T 2139 Dr, Brandon Grimes Chris Parker lWells Fargo Bank 59183418899 $200.00 GP 66103D @$400 59183418900 _ $200.001 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date I/ -/- Name of Property Owner Applying for Permit: r ', . �e -�� -X� -- 1, , , A 'I, "I Mailing Address: // CDaits MHCDO Tyler Crumbley LPO DW Review 5� �kjc�� Owner I certify that I have authorized (agent) Z/.,I jr(G� behalf, for the purpose of applying for nd>obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) 11 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: C-�1r �S��r )V= E r Address of Property: &IQ C� S \ b S� �� Y -y- CG �—\ N C— (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: 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. 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 http://www.nccoastalmanagement.netlweblcrWstaff-listing orby calling 1-88&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.) L11 I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Print or Type Name Mailing Address Information) (Riparian Property Owner Information) —U Signatur l)i/21'0- aC- J Print or Type Name lJJ)q/ P/ 5 -ems Mailing Address ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to hr15 A1.1-160-.1 's 6 NamePf Property O er) property located at (Address, Lot,/�lock, Road, ec.) on (�j /� /1�� in 'Yz,. c Y N.C. (Waterbody) (City/Town and/or County) 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 fill in description below or attach a site drawing) h � r WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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. (Pro erty O er Information) (Adjacent Property Owner Information) ign ire ! �' Si&maature * =z N , do ice- - a�Jnr Tvne Name. Print or Type Name a/ / 6ony��