63204D - Boyd

iCAMA / ❑ DREDGE & FILL
.ENERAL PERMIT
iNew ❑Modification El Complete Reissue
Q* 6 .t� "'A
❑ Partial Reissue
Previous permit #
Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
t Nameject Location: County SliciIli
i ✓ d0 ✓ , • Street Address/ State Road/ Lot #(s)
S kX ) State N l Zip 7 U ^� 4 f J11 1 �� ✓o D�-- -� I�
(.6 )� — Fax # ( ) Subdivision (� � ppl�, Pt A NTP, C' I
ed Agent INN- T1 N O2 i AA�City DS — � 1�^1 ZIP zys E
❑ CW )NEWgTA ❑ ES ❑ PTS Phone # ( ) River Basin Vy
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
� Closest Maj. Wtr. Body ! �C (✓4,A—
yes /(nd� PNA / no Crit.Hab. yes k`n�,
Project/ Activity 016Q, -CA�S I nS OG�� OU
I � (Scale:
length
'�s i
ngth —A
-nber
I/ Riprap I,
distance
x distance
cannel
)ic yards
ip
!3oatlift + 1(
�IIdo.ing
Length i
not sure
yes
not sure
yes no
um: n/a
yes
no
atached:
�yes
/ yes / no
ig permit may be required by: Pew- I Inv LZ ❑ See note on back regarding River Basin r

DENR LAMA Uailv (;heck Loci for NVIKU
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 _
5/27/2014B & K Marine Construction
5/27/2014 B & K Marine Construction
6/2/2014 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 Paving 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
Number
4254
446
1833.
8102'
5603
1137
1135
1057
8052
3777
1819
1145
23035
2604
2953,
6607
6607
2952
Check
amount Permh
$200.00 GP 63914D _
$475.00 major permit fee. Figure
$200.00 GP
$200.00 GP 1721 Canady Road,
$100.00 MP 293 mod. Request
$200.00 GP 63289D
$200.00 i GP 63288D
$200.00 GP 63290D
$100.00 Minor fee, Onslow_Co. ci
$250.00 major permit fee, NHCo.
$400.00 GP 63916D
$100.00 SC 14-07 minor fee
$200.00 GP Ocean Isle Beach
$200.00 GP 63186D
$200.00 GP 63204D
$400.00 GP 63189D @$200.00
GP 63190D @$_2.00.00
$200.00 GP 63187D

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
4pplicant: O f /� � rermit ?F.
Date. -
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
impactamount
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 El Both ElOther
2�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 0

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date tijb-o 1 f4
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) &AUN. (6,vJYYveh6i,,- to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Lq,� 1; 6 Aff (�� � /,y /, j f11wa&
at (my property located at) %i /
This certification is valid thru (date) '�, D 1 l }
i 020
Property
Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property: X rill 4,Ji 1(bmff k Cr ec IL , nJ&d s W .2'M 0
(Lot or Street #, Street or Road, City & County)
Applicant phone #: Tl D -�U - 9 i Mailing Address: 21'52
) Z Z 4
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 ro osal.
p p
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 90 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been noted by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.
(Prop Owner information)
Signature
xy
J Print or Wype Name
71V cJ,11kMVl4 if
x Mailing Address
/lir -9.Fa/A
(Riparian PropertyOwn r Information)
Si$ ature
14,
Pnnt or Type Name
Mailing Address =_ f3 i �y�'�r 'oz/zz
l4 11'V.. ir't-- t 6 /,,I -n 4 1 jr- T

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property: iA r� 1 1Jz dh m6-k Ci roc le_ .S�s d( -2 JV, Q
(Lot or Street #, Street or Road, City & County)
] 'l m bl � CDt^Jt
Applicant phone #: 6? i 12 -7 Mailing Address:
5 o-e"'Cl.r ft 1JG G D 4
I hereby certify that I own property adjacent to the above reterenced property. The individual
+ applying for this permit has described to me as shown on the attached drawing the development -
7 they are proposing. A description or drdwing, 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.nccoastalmangemenf.neticontact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no oblvction 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 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.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro Owner Information) {12i ri Propf My OwnekffS ormation)
r.
Sigtanme S Mture
.I- 1&-ys / (t / V \ U
Print or e Name ! PnR 3
Mailing Address I in `'i

big J k- w—,1 s
Fri; a
2
2
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