63932D - Allen

DENR CAMA Daily Check Log for WIRO
Date
Check
Received
Check From Name
Name of Permit Holder
Vendor
Number
Check amount
I Permit Number/Con
" Watford
GP 63984D @$200
8/1/2014 Hon Construction & Concrete LIC Brian Kirkman BUT
1073 $200 00 GP 63993D
8/1/2014 Holden Dock & Bulkheads Leonard Taylor First Community Bank
5835 $200.00 GP 63985D
8/1/2014 Coastal Marine Piers & Bulkheads LLC Milian Wells Faro
19717 $200.00 GP 64017D
8/4/2014 Maritech, LLC Adam C Knierim George Allen & John Cerasani B. of A
1832 $200.00 GP 64015D
8/4/2014 Overbeck Marine Construction Inc. Kevin Morse SunTrust
4299 $200.00 GP 64018D
8/5/2014 Overbeck Marine Construction Inc. 18304 River Road SunTrust
4300 $200.00 GP 64019D
8/5/2014 Overbeck Marine Construction Inc. 6601 Sedgewood ISunTrust
4301 $200.00 GP 64020D
8/6/2014 Gary K. Greene renewal/transfer MP 21-90 lWells Fargo
4252 $200 0o transfer/renewal fee 21,
8/6l2014Dean G Siler Dean's Home Improvements Rodger & Jill Joyce IBB&T
3476 $200.00 GP 63996D
8/5/2014 William G. McMelissa McKay Barron First Community Bank
7872 $200.00 GP 63997D
8M2014 Antinori Construction, Inc Jack Brent B ofA
3062 $200.00 GP for 53 N. Ridge, Sui
8/7/2014 D Chad Kim_es & Amy L Kimes 138-10 Joyce Bailees_ NC SECU
4429 $100.00 renewal fee
8/7/2014 To sai I Heiihts Landing__ 171-07 Topsail Heights subdivision INC SECU
117 $100.00 renewal fee
5366 $100.00
renewal fee
8/7/2014 North Carolina Baptist Assembly 35-10 NC Baptist Assembly First Citizens
8/8/2014 Maritime Coastal Construction LLC_ _ _ _ Thompson First Community Bank
1540 $200 OO
GP for Mazelle Trail, OI
8/11/2014 Allied Marine Contractors, LLC Bert & Wanda Maggart B of A _
6691 $200.00'
GP 63133D
8/11/2014 Maritech, LLC Adam C Knierim Thompson/HowarclNeaton B of A
1834 $200.00
GP 64016D
8/11/2014 Coastal Dredging, LLC Teena Koury_ BB&T
3502 $200.00
GP 63931 D
8/11/2014 Hamby Inc Peninsula at Topsail, LLC BB&T
1339 $200.00
GP 64021 D
8/11/2014 Dennis F Michael same Security Savings Bank
1065 $400.00
GP 63268D
8/12/2014 Town of North Topsail Beach same 1st Citizens Bank
38554 $100.00
MP 191-OS modification
- -- --
8/12/2014 Money Order from John Cassidy auth. Agent R.L. Vaughan North Amer. Banking Co
-
- -
341373900 $200.00
GP 63933D
-Am
8/12/2014 Gilbert W. Reece PE PC Topsail Island Yacht Club 113 ofA
1523 $400.00
major fee, 111 N. New I
8/12/2014 Land Management Groups, Inc. SEL Pro erty Investors, LLC First Bank of Wilmington
44356 $100.00 I
mod. Fee, MP 24-81
8/13/2014 Willie RichardsonlRichardson Construction B.G. and Nancy French BB&T
5727i $200.00!
GP 63998D
8/13/2014 Land Mana eg ment Groups, Inc. Aqua Vista Farms, LLC First Bank of Wilmington
44221 $250.00
major permit fee, NHCo
8/14/2014 Charles Riggs & Associates Roderick Randall First Citizens
_
13594 $50 00
mod. fee, minor NTB 14
8/15/2014 Maritech, LLC Adam C Knierim -- Cameren & Evans B ofA
1836 $600.00.GP
64024 @$200,GP6,
GP64023D $200,GP639
8/15/2014 Grice Construction of Brunswick Coun Judson Lawrence,Bent Tree HOA BB&T
9812 $400.00 1
38636
_ _
$475.00 Geotubes, major fee To
8/18/2014 Town of North Topsail Beach _ same _ First Citizens
8/19/2014 Bruce L Kirk Jr B ofA
1239
$100 00' MP 35-92 transfer
2397
8/19/2014 Staci and Randall Barrus same Capital One Bank
$100.00 minorfee,1190 New Ri%
8/16/2014 Coastal Marine Piers & Bulkheads LLC Saponas Pointe Subdivision (Jim Wilkir Wells Fargo Bank
19751
$400.00 GP 64037D
8/20/2014 Charles Riggs & Associates Glenn & Teresa Luisi First Citizens
13597
$100 00 minor fee, 1503 Ocean
13598
8/20/2014 Charles Riggs & Associates — _ Herbert & Louise Rust First Citizens
$100 00 minor fee, 2009 Ocean
8/20/2014 Clements Marine Construction Inc _Greer First Citizens
3543
$100 00 renewal fee MP 41-05
6782
8/20/2014 Allied Marine Contractors, LLC Edith Whatley B ofA
$200 00 GP 64026D
6783
8/20/2014 Allied Marine Contractors, LLC Tommy Poole B ofA
$400.00 GP 64027D
6762
8/21/2014 Allied Marine Contractors, LLC Charles Rowland B ofA
$400.00 GP 63271 D
8/21/2014 American Marine Const. Inc. Paul Trevisan First Citizens
85650
5400.00 GP 63269D @$200
8/21/2014 _ Dan Corcoran _
GP 63270D @$200
5300
_
8/21/2014 Cothran Harris Architecture David & Janet Long SunTrust
$100.00 minor fee, 1416 N. Shor
1100
8/21/2014 Extreme Water Sports _- Christopher Tucci First Citizens
$200.00 GP 318 Fulchers Landir

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
�pplicantq, OWN
I
Date:
�AtlI
Permit #: (O ZM,5
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurem
bund 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 Fee
(Anticipated
disturbance.
Excludes an)
restoration &
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
`� ce
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 0 Other ❑

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
'at McCrory Braxton C. Davis John E. Skvada, III
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: /
ime of Property Owner Applying for Permit: Name of Authorized Agpnt for this project:
mer's Mailing Address:
Agent's Mailing Address:
me Number g /o (1')- �S�/ `Z Phone Number (91o) a 3 /- F S/cl
rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining all CAMA Permits necessary to install or construct the following (activity):
my property located at �S5 Ce < < c- S V 0,
s valid thru (date)
Property Owner Signature Date

4,7
rr
x
0
�RM.�K

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
of Property Owner)
property located at C {- C t s 1 eC c C—G s Y f
(Address, Lot, BI k, Ro d, etc.)
on �uc �� s �; << , in , N.C.
(Waterhody) (City/Town and/or Cou ty)
The ap 'cant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I
I have objections to this proposal.
DESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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, yousnowl 1 Wow.)
I do wish to waive the 15' setback requirement.
\ I do not wish to waive the 15' setback requirement.
y Owner Inf ation) (Adjacent Property Owner Information)
R RE L �, Signature
pn Z F, , n f_ ,— n n _ Print or Type Name

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C) trc M Y'r f--) s
Name df ro erty Owner)
property located at �S �� Cc L s i c �C• 5� i-,
C( r n (Address, Lot, B lock, Ro d, etc.
on Imo- � r I r lam, �s l �^c c tc-- in �PAv(' el- N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back ;
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waiv(
the setback, you mustinidal the appropriate -WkWW
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
y#2Z 0
Signature Signature
/7ze k4eJ �bnry
Print or Type Name Print or Type Name
'7/ /-� Aw --, - _ r-