63186D - Butler

7DAMA / DREDGE & FILL '� I 'd 63
3ENERAL PERMIT Previous permit #' -�—
New 'Modification ❑Complete Reissue Partial Reissue Date previous permit issued
^ized 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 Q, I"� 12- CC-)
❑ Rules attached.
t Name I)ONO VA N F30T LEO-- Project Location: County
(�{ (�Itr.y1 �� S'� Street Address/ State Road/ Lot #(s)
i ' t State /uC ZIP Sy qu Sf_,V6A
Fax # ('�- �._� Subdivision
ed Agent City Cwy C 1 ZIP
CW
❑ OEA
❑ PWS:
yes / no;
9 EW `4PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FQ
PNA yes / no Crit.Hab. yes / fp-
Phone # ( ) River Basin C--F
vZei
Adj. Wtr. Bod)r-� r76Vq0­!
Closest Maj. Wtr. Body
Activity I n 1( 1,,, Oa t (14- -t /1 y& o f -of ro V -c,^ w S
:k) length
(s) i ! J. 7
ier(s) 4 X Z O`
rigth
i/ IRrap length
distant�offshc
x distance offish
cannel ��
iic yards \
ip
s oath' 12`x�2'
H ozing
Length fij CS t
not sure yes
not sure yes no
um: n/a yes
yes [�
(Scale: (0,
.
attached: y�� no �
ig permit may be required by:
❑ See note on back regarding River Basin n

Ur-NK LAMA Ually l►neGK r.vg rvr YYIr[\J
Date
Received
Check From (Name)
Name of Permit Holder
Check
Number
Check
I amount
Permit 1
5/23/2014 Overbeck Marine Construction Inc.
5/23/2014 TI Coastal Service, Inc.
Thomas Stough on 4254
Figure 8 Island 446
$200.00 GP 639. 14D
$475.00 major permit fee, Figure
$200.00 GP
$200.00 GP 1721 Canady Road,
5/27/2014 Saltwater Landing, LLC
D.C. Lanier
1833
5/27/20141 Adam Brown/Rebecca Brown
Estate of Ruby Spivey
8102
5/27/2014 Ray Martin McGowan
Progress Carolina
5603
$100.00 MP 293 mod. Request
$200.00 GP 63289D
$200.00 GP 63288D
5/27/2014 B & K Marine Construction
5/27/2014 B & K Marine Construction
Robert McGirt
1137
Priscilla Clark
1135
6/2/2014 i Hon Construction & concrete LLC
6/2/20141 H & H Constructors, Inc.
6/2/2014' F & S Marine Contractors Inc_
6/2/2014 Maritech LLC
6/4/2014 Nancy S. and R_ober 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
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
1057
$200.00
GP 63290D
8052
$100.001
Minor fee, Onslow Co. cc
3777
$25_0.00
1 major permit fee, NHCo.,
_
1819',
$400.00 GP 63916D_ _
_
_ 1145,
$100.00 SC 14-07 minor fee_
23035
$200.00 GP Ocean Isle Beach
2604
$200.00 GP 63186D
2953
$200.00 GP 63204D
6607
$400.00 GP 63189D @$200.00
6607
GP 63190D @ $200.00
2952;
$200.00 GP 63187D

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
\pplicant: 0 UQIM d
)ate: � _ S _ ( W
)escribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
ound in your Habitat code sheet.
labitat 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
im act amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tempimpacts
FINAL Feet
(Anticipated fii
disturbance.
Excludes any
restoration ani
temp impact
amount
�-
Dredge [I Fill El Both [IOtherk
z--i
�77
ZL�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 ❑
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 0 Fill ❑ Both 0 Other ❑

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
Agent's Name #:
Agent's phone #:
f 7<
s
(Lot or Street #, Street or Road, City & Coun
Mailing Address:
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.
X_�v I have no objections to this proposal.
J p posal. --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 ob "ection ityou have been notified bV 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 aive 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.
(Property Owner Informati )
ignature
Print or Type Name
t
nt petty Owner Information)
Signature
Pant or Type Name
0
Mailing Address
Mailinn Arlrfracc

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to JV Z12/712 /010 n 71-le— 's
(Name of Property Owner)
property located at
(Address, Lot,
on
and/or County)
The applicant has described to me, as shown below, the development proposed at the above loca
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 drawini
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set b2
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to ti
the setback, you must initial the appropriate blank below.)
TAO I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Informat' ) (Adjac t Property Owner Information)
i j,,ture Signal e
rfJ yse-
Print or Type Name Pn t or Type Name

Sv %
r'
- f 70