66184D - Stiltner

CAMA / ❑ DREDGE & FILL} 15
A B
iENERAL PERMIT Previous permit#
New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources 11\
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC + 1 Z iJV
Rules attached.
Name ✓ Project Location: County)�(Vnst'A(A-
11�5` �' Street Address State Road/ Lot #(s)
h State ZIP
.�) E-Mail Subdivision
:d Agent . 15 tir pity,Lu, Q1
rt 4 L ZIP
❑ CW XEW �1 TA ❑ ES ❑ PTS hone # ( ���) V �� River Basin
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A 11, P (A
❑ PWS:
ies no PNA yes
Project/ Activity
:k) length
tform(s)
3latform(s) X [J..)
er(s)
igth
nber
I/ Riprap length
distance offshore
K distance offshore
annel
iic yards
ip
>e/ Boatlift
Length
Adl. Mr. Body nat
Closest Maj. Wtr. Body
/f
(Scale:. L
\ttached:
ig permit maybe required by: I LV V w
Local Plannine lurisdiction) . i ,— _..
❑ See note on back regarding River Basin r
l r r If ► I I I I 0

10/20/2015 10/21/15 Dr. Jeff Morrison same First Citizens Bank 10494 $400.00 GP 66164D
10/20/2015 10/23/15 Antinori Construction Inc Roger Lewis B of A 3890 $400.00 GP 64767D + GP 61
10/20/2015 10/21/15 Custom Island Homes by Ken Kiser LLC Ken Kiser CresCom Bank 3844 $400.00 major fee, 7404 E. E
10/20/2015 10/21/15 Custom Island Homes by Ken Kiser LLC Ken Kiser CresCom Bank 3845 $400.00 major fee, 7406 E. E
10/20/2015 10/21/15 Custom Island Homes by Ken Kiser LLC Ken Kiser CresCom Bank 3846 $400.00 major fee, 7408 E. E
10/20/2015 10/21/15 Custom Island Homes by Ken Kiser LLC Ken Kiser CresCom Bank 3847 $400.00 major fee, 7410 E. E
10/21/2015 10/23/15 Money Order for Brandon Grimes Scott Pindell Wells Fargo Bank 59183420318 $400.00 GP 66167D @5600
10/21/2015 10/23/15 Money Order for Brandon Grimes Scott Pindell Wells Fargo Bank 59183420329 $200.00 GP 66167D @$600
10/21/2015 10/23/15 Clements Marine Construction Inc Vern Hawkins First Citizens Bank 3933 $250.00 major fee, 202 King
10/21/2015 10/23/15 Ocean's Edge Ventures LLC Margaret Ann Maida, LT BB &T 6777 $600.00 GP 66131 D
10/22/2015 10/23/15 TRCK same BB &T 1529 S100.00 renewal fee, MP 67
10/22/2015 10/23/15 Town of North Topsail Beach same First Citizens Bank 40151 $400.00 GP 66110D
10/22/2015 Allied Marine Contractors LLC Becky Olbrych B of A 7923 $400 00 GP 64772D
10/23/2015 Grice Construction Barry Wishon BB &T 10616 $400.00 GP 66132D
10/23/2015 Holden Docks and Bulkheads John Kozak CresCom Bank 2286 $200.00 GP 66135D
10/23/2015 JRW/RDW Inc Rick West First Bank 1180 $200.00 GP 66133D
10/23/2015 Live Oak Enterprises Inc (Future Homes) Larry Norris BB &T 35653 $100.00 minor fee, SC 15-2'
10/26/2015 HDI Holdings, LLC Robert Huff First South Bank 1017 $400.00 major fee, 402 N. LL
10/26/2015 Clements Marine Construction Inc Jam Properties First Citizens Bank 3938 $400.00 GP 66180D + GP 6
10/26/2015 Live Oak Enterprises Inc (Future Homes) Dowell Gray Jr BB &T 35652 $100.00 minor fee, 8708 3rd
10/27/2015 ANA Builders Inc Karen Hartman First South Bank 8324 $100.00 minor fee, 3693 Isla
10/27/2015 Charles Riggs & Assoc. Charles F. Riggs First Citizens Bank 14231 $100.00 minor fee, 111 Top!
10/27/2015 David Lee Builders, Inc Warren Bell B of A 20389 $100.00 minor fee, 410 Evel
10/27/2015 CLB Custom Homes Inc. Deborah Showalter South State Bank 4785 $100.00 minor fee, Lot 18 TI
10/27/2015 Island Contracting Inc Lillian Carter Branch Banking & Trust 27864 $200.00 GP 66151 D
10/27/2015 Island Contracting Inc Wiliam & Roberta Hardaker Branch Banking & Trust 27879 $200.00 GP 66152D
10/27/2015 Island Contracting Inc David Farr Branch Banking & Trust 27878 $400.00 GP 66150D
10/27/2015 Island Contracting Inc Alex Paine Branch Banking & Trust 27877 $400.00 GP 64658D
10/27/2015 Island Contracting Inc Julia McIver Branch Banking & Trust 27875 $400.00 GP 64659D
10/27/2015 Island Contracting Inc Village of Bald Head Branch Banking & Trust 27876 $400.00 GP 63214D
10/27/2015 Eagle Island LTD Michael McCarley PNC Bank 1007 $100.00 renewal fee, MP 97
10/27/2015 Riverman LLC Michael McCarley PNC Bank 1111 $100.00 renewal fee, MP 13
10/27/2015 Antinori Construction Inc B of A 3955 $400.00 GP for 270 Atkinso
10/29/2015 Lea's Waterfront MHP Bert Lea Wells Fargo Bank 8010 $200.00 minor fee, PN 15-1
10/28/2015 Coastal Marine Piers and Bulkheads LLC Rebecca Huntzinger Wells Fargo Bank 20471 $200.00 GP 66155D
10/29/2015 H5 Construction LLC Randy Stiltner BB &T 1321 . $200.00.GP 66134D

MC Division Of Coastal Mgt. Habitat impact Computer Sheet
Applicant: S �.
pit��
Date:
I
Permua:
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/or
temp impact
amount)
Dredge [I Fill [I Both ❑ Other
'
t
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 171 Both ❑ Other ❑

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date /e - /-j -/.`1
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) A, Wu kadia,, ,,a el to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) &,K
at (my property located at)
This certification is valid thru (date)
1-
-
Signature Date

F
NAND DELIVER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(TOR A PIER/MOORlNG PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to
(Name df Property Owner)
property located at -� AY 10 6 A11 T- O C EA IV 4
(Lot, Block, Road, etc.)
on , in D 3::7 f� , N.C.
(Waterbody) (Town and/or County)
AppIicant's phone #: T73 �,C, (rl Mailing Address:
r , r, d-
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (1 S) 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 not wish to waive
_.Yi&— I do wish to waive that setback requirement.
-------------------------------------------- 7--- ------------------------------- ----- ---------------------
DESCRIPTION ANINOR DRAWING OF PROPOSED DEVELOPM) NT:
(To befrlled in by individual proposing development)
��MOV� C �-1
- -- - -- To
YA?
(Information for Property Owner Applying
for Permit)
(Riparian Property Owner Information)
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Mailinv AMrPe¢
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Sienature

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Nvid \1 ST I I (f me i-
Address of Property:
IL-3ofwl
I C uo-f
Agent's Name #: C1 � Mailing Address: g3tJ ��e�� � CK �d .
Agent's phone #: q 10 — O (M `:�l3( P I tiNC- a`7o3tq a -
)rk lorli Sf. , C1e1WTsle
(Lot or Street #, Street or Road, City & County)
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 90 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmana_qement.netlweb/cm/staff-listing 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
pop��, I hAer
Print or Type kJame
9_��,- f abto Beck
Mailina Aririracc
(Ripari perty Owner Information)
Signature
Print or Type Name
I W ( u-04 ( )\J �, Ty xj 5"
AAnilinn Arlrlracc

=H5
CONSTRUCTION
Sharon Hewitt
1 Wilmington St.
Dcean Isle Beach, NC 28469
Dctober 12, 2015
Dear Mrs. Hewitt:
have been contracted by Randy Stiltner, owner of 2 Fairmont St., Ocean Isle Beach to
-emove and rebuild the dock at his property. Enclosed is a Riparian Property Owner
Statement for this project, to include a drawing of the proposal.
according to the North Carolina Division of Coastal Management we must provide this
inclosed form with proposed project drawing for your review. If you have no objections to the
ipgrade of the dock, please sign and initial. There is also a section for you to waive setback
and initial. We have included a stamped and addressed envelope for you to return the
Signed and initialed form to us
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.nccoastaimanagement.net/web/cm/staff-listing or by
galling 1-888-4RCOAST. No response is considered the same as no objection if you have
peen notified by Certified Mail.
If you have any questions, or would like to discuss the proposal, please feel free to contact
me.
Thank you,
Matt Hon
H5 CONSTRUCTION, LLC

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JAMES HEWnT
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/ NOTES;
/ 1 AREA BY D.Y.D.
/ 2 PROPERTY SUBJECT TO ANY AND ALL RESTRKINE COVENANTS
EASEMENTS AND YMERAL RIGIIIS f APR1fi1BlE AND RECORDED
/ 1 PROPERTY SW CAR—COIr RRE&1FM DEEDS.
• IRON RODS 0.ACED 1T Y CdINE RS UNLESS OTNERWSE NOTED.
SUBJECT 10 NL 10MNG REQUIREMENTS OF
aQr u RUM N.C.
L STMISLW SURVEY REFLECTS TY RElIA17 W A NEW D UPDATED
VARY F OP TIE PROPERLY YF RE COURlE! ND DgrNR:E! WY
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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
'jk-av-On 4'eWliff-
V\11
lt�A � St.
QceU,c�ZSIElccC�,.� �
A. Sign
❑ Agent
Addressee
eceived by rioted Narr�e C Date of Delivery
D. Is delivery address different from item El yes
If YES, enter delivery address below: ❑ No
UU i 1 b 1U 15
I I IIII IIII ICI I I I I I I I IIII II I I I I I I II I I I I II III 3. Service Type \� . O Priority Mail Express
❑Adult Signature ❑Registered MaiIT'^
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted
❑ Certified Mail® Delivery
9590 9403 0435 5163 0738 08 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for
❑ Collect on Delivery Merchandise
�i ❑ Signature ConfirmationT"
2. Article Number !Transfer from �p , a 1�tian very Restricted Delivery O Signature Confirmation
7 315 1520 0002 4185 0379 Restricted Delivery Restricted Delivery
PS Form 3811, April 2015 PSN 7530-02-000-9053 Domestic Return Receipt
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Tyler Crumbley
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