64663D - Rivenbark

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CAMA / ❑ DREDGE & FILL
IEN ERAL PERMIT
Previous permit # .
e
New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an areaofenvironmental concern pursuant to 15A NCAC 0 Rules attached.
Name Mot f ; 5 Ga i -f >4-,LA 16 a 14-
Project Location: County
ti� G{�
Street Address/ State Road/ Lot #(s)
,� a
Sltattl
z1.) cf ) p OW" Fax # )
Subdivision
Agent !`'/1 t.' t l�tWt.1�--�
City �u��A it % '�iC t ZIP ? c
ad km
❑ ❑
CWW ❑PTA ES PTS
Phone # ( River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body N FN/`it L-- -
❑ PWS: ❑ FC:
Closest Maj. Wtr. Body
yes k'fi PNA yes no Crit.Hab. yes no
' Project/ Activity
i
:k)length
i(s) ' y— 20'
ier(s)
ngth
riper
d/ R*ap length
g distance offshore
uc distanc"ffshore
cannel
bic yards
np
is oatli
lulldozing
�1 ()4 k1
ie Length ("
not sure
gs: not sure
rium: n/a
yes o,
yes'no
yes o
yes no
yes no
ling permit may be required by: �C�� I `-- r xz' A C M— ❑ See note on back regarding River Basin
It

5128/20151 611115 1 Carolina Marine Dredging Inc —
5/28/2015 6/1/16 Lary Rice Construction
5/29/2015 6/1/15 Forest by the Sea HOA Inc
5/29/2015T 6%1115 Mark Armstrong
5/29/2015 6/1/15 Allied Marine Contractors_, LLC _
5/29/2015' 6/1/15'Thad N. and Erin M Cable
5/29/2015 6/1/15 Senter Home Builders
6/11/2015. 6/3/15 Waters Edge HOA, Inc.
6/1/2015 6/3/15 1 Northern Riverfront Marina and Hotel, LLLP
6/1/2015 6/3/15 City of Wilmington
6/1/2015 6/5/15 High Tides II Inc_
6/2/2015 6/3/15 Inlet Watch Yacht Club, Inc
6/2/2015 Allied Marine Contractors, LLC
6/3/2015 6/3/15 Alton L. and Sherry D. Jenkins
6/3/2015 5/3/15 Alton L. and Sherry D. Jenkins
6/3/2015 Charles F. Riggs & Associates Inc
6/4/2015 6/5/15 James W. and Donna M. Jones
6/4/2015 6/5/15 Pullen Place Townhouses Condominium
6/4/2015 6/5/15 Coastal Marine Piers Bulkheads LLC_
_ _
6/4/2015, 6/5/15 Overbeck Marine Construction Inc.
6/4/2015 6/9/15 Beam & Associates
6/5/2015 6/9/15 West P. Hunter, Jr. _
6/5/2015 6/9/15 TI Coastal Services, Inc
6/8/2015 6/9115 SEPI Engineering and Construction
6/9/2015 Land Management Group, Inc
Ricky Hancock I First Bank
Ricciardi BB &T
same B ofA
same Wells Fargo Bank
EPC Holdings 846 LLC B of A
James McGhee
same NC State Employees' Credit Unio
Neil and Heather Senter Wells Fargo Bank
same Park Sterling Bank
City Marina of Wilmington, LLC PNC Bank
same_ B of A
Johnny and Susan Sides B of A
same BB &T
Kevin Finger B of A
same B of A
same B of A
Richard and Linda Baker First Citizens Bank
same PNC Bank
same/Kerry Avant First Bank _
William Creasy Wells Fargo Bank
Gasser
John Kane SunTrust
Sea Mist Camping Resort, Inc. BB &T
same Wells Fargo Bank
Wooten Holding Co. Inc./Hampstead Marina Coming Federal Credit Union
Brunswicktown, Ft. Anderson Wells Fargo Bank
Bailey and Associates First Bank
1094I _$200.00 1 GP 64652D _
2243 $100.00 minor fee, NTB
10676 $100.00 renewal fee, MI
1070 $100 00 renewal fee, M_
_ 2005 $400.00 GP 65149D �y
GP 63278D (�34
2937 $200.00 GP 63279D
1471 $200.00 GP 64632D
1536 ' $400.00 major fee, Ham
3857 $100.00 mod fee, MP 44
319610 $100.00 renewal fee, MI
1903 $100.00 minor fee, #8 O
15636 $100.00, renewal fee, MI
2036 $200.00 returned to con
1395 $20&00 GP 64661 D @;
1396 $400 00 see above entn
14048 $250.00 major mod fee,
1911 $200.00 GP 64654D
1220 $200.00 transfer & reneN
20242 $400.00 GP 64665D @4
GP 64666D @4
4468 $200.00 GP 64660D
4824 $150.00 add!. $150 for n
75961 $200.00 GP for 1 Raefol
629 $100.00 renewal fee, MF
20190 $400.00 major fee, Brun
45250 $400.00] major fee, Sumi
6/10/2015
F and S Marine Contractors Inc.
Steve Lilly
PNC Bank
4550
$250.00
major fee, 4121
6/11/2015
Will Clarence Richardson/Richardson Constructio
Marijon Clarke
BB &T
6030
$200.00
GP 632801)
6/11/2015
Money order for Brandon Grimes
Morrison Rivenbark
Wells Fargo Bank
59147268015
$400.00
GP 64663D @I

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Ylldr✓'i;cq i4zet't,t Permit #:
Date: 6 r j/ ._ ( C—
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
'ound in your Habitat code sheet.
iabitat Name
DISTURB TYPE
Choose One
oose
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impaa,cts
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impactamount
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
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 ❑ Other ❑
Dredge ❑ Fill ❑ Both [] Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
Mailing Address:
W Sd,
9
I certify that I have authorized (agent) '�w�� 1� to act on my
behalf, for the purpose of applying � for and obtaining all CAMA Permits necessary to
install or construct (activity) /oL /<
at (my property located at) 12- 5` l �`
This certification is valid thru (date)
Property Owner Signature
Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: ! l/ 4r/r f 0-1 ty
Address of Property: 12 r zypc /,,° `1 4, C
(Lot or Street #, Street or Road, City & County)
Agent's Name #: (j<zt / C, N ('", w 5
Agent's phone #: If e - PHe �-r
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 or by calling 1-888-4RCOAST.
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.)
I do wish to waive the 15' setback requirement.
✓I do not wish to waive the 15' setback requirement.
Z(Perty Own formatio )
Signature
/1 ?
Print or Type Name
/-�/,ns("" /(/,(,) ��D
(Riparian Property Owne ormation)
Signature
t/ In Pk !-;
Print or Type Name
Mailing Address
Mailing Address

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property: L �
(Lot or Street #, Street or Road, City & County)
Agent's Name #: AAA14" �r, v `5 Mailing Address:
Agent's phone #:
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.
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. Contact information for DCM offices is
available at n . +.ra k or by calling 1-888-4RCOAST.
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
l
Print o Tr pe Name
kp'q) la R 2P-r
(Riparian Property Owner Information)
Signature /
Kd -f 4 /�u'� �
Print or Type Name
( 70 j
7 ✓ 14 n
Mailing Address
Mailing Address

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