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Home My WebLink About64613D - Sommersu es attac e . Project Location: County Street Address/ State Road/ Lot #(s) ��16 Ewa/r> Subdivision ;Z�MlC 1 /f• #Af," &,- City f ZIP 7?IX Phone # ( V) 3 1''95/11 River Basin Adj. Wtr. Body �7�11'� l��G ✓! . (nab Closest Maj. Wtr. Body %�/W 6l CAMA / ❑ DREDGE & FILL i'JENERAL PERMIT qew ❑Modification El Complete Reissue y 1p.,-6 []Partial Reissue 6 4 p Previous permit # Date previous permit issued ted by the State of North Carolina, Department of Environment and Natural Resources / / >astal Resources Commission in an area of environmental concern pursuant to 15A NCAC �r 0' z�( 1 i?I hd Name S' ,}Y /I t4l 1 h State ZIP r' r ,r d AgentfA�, �•_, , ,.a�.�t -� ❑CW ❑EW C�PTA ❑ES ❑PTS OEA ❑ HHF ElIH ElUBA ElN/A PWS: ❑FC: es / no PNA es no Crit.Hab. yes / no 'roject/ Activity :) len xd r(s) ,h b Ri p length iista ce offshore distance offshore nnel yards V Boatlift DENR CAMA Daily Check Log for WIRO Date Received Deposl tact Check From Name Name of Permit Holder Vendor Check Number Check amount Permit Numb 4/16/2015 4.23.15 Archie McGirt and Janet Batten same First Citizens Bank 7941 $600.00 bulkhead perm 4/16/2015 4.23.15 Mellinee and John Hunt same NC State Employees' Credit Union 3562 $200.00 GP 65139D 4/20/2015 4.23.15 R. Burak Erem same B of A 719 $200.00 GP 65185D 4/20/2015 4.23.15 Charles D. Carmen Jr. same Piedmont Advantage Credit Union 1029 $200.00 GP 65197D 4/20/2015 4.23.15 Southeastern Coastal Construction Co. King First Federal 9440 $200.00 GP 65198D 4/20/2015 4/20/2015 4.23.15 4.23.15 Charles Douglas Wilson or Carolyn Wilson Maritime Coastal Construction LLC same Thompson TO Bank CresCom Bank 4936 2087 $100.00 $200.00 renewal fee, M GP boatlift 63S 4/21/2016 4.23.15 Coastal Marine Piers Bulkheads LLC Tatum Wells Fargo Bank 20158 $250.00 major fee, NHI 4/17/2015 4.23.15 Allied Marine Contractors, LLC McLeod B of A 7363 $250.00 major fee, TB, 4/21/2015 4/21/2015 4.23.15 4.23.15 Kayla Midgett Backwater Marine Construction Inc same Frank Pope Marine Federal Credit Union BB &T 185 1889 $200.00 $200.00 GP 65170D GP 64601D 4/21/2015 4.23.15 Clements Marine Construction D Logan First Citizens Bank 3779 $300.00 GP 64612D @ F and S Marine Contractors Inc_. Clarence Richardson Jam Properties/Dan Smith transferred from Lucien Ellison MP 65-07 rent 4/22/2015 4.23.15 Williams PNC Bank 4450 $400.00 GP 64611D 4/22/2015 4.23.15 lWillie Town of Holden Beach BB &T 5995 $2,000.00 GP 65122D @ James and Jane Warren GP 65190D C Mable Buchanan GP 65191D @ Elliott W. and Francis H. Shaver GP 65192D @ Judy H. and Paul C. Starks, Jr. GP 65193D @ 4/23/2015r4.27.15 Thomas Power Systems, Inc. Island Homes by Ken Kisler LLC order for Brandon Grimes Thomas Besedin B of A 3426 $200.00 NOV 15-06D 4/23/2015Custom William Crkcher CresCom Bank 3317 $200.00 GP 6206 E. Yi 4/23/2015Money Donald Howell Wells Fargo Bank 17-182261643 $300.00 GP 65182D @ 4/23/2015Money order for Brandon Grime_ s Michael Kurich Wells Fargo Bank 17-182261642 $500.00 GP 65183D @ 4/17/2015Kimley-Hom & Assoc., Inc. Neck Homeowners Assoc., Inc Marine Terminal, Inc City of Wilmington -Heide Trask Bridge Walkway Wells Fargo Bank 2159574 $400.00 major fee, NH 4/24/2015Porters same North State Bank 394 $400.00 major fee, NH 4/24/2015Carolina Aftamar Inc. PNC Bank 26651 $100.00 mod fee, 46-9 4/24/2015 4.27.15 APM Construction, Inc. 508 Tradewind appl. South State Bank 1517 $100.00 minor fee, Nal 4/24/2015 VCC, Inc. Irvin Ray McDonald, Jr. Clements Marine Construction 110 Sanford Street BB &T 3372 $200.00 T 4/24/2015 4/27.15 same Charles Schwab Bank 1018 $200.00 GP for 996 Gr 4/27/2015 4.27.15 Anthony Jeffs First Citizens Bank 3767 $250.00 major fee, PN 4/27/2015 Merril LeMoine or Louis LeMoine same B of A 115 $100.00 minor fee, NIT' 4/27/2015 4/27/2015 - Quartermaster Store @Marker 90 Coastal Marine Piers Bulkheads LLC R. Baxley Paul Sommers TO Bank Wells Fargo Bank 917 20169 $400.00 $200.00 major fee, 571 GP 64613D IC Division of Coastal Mgt. Habitat impact Computer Sheet pplicant: Illu ( �v"fwr 1 Permit #: 2 ate: 1//Z ) 1,5 escribe below the fund in your Habitat abitat Name HABITAT disturbances for the application. code sheet. All values should match the name, and units of measurement 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 aammount TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts).amount FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact DISTURB TYPE Choose One Dredge ❑ Fill ❑ Both ❑ Other�] Dredge ❑ Fill ❑ Both ❑ Other K- Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Z4� / 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 0 Both ❑ Other ❑ AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Applying for Permit: (�, ( �� A� Mailing address: Phone Number: 20 ) - 6230 - �2541q I certify that I have authorized rt , r Agent / Contractor to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of Q CA .- e, at my property located at . 2 tl in A3 e-:> PYa �o V r-"' County. This certification is valid through Date (Property Owner Information) Signature EC2 Pt of Print or Type Name Title ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent toy, ��,�,,., r�s 's �n r(Nm ae of Property Owner) property located at � %.1''c�, (( (Address, Lot, Block 00, eli;r) on �� a�n,:.��.. 4 % , in ��t �r-r. �c r �� ^j 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) 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.) GL2 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Prop e Owner Information) (Adjacent Property Owner Information) Si Qture-J Signature Print or Type Nafne Print or Type Name ee ,:t:. A,J-J ...... .. . . . A ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ 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. 1. icle Addressed to: Al(- uric 10i'ller 6 1 o dri. �cQ �� y� �Ee of fl e )VC 2ff3ob A. Signatu �� X ❑Agent ❑ Addressee B. Received by (Printed Name) C. Date of Delivery Q N , 0 D. Is delivery address different from Rem 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article 7013 3020 0001 5070 0056 (transfers/er fromm service /abed PS Form 3811, February 2004 Domestic Return Receipt 102595,02-M-1e40 ; CDaits MHCDO Tyler Crumbley LPO DW Review F7