64604D - Reaves

`AMA /,11 DREDGE &FILL i
L
GENERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources -^7 1 t w io
:)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC i 1 Rules attached.
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L�Gtat
Name 4-t4ur, ► Sir Project Location: County
x , (I (A i Street Address/ State Road/ Lot #(s)
tt rlrt p y _ State ZIP 2. 5 1� 1 L-i c` r'�� r• tJ �'► �[
jaj )(�`t ({-( ULI
Subdivision
.d Agent � O -ji,, �. � �� C�(� ' � { � Ci 1( � t �1F� tt � ,... ZIP �i it �
❑ CW E EW © PTA MES ❑ PTS PF O �f �L) -t � �i� River Basin Y
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
yes no; PNA yes /li..�' Crit.Hab. yes /
Project/ Activity
k) len F
r
Jd X
ngth
tuber
d/ Riprap length Of
g distance offshore_�y_
ax distance offshore_
hannel
bic yards_
np
ise/ Boatlift
;�tsTweuo h4C3q
6YW
ie Length`
not sure yes no,,
gs: not sure yes no
wium: jn/a i yes no
P.V
no
Attached: no
ling permit may be required by:
Adj. Wtr. Body 1v (nat Af
Closest Maj. Wtr. Body�w
j d ��/� L �T_ i ❑ See note on back regarding River Basin

IF, _-

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NCD NR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson
Governor Director
AGENT AUTHORIZATION FORM
Date. 3 .3C115-
Name of Pr ert Owner Applying for P rryt.
Owner's Mailing Address:
az�r
Phone Number 6) %7 gp'f7
Dee Free
SecrE
Name of Authorized Agent for this project.
Agent's Mailing Address
Phone Number C916 2 3i Z-Y,2
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
(my property located) at A 2 er V J7
This certification is valid thru (date)
Pro erty S1 ture Date
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Pit
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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
jovu- V. ockm
Applicant Lx�►1, Ct, �e«.)�� Permit
Date: C7- I -� j iS
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
found in your Habitat code sheet.
DISTURB TYPE
Habitat Name 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 fina
disturbance.
Excludes any
restoration and/(
temp impact
amount
Dredge ❑ Fill Both ❑ Other ❑
5u
Dredge ❑ Fil Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other
V
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 0 Fill ❑ Both 0 Other ❑

W fIZU10
0/0/-10
Al ICU Mai 111C wnu
I, , —y .�„ ,.,�„o) ,,•
Andrew Bray
Mary Ann Tally
5/1/2015
5/8115
Land Management Group, Inc
Orton Plantation holdings, i
5/6/2015
5/8/15
Eastern Builders Inc
Thompson
5/6/2015
5/8/15,Eastern
Builders Inc
Thompson
5l1/2015
Bald Head Island Ltd.
same
5/7/2015
Don B. or Connie C. Jordan
same
5/8/2015',
Wayne Smith & Son, Inc
Joe Smith
5/8/2015
Ricky Hewett construction
Ruth Netherton & Vicki Jes
5/8/8/2015
r
Ricky Hewett construction
Reaves, Corbett &Rowell
First Bank
First Citizens Bank
First Citizens Bank
First Citizens Bank
NC State Employees' Credit Union
BB &T
BB &T
Branch Banking and Trust Co
GP 64619D @
GP 64620D @
46408
$250.00
major fee, BrC
3322
$100.00
minor fee, NTI
minor fee, NTI
mod fee, 199-
for Jordan
3323
1511
2806
$100.00
$100.00
$200.00 JGP
19291
$400.00
GP 65138D
4488
$200.00
GP 64603D
4629
$400.00 1
GP 64604D