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Home My WebLink About63927D - KellyLAMA / ❑ DREDGE & FILL ` ' � . �-,ZSNZ iEN ERAL PERMIT Previous permit # New ❑Modification [-]Complete Reissue El Partial Reissue Date previous permit issued_" zed by the State of North Carolina, Department of Environment and Natural Resources (-''l 0 � /' O O �astal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 Rules attached. Name �.. t F I StateN ZIPS j L Fax # (—) _ .d Agent_I h S %ice'`' l ° //«1 ❑ CW j.t6W ❑ PTA aES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: yes /�db, PNA ryii�/ no Project/ Activity :k) ngth nber d/:i3i¢rap length distance offshore_ uc distance offshore_ cannel ie Length not sure yes Q'no ;s: not sure yes Cno rium: n/a yes n yes no Attached: yes no Crit.Hab. yes / na- tip 5� i► r Project Location: County /✓1'/f /2-- Street Address/ State Road/ Lot #(s)_ -p/` r- / C- Subdivision City 3C"112 J721 ZIP 2ely Phone # (�----^~ River Basin 47 i< Adj. Wtr. Body (nat�r Closest Maj. Wtr. Body 7oPs•� /L 5-0CIN,Q 5 (Scale: (11 ling permit may be required by: �L � � L'ti El See note on back regarding River Basin DENR GAMA Daily Gheck Log for WIRO Date Received Check From Name Name of Permit Holder Check Number Check amount Permit Number/Comme 6/18/2014 Delivery Concepts East Gary Sample 6/18/2614 Atlantic Coast Industrial, LLC David Brinkley, ACI Holdings 6/18/2014 Grice Construction of Brunswick County John Teague 6/19/2014' Hammocks at Shallotte Pointe LLC - - - 6/20/2014' Villaver Law Firm Steven Villaver Bank ofA Money Order_ Brandon Grimes -- Brandon Grimes 6/23 Carolina Marine Construction_Inc Cord Grass BayHOA 6/23/2014 Reggie W. Barnes Jr 6/24/2014 Charles F. Riggs & Associates Inc. Giles Jeffreys & Lee Thornton --- - _ — Jason Dixon & Lee Thornton --- __._ Mike Turbeville & Greg Colner 6/24/2014 Richard L. and Erica J. Penny _ _ 15031 10234 $200.00 GP 63920D $200.00 GP 63951 D $200.00 GP 63266D 9702 1053 $100.00 modification of MP #93-08 $200.00 GP 63202D $497.0O Vio# 14-03D B & B Marine + GP 63955D $47 $400.001GP 63957D $100.00'Transfer fee #70-09 $600.00 GP 63952D $200 - 5992 1139200122 1139200122 9105 1200 13510 GP 63954D @$200 ---- — GP 63953D @$200 $200.00 GP 63924D 535 6/25/2014 Clements Marine Construction Inc_ _ _ - Dan Smith 3488 $650.00GP 63962D @$400 Major fee (Smith) @$250 6/25/2014 Snow Marine Construction & Dredging, Inc Charles Ashley Mann 2839 $250.00 8046 $200.00 - Major fee (Mann) NHCo 6/25/2014 Elite Homes By Forrest T�rlor, Inc. Cableu, LLC GP 63973D 6/25/2014 Grice Construction of Brunswick County H & H Construction___ 9710 $400.00 GP 63958D @$200 6/25/2014 H & H Construction _ 1001 $200.00 $800.00 _ GP 63959D @$200 GP 63960D GP 63296D @$400 GP 63297D $200 Klei h M. Prevatte Mike Cecil 6/25/2014 Backwater Marine Construction, Inc _ Craig Brady1557 Jim & Ma Beth Yeager John Lassiter GP 63167D $200 6/25/2014 Charles Fox Homes, LTD Ralph Patterson 19381 $200.00 GP 63295D 6/27/2014 NCWRC wire transfer 0000070743 70743 $100.00 mod. MP # 138-13 6/27/2014 Karen Z. Perry 5201 $100.00 GP 63976D 6/27/2014 Custon Island Homes by Ken Kiser LLC James Geiger 2387 $200.00 GP 63977D 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 F. Rigs & Associates Inc. Herbert & Louise Rust _ 972 13529 $400.00 $100.00 major fee, Brunswick Co. minor fee, TB 7/1/20141Charles 7/1/2014�Eastern Builders ofthe Carolinas Inc - Donald Thompson 39886 $100.00 minor fee, NTB 7/2/20141Ryan D. Cooper Jim and Janie Crouch 1808 $200.00 GP 63298D 4 Carolina Bluewater Construction, Inc. - - - Land Rosemarie KJones - -- Fargo Cashier's Check to B and B Construction - I$100 Joe Dinkins 9315 $200.00 GP 63974D 7/2/2014'George 3608 $200.00 GP 63925D . l2l2014iWells _ Chris Butzko 6740400592 $1,053.00 --. I GP 63955D @$153 + $47 IV - GP 63926D @$600 GP 63927D @$200 GP 63981D _ _ _ Gail Wamsle -- -- --y --- - ---- Catherine Kell - -- __ __ _ - credit -- IC Division of Coastal Mgt. Habitat impact computer Sheet pplicant:,'`�L�.Q ate: escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer >und in your Habitat code sheet. DISTURB TYPE abitat Name I Choose One Dredge ❑ Fill ❑ Both ❑ Othe2�1 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 ❑ TOTAL Sq. Ft. FINAL Sq. Ft. (Applied for. (Anticipated final Disturbance total disturbance. includes any Excludes any anticipated restoration restoration or and/or temp temp impacts) im act amount). _ / w w - 7 TOTAL Feet FINAL Feet (Applied for. (Anticipated fin Disturbance disturbance. total includes Excludes any any anticipated restoration anc restoration or temp impact N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date �. Name of Property Owner Applyingfor Permit: T�P I,f"Ac I<r/ll � Mailing Address: 4 ,r;, e Ile, 2 xr Y I it I certify that I have authorized (agent) �i, f�VJ to act on my ,�" -t(� behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) 1,/ This certification is valid thru (date) �, � / K 5'- y, /v Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to CG�� /� ` (��,/f , s (Name of Property Owner) property located at g, , (Address, Lot, Block, Road, etc.) on rin 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) dz- (-0014PkAPVP 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) Signptur��/'r%Ae 9 Print or Type Name jace'at Pr petty O r Information) ature �P q*nt or_lype Name M wIPrlvGl\ 1 MWAMIHIV t'KUrr-K 1 T VVVIVCK J 1 A 1 CIVICIY 1 I hereby certify that I own property adjacent to tl ( Shy mot° 's (Name of Property Owner) property located at �-/� / <1 �l, (Address, Lot, Block, Road, etc.) on , in ,��iir �� y I N.C. (Waterbody) (Cityrfown 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) 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) Se 7, , Print /or Type Narbe Mailing Address/ (Adjacent Pro pe Owner Information) Si tune _ >,� / W01(/r/ Print or Type Name / 1, 0 1 to Mailin Ad Tess 9�,�;:e /o/ S� ZZ City'/State/Zip 41, 1 7 Y , City/StatelZip ,//c -- ix,-" 3 / lI :AMA / ❑ DREDGE & FILL N° 6 2 ENERAL PERMIT Previous permit# --&- lew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued —L ed by the State of North Carolina, Department of Environment and Natural Resources H] I W astal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rj'les ached. Jame cf' - i✓ l /t¢_ e-11Project Location: County -P(,A (f 1/ 3.665 &I c4i Street Address/ State Road/ Lot #(s) V _ State WC- ZIP 2y3 IK 5 e,( 1r, Fax # ( ) Subdiv' ion I Agent f z4mxl V�' City r ZIP_ ❑ CW �� W TA ❑ OEA / ❑ HHF _ IH ❑ PWS: FC: !s no PNA yes no 'roject/ Activityyhs Hen L �C' x2d -(s) th >er Riprap length listance offshore distance offshore inel yards :/ Boatlift dozing Length not sure yes no not sure yes C") m: n/a yes yes o tached: ye no g permit may be required by: 54S - PTs Phone # ( River Basin ❑ UBA N/A Adj. Wtr. Body '7 v i �o `��" nat n Closest Maj. Wtr. Body ro iI oc/v� Crit.Hab. yes row /i (Scale: =2� -- --. _ _ _ - i il-I L ❑ See note on back regarding River Basin r A/ — — AO/ — e..J i