64760D - Toth

1 CAMA / DREDGE &FILL "\ 'J \� 64
'ENERAL PERMIT Previous permit#
New --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 15A NCAC
❑ les attached.
Nam Li �f(ri Project Location: County OK Ss w
--7 Street Address/ State Road/ Lot #(s)
State ZIP--� L 2,---1 -/ Z� 6412A'O W'a
Fax # ( ) Subdivision
Bd Agent I A i f �/ City y v f f ZIP
❑ CW /)� EW ,,PTA ❑ ES ❑ PTS Phone # ver Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC: Adj. Wtr. Body .�Q'NA � SG nat"
res� PNA y no Crit.Hab. yes n0
Closest Maj. Wtr. Body -SO u Li
Project/ Activity
i/
k) length
/0 ,$)yD
ar(s)
h
�r
/ Ri�rap length
distaNe offshore
c distan�e offshore
annel
i
is yards
P
e/ Boatlift
I
Ildozing
VA
Len -
not sure yes no "
not sure yes rfi
L_
lm: n/a yes `n
ttached:
g permit may be required by: V/
�J6AIC: / , '-4
❑ See note on back regarding River Basin ru

�c..m.cv .cv
7/16/2015 7/24/15
7/17/2015 7/20/15
7/17/2015 7/20/15
7/17/2015 7/20/15
7/17/2015 7/20/15
7/17/20151 7/20/15
v..c..n ..v... �..v...
Morgan or Erica Mahler
..v...c v.. c.......------
Shores HOA
same _
same
Chris Mohr
Anna Odam & Rufus Yates
David Brinkley
Patricia Welfare
same
same
Michael O'Hern
Lennon Smith
Geneveive Cassese
Matt Hendrix -BBB
David & Ann Sneeden
Rick Edwards
same
same
David and Diane Rodger
James Bresee
CJL Partners, Inc
CJL Partners, Inc
Rudy Warren
..,....v.
Park Sterling Bank
B ofA
Wells Fargo Bank
B ofA
CresCom Bank
BB &T
Wells Fargo Bank
BB &T
? _ _
BB &T _
&T
First Citizens Bank
First Bank
BB &T
North State Bank1703
Coming Federal Credit Union
First Citizens Bank
First Citizens Bank
First Citizens Bank
Wells Fargo Bank
1017
4859
1434
3780
2181
11791
17-213876532
10394
1121
6063
2017
3856
4236$200.00'GP
59968
1208
14102
14099
14100$100.00minor
8579
$100.00'renewal fee, MP 1,
$200.00 GP for 1304 Caroli
$200.00',GP 64712D
$200.00 GP 64715D
$200 OO'GP 64697D
$200.00 GP 1400 Point He
$200.00 GP 64717D
$200.00 GP 65041 D
$106.00 renewal fee, MP 6;
$600.00 GP 64698D (d$20
GP 64700D @$20
GP 64699D @$20_
$206.00 GP 64701 D
$200.00 GP 64756D
64734D
$100.00mod fee, MP 152-4
$100.00 transfer fee, MP &15
$200.00 GP 64777D
$100.00 minor fee, NTB, O
$100.00 minor fee, 1538 S.
fee, 120 N. ;
$200.00 GP 64778D
_Highland
Stanley or Sharon Stubbs
Richard or Sharon Love
Antinod Construction, Inc.
Holden Dock & Bulkheads
Atlantic Coast Industrial LLC
7/20/2015
7/24/15
Money order from Brandon Grimes
7/20/2015
7/24/15
Robert or Candace Rice
7/22/2016
MHCDC
River Bluff Holdings LLC
7/22/2015
7/24/15
Richardson Construction
_
7/22/2015
7/24/15
Backwater Marine Construction Inc
7/22/2015
7/24/15
Clements Marine Construction Inc
5
7/24/15
Coastal Earth Works Inc.
15
7/29/15
Town of Oak Island
15
7/29/15
WaterfrorRe Villas Owners Assn./CAMS
7/29/15
Logan Marine LLC
Charles Riggs & Associates Inc
Charles Riggs & Associates Inc
Charles Riggs & Associates Inc
Trip Pippin
15
r
7/29/15
15
7/29/15
15
7/29/15
15
7/29/15
15
7/29/15
Thomas or Sandra May
same
Orlando Powell
John Johnson
Rand Nickerson
Rob Buckfelder
River Hills PDA
Mark Sutherland
same
same
same
Mary Miller
Pat Toth
PNC Bank
B ofA
B ofA
SunTrust
PNC Bank
LG Federal Credit Union
First Bank
Navy Federal Credit Union
First Bank
B ofA
BB &T
B ofA
670
3797
5479
3218
4690
3762
20422
293
1124
1664
4116
3812
$250.00 major fee, 19 Bah:
$200.00 GP 84757D
$400.00 GP 64759D
$100.00 transfer fee, MP 2-
$200.00 GP for #3 Jib Roac
$200.00 GP 64682D
$200.00 GP 64737D
i $200.00 GP 64736D
$200.00 GP 64779D
$100.00 renewal fee, MP 5!
$400.00jGP 6 - D
$200.00'GP 64760D
7/29/2015
7/31/15
Antinori Construction, Inc.
7/29/2015
7/31/15
7131/15
Lighthouse Marine Construction Inc
David Cronick
F and S Marine Contractors Inc.
7/29/2015
7/29/2015
7/30/2015
7131/16
Chad or Beth Ann Hicks
7/30/2015
7/31/15
JRW/RDW Inc
7/30/2015
7/31/16 1 Jason McEntarffer
7/31/15 James or Marie Warren
Robert or Alison Boswell
Coastal Dredging, LLC
Antinori Construction, Inc.
7/30/2015
8/4/2015
8/4/2015
_
8/4/2015
i

NC ,Division of Coastai Mgt. Habitat Impact Computer Sheet
Applicant:
Date: 1�
Permit #: % q--�-L D
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)
'.l
W
Dredge ❑ Fill ❑ Both ❑
0
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge [I 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 ❑

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to i✓t l �l ��l 1 l i 's
(Name of Property Owner)
property located at
(Address, Lo!,BtOck, Road etc.)
on in , N.C.
(Waterbody) ( ity/Town nd/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)
Drnwi1 U,cJuTed - "a,v, nl dt-ck,
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signa re
Pri or ape Name J
(Adjacent Property Owner Information)
Si mateG
a
e ame `�

ADJACENT RIPA
hereby certify that I own property adjacent to
Zg �
���� ti` ��e of Property Owner}
rroperty located at
(Address, Lot, Bloc oad, etc.)
m in N.0
(Waterbody) (City/Town and/or County)
I he applicant has described to me, as shown below, the development proposed at the aboN
ocation. [AECL, ✓EE
I have no objection to this proposal. DCM WILMINGTON
VRF E nave oojecuons to trns proposal. JUN 2 2 2015
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
'individual proposing development must fill in description below or attach a site drawini
� GuXz W zt1�1 a S ►'UU� k4{n cost Au-
Q L. L vj E w D ©G , Ctv �� Rev oTC Z C>) L}S i S � G t 4Z0 efZ S
�.C— to uv Z) .
VVAIVr-K Wa .I Ivry
understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be sl
)ack a minimum distance of 15' from my area of riparian access unless waived by me. (If yc
vish to waive the setback, you must initial the appropriate blank below.) I
I do wish to waive the 15' setback requirement.
9a �r- I do not wish to waive the 15' setback requirement.
Property Owner Information)
(Adjacent Property Owner
on)
'ignature
Ni�,►riuttvre
r� ► r a .

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