65063D - LCI

',LAMA / 3 DREDGE & FILL 'Pt� %2 , q , ( q 35
aENERAL PERMIT Previous permit #
fNew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
•ized 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 O /
�/ © Rules attached.
t Name 4 C I PIKOp_,9LI 5 /e � �� Tc. , f Project Location: County 7r c..�S�✓i e,�
V i Z e L;:- Street Address/ State Road/ Lot #(s)
c' E
sC("ryS Oita State 'V (=- ZIP
(33'6) SSA' Fax # —) C-2JASubdivision
BdAgent_a 1 CLO�i �, •�,s. Ce City t/'4X ZSLA�✓� ZIP 2— FVi
71 CW ❑ EW ❑ PTA ❑ ES ❑ PTS
[XOEA N HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
Phone # ( ) River Basin L link
Adj. Wtr. Body AIL N 1/ C GCC r nat /r
(es / no PNA yes /, no Crit.Hab. yes / no Closest Maj. Mr. Body
Project/ Activity r G RGCr,�CY .�l� t��'AC- s /"/?oTCC1 r,04�JiE role-,4-
7�/L t, c 1i4 t' �CCC L E'RATEZ) S/ a ,V Scale: _
k) length
igth
fiber
/ Riprap length_
distance offshore
c distance offshore
innel
is yards_
P
e/ Boatlift
Ildozing
>,��A3aes
Length
not sure
yes
nq
not sure
yes
not
,m: n/a
yes
(n�)
des
no
ttached:
yes
6.)
g permit maybe required by: ❑ See note on back regarding River Basin ru

DENR CAMA Dailv Check Log for WIRD
Date
Check
Check
Received
Check From (Name)
Name of Permit Holder
Vendor
Number
amount
Permit NumbeNC,
11/13/2014 The Village of Bald Head Island
same
PNC Bank
57057
$100.00 mod fee, MP 208-81
11/14/2014 John W. Thompson
Caswell 105, LLC
First Bank
1239
$100.00 minor fee, 105 Cas
11/14/2014 Brandon Grimes, Money Order
Volney Warner
Wells Fargo Bank
59098506577
$400.00 GP 65022D
11/14/2014 Brandon Grimes, Money Order
,Julia Rivenbark
Wells Fargo Bank
59098506588
$400.00 GP 65021 D
_-
11/14/2014 Dr. Gwendolyn Faye Jones
!same
First Citizens Bank
3843
$600.00 GP 63203D
11/14/2014 Ted and Sharon Hudler
same
BB&T
1618
$200.00 GP 64080D
11/18/2014 Holden Dock & Bulkheads
IRussell Salisbury
First Community Bank
5951
$200.00 GP 65020D
11/18/2014 WF Boucher
William Boucher
B of A
7973
$100.00irenewal fee, 164-91
- -
-
11/18/2014 Connaway Marine Construction, Inc
- ---
Saintsing and Koloski
B of A
6871
$200.00'GP 65025D
11/19/2014 Arrants Cabinet and Trim
Joseph and Laurette Arrant
BB&T
1037
$200.00 383 Lockwood Folp
11119/2014 Land Management Group, Inc.
Hawkeswater Marina
First Bank
44757
$100.00 mod fee, MP 48-14
11/19/2014 Bald Head Island LTD/Bruce Marek
-- -- -
' Bald Head Island Marina
--
First Citizens Bank
- ---
--
_- 1489
$100.00 mod fee, MP 172-8
--
--
11-M-12014 Clements Marine Construction Inc
Jam Properties/Dan Smith
First Citizens Bank
3642
$200.00 GP 65026D
11/21/2014 J. Dean Burge
11/21/2014 Holden Dock & Bulkheads
Linda _Averette
Community One _
First Community Bank
-
2335 $200.00 GP64081D
5952 $600.00 GP 64082D
11124/2014 Bruce L. Kirk Jr.
Chemserve Terminal of Wilmington
B of A
- 1282
$100.00 renewal fee, MP 35
11/24/2014 Town of Sunset Beach
same, for beach bulldozing
First Citizens Bank
13073
$100,00 renewal fee, MP 40
_
11/25/2014 CB Marina, LLC
_
(same, transfer from Saint Joseph's Marina LLC
SunTrust
1067
$100.00 transfer fee, MP 36
11/25/2014 Logan Marine LLC
!Norton & Rowlett major permit
Corning Federal Credit Union
1117
$250.00 major fee, NHCo, h
11/25/2014 F and S Marine Contractors Inc
IFaaughen
PNC Bank
4182
34
$400.00 GP 65029D@$200
11/25/2014 Willard S Buffkin
same
BB&T
43
$250.00 major fee, NHCo Bi
11I25/2014 Marine Construction Inc.
Backwater
rKlutz
BB&T
1731
$200.00 Klutz GP
11/26/2014 Amencan Marine Construction INC (Charles Perr)
Margaret Wagstaff
First Citizens Bank
85738
$400.00 GP 64059D
11/26/2014
- -
Village of Bald Head Island
same
PNC Bank
57163
$100.00 renewal fee, 208-8l
11/26/2014
Allied Marine Contractors LLC
Berkley
B ofA
6957
$200.00 GP 64060D
11/26/2014
Bruce Marek, P.E.
Waddell
Wells Fargo Bank
_
1409
$400.00 major fee, Waddell
11/26/2014
Town of Oak Island
_
same
BB&T
57857
$475.00 major fee, Town of
-7
12/1/2014
Charles F. Riggs & Associates Inc_.
gg
G ary and Jeananne Cranston
First Citizens Bank
13754'
$100 00 minor fee, NTB, Or
-
12/1/2014 Charles F Riggs &Associates Inc.
Keith and Cheryl Stelnhoff
Manna
First Citizens Bank
NC State Employees Credit Union
143757!
443
$100.00 minor fee, NTB, Or
$100.00 renewal fee, MP 12
12/1/2014 D Chad Kimes
B & B Holdin s, LLC Scotts Hill
g ( ) -
- -
12/1/2014 Waterfronte Villas Owners Assn
same
North State Bank
1579
$100.00
renewal fee, MP 84
12/2/2014 Todd and Kelly Sur ratt
same.
First Bank
7154
$400.00
major fee, BrCo
12/2J2014 Above Par Home Inspection LLC
!John tcarfof
Wells Fargo
1026
$200.00
GP 65043D
- -
12/2/2014 James and Tammy Ratcliff
Chloe Rose LLC
Wells Fargo
4962�_
$250.00
'majorfee, NHCo
American Marine Construction INC Charles Per
(
n Lynn Faircloth
First Citizens Bank
85739
$200.00major
Faircloth permit, St
-
- _
12/3/2014.Bald Head Island Ltd.
BHI Harbour Village Development
First Citizens Bank
1498
$100.00 renewal fee, MP 1f
12/3/2014 Michael Com
same
First Citizens Bank
9119
$200.00 GP 65030D
12/3/1024 North Money Order/Brandon Grimes
American
Jennifer Honeycutt
BancFirst, Stratford, OK
203478662
$200.00 GP 65033D
12/4/2014 F and S Marine Contractors INC
Flaugher (major permit with $200 credit #4182 1 of PNC Bank
4196
$50.00 major fee, Flaughe
12/5/2014 Coastal Marine Piers Bulkheads LLC
Sunset Docks
Wells Fargo
19915
$250.00 major fee, NHCo, IN
12/5/2014 Backwater Marine Construction Inc.
Reed
BB&T
1743
$200.00 GP 64083D
12/5/2014 Town of Holden Beach
same
BB&T
26833
--
$400.00 GP 64084D
-
- - - - --
12/5/2014 Global Ex press Money Order/John Cassidy
-- - _
Julian Stewart
North American Banking Co., MN 341374157
$400.00 GP 65034D
12/5/2014 Allied Marine Contractors LLC
Sear $200, Mitchell $400, Ratled9 a $400
B of A
7001
$1,000.00 Sears GP 65060D,
12/5/2014 Mill Creek Waterway Restoration Inc.
same
PNCBank
1510
$100.00 renewal fee, MP 1 i
12/8/2014 Connaway Marine Construction, Inc
Lucas, Geagan and Farmer
B of A
6890
$2 00.00 GP 53200D shares
12/9/2014 LCI Properties, LLC
Cathy Lovejoy
Wachovia
1265
$400.001GP 65063D sandbi

WC, Division of Coastal Mgt. Habitat impact Computer Sheet
>pplicant: L C ,,-r ?A yeoz i eu I'
)ate:
Permit #: -P)) J j
)escribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
ound in your Habitat code sheet.
labitat 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 5
disturbance.
Excludes any
restoration ani
temp impact
amount)
Dredge ❑ Fill Both ❑ Other ❑
a
Dredge ❑ Fill ❑ Both ❑ Other ❑
i
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 ❑
Ic
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both. �] Other ❑
Dredge ❑ Fill ❑ Both 0 Other ❑

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. SI
Governor Director Secr
AGENT AUTHORIZATION FORM
Date: 12 " 3- H
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
LCL pcoy,ePW \c-, LLC \_Pa�4y1t -,roQv\ v,,
Cal_m� L p v eJ o y VV\ CL n a ��Ir 1 S 1 a�a� C ou ova c�
Owner's Mailing Address: Agent's Mailing Address:
G,rC,emsbo<o ICIC, o g
V, 6, 6ox I t 4 3- `i
5lm1 2 gLt6 I
Phone Number 4) Phone Number 10 �i 3-3 1 Z3
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):
-�Ska\1 UII A vhoIJC, SDI AL�l 4a S
For my property located at G G \ 3 \A! � eor.�, 0'r, _ 00.yL \ (� \ Gl v�d kc
This certification is valid thru (date) 1 L - 21- 1 `j
Prope y Owner �,�Iure Date

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
AGENT AUTHORIZATION FORM
Date: 12 - % - 1 `I
Name of Property Owner Applying for Permit
Lcr Proberlat 5 LL- C_
Co.Ck.,� L 0 ``1 °
Owner's Mailing Address:
�rrc,-c/vsa ti o JJ c.'L?Lt 0 R —
Phone Number (33rn) 55g��t S i
John E. Skv
Secret
Name of Authorized Agent for this project.
a r r (ro � 01n
Agent's Mailing Address:
10g2 0 }+ob IVa 1 C f
P0--ono C_ Md 20$57�-I
Phone Number�3ol��
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):
l✓1S+QU NGl0aq 7
For my property located at C 6 l's tv , 13 Pgc l 10✓. 60 k j 5 (Ci!i tic zgs
This certification is valid thru (date)
Props Owner Signatii Date

NC DIVISION OF COASTAL MANAGEMENT
SANDBAG REMOVAL NOTICE
Lo\jc �c , understand that sandbags are temporary erosion contro
structures that may remain in place for up to two years after the date of approval if it is protecting a building
with a total floor area of 5000 sq, ft. or less, or, for up to five years if the building has a to,Plta of
more than 5000 sq. ft. A temporary erosion control structure may remain in place for up to ' ears if it is
protecting a bridge or a road. The property owner shall be responsible for removal of the temporary
structure within 30 days of the end of the allowable time period.
In this case the sandbag alignment may remain in place up to:
two years after the date of the attached permit approval
Removal Date:
4 a years fter the date of the attached permit approval
Removal Date:
Address of the Structure Being Protected: 6 G 1-syN . (3 e c 1•� �r
ink\s1av\ NL Ztsti6S-
Property Owner: _ L_ C E Q r 0'0 e-t -Ii-� C
Firm, Cor
If the property is owned by a Firm or Corporation
give the name of the officer or authorized
Representative: cal)A L-0 mac. - o
P nt Name
L (— C—
or Individual
Date: ] 2 - I - I y
f1rRR9rf f+if lrrr Hkrrr/rlrf lfN ri#kkrkrlHrlrklHHr;klfr!!krlrHMrl4lr Mr HrJH•tlrkHHHltfr!lrkirNkrulrlr kf kkl Nrk[eu •lfrrrrrbHNlr Mr+rr+Nrprp N!!+R
If an agent Is obtaining the permit on your behalf the following section must be completed in full:
I, Cath.t l.,ovr', 01 , give permission to,_ W 0. Y ✓l e-
Print owner or Officer Name Print Agent Name
to act as my/our agent in obtaining a CAMA General Permit to place sandbags on the property noted
above.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to LC Z �ro Pe-t }` { s , L LC- 's
(Name of Property Owner)
property located at 0,(
(Address, Lot, Block, Road, etc.)
on _ �i'1"�r�Y.� O C-leCk in (70,.\<- I--s \a,, & , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
�f Ft°F 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)
26
c -- n;— 7$
325'
6t��3w.8eGc1.,
Lc t Proti��s
7,
20
y,�, ESco c�rr�eh'
Go1o\D
P�oee��y
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.)
'- : ' EPF I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
(YV,NA c r
Sign/a�lur��--�7-Sr LC-T�I l-q hYs
Print or Type Name
210-7 G-fa.nvA kt c�•
Signature
f�! ✓ B /=, dAcei 7- 0/; 2A V GTN )e: s A � •E
Print or Type Name
36v4 /to ✓n✓
AAn11:nn A,44 oo -- AA�iiinn drirfrccc

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L P L Qro pe.r�-i f s L L C s
(Name of Property Owner)
property located at C � rs W , e ac '0 f
(Address, Lot, Block, Road, etc.)
on Oc.ea.., in� ss\a, A- , N.C.
(Waterbody) (City/Town and/or County)
The applica has described to me, as shown below, the development proposed at the above location.
LI 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)
20s
75
(prol3w•8ec,c\..
PCOQc(��f �D�S¢
25'
2�
L`5co,c�rneh'�
Gololo
Pc o P`j�y
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)
.A, (Mav,\a,c.r
Print or Type !lame
Mailin?rAddress
1 I n-n.,.fit/
cent Pr Owner I
R t
jrmation)
Print or Type Name
Ma/N,Jddress

CAMA / ❑DREDGE &FILL
,
'ENERAL PERMIT
Previous permit #
New ❑Modification ❑Complete Reissue
❑Partial Reissue Date previous permit issued
-ized 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
❑ Rules attached.
t Name e: i - T }'a
Project Location: County
Street Address/ State Road/ Lot #(s)
r State ZIP
( )_ Fax # ( )
Subdivision
ed Agent
_ City _ ZIP
❑ CW L; EW ❑ PTA ❑ ES ❑ PTS
Phone # ( ) River Basin
OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body_ (hat h
_ PWS: ❑FC:
yes / no PNA yes / no Crit.Hab.
yes / no Closest Maj. Wtr. Body
' Project/ Activity
ck)length
ngth
rber
J/ Riprap length_
distance offshore_
x distance offshore
cannel
)ic yards
np
ise/ Boatlift
ulldozing
r
e Length
not sure yes no
s: not sure yes no
cum: n/a yes no
yes no
4ttached: yes no
ng permit may be required by:
r..
(Scale:
❑ See note on back regarding River Basin r