64737D - Sutherland

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1CAMA / ❑ DREDGE & FILL ( ;� 64
aENERAL PERMIT Previous permit#
✓(slew -]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
Ized by the State of North Carolina, Department of Environment and Natural Resources • ' �``
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 2L`
�� ules attached.
t Name ( Y IL ✓' 11 Project Location: County i(iitSVo Lb-
'' r T Street Address/ State Road/ 9�'
s)
State G ZIP Z' 11 Lk, � aA Ci1 ) 1 Fax # () Subdivision N A
ed Agent TN&� City �S ZIP
❑ CW Jn EW PTA ❑ ES ❑ PTS Piiol e # ( River Basin 1
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body AIA OJ (natei
❑ PWS: ❑ FC:
yes PNA y / no } Crit.Hab. yes no Closest Maj. Wtr. Body
no JAJ
U�J
/ r
Project/ Activity
:k)
X
igth
nber
i/ Riprap length_
distance offshore
x distance offshore
cannel
)ic yards
ip
se/ Boatlift 1�
jll��x
Length ..2U
not sure yes no
s: nonsue yes no '' '
ium: yes no
. no
l
\ttached: Yes o1
rig permit may be required by:
(Scale: t (/
❑ See note on back regarding River Basin r

7/16/2015 7/24/15
7/17/2015 7/2o/15
7/17/2o15, 7%20/15
7/17/2015 7/20/15
7/2015 7/20/15
Morgan or Erica Mehler
Stanley or Sharon Stubbs
Richard or Sharon Love
Antinori Construction, Inc.
Holden Dock & Bulkheads
Highland Shores HOA Park Sterling Bank 1017
same B of A 4859
same _ Wells Fargo Bank 1434
Chris Mohr B of A 3780
Anna Odam & Rufus Yates CresCom Bank 2181
$100.00 renewal fee, MP 1
$200.00 GP for 1304 Carol
$200.00 GP 64712D
$200.00 GP 64715D
$200.00 GP 64697D
7/2015 7/20/15
Atlantic Coast Industrial LLC
David Brinkley
BB &T
11791
$200.00 GP 1400 Point Ha
0/20157/24/15
r
Money order from Brandon Grimes
Patricia Welfare
Wells Fargo Bank
17-213876632
$200.00
GP 64717D
0/2015 7/24/15
Robert or Candace Rice
same
BB &T
10394
$200.00
GP 65041D
7/2212015 MHCD
River Bluff Holdings LLC
same
7
1121
$100.00
renewal fee, MP 6
7/22/2015 7%24H 5
Richardson Construction
Michael O'Hem
BB &T
6063
$600.00
GP 64696D @$2(
GP 64700D @$2(
GP 64699D @$2(
Lennon Smith
Genevelve Cassese
7/22/2015
7/24/15
Backwater Marine Construction Inc
Matt Hendrix
BB &T _
2017
$200.00
GP 64701 D
7/22/2015
7/24/15
Clements Marine Construction Inc
David & Ann Sneeden
First Citizens Bank
3856
$200.00
GP 64756D
7/23/2015
7/24/15
Coastal Earth Works Inc.
Rick Edwards
First Bank
4236
$200.00 1
GP 64734D
7/24/2015
7/29/15
Town of Oak Island
same
BB &T
59968
$100.001
mod fee, MP 152-
7/27/2015
7/29/15
Waterfronte Villas Owners Assn./CAMS
same
North State Bank
1703
$100.00 1
transfer fee, MP 8
7/27/2015
7/29115
Logan Marine LLC
David and Diane Rodger Corning Federal Credit Union
James Bresee First Citizens Bank
CJL Partners, Inc _First Ctizens Bank
CA Partners, Inc First Citizens Bank
Rudy Warren Wells Fargo Bank
same PNC Bank
Orlando Powell B of A
John Johnson B of A
SunTrust
Rob Buckfelder PNC Bank
River Hills POA LG Federal Credit Union
Mark Sutherland First Bank
1208
$200.00 JGP
64777D
7/2712015,
7/29/15
Charles Riggs & Associates Inc
14102
$100.00
minor fee, NTB, C
7/27/2015 7/29/15
Charles Riggs & Associates Inc
14099
$100.00
minor fee, 1538 S
7/27/2015 7/29/15
Charles Riggs & Associates Inc
14100
$100.00
minor fee, 120 N.
7/28/2015'
7129/15
Trip Pippin
8579
$200.00
GP 64778D
7/28/2015
7/29/15
Thomas or Sandra May
670
$250.00
major fee, 19 Bah
7/29/20151 Antinori Construction, Inc.
7/29/2015 Lighthouse Marine Construction Inc
7/29/2015 David Cronick
7/29/2015 IF and S Marine Contractors Inc.
3797
$200.00 GP 64757D
5479
$400.00 GP 64759D
3218
$100.00
$200.00 GP for #3 Jib Roa
$200.00 GP 64682D
4690
7/30/2015
7/30/2015
Chad or Beth Ann Hicks
3762
JRW/RDW Inc
20422
$200.00 GP 64737D
>z

WC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: AML 5UKty"-(a-^A
Date: /
Permit #: C 4` -31-
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 ❑ Fill ❑ Both ❑ Other
�$
g
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 C7 Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

A 4
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
arly Eaves Perdue Braxton C. Davis
ernor Director
AGENT AUTHORIZATION FORM
Date: 7 --� / —1
of Property Owner Applying for Permit:
Ws Mailing Address:
l i PNT a�w
Number (704- S� h � 5065
Dee Freer
Secret
Name of Authori ed , Agent for this project:
Agent's Mailin Address:
Phone Number (7L/ )�1v `"�'
fy that I have authorized the agent listed above to act on my behalf, for the purpose of applying
d obtaining all CAMA Permits necessary to install or construct the following (activity):
iy property located at
ertification is valid thru (date)
Property Owner Signature
Date

USPS.com® - USPS TrackingTM
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USPS TrackingTM
Tracking Number: 70150640000028786187
Updated Delivery Day: Saturday, June 6, 2015
Product & Tracking Information
Postal .Product: Features:
Certified Mail'
DATE 8 TIME STATUS OF ITEM
a
June 10, 2015, 3:29 pm Delivered
aUSPSCOM,
LOCATION
NEWTON
CENTER, MA 02459
Your item was delivered at 3:29 pm on June 10. 2015 in NEWTON CENTER, MA 02459.
June 6. 2015 12:53 pm
Notice Left (No Authorized
NEWTON
,
Recipient Available)
CENTER, MA 02459
June 6. 2015, 8:36 am
Out for Delivery
NEWTON
CENTER, MA 02459
June 6, 2015, 8:26 am
Sorting Complete
NEWTON
CENTER, MA 02459
June 6, 2015, 8:12 am
Arrived at Unit
NEWTON
CENTER, MA 02459
June 5, 2015, 10:45 pm
Departed USPS Facility
BOSTON, MA 02205
June 5, 2015 , 1:35 pm
Arrived at USPS Facility
BOSTON, MA 02205
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Mark L. Sutherland
Address of Property:
Agent's Name #:
Agent's phone #:
11 Leland Street
(Lot or Street #, Street or Road, City & County)
West Dodos
��
Mailing Address: P.O. Box 1532
Shallotte, N.C. 28470
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 ark 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
(DC* in writing within 10 days of receipt of this notice. Contact information for DCM offices is
avaAable at htto.lAvww nccoastalmanagement.netlweblcmistaff-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)
S�
Mark L. Sutherland
Print or Type Name
11718 Egrets Point Dr.
Mailing Address
Charlotte, N.C. 28278
City/StatelZip
(Ri i Property Owner Information)
Signature
George Ma ow
Print or Type Name
1201 Melton Court
Mailing Address
Raleigh, N.C.
City/State/Zip

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Addressed to
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3. Service Type
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❑ Certified Mail Restricted Delivery
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❑ Collect on
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❑ Signature Confirmation
7 015 0640 0000 2878
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Restricted Delivery H C DO
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Domestic Return Receipt
Tyler Crumbley
LPO