65012D - Brock

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-'LAMA / El DREDGE & FILL
.3"ENERAL PERMIT
New I —Modification LIComplete Reissue Ll 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
it Name L ( fN,,
State ZIP
Fax #
Eed Agent
L1 CW
[� EW
�1TTA El ES El PTS
El OEA
El HHF
El 1H L1 UBA El N/A
0 PWS:
El FC:
yes .- no
PNA
yes / Cno Crit.Hab. yes,/ no
Previous permit #
Date previous permit issued
El Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # River Basin ((kr
Adj. Wtr. Body L� r, Y czt VU it (riat
Closest Maj. Wtr. Body Akwii:P
f Project/ Activity 46 t?, ^r
(scale:
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,ttached: I yes_� n
ng permit may be required by: See note on back regarding Rivgr Basin r
T—

F&S Marine Contractors, Inc.
Complete Marine Construction Services
For Over 37 years!
CAPT. ED FLYNN DURWOOC
Piers, Floating Docks, Pilings, Bulkheads,
Boat Lifts, House Pilings, Repairs
P.O. Box 868 Phone/Fax: (910) 2
Wrightsville Beach, NC 28480 email: efly@n
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Fa.S Marine Contractors, Inc.
Complete Marine Construction Services
For Over 37 years!
CAPT. ED FLYNN DURWOOD SYKES
Piers, Floating Docks, Pilings, Bulkheads,
Boat Lifts, House Pilirgs, Repairs
P.O. Box 868 Phone/Fax: [phone]
Wrightsville Beach, NC 28480 email: efly4gmsn.com

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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
UIVI51ON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: 9NIk
kJb 54've
Address of Property:
or Street #,
Agent's Name #: GNU
Agent's phone #:lJo- SG�3s
or Road, City & County)
Mailing Address: ' ' ";50 88
iJ 6iwyuJ i3� 1, IYz 2 Bj$d
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. Correspondence should be mailed to 127 Cardinal Drive Ext.,
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, 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.)
0 / -oY i ao wisn to waive the -i o' setoacK requirement.
I do not wish to waive the 15' setback requirement.
(Property er Information)
ignature
Print or type Name
Mailing Addre
�1I (Adjacent Property Owner Information)
A
Signature _ ,A
Print or Type Name
/ I � / -fia", � _6?-?1-1Z� ge,�
Mailing Address
n e iI

CV1Y 14r..11r1-1 rIr rdArul J!Ul7�OUlJO
W9V J
N
i
N
DIMMON OF COASTAL MANAGEMENT
An I LCENT RIPARIAN PROPERTY OWNER WMFICATIONANAIVER FORM
ie of Property Owner: /Y fi4b LLD
us of Property: %.Z
(Lofor Street S. SlIfig or Road. City 3 County)
it's Nam fit: eel p'- 1a Al Mailing Address:
,rs phone �10.. 6�. �1 6,•�y ,$+ , r�rL �}y8�
car* that I own propa►ty adjacent to the above referenced properly. The hTdivkkMI
for this permit hm descried to me as shown on the attached drawing -the development
pli A
I have no objections to this propoaai. _ _ __ I have objections to this proposal.
+ou haver objec0w= to w(W In bu&Vpr*oss4 ym aunt nottryr Me arvfthm of CoxxW Mv+>,ga~ (am 1n
�o1r,D wtl►rn f0 d�Ys of r�owpe o! this noaliea: Co- ---whnsa shouts ba maned to t21 Cw b ml DOva F.xc,
1 MA hTV S OW ryI- -41M W-,— s� "M bo r at (010) 796-MS No nwpemw to
1 A wed pus visa ss no aNBrcflna tr VM have vents notiirad hV Car~ luau.
WAIYER sECTIoN
nd that a pier, dock, rnoorirrg pilings, breakwater, boaEthhouse, lift, or groin must beast
ck a irimurn distance of 15' from my area of riparian access unless waived by me. (it you
sh tv�e tits setback, you MM Ir of the appropriate blank below.)
I do wish to waive the 1 S setback requirement.
I do not wish to waive the 15' setback raequirerrlent.
0w nV h'.I ff.— ) �Y E �0wrwInfk*mwd*n)
'T1iN1il'C Signatwe
E tqeVLF-
or I -AV 11 WM
A-s Si/ F 4 2M
"� it .' li■l
ter.

Pat McCrory
Governor
A�;
NODE fTR
North Carolina Department of Environment and Natural Resources
N.C. Division of Coastal Management
John E. Skvarla, III
Secretary
AGENT AUTHORIZATION FORM
Date: LO SLR �lG�
Jame of Property Own r Applying for Permit: Name of Authprized Agent for this project:
)wner's Mailing Address:
750 )1)* Iarkd 0a�s
45vIfe 20 0
i.n stb tJ L 2 7103
:mail: �n1`I�� mdrQh��brcir,a�y�5catt• cam
'hone�� act Z� 15G1 �{
Agent's Mailing Address:
Email: (91111 Wi4W,
Phone
aL_a I a....... _..&L-- -- —a 1:-&—.j ..L..,— a.. —4 h. 1,.,K C-. 41....,.......•. •. —; -....1-;__
or, and obtaining all LAMA Permits necessary to install or c nstruct the following (activity):
/Lc�loG�"i C/sTi� 1011!�'i''�
or my property located at /1,2 WAAAL
Wrkd^efljjj 5 "G l if YHU
'his certification is valid 1 year from (date) 1Z'fV � - Y

t LLC --
aret Waller Parrish
.heck
:heck -- --
Inc --- -
andon Grimes
andon Grimes
sham
nc
y
lion Co
a Old Town Marina
lion Co
imm
C --
Name of Permit Holder
Sound Marina
Ilino/transfer to Shawn N
Maritime Coastal
Amanda Chaney
same
Paul Fomwald
Daniel Winfield
same
John Gray Hunter, Jr.
Vendor
Check
Number
I Check amount I
Permit Number/Comments
SunTrust
4139
$100.00 renewal, MP 164-07
rssed Wells Fargo
19854
$200.00 transfer and mod., MP 181-07
id PNC Bank
804
$100.00 mod. Fee, MP_ 86-05 _
Thom- Mone ram Payment Sys. In
yg y y
35069222
$50.00 returned check fees/checks 2659 & 2657
Thorn Moneygram Payment Sys. In
35067797
_ _ _
$40o.00 to cover GPs 63273D & 63254D
B ofA
6852
$200.00 GP 64096D
USAA Federal Savings Bank
716
$200.00 reissue GP 63924
Wells Fargo Bank
59098505697
$400.00
Wells Fargo Bank
17-081677370
$200.00 GP 64097D ($800 total)
Wells Fargo Bank
17-_0_5899_01_88
I $200.00
B of A
__ __6873,
$200.00 GP @346 Admirals Court, Bolivia _
SunTrust
4142
$100.00 mod. Fee, 164-07�
PNC Bank
946
$100.00 minor fee, 406 N Shore Drive, SC
Simpson
First Community Bank
5928
$200.00
GP 61640D
Bill Wagoner
SunTrust
4347
_ $200.00
GP 64099D
same
B of A
143
$200.00
GP 641001)
same
B of A
1594
_
$250.00
major fee, Haley, NHCo
same
BB&T
!
1081
$475.00
major fee, Ttereve, OnsCo
Wendell Murphy, Jr.
First Federal
_ 9289
$200.00
GP 212 Seacrest Drive, WB
Marvin Rozear
B of A
6940
$200.00
GP 1283 Corcus Ferry Rd., Ha_
James Petrilla
PNC Bank
4101
$400.00
GP for #4 Sunset Street, WB
Matthews Family Properties
Coming Federal Crer
Jeffrey and Veronica Delaney
First Citizens Bank
Turtle Harbour HOA
B of A
Bobby Denning _ {Sound
Bank
Sawmill Point
IVantage South Bank
_
same
NC SECU
Parks
First Community Ban
Swan Point Marina
PNC Bank
Barbara Hulek Zucker
First Bank
Henderson
Wells Fargo Bank
same
First Citizens Bank
_
same
First Citizens Bank
Murphey _ _
First Federal
Glenn Holloday
!B of A
Knight, Windham, Braswell
BB&T
same
First Citizens Bank
B of A
-
PNC Bank
same
same
Scott Sullivan
Wells Fargo Bank
,Sam Clarv/Wriahtsville Beach Marina
IWachovia
1110
$200.00
GP 65008D
4032
$100.00
minor fee, 4180 Island Drive, h
5720
$100.00
MP renewal, #64-00
18928
$200.00
GP 65004D
177510:
$2_00.00
renewal and mod. Fees, 76-97
1433
$600.00
GP 64076D
7939
$200.00
GP 64075D
1959
$250.00
major fee, Swan Point Marina,
4173
$400.00
GP 65010D
1053
$400.00
major fee, E. Beach Dr. Oak Is
6531
$400 00
GP 64034D
002908
$200.00
GP65011D
9283,
$200.00
GP 65013D
6919
$400.00
_
GP 64035D
1ti94
$600.00,GPs64077D.64078D.640791
$100. 00 1 renewal request, 190-05
$200.00 GP for 800 #B Canal Dr.
$200.00 GP 65016D _
$200 00 GP 65015D
$100.00 MP renewal, #173-00