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Home My WebLink About64799D - WoodardCAMA / L i DREDGE &FILL `(��/ 6 4' V r iENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue El 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 Q 7 ❑ Rules attached Name. I CSC. 1A1 00 f G State AIC-- ZIP 7Y'11' 1' 36t�F�a`x # O .d Agent ❑ CW ❑ EW W PTA ❑ ES ❑ PTS ❑OEA ❑HHF ❑IH ❑UBA El N/A ❑ PWS: ❑ FC: es /`; PNA yes / no Project/ Activity (/r Crit.Hab. yes eD Project Location: County r Ef4 E l>:.. Street Address/ State Road/ Lot #(s) t-To ¢ CA-,9ot 1gA 40t VO Subdivision City -ky`2.4 t (i ('C e-�ZIP- ? t Phone # ( �� River Basin CFi Adj. Wtr. Body A Li (nat /n Closest Maj. Wtr. Body T�l�S.t-/ C 5;,i V a ✓L� r / � � � (Scale: / '� 0 IenQth /� �U �.OE■E■■EH■ ,.. "=-'=��ia■��►�■�i■1■■■■■■N rs IN EEI■.•MM Ua 'J■■-th ■■■N■E■i■■■E�lwr�w��■EE■■■■ ber ■■■■■■■■■�w■��i�■■■■■ 1E■ ■E■■■■w■■■■■■■ No Oman i■■�m■■■■■■■■■■■■ Riprap length— ■■■■■ ■■■rli ■1!�I■ E PT',V No NE ■■■E■■IM Oistance offshore 0 id 'VA distance offshore_ ■■■■■■ ONE EEinnel ■■■■ Ir7 ■■■■■E■■■■■■■■ ■■ON■■■■■i■■■■■■■■■■■II■I■ ■■■■■■■■■NE■■■ ■■■ONE ■EEll ■■■■■■■■■■■II■I■■■■■■■H MEN■■ ■■■■■■�w■ti■■■■■L! E■■■■L!■1! ■■■E■■�1■■■■�■■ yards ■w■mom ■■■■■■■■■■ ■■■1■I■ ■■■■■ IEEE■ N NNMEIN NEw■■■EE■E■ E■■■■i■■■EEm ■EO■■N■O■■■■■E■■N■IE■■E■ ■■■■■■1■■■E■■ ■ENE■■■■■■INEENEII ORION ■■■ ■■ENE■INE■■EE■ EMEO■■■■■I■UMWFAE■i;77■■E■ ON■■■■■■E■■E■■ dozing ■FOND■NEE■Iilrl,3113iiip,3101=0Yw�swimi■1E■■E■ E■■■■■■■■■O ■■■E■�E■SEE■■■■■■■■■■■■■ EE■EEIN Etl=■ENE= :2i■■!i ME■EEE■■OE■ ■NEN■E■EwNE=■ MEN ■■ION ■■I■■OOO■NONE■ E�■IEEE■■NON■■■E■ - 0■■I■il■EOEE■NOSH . E■.ca_ IsE11011■.�s: ' ;� ELM wwic:.:.�r..::��.�,�•�„��ri■iiiiiiliiiililr�ia�lilliNE■ FEE■■NEE■ESE■EIIE■!n■IrEEE■E■■E■Ei■�EE■■N 14110mi MEN 111MR&I'lar'llaimE■■■MAP. r . EMEN EEMEMO E■■■E■MO■■E■■EEE■Ew■ENOO permit may be required by: / I f'U/QLr lP�t ' cl-1 .See note on back regarding River Basin rul .,.. ... ... ..... .. _ 8/21/2015 8124/15�st Assembly _ P yP_ .......,a...�� John Aldridge for NC Baptist Assembly _ _ �,�o� oa�� b First Citizens Bank U 1 �— 5436 aouu uu ur oaisau �g GP 64740D @$2 $100, 00 renewal fee, MID: M1/2015 8/24/15 Johnnie S Hawkins Jr S ecial River Woods c/o Steven Woodcock Wells Faro 393 $400.00 major fee, 1 mile 8/2V2015 8/24/15 John King Butch Saunders NC State Employees Credit Unior 1428 $200.06,GP 64786D 8/24/2015 North Carolina Coastal Federation same First Citizens Bank 15880 $475.00 major mod MP 2E 8/24/2015 Christopher Lutterloah Sr same BB &T 11651 $100.00 renewal fee, PM ' 8/24/2015. Donald and Joanna Reich same BB &T 5294 $100.00 minor fee, 209 Ca 8/24/2015 Bald Head Island Limited LLC Bruce Marek, representative First Citizens Bank 1523 $100.00 renewal fee, MP 8/24/2015 Bald Head Island Limited LLC Bruce Marek, representative First Citizens Bank 1522 $1Ob. o0 renewal fee, MP _8/24/2015 Pippin Marine Construction LLC _ Chris Hughes _ Wells Fargo 3483 $200.00 GP 64795D 8/24/2015 Edwin or Sandra Bartlett _ same US Trust 7167 $250.00 major fee, 44 Peli 8/25/2015 Bald Head Island Limited LLC Bruce Marek, representative First Citizens Bank 1521 $100.00 mod fee, MP 172• 8/25/2015 Lanier Family Limited Partnership Donna Lanier _ B ofA 34483 $200.00 GP 1161 Spot Lai 8/25/2015 LLBBD, LLC David Jones Four Oaks Bank & Trust 1283 $200.00 GP 64761 D 8/25/2015 Connaway Marine Construction 7 jB of A 1069 $200.00 GP for Lot 20, Thi 8/27/2015 Waterfronte Villas Owners Association same North State Bank 1721 $100.00 mod fee, MP 84-C 8/28/2015 Joseph and Lara Milligan ? NewBridge Bank 6197 $200.00 GP for 1244 Rival 8/28/2015 Paul J. Schadt same 4962 $100.00 minor fee, 840 Ca BB &T NC ivi ion f Coastal Mgt. Habitat Impact Computer Sheet Applicant: the Date:gDescribe below HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FII (Applied for. (Anticipated final (Applied for. (Ai DISTURB TYPE Disturbance total disturbance. Disturbance dis Habitat Name Choose One includes any Excludes any total includes Ex anticipated restoration any anticipated re: restoration or and/or temp restoration or ter tem 'm acts) impact amount) ternimpacts) arc Dredge ❑ Fill ❑ Both ❑ Other ID Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date S - /I'IS Name of Property Owner Applying for Permit: d44 Mailing Address: ,5gl q Gt JO vt W&CW 1-,ot-n e s I certify that I have authorized (agent) r!em� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) L at (my property located at) %D Ca roll"ncZ Ve This certification is valid thru (date) LK- 31- /6 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOA TLIFTIBOA THOUSE) I hereby certify that I own property adjacent to GK W B,&,61 is (Name of Property Owner) property located at / 7 t, Caro l ^e4— 61 Vd< &*x,4 c� /(Lot, Block, Road, etc.) on44�2n2(! , in / cpSc Rea.,- , N.C. (Waterbody) I(Town and/or County) Applicant's phone #: Mailing Address: 59(t( AAhbew A)&yC1,?- 4/11<m,416tu r NG 784j042 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive LL rn� n.� I'Ate�wi h to waive that setback requirement. ------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) -------------------------------------------------------- (Information for Property Owner Applying for Permit) •------------------------------------------------------- (Riparian Property Owner Information) Mailing Address R Signature ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBffOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to wasoi" property located at _� on 0 A6L cf 50cJn 0� (Waterbody) Applicant's phone #: (Name of Property Owner) C a-rO l vlo - 6(V-Cf (Lot, Block, Road, etc.) in 10 P 5gu '/ (Town and/or County) Mailing Address: I N.C. He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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.) V I do not wish to waive I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) -------------------------------------------------------- (Information for Property Owner Applying for Permit) Mailing Address •------------------------------------------------------- (Riparian Property Owner Information) �� `` Signature WELLS arine Insurance C PO BOX 2320, Wilmington, NC 28402 PH: 910.208.9120 FAX: 910.795.2512 Website: www.wellsmarineins.com WATERCRAFT INSURANCE APPLICATION __7 r REGISTERED OWNER / DBA OR LEASEE - NAME(S)MARITAL STATUS RESIDENCE Richard Woodard 0 MARRIED ❑ SINGLE SOWN ❑ REi PHYSICAL ADDRESS CITY STATE ZIP 1114 Waltonwood Ln Wilmington NC 28409 VAILING ADDRESS (IF DIFFERENT THAN PHYSICAL) CITY STATE ZIP HOME PiitiNE CELL. PHONE FAX NUMBER EMAIL ADDRESS 910-622-1364 rick@woodardinsuranceagency.com RIVERS LIC. NO. STATE DATE OF BIRTH OCCUPATION S.S. s _ 00'y0 o S C m s'—F jw& C.D. 1 2-3 Y r Y -S' USE OF VESSEL ❑ CHARTER ®PLEASURE,.____ —T C TYPE OF VESSEL _ ❑CRUISER/ MOTOR YACHT ❑SAILBOAT ❑FLATS SKIFF I 013ASSBOAT ❑RUNABO— TT ®CENTER CONSO YEAR LENGTH -014 ] 34 ❑SPORTFISH ❑PONTOON ❑AIRBOAT ❑ PWC ❑TRAWLER ❑ MANUFACTURER MODEL HULL MATERIAL BEAM WEI Cobia _ 344CC F NAME OF YACHT REG./DOC. NO. HULL I.D. NO. CBACV003C414 PURCHASE DATE PURCHASE PRICE NEW REPLACEMENT COST DATE OF LAST SURVEY 5(2015 $ 198,000 1 $ i ®GAS + REF MFG AND MODEL ENGINES H.P. EACH MACHINERY EEA ❑ DIESEL � Yamaha 350 ` i 2014 2 r11aX _ _ SERIAL N0.6AXX1005711 SPEED TYPE OF DRIVE NOB ❑ IB ❑ 10 ❑ (Er DRIVE SERIAL No. 6AWX1009010 15 ❑ SURFACE DRIVE SERIAL NO. `_ GPS / SAT NAY / LORAN ❑ HIGH WATER ALARM ❑ TRAILER BALL OR AXLE LOCKS ® VHF / SHIP TO SHORE ❑ CO DETECTOR ❑ ANTI THEFT DEVICE EQUIPMENT ® DEPTH FINDER ❑ OB/OUTDRIVELOCKS ❑EPIRB N RADAR ❑LIFE RAFT ❑ AUXILIARY GENERATOR N CHART PLOTTER ❑ AUTO CO2 OR HALON ❑ FUME DETECTOR v` YEAR � MANUFACTURER SERIAL NO. TRAILER ILDINGHY 2014 Ameritrail YEAR LENGTH MANUFACTURER 4DJAB3437EA008312 SERIAL NO. i DINGHY ENGINE YEAR 1 H.P. MANUFACTURER SERIAL NO. UOt.l. VALUE REQUESTED (inc. $198,000 MEDICAL PAYMENTS ® YES ❑ NO en ine( s &electronics — _ _ice HULL DEDUCTIBLF REQUESTED E31% ❑ 2% ❑ 3% ❑ 4% ❑ 5% UNINSURED BOATERS ® YES ❑ NO _ ❑ S100,000 El $300,000 TOWING ® YES [:)NO ❑ SS00,000 ® $1,000,000 LIABILITY LIMIT REQUESTED i DINGHY VALUE (inc. $ ❑OTHER S engine) PERSONAL EFFECTS $ 25,000 TRAILER VALUE $ 12,000 OPERATING PERIOD (ALL USES OF VESSEL) DESCRIBE ALL WATERS NAVIGA"FEU AND MAXIMUM MILEAGE UttSHURE YEAR ROUND ❑SEASONAL S[ John, NB to Pensacola, FL incl Bahamas. North of FL 1 N MARINA NAME OF MARINA (IF APPLICABLE) e _ . 10ORING LOCATION tc COUNTY OF MOORING LOCATION N_wtlanover LAY-UP LOCATION %A%1L0I LAN-UPLOCATION ❑ PRIVATE RESIDENCE Masonboro YC TYPE ❑OTHER MOORING ADDRESS CITY 609 7'rails_End Rd Wilmin on VESSEL IS STORED (DURING SEASONAL LAY-UP) WARRANTED LAY•U ❑ ASHORE ❑ AFLOAT FROM ADDRESS l CITY P GA border 6 1-11 15 ❑ SLIPPED ❑ MOORING ® LIFT ❑ INSIDE RAC} ❑ TRAILERED ❑ OUTSIDE RA STATE ZIP NC I 2840E PERIOD (MM/DD) Ex. 11/1 to 4/1 TO STATE ZIP WATERCRAFT INSURANCE APPLICATION CONTINUED IS VESSEL BEING HELD FOR SALE? IS VESSEL USED FOR RACING? IS VESSEL USED AS A UVFABOARD ❑ PRIMARY RESIDENCE ❑ YES ® NO ❑ YES_ ONO ❑ YES 0 NO ❑ SECONDARY RESIDENCE ;FYPF VEHICLE USED TO TOW BOAT: AS THE VESSEL, ENGINE(S) OR OPERATING EUIPMENT BEEN MODIFIED OR ALTER ROM ORIGINAL STOCK CONDITION? ❑ YES (PLEASE EXPLAIN IN REMARKS)" HAS ANY NAMED INSURED EVER BEEN CONVICTED �ARS? ING VIOLATIONS IN THE LAST THREE, HRE AVE YOU EVER BEEN REFUSED INSURANCE OR V ff A FELONY? NCELLED? cr4C❑_YES PI.F.ASE EXPLAIN IN REMARKS NO LEASE EXPLAIN IN REMARKS NO ❑YES PLEASE EXPLAIN IN REMARKS NO ❑ YES (PLFrtSE EXPLAIN IV REMARKS} NO , <Ptt1 (J111S3VF.SSEIS OWNED OR CI]� _. � . �f� Vessel # YEAR LENGTH"MANUFACTURER # YEARS OWNE -T—CoWNED ❑ OPERATED ❑ OWNED D OPERATED ❑ OtvNF.D ' i OPERATED I _Q YEARS 130ATING EXPERIENCE ARE YOU A LICENSED CAPTAIN? YRSLICENSI VE YOU COMPLETED A BOATING SAFETY COURSE7 ❑ YES 2WC Q + ❑ YES ® NO F YES, PLEASE INDICATE: ❑ USPS [I USCG [I USCG AUX [I AS _3 LS VESSEL O1VNF.R OPERATED? DO YOU EMPLOY A CAPTAIN? DO YOU EMPLOY CREW? HOW MANY? CAPTAIN & CREW COVERAGE j ❑ YES [INO ElYES ® NO j F1 YES ® NO REQUESTED? ❑YES ®NO I I mCT annirinmAll.OPPRAT(1RC RHLow o NAME DATE OF BIRTH DRIVERS LICENSE YRS. OPERATING USCG LICENSE BOATING CLA �. NUMBER & STATE EXPERIENCE ❑ YES ❑ NO Cl YES ❑ N Z� El YES ❑ NO ❑YES ❑ N I i " �1'1115 SEC"llt)Fit MUJ 1- I3C LUMYLGi>:U it' V CJJCt. LJ t,rUttt I ttttcv� OF �( RIIiE: Tl I'ICAI. CHARTER IN DETAIL - DESCRIBE HOW VESSEL IS USED - BE SPECIFIC ON TYPE OF CHARTER AND AVERAGE LENGTH OF TRIP 4 YRS IN CHARTER BUSINESS MAX #i PASSENGERS AVG. NO. PASSENGERS PER CHARTER SIX PACK COAST GUARD INSPECTED I ❑ YES I ❑ NO ❑ YES ❑ NO n CHARTER DAYS PER YEAR DO YOU CHARTER DO YOU SELL OR t DO YOU SELL OR DO PASSENGERS. SWIM ❑ ❑ OVERNIGHT? SERVE FOOD? SERVE ALCOHOL? ❑No SNORKEL ❑ YES ❑ NO ❑ YES ❑ NO 1 D YES ❑ NO _ SCUBA ❑ _ NAME PERCENTAGE TITLE DO YOU OPERATE USCG LICEN OWNERSHIP _ VESSEL — --- ❑ YES ❑ NO ❑ YES ❑ 1 - D YES ❑ NO D YES ❑ I - — — ( [I YES ONO D YES ❑ AUDI] JUNAL INJUHhU / t.CK I IFItA I G nVLUr.K / LV33 rttzZc inrvmmAi IVIN _^ NAME LEASE ATTACH ADDITIONAL SHEEP IS IF MUH5YAca lb NLr.Vr ADDRESS: STREET, CITY, STATE, ZIP V INTEREST Bank of the West PO Box 513 Amelia, OH 45102 ❑ Ai ❑CERT HOLDER ® LOSS PAYEI j ❑ AI ❑ CERT HOLDER ❑ LOSS PAYEI %— CIA] ❑ CERT HOLDER ❑ LOSS PAYEI DATE O the aroducer) signature veeMes that all of the information on the application tib,T PRODUCER (AGENT) SIGNATURE I DATED i obtained by me from the applicant and that I have no reason or basis to believe 4 the information is anything but truthful Any person who krowrngly and with intent to defraud any insurance company or another person files an application for insurance contairing any materially false information, or c for ft purposes of misleading, information concerning a fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil 910.795.2512 WELLS www.welismarineins.com .rine Insurance HURRICANE PREPAREDNESS PLAN This document shall serve to provide an overview of your hurricane plan. Please keep a copy of this document for your records. Applicant/insured information: Name: �r �� L✓��ci� �� Watercraft: !�7 &�4« 3 Y Year: Z0t�/ Name and complete address of primary mooring between 6/1 and 11/1: �7' Name and complete address where boat will be moored/stored when watches or warnings are issued: ��soe� r� a_ )/,--, h r CfleS v'A4,ce,-. �Z)71 /��r�s i�r-e.Cod�/ Description of storm mooring (check all that apply): ❑ Marine/commercial Storage ❑ Residence ❑ Anchored in "Hurricane Hole" ❑ Ashore in covered building ❑ Ashore outdoors ® On Boat Lift ❑ In dry stack ❑ On blocks/stands On Trailer ❑ Afloat in slip ❑ Afloat on mooring ❑ Afloat cross -tied in a channel ❑ Other: Please consider the questions on the next page, and then describe your detailed plan `here: i2/l}o.v.TaT�LJ EGG STrr► v4_ cvrr�-�,�' (j' /LAG Z- G(< � Gfi,�-� i' µ� ✓` USCG CGMIX National Vessel Documentation Center Documentation Search Results Pa... Page 1 of 1 United States Coast Guard National Vessel Documentation Center Work Packet Inquiry HOME WORK PACKET SEARCH CONTACT US FEATURED LINKS Skip Navigasion Official Number: 126M5 Vessel Name: COVERAGE HIN: CBACV003C414 Hull Number: No Data Found Work Ko m Type: Initial Application File Date: Wednesday, May 20, 2015 Work Item Received By: Mail Last Update: Sunday, August 02, 2015 Data updated nightly. Your paperwork may have been received, but not yet scanned Into the system. If your query returns no data, please check back again tomorrow. To cmeok current Case Processing Dates, please dick t>ere. DISCLAIMER Unauthorized attempts to upload or charge inlbrmehon on this wee s►te is shtctiy prohibAW and may be punishable under the Computer Fraud and Abuse Act of 19M and the National Information lndastivatum Protection Act. �lf c I } t 1 i } I tii t } I I I L��r J7