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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
5/27/2014LB & K Marine Construction
6/2/2014 Hon Construction & concrete LLC
6/2/20141 H & H Constructors, Inc. _
6/2/20141F & 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
6/5/2014 John H. King
6/6/2014 Hope Gray and Larry Keith Bowen
6/6/2014 Anti nori Construction, Inc
6/6/2014 Boatzright Inc.
6/6/2014 Overbeck Marine Construction Inc.
6/10/2014 Carolina Marine Construction, Inc
6/10/2014 Michael Joseph Sauer
6/10/2014 Lighthouse Marine Construction inc.
6/10/2014 Liahthouse Marine 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
Kenneth Samuel Catlett Jr.
Jeremy Phillips
?
Leigh Barnes
Blockade Runner resort
Michael and Carey Sauer
Nash Johnson
Jane Bowden
Check
Check
Number
I amount
Permit
4254
$200.00
G P 63914 D
—_ 446
$475.00
$200.00
major permit fee, Figure
GP
1833
8102
$200.00
GP 1721 Canady Road
5603
$100.00
MP 293 mod. Request
1137
$200.00 GP 63289D
-
11351
_ _-
$200.00 GP 63288D
1057
$200.00 ! G P 00D
_632 _
$100.00 Minor fee, Onslow Co. c
_8052,
3777
$250.00 major permit fee, NHCo_
1816
$400.00 G P 6_3916D
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
1122
— -- —
$200.00'GP 63934D
5334
$200.00 GP 63292D
2959
$200.00 GP_53 N. Ridge, Surf Ci
1748
$206.00 GP 60691D
4264
$200.00 GP 63937D
9066
$200.00 GP 63942D
576
$100.00 NTB minor feel U O-e,
4987
$200.00 GP_62659D -- —
49941
$200.00 GP 63928D
NC Division of Coastal Mgt. Habitat impact Computer Sheet
4pplicant: J��e
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 imp/acts
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 [I Fill El Both ❑ Other
Q V�
V $
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 ❑
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
AGENT AUTHORIZATION FORM
Date: UP- 0(0• 4
Name of Property Owner Applying for Permit:
lard `Bowden
Owner's Mailing Address:
Lpq &Lrvrzinq ,a r00+ Terrace.
W i � r►tifrlq ivn � G 14�11
Phone Number (9 to) i 71. gg 3
John E. Skv�
Secret;
Name of Authorized Agent for this project:
AIL rrU
Agent's Mailing Address:
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
For my property located at I I S W(LnDt a Ln SwrT n C
This certification is valid thru (date)
06 6Cv
Property Owner Signature Date
?�"b P6
7 ood \�0,1;`�T"
1
1(;
5'
Fe-V
1do N15 ,4,
P
Surd C I'l-ti
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T
IIA
)5-21-14;14:34 ; 3282088 #
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to s
I / (Na a of Property Owner)
property located at ,z,� �T s ✓�e n �� -- - - - — - - -
Address, Lot, Block, Road, etc.)
on -TC U in S , 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.
-----F -------- --
DESCRIPTION AND/OR DRAWING OPROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
1 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.)
e `10 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15- setback requirement.
(Propeip Owner Information)------
nformation) (Adjacent Property Owner information)
Signatur Signature ���
---------------
Print or Type N me nt or type Ney�e � Ale —
Mailing
` �� L'i 2 iuN1J n�-
Address N _ ' a �� Mailing Address
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent 's
(Name perty Owner)
property located at Be
// / (Address, ot, /R—lock, Road, etc.)
on — A-� I[T�-4 14 ��— in `�� C �� ��C' . PI!��PI.C.
(Waterbody) (City/To and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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 a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish A�wehe tsetback, you must initial the appropriate blank below.)
4I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property O ner Information)
Si Signyture
VV
Print or Type Name Print or Type Name
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