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CAMA / DREDGE &FILL �� �� N? x
41
E N E RAL P E R M I T Previous permit # —�
New _Modification Complete Reissue ❑Partial Reissue Date previous permit issued
Irized by the State of North Carolina, Department of Environment and Natural Resources y (�
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ( t ` (� U
{ ❑ Rules attached.
t Name 11�ri Project Location: County TEK� co
.�(0 N AV� 41-Ak tL,, Street Address/ State Road/ Lot f#(s)
CA State 14C -ZIP P (�{ l Co �V . hr�l a C61^
Fax # Subdivision zed Agent ,.I (/1 City A hec- n 142 cok ZIP ! ��
T
CW EW .❑.PTA L,ES OPTS Phone # ( ) River Basin
oEA HHF IH UBA N/A Pws ❑FC: Adj. Wtr. Body I %ITN ��� l_� (nat
f (Alry SQun1r�
yes / no PNA yes o % Crit.Hab. yes /� Closest Maj. Wtr. Body
—
,!/ Project/ Activity 104,1(1
�/✓,�S L f�?9'��1�G -�'�'%�' (Scale:
lock) length
m(s) v
T
pier(s)
0Pr
length
!ad/ Riprap l
vg distance
iax distance
channel
ubic yards
imp
rus Boatlif
ne Length / VV t/81"; _ j&/Of
not sure yes ri � '
(jr��
gs: not sure yesI IT It L I d
mum: n/a yes%
yes a�
Attached: yes no
`_/
ling permit may be required by: T Hsu,.
❑ See note on back regarding River Basin
✓G11' 1V1 Tt11\V
Date
Check
Check
Received
Check From Name
Name of Permit Holder
Number
amount
Per7nNA
5/23/2014 Overbeck Marine Construction Inc.
Thomas Stoughton
4.254 $200.00
GP 63914D
5/23/2014 TI Coastal Service, Inc.
_
Figure 8 Island
446 $475.00
1833 $200.00
major permit fee, Figure,,
GP
_
5/27/2014 Saltwater Landing, LLC
—
D.C. Lanier_
5/27/2014
Adam Brown/Rebecca Brown
Ray Martin McGowan
Estate of Ruby Spivey
8102 $200.00
5603 $100.00
_
GP 1721 Canady Road,
5/27/2014
-- - -
Progress Carolina
Robert McGirt
MP 293 mod. Request
5/27/2014
B & K Marine Construction -_
1137
$200.00
GP 63289D
5/27/2014
B & K Marine Construction
Priscilla Clark
Jimmy_Katopodis
1135
1057
$200.00
_
GP 63288D
Hon Construction & concrete LLC _
6/2/2014
$200.00
GP 63290D
6/2/2014 H & H Constructors, Inc. Mike Cook
8052 $100.00 Minor fee, Onslow Co. cc
6/2/2014 F & S Marine Contractors Inc Peyton—___
— -- - ----..-----Robert—
3777: $250.00 major permit fe_e,_NHCo.,
-g--- -_
6/2/2014 Maritech LLC Bauer,Beaudoin,Galla her,Tomlinson
-
- - —
-1819— -
$400.00' GP 63916D
—
6/4/2014 Nancy S. and Rober B. Swart Swart
1145 $100.00 1 SC 14-07 minor fee
6/4/2014 Chipley Paving Company, Inc. Roy Chipley
- - -- -
23035 $200.00 GP Ocean Isle Beach
- - - -- - - ---
- 6/5/2014 Sandra Warren Butler Donovan Butler
- -
2604 $200.00 GP 63186D
6/5/2014 Antinori Construction, Inc Carolyn Boyd & Diane Barwick
_
2953 $200.001GP 63204D
6/5/2014 Allied Marine Contractors, LLC Peter Caldwell
6607 $400.00 GP 63189D @$200.00
The Andrew C. Edwards Trust
6/5/2014 Antinori Construction, Inc J.R. Barbour
6607 GP 63190D _Q $200.00
2952$200.00 GP 63187D
6/5/2014 John H. King Kenneth Samuel Catlett Jr.
-- - —
112
1122 $200.00 GP 63934D
- -- ------ - -
6/6/2014 Hope Gray and Larry Keith Bowen Jeremy Phillips
-
5334 $200.00 GP 63292D
6/6/2014 Antinori Construction, Inc ?
-- i -
6/6/2014 Boatzri ht Inc.
9 — - _-- -- - _- _- ------ -- ___-- -
6/6/2014 Overbeck Marine Construction Inc. Leigh Barnes
2.959 $200.00 GP 53 N. Ridge, Surf City
1748 $200.00 GP 60691 D - -
4264 $200.00 GP 63937D
_ —
6/10/2014 Carolina Marine Construction, Inc _ - Blockade Runner resort
6/10/2014 Michael Joseph Sauer --Michael and Carey Sauer
9066
$200.00
GP 639426
NTB minor fee 114 Ocear
576 $100.00
6/10/20141 Lighthouse Marine Construction Inc. Nash Johnson
4987 $200.00
GP 62659D
6/10/2014 Lighthouse Marine Construction Inc. Jane Bowden
4994 $200.00
GP 63928D
4C. Division of Coastal Mgt. Habitat Impact Computer Sheet
kpplicant:
)ate:
lescribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremei
)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)amount
FINAL Feet
(Anticipated fir
disturbance.
Excludes any
restoration anc
temp impact
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 ❑
W
A"
RC®ENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skv�
Governor Director Secret,
AGENT AUTHORIZATION FORM
Date: 1
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
NQL)h �ol(�Yl-5on Barra (l rr�
r
Owner's (Wailing Address:
7 Spy y2r�� 2 -
Phone Number L�) 2 J [ Jo"1Z
Agent's Mailing Address:
L\dk4k 0 O st fYl
-SL, 4 C �s-vt , t\)C ---;L9Lt�l `
Phone Number ID) �&� �� ��
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
This certification is valid thru (date)
Ok, � k--- - � H
Prop rty Owner Signature Date
I V �— nLIH T
►LNAM
LL, SOUTH CAROLINA 29059
AC 803-496-5027
Toll Free: 1-800-922-7001
ate Toll Free: 1-800-845-7051
l C I oaG z, C, FT
T.
1 z-
�) 2
South Atlantic Region
Santee Region
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to S � �� s
J ame of Property Owner)
property located at �' ` ✓ S 01"
(Lot, Block, Road, etc.)
i
on Ic , in oAJ(3 —etOC' t
, N.C.
(Waterbody) I (Town and/or County)
Applicant's phone #: Mailing Address:
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 / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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.)
Ldo not wish to waive �y
I do wish to waive that setback requir %.--, l
DESCRIPTION AND/OR DRAWI F PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for
-rPermit)
U 54 .1 Il nS0►�
Mailing Address \ Signature
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIEAIMOORING PILIIVGS/BOATLIFTIBOATH=/I
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at I M
(Lot, Block, Road, etc.)
on 1 SqViyw , inC,N.C.
(Waterbody) (Town and/or Co nty)
Applicant's phone #:
Mailing Address:
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 / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement. \<.,
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
--------------------------------------------------------
(Information for Property Owner Applying
for Permit)
(Riparian Property Owner Information)
Q. n. 9-:Z�
Mailing Address
Signature