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Home My WebLink About65088D - Wellsf. V LAMA / ❑ DREDGE & FILL , y, GENERAL PERMIT �l ' Previous permit # qew ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources 1 -1 (� oC) >astal Resources Commission in an area of environmental concern pursuant to 15A NCAC (� ❑ ules a ched. Name q ';P� ,- Project Location: County Street Address/ State Road/ Lot # s) Stat /' ZIP Fax # () Subdivi ioi l G _€ :dAgent 4`` tea City 5 ZIP ❑ CW ,AEW }a,PTA ❑ ES ❑ PTS Phone # ( O ), 26' ��`� River Basin ❑ OEA ❑ HHF /❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body L— ❑ PWS: ❑ FC: (' 4,A 1 f C� vN l5 tes /� PNA yM/ no Crit.Hab. yes Closest Maj. Wtr. Body Project/ Activity j U(A * u c d^6 Sl�a7� t :k) length (s) r(s) igt nber i/ Riprap t"gth distance offs'ktore x distance offsh e- a nnel sic yards ip sooatlift) 13 ull ozing (t}y � (v e Length f "" (Scale: (J,= ing permit may required by: ❑ See note on back regarding River Usin i 1 UtNK LAMA Ually l.neCK LOg Tor vviKV Date I I I Check I Check Received Check From (Name) Name of Permit Holder Vendor Number amount Permit Number/C 1/15/2015 Inlet View Bar & Grill The Point, LLC BB&T 2630 $100.00 renewal fee, MP 1 t 1/15/2015 Antinori Construction, Inc. Rocloff B of A 3439 $200.00 boatlift, 543 Chadv 1/15/2015 Certified check, from Francisco Zarate Sunset Beach Holdings II, LLC BB&T /First Colonial Branch 5006872655 $100.00 transfer fee, MP 42 1/16/2015 F and S Marine Contractors Inc. Brady Semmel PNC Bank 4269 $250.00 major fee, Airlie Rc 1/20/2015 Carolina Marine Construction, Inc. Dolphin Bay HOA First Bank 9458 $300.00 renewal fee, MP 1' Inlet Point Harbor HOA mod fee, MP 160-C Tangle Oaks Yacht Club Inc. renewal fee, MP 2A 1/20/2015 Western Union Money Order, Brandon Grimes Randy Brown Wells Fargo Bank 17-135019699 $400.00 1 of 2 for GP 38541 1/2012015 Western Union Money Order, Brandon Grimes Randy Brown Wells Fargo Bank 17-135019697 $200.00 2 of 2 for GP 38541 1/21/2015!Coastal Earth Works Inc. Avery Bates First Bank 4191 $400.00 GP 65089D 1/22/20-15 Clements Marine Construction Chris Barclay First Citizens Bank 3700 $250.00 major fee, NHCo 1/22/2015 Charles Riggs & Associates Inc Taylor First Citizens Bank 13772 $100.00'minor fee, NTB 15- 1/22/2015 Charles Riggs & Associates Inc Badaw First Citizens Bank 13831 $100.00 minor fee, NTB 15- 1/22/2015 Charles Riggs & Associates Inc Fitzpatrick First Citizens Bank 13832, $100.00 minor fee, NTB 15 -- - - - - -- --- - 1/22/2015 Charles Riggs &Associates Inc- Mghari First Citizens Bank 13833i $100.00�min-or fee, NTB 15 1/22/2015 Allied Marine Contractors, LLC Larkins & Klausmeier B of A 7143 $350.001 of 2 $250 major f Caison 2 of 2 mod fee, MP 1/23/2015 Carolina Marine Dredging Inc- Old Chimney HOA First Bank 1084 $250.00 major mod, 42-97, 1/26/2615 By Design Coastal Homes Aligator Bay Enterprises BB&T 1075 $100.00 minor fee, NTB 15- 1/26/2015 Bald Head Island Ltd. same First Citizens Bank 1500 $100.00 renewal fee, 1724 1/26/2015 Maritime Place HOA Marina Assoc same First Bank 123 $100.00 renewal fee, 143-1 1/26/2015 Charles B. Gordon, Jr. Brad Gordon Four Oaks Bank 1043 $400.00 GP 65090D 1/26/2015 Allied Marine Contractors, LLC Hobby Greene B of A 7111 $400.00 GP 65075D 1/27/2015 Steven T. Farmer TRACOM Services Max Kern BB&T 4596 $200.00 GP 65052D 1/27/2015 Coastal Marine Piers Bulkheads LLC Squire Wells Fargo Bank 19938 $200.00 GP 65067 1/28/2015 Antinori Construction, Inc. Marsh Haven Community Docking Facility B - of A_ _ 3469 $2,006.00'Express MP, OnCc - _- - - - ----- - - -- - - 1/28/2015 Town of North Topsail Beach same First_Citizens Bank 39184' $100.00 mod fee, MP 191-0 1/28/2015 Grice Construction of Brunswick Co. INC Cox BB&T 10114 $200.00 GP 65053D 1/28/2015 Coastal Marine Piers Bulkheads LLC Carolina Yacht Club Wells Fargo Bank 20000, $100.00 mod fee?, MP 6_910 1/30/2015 Pluris, LLC same Branch Banking & Trust Co. 2963 $400.00 major fee, OnsCo 1/30/2015 Allied Marine Contractors, LLC Mark and Bonnie Lysaght B of A - - -7117 $200 'GP 6505_4D 1/30/2015 Allied Marine Contractors, LLC Paradise B of A 7097 $600 0000 GP 65077D Allied Marine Contractors, LLC Bleu Water B of A 7154 $400.00 GP 650786 2/2/2015 AWA Buildiers, Inc 660 Spot Lane TD Bank 7072 $100.00 minor fee, Surf City 2/3/2015 Dawn Edwards Griffis same BB&T 229 $100.00 minor fee, SC 15-0 2/3/2015 Coastal Dredging, LLC Clinton & Corinne Parks BB&T 3752 $200.00 GP 65031D 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 First Citizens Bank 3697 $200.00 GP 65088D IC Division of Coastal Mgt, 'Habitat impact Computer Sheet r e�� Permit �plicant: t'�I pri"', P�O ate: � � � � 45— escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement rund 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 final disturbance. Excludes any restoration and/c temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ /ther ❑ 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 ❑ Letter of agent I f-�� 0a" I I ,Vl /, Je I I r have retained Mark Clements DBA, Clements Marine Construction Inc, to make application for any and all permits needed to start construction on the work requested for our property or properties. By allowing Mr. Clements to make such applications I do understand that this will in no way relieve me of any obligations to perform all work according to the building codes of North Carolina, CAMA, DWQ or any other state and or county ordinances. /Is Print ature S�Sw�.skir��eh i4cw�itJ. �+r.,I,.UL1arHy3 date Contact information haw: I,h� wc11 s CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner. H Ayy1 t )Toy) oem 1S Address of Property: (Lot or Street #, Street or Road, City & County) Agent's Name #: � 0e Mailing Address: / w d//ne ID" t xl Agent's phone#: 1'n b y 9� aJ Z 3 I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing with dimensions must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what Is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmanagement.nebcontact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION 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. IV 4a I do not wish to waive the 15' setback requirement. (Property O)yner Information) Signature e-., �4,-zz Print or Type Name Mailing Address (Adjacent Property Owner Information) Signature 4�, Print or Type Name 10 �, /any a e -- Mailina Address CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: -�Aw( )+on oec1(S Address of Property: (Lot or Street #, Street or Road, City & County) Agent's Name #: -jL (f l eivie,( I j Mailing Address: Agent's phone #: / r^ I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. _ a; I have no objections to this proposal. l have objections to this proposal If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at}iww.nccoastslrrrannaement.neyeontact _dcm.hrm or by calling 1-888-4RCOAST. No response Is considered the same as no objection if you have been norifted by Certified Mail. 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 Oyyner Information) - Signatu,•e --- Print or Type Name Mailing Address (A ISl4e!Zrp J7r1 Telephone Number (Adjacent Property Owner Information) r�-J) I Mailing Address l✓,'1,w., g e. fart City/State/ZiAl ' � o.'epry �r�• r,hm�cer l lhur Date --- Revised 611812012 0 I Blue Water Organic F#rming, LLC, 158 Blue Hill Road, Surry, ME 04684 IF BUILT FOR MORE THAN ONE PERSON, THE PERSONS NAMED ABOVE ARE TENANTS IN COMMON, EACH OWNING AN EQUAL UNDIVIDED INTEREST, UNLESS OTHERWISE INDICATED HEREIN: CHECK ONLY ONE OF THE FOLLOWING BLOCKS TO SHOW ANOTHER FORM OF OWNERSHIP. JOINT TENANCY WITH RIGHT OF SURVNORSHIP ❑ COMMUNITY PROPERTY ❑ TENANCY BY THE ENTIRETIES! OTHER (Data") --> CERTIFICATION 1, Stephen T . Wessell, President DO HEREBY CERTIFY THAT THE FACTS RECITED HEREIN ARE I TRUE AND THAT I HAVE PERSONAL KNOWLEDGE OF THESE FACTS BECAUSE 1: I ❑ PERSONALLY PERFORMED THE CONSTRUCTION OR ❑SUPERVISED THE CONSTRUCTION AT AND ON BEHALF OF: WESMAC Custom Boats, Inc. OR I (NAME OF COMFANr []AM AN EMPLOYEE OF THIl COMPANY WHO BUILT VESSEL AND HAVE EXAMINED THE RECORDS OF THE COMPANY CONCERNING THE F S OF ILD��OFF� THE VESSEL IN MY CAPACITY AS SN?RG CK iTd✓il �Tj YI I OF ITLE) - I (NAME OF COMPANY NOTE: THIS CERTIFICATE MUST NOT BE COMPLETED BY AN IMPORTER OR AN 1 IMPORTERS AGENT. (SIGMA VN. FIRST SALE OR TRANSFER OF VESSEL 1 DO% OF THE VESSEL IDENTIFIED HEREIN IS SOLD (TRANSFERRED) BY THE PARTYQES) NAMED IN SECTION V TO THE FOLLOWING PERSON(S) (NAMES AND ASSES) I IF SOLD (TRANSFERRED) TO MORE THAN ONE PERSON, THE PURCHASER(S) (fRANSFERREE(S)) ARE TENANTS IN COMMON, EACH OWNING AN EQUAL UNDIVIDED INTEREST, UNLESS OTHERWISE INDICATED HEREIN: CHECK ONLY ONE OF THE FOLLOWING BLOCKS TO SHOW ANOTHER FORM OF OWNERSHIP. ❑ JOINT TENANCY WITH RIGHT O� SURVIVORSHIP COMMUNITY PROPERTY ❑ TENANCY BY THE ENTIRETIES I - ❑ OTHER (Dow-dbe) -- VHS. SIGNATURES OF SELLER(OI) (TRANSFEROR(S)) OR PERSONS SIGNING ON BEHALF OF SELLER(S) (TRANSFEROR(S)) I DATE SIGNED: IX NAME(S) OR PERSONS) 8101NNNO BOVE AND LEGAL CAPACITY IN WHICH SIONE (E.G. OWNER, AGENT,TRUSTEE, EXECUTOR) X ACKNOWLEDGEMENT (TO BE COMPLETED BY NOTARY PUBLIC OR OTHER OFRCIAL AUTHORIZED BYA LAW OFA STATE OR THE UNITED STATES TO TAKE OATHS,) ON THE PERSON(S) STATE: NAMED IN SECTION IX ABOVE F CKNOWLEDGED EXECUTION COUNTY: OF THE FOREGOING INSTRUMENT IN THEIR STATED CAPACITY(IES) FOR THE PURPOSES THEREIN CONTAINED. NOTARY PUBLIC MY COMMISSION EXPIRES: PRIVACY ACT STATEMENT IN ACCORDANCE WITH 6 USC 662(4 THE FOLLOWING INFORMATION IS PROVIDED TO YOU WHEN SUPPLYING PERSONAL INFORMATION TO THE U.S. COAST GUARD. 1. AUTHORITY: SOLICITATION OF THIS INFORMATION IS AUTHORIZED BY 40 USC, CHAPTER 313 AND 40 CFR, PART 67. 2. THE PRINQPAL PURPOSES FOR WHICH THIS INSTRUMENT 13 TO BE USED ARE: (A) TOPROVIDE A RECORP, AVAILABLE FOR PUBLIC INSPECTION AND COPYING, OF THE SALE OR OTHER CHANGE IN OWNERSHIP OF A VESSEL PMICH IS DOCUMENTED, WILq BE DOCUMENTED, OR HAS BEEN DOCUMENTED PURSUANT TO 46 USC, CHAPTER 121. (B) PLACEMENT OF THIS INSTRUMENT IN A BOOK FOR EXAMINATION BY GOVERNMENTAL AUTHORITIES AND MEMBERS OF THE GENERAL PUBLIC. 3. THE ROUTINE USE WHICH *Y BE MADE OF THIS INFORMATION INCLUDES DEVELOPMENT OF STATISTICAL DATA CONCERNING DOCUMENTED VESSELS, 4. DISCLOSURE OF THE INFOF VATION REQUESTED ON THIS FORM IS VOLUNTARY; HOWEVER, FAILURE TO PROVIDE THE INFORMATION COULD PRECLUDE FILING OF A BILL OF SALE AND DOCUMENTATION OF THE VESSEL NAMED HEREIN PURSUANT TO 46 USC, CHAPTER 121. MOREOVER, BILLS OF SALE WHICH ARE NOT FILED ARE 40T DEEMED TO BE VALID AGAINST ANY PERSON EXCEPT THE GRANTOR OR A PERSON HAVING ACTUAL KNOWLEDGE OF THE SALE. 46 USC 31321 (A). AN AGENCY MAY NOT CONDUCT 01 SPONSOR, AND A PERSON IS NOT REQUIRED TO RESPOND TO A COLLECTION OF INFORMATION UNLESS IT DISPLAYS A VALID OMB CONTROL NUMBER. THE COAST GUARD ESTIMATES THAT THE AVERAGE BURDEN FOR THIS FORM IS 30 MINUTES. YOU MAY SUBMIT ANY COMMENTS CONCERNING THE ACCURACY nc tuio m,encu een.u�c no •u m,�...«.,...,..�.... ,,..... ,....... �..�_..___"-- "' __.___"_'_ _..—'_'__ __ • vvwa' a.�umu txlxfeS: 06r3(Y2016 BUILDER'S CERTIFICATION AND FIRST TRANSFER OF TITLE II. PHASE OF CONSTRUCTION COVERED BY THIS CERTIFICATE ❑+ ENTIRE CONSTRUCTI YEAR PHASE OF CONSTRUCTION ❑ HULL ONLY 2013 YEAR COMPLETED ❑ COMPLETION ONLY (HULL SUILTBYANOTILIER) 2014 IL VESSEL DATA A. HULL IDENTIFICATION NUMB R OR HULL NUMBER B. VESSEL NAME (IF KNOWN) WES46091B313 C. EQUIPPED WITH ENGINE D. PLACE OF BUILD (CRY, STATE, COUNTRY) ❑ YES ❑ NO I OUTBOARD; ❑ YES ❑' NO Surry, ME USA E. HULL MATERIAL ❑ WOOD ❑STEEL []ALUMINUM 10FIBROUS REINFORCED PLASTIC [--]CONCRETE []OTHER 111. DIMENSIONS ( APPROPRIATE D84GR4M(S) - DIMENSIONS IN FEET AND TENTHSANCHES) MONOHULL SHIP-SHAPE I MONOHULL SAILEOATSHAPE i t!JID nDISTINCTKEEL []FAIRED KEEL B L B %d OInaired p Z L FD L keel keel L-46' B=14,6„ D=6; L= B= D- CATAMARANSHAPE TRIMARA"HAPE ❑ SHIP ❑BARGE I ❑ SAIL ❑ SAIL ❑ SHIP []BARGE ❑SAIL ❑ SAIL I DI FAIRED EL KEEL DISTINCT FAIRED KEEL KEEL g L2 B, i B= D D,. D if L j By L, 8 - B Li■ L2= B■ L= e= j B, D= B,= 132= D• D,- MONOHULL BARGE -SHAPE DECKHOUSE FOR HOUSEBOAT OR SIMILAR Le (Complete in additn to T ID Ba hug die ram Prindpal fl 0 j M the vulunror of the prlrroithe str"'IrO L 'I DS structure above the main dock exceeds the huH Hull volume) L= B= D= Lc= Be= Do= IV. UNITED STATES BUILD STATEMENT ❑ ALL STATES.OR COMPONENTS L SED IN THE PHASE OF CONSTRUCTION COVERED BY THIS CERTIFICATE WERE FABRICATED IN THE UNITED