63185D - Duff

DAMA / Ll DREDGE & FILL
GENERAL PERMIT
New Modification ❑Complete Reissue El 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 15A NCAC
it Name Stts'<j(Z� DUFF-
1 O-L C.I E t,A d'E
I I PA It4b TbN State 0in ZIP 2 `
Fax # ()
.ed Agent NTI N o 12_ t iV1 �C..-
❑ CW �qEW }ETA ElES ❑ PTS
❑ OEA j❑�HHF /❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
N 63
Previous permit # llr"
Date previous permit issued —
U -I H . I2W
//� ❑ Rules attached.
Project Location: County V W,L VL'i
Street Address/ State Road/ Lot #(s)
19-4 rLit_tN CtEi6
Subdivision
City'�;OE'kt-"C' .{--C-Aq4 ZIP ZC (al
Phone # ( ) - River Basin
Adj. Wtr. Body p.L
yes Yn f PNA (!T/ no Crit.Hab. yes Closest Maj. Wtr. Body �y►�� r UNp
Project/ Activity CAI1�[ I�.UC.i (" (� i� �t.P,Tf-_QeAA , EOPT L t F I (ATWAt 1,
(Scale:
ck) length ?lJ
i 1#
i(s) j t X Iq
ier(s) Z. S X O r
ngth
rnber
■■■■■■■ice
Litx distance offsh:re�V
■■■■■■■■-
iannel ■■■■■■■■Mv■r
)ic yardsIm■■■■■■N■■■■■■El
■■■■■■■■■■■■■■■MI
■■■■■■■■tt1:7■■�■ttt■I
a Length Q
not sure yes
s: not sure yes
ium: n/a yes
yes.
\ttached: `yes no
._
ig permit may be required by:
❑ See note on back regarding River Basin r

Date Received
Check From (Name)
Name of Permit Holder
Check Number
Check amount
I Permit Number/C
5/5/2014
McKim and Creed Blair Booth 175924 $100.00 Transfer 76-97
John D. & Pamela A. DeBell, Jr 7771 $100.00 Minor mod. 114-13
Catherine Kelly _ _ 10649 $497.00 NOV # 14-04D
Grice Construction 6909 $200.00 1 GP fee for 1211 canal D
5/6/2014
5/6/2014
5/7/2014
5/8/2014
F and S Marine Contractors Inc
Cory Williams
3732
$250.00,MP
appl. 7401 Masonbo
5/8/2014 1 Augustus Paul Davenport _
5/8/2014 Town of Carolina Beach
171
61083
4556
$200.00
_ $100.00 Minor permit
$600.00 GP 63220D
_
_ 5/9/2014 Annette and Ronald Allen
5/12/2014 McClure Builders
5/13/2014 Antinori Construction, Inc
Dennis Johnson
_
3470
$100.00
Minor Permit NTB
Ray & Sandra Duff
2925
$200.00
GP 63185D
5/13/2014 Antinori Construction, Inc
_
Ray Speas
2921
$400.00
GP 63184D

NC Division of Coastal Mgt. Habitat impact Computer Sheet
4pplicant:
)ate:
)escribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
ound in your Habitat code sheet.
habitat 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 Feet
(Anticipated A
disturbance.
Excludes any
restoration ani
temp impact
amount
D
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

5
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 3 I L-� o
Name of Property Owner Applying for Permit:
Mailing Address:
aC C62 L.cs[ic L
� C- a84
I certify that I have authorized (agent) fiflh n DCA CLnSin C,47 L�,L I ke_to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
GOYI C��
install or construct (activity) '�) l.Lfl. ¢ [,:266d k t
at (my property located at)
1 "
I r R C ��( w� s Pd
This certification is valid thru (date) a Q 1 E5
�- )-�C)I
Property Ow Signatures
Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
c-)CCT\d r ck, � {tea
Address of Property:
I —R1 � -�_l l S
(Lot or Street #, Str et or Road, City & County) I r
Applicant phone #: 9 fD 61 q- 3L � � Mailing Address: l 0 '�'�-
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.
vim' yia 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.nccoastalmangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. 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, 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.
(Property Owner I
Signature Uc
x
Print or Tvpe Name
TnAti n),, (Riparian Property Owner Information)
4v
N
Print or T pe Name
Mailing Address Mailinq Address

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property: 5i 2
M
I s1 R9 Jae-cJs RuT
(Lot or Street #, Street or Road, City & County)
91� " �� Mailing 02- LeS�l>° Cans_
Applicant phone #: � ,g Address:
� c a' ELM
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. 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 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.)
fit,; h I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner
Pnnt or Type Name
Les( t e- L,r\-a-
Mailing Address
(Riparian Property Owner Information)
LC
Signatu>~
w .e l f3rGtc<'• U).. 000111115
Print or pe Name
I 2-2 2 is i t✓ e&t! ('Joyt-
Mailing Address

1 pub
rS 12d
3c)" lC,V ��v.c�er P;ty,
40 141M4P-SS %O w
oc s004
le's-t---
s�,ep Dv-n,
Te Y4cces3 K�
o r i-o Dr

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
51 �i I�
i, 5t Rd 5--crU , �� a
(Lot or Street 4 Street or Road, City & County)
Applicant phone #: "1 (� a %2 - Mailing Address: G 2 L6 ty y--
�� i +OYA,
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. 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 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.)
C I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Property Owner
Signature U U \ \
Print or Type Name
Led I e Lax/r�
Mnilinn Arlriract
X1,-
(Ri Property Owner Information)
SignatuM
Print or' pe Name
1 ZZ-2 Fn,I r-w"ett j Ito Dr,
Mailing Address

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner. c C)a( V
0"
Address of Property. e S ` W'1 ' `
(Lot or Street #, Str et or Road, City & County) r
Applicant phone #: (Z % �,- 3� �- Mailing Address: l O LCSI i -2 ( n�-
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.
V2�4have 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.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. 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, 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.
(Property Owner I
Signature
TZ 1,, _�
Print or Type Name
ID Les i L-nz
Mailing Address
(Riparian Property Owner Information)
ignatu
L 0)
Print or T pe Name
2 5G) x1i,- Mtoy
Mailing Address

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 31 � 0 1 A
Name of Property Owner Applying for Permit:
Mailing Address:
(d 2 L45h c L
) I ry*,-
I certify that I have authorized (agent) Aq n DCA Cuv C 164- I MP_to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) ]2U 4,g [,26Z"bqft�
at (my property located at) I
This certification is valid thru (date) ;;� O 115
3 -9 -a D I
Prop"Ow Signatu' re �m �Date