65190D - Warren

Date
Received
Check From (Name)
Name of Permit Holder
Vendor
Check
Number
Check
amount
Permit Number/C
4/16/2015'Archie McGirt and Janet Batten
same _
same
same
same
First Citizens Bank
7941
$600.00
bulkhead permit
4/16/2015I Mellinee and John Hunt
NC State Employees' Credit Union
3562
$200.00
GP 65139D
4/20/2015'.
4/20/2015
R. Burak Erem
B of A
719
$200.00
GP 65185D
Charles D. Carmen Jr.
Piedmont Advantage Credit Union
1029
$200.00
GP 65197D
4/20/2015
Southeastern Coastal Construction Co.
King
First Federal
9440
$200.00
GP 65198D
4/20/2015
Charles Douglas Wilson or Carolyn Wilson
same
TD Bank
4936
$100.00
renewal fee, MP 31
4/20/2015
Maritime Coastal Construction LLC
Thompson
CresCom Bank
2087
$200.00
GP boatlift 6393 M
4/21/2015
Coastal Marine Piers Bulkheads LLC
Tatum
Wells Fargo Bank
20158
$250.00
major fee, NHCo
4/17/2015
Allied Marine Contractors, LLC
McLeod
B of A
7363
$250.00
major fee, TB, PN
4/21/2015
Kayla Midgett
same
Marine Federal Credit Union
185
$200.00
GP 65170D
4/21/2015
Backwater Marine Construction Inc_ Frank Pope
Clements Marine Construction Dan Smith
Lucien Ellison
F and S Marine Contractors Inc. Williams
Charles D Carmen Jr same
Willie Clarence Richardson Town of Holden Beach
James and Jane Warren
Mable Buchanan
Elliott W. and Francis H. Shaver
BB &T
1889
$200.00
GP 64601 D
4/21/2015
First Citizens Bank
3779
$300.00
GP 64612D @$201
MP 65-07 renewal
4/22/2015
PNC Bank
4450
$400.00
GP 64611D
4/21/2015
Piedmont Advantage Credit Union
1029
$200.00
GP 65197D
4/22/2015
BB &T
5995
$2,000.00
GP 65122D @$401
GP 65190D @$601
GP 65191 D @$401
GP 65192D @$401
Judy H. and Paul C. Starks, Jr.
GP 65193D @$201

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: hw
� C V V UL V ��Y ► �i1/�-�
Date: 9/zt/6
Pe,mntt �Snc�
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
'ound in your Habitat code sheet.
iabitat 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 i
3 _()
3�
Dredge ❑ Fil Both ❑ Other ❑
5�
�O
Dredge ❑ Fill Both ❑ Other ❑
b
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 0 Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
-7,, 1t - - I7q "-- --I I -- C,--

CDENR
.`dal 6h Carc Tina G arlm. ent of Env Wment 9M Nat-drel Resources
UWWOn a: Nnastal &IRRIageMe
`4
Na ,e of Proporty Owner Arm y ng kor Permit "#c`1{rm�of AtlMori'#�.ed A tit rOr rks v4jecl..
Ow-tel's Mailing Arai ww
gerl :3 ! il,ing A:zmwo:
i c.!wb yr that I havo aut'loM"ed Ule Ven! l mj above to ad on my fo, Vsa rurposr: 4r anptpng
'%r and obtPJinmg al CAMA Permits n ; gaary is ;nsWl uT trW0*10 folkawing (a;1M;1'r;
(my or
his Qctd4..y _ht; is gated ttvt (dales _._._ ����.,._........ �..� .
?Pr-0-04/tariy Owner 8143natu re Dale

QRTIFIED :VLAIL -- RETIRV R CI;11'T 12 f1T ,,STF,T
DIV-jSj0',NI OF COASTAL N! LkN-,AGEMr, .N-T
ADJAUNT RTl'M� PROPER T Sr ONI; tFR .STATi• ill N,
,s
pxr rt located at I� 1 Game. of Proper ()Winer)
BI L s, Fz� ....? etc.;, ---
(Waterbody)
Apy?icant's phone = �}t�—/4] %% (fOwn and/or County).
He/Ste has :iLscr:l;-c; to a as s �
n'• rc'rVr_ below tlic- uevejcpm,ut he/si;e iS 17C1i �?$t1i 'T
aad I have, no objectiens to tine pr000sa'._ $i. E[:tt: i±3G2lt1CL�
DhS ..XP` I(W AiNIVOR DRA 'ING Ole PFzO'45 1� ;-'-Lt�Pt�
g7n�i��idutrl prop:�sing rlevetul:t�ient '7R 4.�n mustj`r11 indecr_ription below ur attach a site r.b-a �virc„)
'j to'j�
Uyci3 10 d objectians s of
to what is being p P y otiry .he DIVisioa or CUasta! 1anagea,tent �CIq) LI kvrifina
rt� osecl volt must
�►z:hin Itl ;1aya of receipt ,l thie r.ti±,ce. Ccrress r,aaeace s3to,,:d be mailed to L, (ttrliilai Drive ExtWUMiapon, NCft
Dt_"NI representatives can also be mntacted at (910) " 9G 2I5.
1'o resn6nSt i5 cr►;side.cr_! re same "s R-1 oh W='0n if vCu have i�een ttn ifiec3 t� Certifer3 ?Ylail
�l'roPex-ty Uwner Infflrrrtation;
-v ftI- ic � cx,
Maiiir. r ciclre - -- - --
(, Lipari n I''t-�.tp " Ow iaf natiUni
:.
r Kee
Pti;t r�r Type Tame
��r�. A] c,

CI RfiINI'D 1NI.�;�I;'RI�TiTTIR1\ RECEPT �`U0UESTLD
I)M,SION OF COASTAL
ADJACENT RT) ARIANr PROPERTY 4WIXER S'I.iVrL'N�:i�T
uric of Property Owner: _ ._ Pnen
1;1ess ofPropert✓7 _v 1 1 or,S-+
Lot or G -eet #, Stet or Road, City &
I
creby certify thnt i ow?► Property adjacent to tie a- Bove referenced property. I'he individual appjying for this ;aern t
desc bed to r me as ,;gown on the attached draw ug *he development tie -f sameproposing, p c.ie§qz Rti a!4f i- .
th din: pions zn b r�+til ed tiyt h ,h titter.
I have no object cans to this proposal. - T have objections to 4ti s proposal.
L
you have objections to what is being propostA you musi notify the Division Of C'a:vstal Management (DCl .t)
writing within 10 days of receipt if this notice. Correspondence should be trailed to 127 Cardinal Drive V.lct.
ilminaton, NC 28405-3845. DCI-F representatives can also be contacted at [phone]. No response: is
asidered the same as na ahiection ifvou ha -re been notified by Certified Mail.
W.iU-V- ,,R SECTIO
nti£erstand ti:at a pier, dock, I i o[i1t8 piliu8s, break -cater, boathouse- ur x ft zr•w be setback a jnininiiin; c'istance of
' Lout my area ofriparian access unless waived by me. tIf you yrisik to waive she sctbac c, you must initial t:�e
�:opriate blank belucv.;�
F�_ I do wish t t waive the IS' set back requirement
. I der ncrt wish.tc waive thea I5' set backk. reo-uieaTent_
'Operty Owiverinformati©n)
---� ' I D
�n�ra
n` or Type. Nw-atT
L-Lg Addres
Q- Ste- --�---
Iff fi ' Han .Pro :rty vnerJnfloxmat nn)
Print or Type Tame
'�aL i ma Address

C1RT; k'IED NDkIL RETL RECEI?T REI I TED
DINZSION OF COASTAL NYLiNAGEI4 E NT
A.DJACEr'I' RTPARLA.ti PROPERTY 0"A-WER STATFI%EN-f
1 hexeuy mashy _hot.I avrn property iiC:ja=-;t o,
} k ame of Property Owner)
property located at
(L i Blot:k, R d, etc_)
Oil IJ N.
(Waierborlv) (Town antd'or County)
� P,�"� _ `� g Ad6ress: Ali
Fe1Sae :as described to me as shv n below eac development belshe is proposing at the'. lacaticn,
F-id I have no oojecticas `o the pmposa .
DESUMITION ANWORDRA'WING OF PROPOSED DEVELOPMENT: ^
(Individual proposing development must]W in description below or attach a site drawing)
e-p,,c rI
"rIrAc�emw,,,tt.f "'k] LkeoA Loa
if gnu have objeeticus to,hat is being proposed, goo must notify the Division of Coastal Management (DCM) is writing
withiin Iu hays of receipt of this no ice. Ccrres; onjence should be mailed to 121 Cardinal Drive Fit Wilmington, NIC
I)CM representatives can also be contacted at i91Cj "96-:21�_
No rMgnse is Considered the sane as ro object -,cm i; vcu l:sve been 11-atiftect by Certified Mail
(Proper -by Owner luformationj
a. �
Sigr Lre
Z3� mQs Qr,, - P , -- . - --
Print or Type game
Mailirg �ddr -
(Riparis )pertj- Ownerluformationj
o. T•.-pe Nam-
�rfaili:tg A dress
C.Y }i�LUTi� �✓C ev
Cit1' ` Stat_ .' L!r

�a /I: u 1-
CERTIFIED M IL. — RETI; R!\ IC CEIPT REQUESTED
DIti7SION OF COASTAL _l'L4Y� GEb1k\'T
ADJACENT RIP�RI N, PROPERTY OWNER S'I'ATENIENT
:ne of Property Owner:
dress olPropert: I L�.n� bg�t �►1 �t .
(Lot or Street 4, Street or R,,&d, C ty & CouT:ty)
plicznt's phone 4' ����.U�.�-~� -- MailinF.Address:
,reby ceri y +hat own property adjacent to tie above referenced prt Ferty. •i'ae individual app?yi!:g for uus permit
descr;bed to me as shown on the =ched drawing :he development they are proposing. A-3--e-5cri bon of drativtng.
'hdimersions_ must be kr�� iced vvi�n `t'us :otter.
37\ I'have no cb ectiors to this oroposa-. - I have objections to this proposal.
mu have objections to what is being proposed.ti•ou must notify the Division of Constil Zanagemeat (DC hlj
writing within 10 days of receipt of this notice_ Correspondence should be mailed to 127 Cardinal Drive k.xt
Inungtou, NC 28 0-5 38d5. DC T representatives can also be contacted at (910} 796-7215- -.io rciponse is
isidered the same as no obiecticn if You ha:•e been notified by Certified Mail.
WAIVER SECTION
iderstand that a pier, dock, mooring pilings, brcakwat_r, boathouse, or lift rr:us: be set ba:,k a ::iinimum 6stw)ce of
L-orn my aroa of ripa:ialt access unless waived by me. (If you wish to waive the setback, you must initial the
n opriate bisnk below.)
I do wish m waive the 15" set back requirement.
$ _ I do nOt wish to waive the I s' set bact ieouiiement.
-npartyJ Oa nor Information)
a.(�t
D
patUre
L&x creAt
nt or Type Name
Lam.-----
LilinLt Addres
y State ! Zip _ --- -
(Riparian erty O ne Info ation' Ty
S lgn atu; e -
S/T r�fis�,_✓�✓�2T�9�s/�,l,E�c�
True hart , . .
3iz f- //Aw
Mailing Address --
C/-�L9��� Tip,- �✓� 2�2 ��
lilt, !Tale! Zif.

20'
8x20 float
UP
ft pier
- a'
12x12 dock
EM
3"
Existing lift
29'
New Bulkhead Wall
4'8