651295D - Vanlandingham

r Isame
Ma
IM
LLC
Henry Von Murray III
T' B
Andrew Bray
Mary Ann Tally
Inc
Orton Plantation holdings, Allen's Creek Bridges
Fi
Thompson
Fi
Thompson
Fi
Federal Credit Union
3013
$200.00
GP 54517D
of A
7366
$600.00
GP 64618D $200
GP 64619D @$200
GP 64620D @$200
same First Citizens Bank 1511 $100.00 mod fee, 199-87 check returned 5/7/15
an same NC State Employees' Credit Union 2806 $200.00 GP for Jordan
Joe Smith BB &T 19291 $400.00 GP 65138D
t Ruth Netherton & Vicki Jesse BB &T 4488 $200.00 GP 64603D
t Reaves, Corbett & Rowell Branch Banking and Trust Co 4629 $400.00 GP 64604D
vction Inc Jim Tobin BB &T 1911 $200.00 GP 64607D
G. Farmer Enc Christi McComb
BB &T
7151 $400.00
GP 64605D @$200
Harriett Howe
GP 64606D @$200
1895 $200.00 minor fees, SC 12-11 & SC 15-12 PNCo
1922 $100.00 minor fee, SC 15-13 PNCo
7198 $106.00 minor fee, NTB
576 $100.00 renewal fee, MP 65-10
5054 $400.00 major fee, BrCo
3869 $100.00 renewal fee, MP 120-08
6653 $400.00 NOV 15-07D
3386 $600.00 GP 64625D
7040 $100.00 minor fee, 3674Island Dr. NTB
3798 $200.001 GP 64621 D
1176 $200.00 GP 64624D
6162 $200.00 GP 64609D
2098 $400.00 GP 65186D @$200
stments LLC Lot 11 & 12 Peninsulas
stments LLC Lot 15 Peninsulas
Allan Funk
same
BB &T
BB &T
TD Bank
electronic transferfinvoice
B of A
LC Bald Head Island, Palmetto Bridge
lallis Eagle's Watch HOA
same
190 Yacht Watch, Holden Beach
Lynn & Michael Seel
fiction Inc Dorothy Medlin
in Priscilla Clark
an Charles Darsie & Sandra Cook
iction LLC Thomas Young
PNC Bank
First Citizens Bank
BB &T
B ofA
First Citizens Bank
BB &T
NewBridge Bank
CresCom Bank
Rick Billings
GP 65194D @$200
Kapkowski, Ronald William Yaniandingham
BB &T
5007090239
$400.00
GP 65195D

It Division of Coastal Mgt. Habitat impact Computer Sheet
pplicant: dl4V�AI kA`0�kjX0 4VV\' Permit #:
UMSD
ate: v
�111G
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
>und in vour Habitat code sheet.
abitat Name
DISTURB TYPE
Choose One
Dredge ❑ Fil4 Both El Other ❑
Dredge ❑ Fill Both ❑ Other ❑
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/o
temp impact
amount)
'5 t5 \
C2
Dredge ❑ Fill ❑ Both ❑ Otherix,
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 0 Fill ❑ Both ❑ Other 0

A��
NCDENR
North Carolina Department of Environment and Natural Resources
McCrory
vemor
John E. Skvada, I
Secretary
AGENT AUTHORIZATION FORM
Date:
ie of Property Owner Applying for Permit: Name of Authorized gen for this r%ect:
ier's Mailing Address:
g 67 H; c/co/1 eta Oc
ie
Agent's Mailing Address:
32 eFr �-� ark, s,�
Email:
rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining all CAMA Permits necessary to install car construct the following (activity):
-, 1QU 11L�gc
Illy property located at 3 � 6 7 14 ► C_� r,Ay� e c� �(
s certification is valid 1 year from (date)

I - ZW#ve-r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
ame of Property nerd)
property located at
r (Lot, Block, Wad, ad, etc.)
on cLyo , in c7 Ii y�� , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Mailing Address:
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(4) V1 e cJ �� l 1� (C d
Q61Ith
F�\
----------------------------------------------------------
(Information for Property Owner Applying
for Permit)
7 C ol-J,:V ✓ 0,
Mailing Address
- - - - - - - - - - - - - - - I - ----------------------------------
(Riparian Property Owner Information
Signature
l " .,1— r t ,r 2X Y-7 --,g--

Er04 Ewwwi'-�
17 ,