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Home My WebLink About63300D - HaighCAMA / ❑ DREDGE & FILL iENERAL PERMIT Previous permit# New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources - f (' 1 Z� �astal Resources Commission in an area of environmental concern pursuant to 15A NCAC 'j' I ", ules attached. Name t A Project Location: County } oeu 1S{�1 Lia APY Street Address/ State Road/ Lot #(s) ��'►i State ZIP 1 2. L 1 j ��enjt Fax #() — Subdivisioni q �1rL� ' .� I, ity l 1� G+ L.A. ZIP , ❑ Cw PTA ❑ ES ❑ PTS `Y We ( I U) � L River Basin �y ivy ❑ oEA ❑ HHF 0 IH ❑ UBA ❑ N/A Adi Wtr Body (nat pr ❑ PWS: ❑FC: yes • no PNA yes / no Project/ Activity tk) length ngth tuber d/ RipJoffshho g dist3x dishanne ibic yards mp use/ Boatlift 1 ix 3ulldozing ne Length Ji not sure yes gs: not sure yes >rium: i n/a,i yes Attached: ves , ling permit may be re Crit.Hab. yes no Closest Maj. Wtr. Body�11�` (Scale: 1 0- DENR LAMA Dann L;necK LOq Tor WIRY Date Received Check From Name Name of Permit Holder Vendor Check Number Check amount Permit Number/Com 6/25/2014 Elite Homes By Forrest Taylor, Inc. Cabebu, LLC 6/25/2014 Grice Construction of Brunswick County_ - H & H Cons_tr_uction _ H & H Construction _ 6/25/2014 Klei h M. Prevatte Mike Cecil 6/25/2014 Backwater Marine Construction, Inc Craig Brady Jim & Mary Beth Yeager _ __ _ _ John Lassiter _ _ 6/25/2014 Charles Fox Homes, LTD Ralph P_ atterson - 6/27/2014 NCWRC wire transfer 0000070743 8046 $200.00 $400.00 GP 63973D GP 63958D @$200 9710 GP 6_3959D $200 �_ 1001 $200.00 GP 63960D 1557 $800.00 GP 63296D $400 GP 63297D $200 _ GP 63167D $200 19381 $200.00 GP 63295D $100,00 mod. MP i 13-Cl3 _ 70743 6/27/2014 1 Karen?. Perry Tommy Perry 5201 $100 00 GP 63976D 6/27/2014 Custon Island Homes by Ken Kiser LLC James Geiger 2387 $200 00 GP 639776 6/30/2014 Maritech, LLC Adam C Knierim_ — Griffin and Zack 1826 $400.00 GP 63956D 6/30/2014 John L. Clark 4549 $200.00 GP 63152D 7/1/2014 Timothy U. and Diana B. Glasson _ _ 972 $400.00 ma'or fee, Brunswick C_o, 7/1/2014 Charles F. Riggs & Associates Inc. Herbert & Louise Rust 13529 $100.00 minor fee, TB -- - 7/1/201 a Eastern Builders of the Carolinas Inc Donald Thompson 39886 $100.00 minor fee, NTB 7/2/2014 man D. Cooper Jim and Janie Crouch 1808 $200.00 GP 63298D 7/2/2014 Carolina Bluewater Construction, Inc _ _ _ Joey Dinkins _ _ 9315 $200,00 GP 63974D 7/2/2014 George Land Rosemarie K Jones _ 3608 $200,00 GP 63925D 7/2/2014 Wells Fargo Cashier's Check to B and B Construction Chris Butzko _ 6740400592 _$1,053.00 GP 63955D @$153 + $4' — Gail Wamsley_ _ - - _- GP 63926D @$600 Catherine Kelly_ _ GP 63927D 00 $100 credit GP 63981D 7/10/2014 Bruce Marek Middle Island Community Dock Wells Fargo _ 1357 $400.00 GP for dprap 7/10/2014 American Marine Const. Inc. _ Tommy Perry First Citizens _ 85590 $100.00 GP 63976D 7/10/2014 Charles Riggs & Associates First Citizens 13512 $50.00 SC Ex 14-08, Fender Col - _ --- 7/10/2014 F and S Marine Construction Devincenzo PNC Bank 3862 $200.00 GP for Wick Blvd 7/10/2014 Advance Properties LLC Coleman Parks I BB&T 1579 $200 00 GP 63988D 7/10!2014 Western Union Mondy Order Mike Rile)(__ _ Wells Fargo_ 17-033118103 : $100.06 GP63981 D — - y g - -- -- -.- -- IBB&T g 5687 $200.00 GP 63299D 7/10/2014, Willie Richardson/Richardson Construction Carol Hai h J $400.00 GP 63300D @$200 7/10/2014 Western Union Mond Order RonnieHayesH,ao es_ _ Wells Faro 17-011962641 _ ---------- - ig GP 63963D Ca)$200 4C division of Coastal Mgt. Habitat Impact Computer Sheet applicant: /�� lM Permit #: ��3bbD )ate: Lj iescribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen )und in your Habitat code sheet. abitat 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 fine disturbance. Excludes any restoration and/ temp impact amount) 6—W Dredge ❑ Fill ❑ Both ❑ Other ❑ C 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 [I Other ❑ Dredge ❑ Fill ❑ Both 171 Other ❑ NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Governor Director Dee Fre( Secr AGENT AUTHORIZATION FORM Date: Z-�/ Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: Caro C�rA i)n Owner's Mailing Address: L) Phone Number d1 D) 37 Z -- CAD/ 0 Agent's Mailing Address. Phone Number 0l) 31c7 v , 33 I certify that 1 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): (my property located) at This certification is valid thru (date) Prooertv er Sionature nnto ...................... . CG,.G L � " _ NV ADJACENT RIPARIAN PROPEKrY OWNER STATEMENT (FOR A PLERIMOORING PILINGSBOATLIFTBOATHousE) I hereby certify that I own property adjacent to Lej is (Name of PAperty Owner) property located at _! H (Lot, Block, Road, etc.) on C r�,na� - in _ I n �• c�1 , N.C. (Waterbody) (Town and/or County) Applicant's phone #: j " y! Mailing Address: (p k 4- r �[ .., Co �1i Or He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlifl / boathouse must be set back a minimum distance of fifteen feet (15D from my area of riparian access untess waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requuemerit. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) S (Information for Property Owner Applying (Riparian Property Owner Information) _ for Permit) Mailing Address--'Signaftue City/ fate/zip -- -- -- . Trb. 2014 12:55FM DBHDD DIETARY DIETARY DEFT .A DJAUNT It2ARTAN PP O?FRTY OWNN-t STATEMENT (FORA P.ZiR*OORINGPff"GSIBOA7UFMOATHOUS'E) I hereby cerffy that I own property adjacent to L CAIIri-1 Is (!Name of P1.6perty Owner) property located at Block, Road, etc.) (Waterbody) -(Town and/or County) ApplicmVaphohe#: MaWmgAddress: In He bas described to me, as shown below, the development he is proposing at that location, gnd, I have no objections to his proposal. I understand that a pier/mooring pilings / boatliff / boathouse must be set back a minimum distance of £fteen feet (151 from my area of riparian access unless waived by mt. (If you wish to waive the setback, you must initial the appropriate blank helaw.) Z 42ALf wish to waive r-I do wish to waive that setback requirement_ DF-SCRIPTION ANWOR DRA aNG OF PROPOSED DEWELOPM T.- (To be filled In by tndlvidual proposing deveropment) Se (Information for Property Owrner Applying for Permit) 11� `Seapr_4I\IQ- Mailing Address S�tiVo 44 `�, City/ (Rlparfu Property Owner Information) N S. C.I�riar�"'Mo Print or � 36 -- 6 .S? -- c> g / /