65057D - Seltzer

(CAMA / DREDGE & FILL VIA
�ENERAL PERMIT Previous permit #
New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
-ized by the State of North Carolina, Department of Environment and Natural Resources ��. �� ^C
.oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC C•U
OEA ❑ HHF ❑ IH
❑ PWS: ❑FC:
yes f% no PNA yesi/ no
Project/ Activity
❑ UBA ❑ N/A Adj. Wtr. Body C! nat
Crit.Hab. yes / no Closest Maj. Wtr. Body W
(Scale: I ;
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ig permit maybe required by: 1 UYy t W u XCLi� ( 1 �iC� l '�.. ❑ See note on back regarding River Basin rt

ENR CAMA Daily Check Log for WIRO
Date
Received
Check From (Name)
Name of Permit Holder
I Vendor
Check
Number
I Check
amount
I Permit NumbeN(
Allied Marine Contractors, LLC
Bleu Water
B of A
7154
$400,00 GP 65078D
2/2/2015 A'N'A Buildiers, Inc
660 Spot Lane
TD Bank
7072
$100.00 minor fee, Surf Cih
2/3/2015 Dawn Edwards Griffis
same
BB&T
229
$100.00 minor fee, SC 15-C
2/3/2015 Coastal Dredging, LLC
Clinton & Corinne Parks
BB&T
3752
$200.00 GP 65031 D
2/3/2015 Coastal Marine Piers Bulkheads LLC
Bill Scott
Wells Fargo Bank
19997
$200.00 GP 65092D
2/4/2015 Clements Marine Construction
Hamilton Wells, Charles Hocking
First Citizens Bank
3697
$200.00 GP 65088D
2/5/2015 Cape Fear Riverboats, Inc.
Riverside Partners
First Citizens Bank
48727
$400.00 major fee, Water
2/6/2015!Boatzright Inc.
Kevin Thomas
First Citizens Bank
1826
$250.00 major fee, NHCo.
2/6/2015 Overbeck Marine Construction Inc.
David Starbuck
SunTrust
4394
$400.00 GP 65095D @$20
Sean Crane
GP 65094D @$20
2/6/2015 John Anagnost and Kathleen Jewell
Same
Wells Fargo Bank
3794
$100.00 renewal fee, 128-1
2/11/2015 Ingram Bros., Inc.
Page
_First Bank
3980
$50.00 NTBEX 15-04
2/11/2015 James and Jennifer Lupi
same
SunTrust
4095
$100.00 minor fee, Surf Cit
2/11/2015 Wellman's Construction, Inc.
same
BB&T
12135
$50.00 SCEX 15-05
2/11/2015 F and S Marine Contractors Inc.
Sweeny
PNC Bank
4308
$250.00 major fee, NHCo
2/12/2015 Coastal Land Design, PLLC
Tidal Walk LLC
B of A
5023
$100.00 mod fee, MP 56-C
2/12/2015 Maritime Coastal Construction LLC
Ronald Knedlik
CresCom Bank
2047
$200.00 GP 65055D
2/12/2015 NC Coastal Federation, Inc.
Carolina Beach State Park/James Helms
First Citizens Bank
18154
$400.00 major fee, NHCo.
2/12/2015 Isenhour Construction Management, Inc
Isenhour Homes, LLC
Capital Bank
106596
$400.00 major fee, BrCo
2/12/2015 Cape Fear Engineering, Inc.
Port City Advisors, LLC
BB&T
25958
$100.00 minor permit SB 0
2/16/2015 Holden Dock & Bulkheads
Lockwood Folly, POA
First Community Bank
6134
$200.00 GP 65056D
2/1612015 Maritime Coastal Construction LLC
Sam Seltzer
CresCom Bank
2049
$200.00 GP 65057D

IC Division of Coastal Mgt. Habitat Impact Computer Sheet
)plicant: (% �-lj,'- Permit #: b5t)5- -b
ate:
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
,und in your Habitat code sheet.
abitat 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 fina
disturbance.
Excludes any
restoration andh
temp impact
amount)
J W
Dredge ❑ Fill ❑ Both ❑ Other
Zz
ZZ 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 ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
-� z3-- �-

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property/Owner Applying for Permit: j r'
Mailing Address:
a L,2- w1h
-T:� to le 1116e . sc_ S-0
I certify that I have authorized (agent) ( —Imas to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) W rAfq{r,,y" LZf" YPI eA - oerX
at (my property located at) l ZaaifGl Aq,-Pi 'S/- oceczh
This certification is valid thru (date) ? /
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Property Owner Signature
Date

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dc�e N�mbm se,ice ex lap 13
2 �rans{erfroo JU{120
PS � oCm 3
e items 1, 2, and 3. Also complete
Restricted Delivery is desired.
r name and address on the reverse
,e can return the card to you.
is card to the back of the mailpiece,
front if space permits.
Iressed to:
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A. Signature
X _(nt�),._,-,-KAgent
❑ Addre
B. R ceived by (Printed Name1 C. D e of eli
C� r , -
D. Is clelivery address different from item 1? ❑ Yes
If YES, enter delivery address below: No
3. Service Type
❑ Certified Mails, ❑ Priority Mail Express'"
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
4. Restrict-,' �� -- - --
�er ❑ Yes
nservice lab, 7014 2870 0002 2379 8415
1, July 2013 Domestic Return Receipt
CDaits
MHCDO
Tyler Crumbley F77-1