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Home My WebLink About63992D - Ellison�IVIA / ❑ DREDGE & FILL 3ENERAL PERMIT Nlew —Modification ❑Complete Reissue ❑ Partial Reissue Previous permit # //Z --/3 Date previous permit issued �i 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 Z�Q� [�Ll �� es attached. t Name //%!/�SQ/� Project Location: County G "T . Street Address/ State Road/ Lot #(s) State ZIP 5- Fax # () Subdivision lj/rs� ed Agent &v1 City GAY / ZIP ❑ CW W1V'W 11 PTA ❑ ES ❑ PTS Phone # River Basin eA ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body z at i ❑ PWS: ❑FC: yes now PNA Xe3 /dp? n Crit.Hab. yes / no Closest Maj. Wtr. Body r Via? JD Project/ Activity :k) length (s) —f^ er(s) igth nber I/ Riprap length distance offshore x distance offshore annel r ,ic yards ip ;e/ Boatlift r CUUMMMEEMMUN JL' I (Scale: ❑ See note on back regarding River Basin rL ,' .,, DENR CAMA Daily Check Log for WIRO Date Check From (Name) Name of Permit Holder Vendor "orrest Taylor, Inc. )n of Brunswick Count_ Cabebu, LLC H & H Construction _ H & H Construction to Mike Cecil 6/25/2014 Charles Fox Homes, LTD Ralph Patterson _ 6/27/2014 NCWRC wire transfer 0000070743 ___ 6/27/2014 Karen Z. Perry Tommy Perry 6/27/2014 Custon Island Homes by Ken Kiser LLC _ James Geiger _ 6/30/2014 Maritech, LLC Adam C Knierim _ Griffin and Zack 6/30/2014 John L. Clark 7/1/2014 Timothy U. and Diana B. Glasson 7/1/2014 Charles F. Riggs & Associates Inc. Herbert & Louise Rust 7/1/2014 Eastern Builders of the Carolinas Inc Donald Thompson 7/2/2014 Ryan D. Cooper Jim and Janie Crouch_ 7/2/2014Carolina Bluewater Construction, Inc. Joey Dinkins -- 7/2/2014 George L and Rosemarie K Jones 7/2/2014 Wells Fargo Cashier's Check to Band B Construction Chris Butzko - Gail Wamsley - Catherine Kelly $100 credit _ 7/10/2014 Bruce Marek Middle Island Community Dock 7/10/2014 American Marine Const. Inc Tommy Perry 7/10/2014 Charles Riggs & Associates _ 7/10/2014 F and S Marine Construction Devincenzo 7/10/2014 Advance Properties LLC Coleman Parks 7/10/2014 Western Union Mondy Order Mike Rile 7/1012014 Western Union Mondy Order Ronnie Haves 7/10/2014 --- - Willie Richardson/Richardson Construction Carol Hai h - Craig Lon _ 7/10/2014 Allied Marine Contractors, LLC Gary & Rachel Moss 7/10/2014 Derek D Wright 7/10/2014 James L. Canady 1130 Canady Ave. TB _ 7/10/2014 Wells Fargo Money Order Gieselman 7/11 /2014 Clements Marine Construction Inc William Kelly Wolfe 7/15/2014,Clements Marine Construction Inc _ Hardy 7/15/2014' William C. Gore, Jr. 7/16/2014 John L. Pierce & Associates PA _ Frankie Walker 7/17/2014 Seashore Realty Group, Inc. Herita e I, LLC _ 7/1712014 Larry Rice Construction William Ardito 7/18/2014 Brandon Grimes Brian Forehand 7/18/2014 Brandon Grimes Brian Forehand 7/18/2014 Stanely McCauley Rentals 7/18/2014 Coastal Marine Piers & Bulkheads LLC Paul Ellison 18114 Coastal Marine Piers & Bulkheads LLC Paul Ellison Check Number Check amount Permit N 8046 $200.00 GP 63973D 9710 $400.00 GP 63958D GP 63959D 1001 $200.00 GP 63960D 707431 $100.00 mod. MP # 138-13 5201 $100.00 GP 63976D GP 63977D _ 2387 $200.00 1826 $400.00 GP 63956D _ GP 63152D _ major fee, Brunswick Cc minor fee, TB 4549 $200.00 972 $400.00 13529 $100.00 - 39886 _ $100.00 minor fee, NTB 1808' $_200.00 GP 63298D 9315 $200.00 GP 63974D 3608 740400592 $200.00 $1,053.00 GP 63925D _ GP 63955D $153 + $4 GP 63926D @$600 GP 63927D @$200 GP 639811 Wells Faro 1357 $400,00 85590 $100.00 13512 $50.00 3862 $200.00 1579 $200.00 17-0331 18103 $100.00 17-0119621541 $200.00 5687 $400.00 GP for nprap GP 63976D First Citizens First Citizens SC Ex 14-08, Fender Cc PNC Bank BB&T Wells Fargo Wells Fargo BB&T _ GP for Wa nick Blvd GP 63988D _ GP63981 D GP 63299D GP 63300D @$200 GP 63963D @$200 GP 63982D renewal 4-05 renewal 158-06 minor fee, NTB 319 Bay GP 63989D GP 63990D B of A 6569 6778 1181 14-818390335 3507, 3506 $200.00 _$100.00 $100,00 $100.00 $200.00 $200,00 Wells Fargo First Federal Wells Fargo First Citizens First Citizens Wells Fargo Bank Wells Fargo Bank $200.00 GP 15 Monroe St, OIB $100.00 minor fee, Surf City $100.00 modification MP 64-04 _ 2079 $100.00 minor fee NTB 1915 Nev 59125196944 59125196933 _ 2925 19677 $500.00 GP 63987D $200.00 GP 63929D $100.00 1 GP 63992D C Division of Coastal Mgt. Habitat impact Computer Sheet P licant: LI / � Permit #: !scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen ind in your Habitat code sheet. bitat 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 fins disturbance. Excludes any restoration and) temp impact amount Dredge ❑ Fill ❑ Both ❑ Other �2 (iJ 2 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 ❑ North Carolina Department of Environment and Natural Resources Division of Coastal Management McCrory Braxton C. Davis ovemor Director John E. Skvada, III Secretary AGENT AUTHORIZATION FORM Date: -ir Jv Zo% L/ ne )of Property Owner Applying for Permit. Name of Authorized, Agent for this project: f ner's Mailing Address: 1, / /VC Zg1-0,7 Agents Mailing Address: CO�I`1 �Jv`iC��l�Ui /le 9,3 7 r ! i`l • n� � � /i 7 l � 6 �i0 one Number (y/v) /Z- 7S0 % Phone Number (nil D ) --2 3 1 - FIZ V ertify that I have authorized the agent listed above to act on my behalf, for the purpose of applying - and obtaining all CAMA Permits v to install or construct the following (activity): �r my property located at !Z `� Grr� % �of� L-�i n e �ti %f`/�+jn /UG nis certification is valid thru (date) Date RECEIVEI DCM WILMINGTOl' JUL 1 6 2014 Property Owner 17 I u ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to - 1 L-11,1 s d ,1i I (Name of Property Owner) property located at L ,) (Address, Lot, Block, Road, etc.) on ,�� ,;,.� L,e 5 ( in n 9c,"') l(lca —, , N.C. ( aterbody) (City/Town and/or Cou ty) The applicant has described to me, as shown below, the development proposed at the above location. L I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) ,Sce G %died RECEIVED DCM WILMINGTON, NC JUL 18 2014 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 ou must initial the appropriate blank below.) do wish to waive the 15' setback requirement. I do wish to waive the 15' setback requirement. (Property Owner Information) Si at re --4 1 Mn Print or Type Name (Adjacent Property ner In rmation) Signature914911 �: / �✓Or/ Print or Type Name ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to o J�s _ - /, _ , (Name &Property Owner) property located at -, e-- (Adbress, Lot, Block, Road, etc.) on � �to J� � ► o, IJ4 s in ti., /(-., - C , N.C. (Waterbody) (Ci /To n 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) RECEIVED DCM WILMINGTON, NC JUL 1 6 2014 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Ad" t Pro erty Own formation) Signature Print or Type Name Si ature �d�i2crr !9AW A.4Sp(€I Z Prir or Type Name ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 3by certify that I own property adjacent to O L `" 1 t, f) r 'f s ` .'J — 's /� `1 (Name coif Property Owner) rroperty located at ; � � I�XL�.(z_._ �.rt- (Address, Lot, Block, Road, etc.) on in LU i Lr\.a %N�TorJ IJC �, i-tA �.G. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 1 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) RECEIVED DCM WILMINGTON, NC JUL 1 6 2014 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_) �J 5 I do wish to waive the 15' setback requirement. ! do not wish to waive the 15' setback requirement. (Property Owner Information) %i- sl Print or Type Name/�/ Prope 0 I siM V(n2_ G0- Syrr� tt� Print or Type Name