64636D - Wood

PUP( �
CAMA / ❑ DREDGE & FILL 6
IENERAL PERMIT Previous permit#
New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
:)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC rj +Rulles`a"aached.
r �
Name V1 U Project Location: County 1,1(✓ nSyii (A.—
A- Street Address/ State Road/ Lot A( )
�s w
N Q h tat ZIP
(}) ''}�(1 Fax # (_) Subdivision ) ' g
sd Agent t ( City SPs[A ZIP_ c
❑ CW l W PTA ❑ ES ❑ PTS 'rh , # 8' C ) (�q l Uqs River Basin _�� �7
❑ OEA 7❑_HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body i&V\O-c (natf/r
❑ PWS: ❑FC:
yes (/ nyo1 PNA yes no) Crit.Hab. yes no
Closest Maj. Wtr. Body
Project/ Activity
:k) lengt
ngth
tuber
d/ Riprap length_
g distance offshore_
uc distance offshore
cannel
bic yards
np
ise/ Boatlift
V
ie Length
not sure yes t' no im
gs: not sure yes '?no
rium: n/a, yes no
" yes,.. no��
Attached: i s n6�'
ling permit may be required by:
Jr
kI
0
(Scale:
❑ See note on back regarding River Basin
� z 1

5/28/2015 6/1/15 Carolina Marine Dredging Inc Ricky Hancock_ First Bank 1094 _ $200.00 1 GP 64652D
5/28/2015 6/1/15 Larry Rice Construction Ricciardi BB &T 2243' $100.00 minor fee, NTB
5/29/2015 6/1/15 1 Forest by the Sea HOA Inc same B of A 10676 $100.00 renewal fee, MF
5/29/2015 6/1/15 Mark Armstrong same Wells Fargo Bank 1070 $100.00 renewal fee, M
5/29/2015 6/1/15 Allied_ Marine Contractors, LLC _ _ EPC Holdings 846 LLC B of A 2005 $400.00 GP 65149D @I
James McGhee GP 63278D @I
5/29/2015611/15'Thad N. and Erin M Cable same NC State Employees' Credit Unio 2937 $200.00 GP 63279D
5/29/2015 6/1/15 Senter Home Builders Neil and Heather Senter Wells Fargo Bank 1471 $200.00 16P 64632D
6/1/2015 6/3/15 Waters Edge HOA, Inc. same Park Sterling Bank 1536 $400.00 1 major fee, Ham
6/1/2015 6/3/15 Northern Riverfront Marina and Hotel, LLLP City Marina of Wilmington, LLC PNC Bank 3857 $100.00 1 mod fee, MP 44
6/1/2015 613/15 City of Wilmington same B ofA 319610 $100.00 renewal fee, VF
6/1 /2015 6/5/15 High Tides II Inc Johnny and Susan Sides B of A 1903 $100.00 1 minor fee, #8 O
6/2/2015 6/3/15 Inlet Watch Yacht Club, Inc same BB &T 15636 $100.00 Irenewal fee, MF
6/2/2015 Allied Marine Contractors, LLC Kevin Finger B of A 2036 $200.00 returned to cons
6/3/2015 6/3/15 i,Alton L. and Sherry D. Jenkins same B of A 1395 $200.00iGP 64661D @9
- - - - -- -
6/3/2015 6/3/15'IAlton L. and She D. Jenkins same B of A 1396 $400.00 see above entry
6/3/2015 Charles F. Riggs & Associates Inc Richard and Linda Baker First Citizens Bank 14048 $250.00 major mod fee,
6/4/2015 6/5115 James W. and Donna M. Jones same PNC Bank _ 1911 $200.00 GP 64654D
6/4/2015: 6/5115 Pullen Place Townhouses Condominium same/Kerry Avent First Bank 1220 $200.00 transfer & reneN
6/4/2015
615/15
Coastal Marine Piers Bulkheads LLC
William Creasy lWells Fargo Bank _
Gasser
John Kane SunTrust
Sea Mist Camping Resort, Inc. BB &T
same Wells Fargo Bank
20242 $400.00
GP 64665D @3
GP 64666D @3
6/4/2015 J
6/5/15
Overbeck Marine Construction Inc.
4468
$200.00
GP 64660D
6/4/2015
6/9/15
Beam & Associates
4824
$150.00
addl. $150 for n
6/5/2015
6/9/15
West P. Hunter, Jr.
7596
$200.00
GP for 1 Raefoi
6/5/2015 6/9/15 TI Coastal Services, Inc Wooten Holding Co. Inc./Hampstead Marina Coming Federal Credit Union
6/8/2015 619/15 SEPI Engineering and Construction Brunswicktown, Ft. Anderson Wells Fargo Bank
6/9/2015 Land Management Group, Inc Bailey and Associates First Bank
6/10/2015 , F and S Marine Contractors Inc. Steve Lilly PNC Bank
6/11/2015' Will Clarence Richardson/Richardson Constructio Marijon Clarke BB &T
6/11/2015 Money order for Brandon Grimes Morrison Rivenbark
6/11 /2015 Antinori Construction, Inc. Milton & Dawn Hardin B of A
6/12/2015 It's Better Built Inc _ Robert and Julie Blake First Bank
6/12/20151 Grice Construction of Brunswick Greta Lynn Wood BB &T
629
$100.00
renewal fee, MF
20190
$400.00
major fee, Brun
45250
$400.00
major fee, Sumi
4550
$250.00
major fee, 4121
6030
$200.00
GP 63280D
3683
$400.00
GP 65160D
3757
$200.00
GP 64635D
10372
$400.00
GP 64636D @$
Lee
GP 64637D @3

C Division of Coastal Mgt, Habitat impact Computer Sheet
r nt: - n W Permit #:
p ca
ite: V 1 l J
:scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
„tea ;n un„r Hnhitat code sheet.
abitat Name
DISTURB TYPE
Choose One
Dredge ❑ Fill ❑ Both [IOther
Dredge ❑ Fill ❑ Both ❑ 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/c
temp impact
amount)
�`—I
1
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
rc
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both [—] Other ❑
-F-
Dredge ❑ Fill ❑ Both ❑ Other ❑

AALT4
WDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
IcCrory Braxton C. Davis
ernor Director
AGENT AUTHORIZATION FORM
Date:
of Property Owner Applying for Permit:
0 e�
is Mailing Address:
573 2Aa-Asf,H `5fi
Number (ZM '?CrQ 0(o,3 J
John E. Skvarla, III
Secretary
me of Authorized Agenj for this project:
AMent%
'sM iling Address:
0s�
2_,ggQq
Phone Numbert-1q-96q �
y that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying
i obtaining all CAMA Permits necessary to install or construct the following (activity):
y property located at -% Md N eo c -) T- FA,nJ l SL C- "A: -
;rtification is valid thru (date)
L
Property Owner Signature Date

vu mnIL.
CERTIFIED MAIL — RETURIN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:
Address of Property:
(Lot or Street #, Street or Road, City &
Applicant's phone 4: q/,:2' 3j 8 ' & /6 3
Mailing Address: �_ LL., -f�� 1
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this perr
has described to me as shown on the attached drawing the development they are proposing. A description of drawn
with dimensions must be provided with this letter.
lave 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 (DC1Y
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive E.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a.pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance
15, from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
appropriavo blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement. %� D�/'d Q O� N C� a�
(Property Owner Information)
Y<� .,A -
Signa e -� ��
L uj,o
�w
Print or Type Wame
Mailing Address
(Riparian Pro erty Owner Information)
Signature
CH> LC-5 hAt4- S�-AQC'N (+A,
Print or Type Name
401(,
Mailing Address
(2-&LC--1GN , !l.L_ 24`lZ

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