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I,CAMA / ❑ DREDGE & FILL .
7NERAL PERMIT
w -'Modification ❑Complete Reissue C'Partial Reissue
rized 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_
t Name 1 N Project Location
Previous permit #
Date previous permit issued
County
\t Street Address/ State Road/ L - #(s)
1
State ZIP
1
(} W
Fax # ( )
Subdivision
:ed Agent
City
" ZIP-26till
ElCW
f*W *PVA ❑ ES ElPTS
Phone # ( )
River Basin 0I
❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
1
nat
❑ WS:
❑ FC:
yes / no r
PNA yes no Crit.Hab. yes / no
Closest Maj. Wtr. Body
�
r Project/
ck) length--
iier(s) +� A
ngth
tuber
d/ Riprap length h�
distance offshore
uc distance offshore
cannel N 1 ''t
bic yards
np
ise/ Boatlift i 1(
ulldozing
e Length '
not sure yes no
s: not sure yes no
ium: n/a yes no �.
C yes no
kttached: yes
ng permit may be required by:
(Scale: I
1t=19
2
'L P/L !! �n 11 r//--
(l i�� \ ❑ See note on back regarding Riven Basin r
DENR CAMA Daily Check Log for WIRO
Date
Received Check From (Name)
5/23/2014 Overbeck Marine Construction Inc.
5/23/2014 TI Coastal Service, Inc.
5/27/2014 Saltwater Landing, LLC
5/27/2014,Adam Brown/Rebecca Brown
5/27/2014 Ray Martin McGowan
_ 5/27/2014 B & K Marine Construction
5/27/2014 B & K Marine Construction
6/2/201 +Hon Construction & concrete LLC
_ 6/2/2014 H_& H Constructors, Inc._
6/2/2014 ' F & S Marine Contractors Inc
6/2/2014 Maritech LLC
_6/4/2014 Nancy S. and Rober B. Swart
6/4/2014 Chipley Pavinn Company, Inc.
6/5/2014 Sandra Warren Butler
6/5/2014 Antinori Construction, Inc
6/5/2014 Allied Marine Contractors, LLC
6/5/2014 Antinori Construction, Inc
Name of Permit Holder
Thomas Stoughton
Figure 8 Island
D.C. Lanier
Estate of Ruby Spivey Progress Carolina
Robert McGirt
Priscilla Clark
_ Jimmy Katopodis _
_ Mike Cook
Robert Peyton
Bauer, Beaudoin, Gallagher,Tomlinson
Swart _
_Roy Chipley
Donovan Butler
Carolyn Boyd &Diane Barwick _
Peter Caldwell
The Andrew C. Edwards Trust
J.R. Barbour
Check Check
Number
amount
Permit I
4254
$200.00
GP 63914D
446
$475.00
major permit fee, Fi ure
—
1833
$200.00
GP
8102�{
_
$200.00,GP1721Canady
NC Division of Coastal Mgt. Habitat impact Computer Sleet
applicant f \ VVILI { -(AAJ L.
date:
G- ( �
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
'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 fi
disturbance.
Excludes any
restoration an
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
SI
�O
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
9
p Q 10
'51
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Rev" Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, secretary
Date � /E ZIq
Name of Property Owner Applying for Permit:
�d �cPs l r
Mailing Address:
�o2S I—
L 61 4-1
F toc4LYS l rlt5 &E
1 certify that 1 have authorized (agent) 40A �5��Vy" to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) p '
at (my property located at) �3�� ���0�1i�� cam' 1 ��Olc
This certification is valid thru (date)
e1ZWA " ZI-17-4 Z , _,a �— — —� —/�, I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to /Q/7j,6,MJ bj4ja,. - 's
(Name of Property Owner)
property located at i3 ! o 6uol.,.,,,L d j✓d?
(Lot, Block, Road, etc.)
on BGtn.>�1 Chotivld , in / e/g5a- i 1e" , 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. I understand that a pier/mooring pilings / boatlift / boathouse
mus a setback 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.)
t.,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 (Riparian Property Owner Information)
for Permit) /{a( -
Mailing Address Signature
Complete items 1, 2, and 3. Also complete A. Signature
item 4 if Restricted Delivery is desired. r ❑ Agent
�.—
Print your name and address on the reverse �,`! ❑ Addressee
so that we can return the card to you. B%/` , ; eive by (Print N Date of Delivery
4ttach this card to the back of the mailpiece,
Jr on the front if space permits. l ��l j47.1
4rticle Addressed to:
Ni r ,E lceCv/jrt , (,a r, f Jr.
&'7 , ^ram a7sOs
D. Is delivery addr rent frorg m 1? ElYe
If YES, eAt e very addrgA ew: ❑ No
3. Service Type
(� Certified Mail® ❑ Priority Mail ExpreSSTM
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
uncle Number 7012 1640 0000 1123 7467
Transfer from service /abet)
=orm 3811, July 2013 Domestic Return Receipt
;omplete items 1, 2, and 3. Also complete
ern 4 if Restricted Delivery is desired.
rint your name and address on the reverse
o that we can return the card to you.
ttach this card to the back of the mailpiece,
r on the front if space permits.
rticle Addressed to:
N1 r- �JJ s-eP 4 ,vet
r30 F., y 3r.
A. Sigri'- e
�i' } , ❑ Agent
X n ❑ Addressee
og
B. RQ6ived by (Printed ame) C Date of D li ry
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery ad �s bel� ❑ No
RE M
M`N��
o0h ti�14
3. Service Type J"
"n / o + ► Iti V Z j 7D ,S 95 Certified Mail® ❑ Priority Mail Express`"
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) [
ticle Number
ansfer from service labep 7 012 1640 0000 1123 7450 C D a i is
orm 3811, July 2013 Domestic Return Receipt
MHCDO
Ronnie Smith
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