63133D - Maggart

WNERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue El 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 -7 LA,
BRules attached
t Name t7,, '1rrI_ m A c-r--A,LT'-
( 1L i.5tStatetJL ZIP
3d Agent A L.L i o
❑ CW ❑ EW t7PTA oleS ❑ PT5
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
PWS: ❑FC:
ees / /tio; PNA yes /U1 Crit.Hab. yes / no
Project Location: County : '_ 1 N<_;AV ( C (�
Street Address/ State Road/ Lot #(s)
Subdivision
Ciry t) N-4 i �1�- �'i'1� �'� ZIP t
Phone # ( ) River Basin L—y N,
Adj. Wtr. Body /k'1 W VAj nat
Closest Maj. Wtr. Body
Project/ Activity tj%yv0('e— L��tyn r'J 6
(Scale: f n = 1
k) length -'
's) 114 xI-7
Brks)
igth
fiber
/ Riprap length ---
distance offshore
c distance offshore
innel
is yards
P
e/ Boatlift
Ildozing --
r
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DENR CAMA Daily Check Log for WIRO
Date Check
Received _ Check From Name Name of Permit Holder Vendor Number Check amount Permit Number/Com
" Watford "
_ —_ __— GP 63984D @$200
8/1 /2014 Hon Construction & Concrete LIC _ Brian Kirkman BUT 1073 $200.00 GP 63993D
8/1/2014 Holden Dock &Bulkheads _ Leonard Taylor _ First Comrinundq Bank 5835 $200.00 GP 63985D
8/1/2014 Coastal Marine Piers & Bulkheads LLC Milian Wells Faro 19717 $200.00 GP 64017D
01 8/4/24 Maritech, LLC Adam C Knierim Geor a Allen & John Cerasani B of A 11832 $200.00 GP 64015D
8/4/2014 Overbeck Marine Construction Inc. _ Kevin Morse _ SunTrust 4299 $200.00 GP 64018D
8/5/2014 Overbeck Marine Construction Inc. _ 8304 River Road SunTrust 4300 00.00 G $2P 64019D
8/5/2014 Overbeck Marine Construction Inc. _ 6601 Sedgewood SunTrust 4301 $200.00 GP 64020D
— 1 — — —.
8/6/2014 Ga K. Greene renewal/transfer MP 21-90 Wells Fargo _ 4252 $200.00 transfer/renewal fee 219
8/6/2014 Dean G. Siler Dean's Home Improvements Rodger & Jill Joyce BB&T 3476 $200.00 GP 63996D
8/6/2014 William G. McRainey Melissa McKay Barron First Community Bank 7872 $200.00 GP 63997D
8/7/2014'Antinod Construction, Inc Jack Brent _ B of A _ 3062 _ $200.00 GP for 53 N. Ridge, Surl
8/7/2014 D Chad Kimes & L Kimes 138-10 Joyce Bailey NC SECU 4429 $100.00 renewal fee
8/7/2014 Topsai(I) Heights Landing 171-07 Topsail Hems subdivision INC SECU 117 $100.00 renewal fee
8/7/2014 North Carolina Baptist Assembly 35-10 NC Baptist Assembly First Citizens 5366 $100,00 renewal fee
8/8/2014 Maritime Coastal Construction LLC Thompson First Community Bank 1540 $2o0.00 GP for Mazelle Trail, OIE
8/11/2014!Allied Marine Contractors, LLC 1Bert & Wanda MB of A 6691 $200.00 GP 63133D
8/11 /2014 Mantech LLC Adam C Knierim Thompson/Howard/Yeaton B of A 1834 $200.00 GP 64016D
- -- - - -
8/11/2014_Coastal Dredging, LLC Teena Koury BB&T 3502 $200.00 1 GP 63931D
8/11/2014 1 Hamby Inc Peninsula_ at Topsail, LLC BB&T 1339 $200.00GP64021D

Applicant: �� YV J��C MA-664,2,1 Permit#: I„
Date: ( �) 330
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
((Applied for.
(Anticipated final
(Applied for.
(Anticipated final
-labitat Name
DISTURB TYPE Disturbance total
disturbance.
Disturbance
disturbance.
Choose One includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/o
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
\ ^ /
V V
Dredge ❑ Fill ElBoth ❑ Other f�_/ Z3 S'
Z l b
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 0 Fill ❑ Both ❑ Other ❑

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Own
Address of Property:
(Lot or Street V, Street or Koao, city & uounty)
Agent's Name #: r�l�I ///�'�"C� Mailing Address:
Agent's phone #: 10-23D-2-,5
a
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at ::pasta::: - :ageme:^,L.neticon*act J .::;r. or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
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)
JJ H /1 // , /f / /
Signature
/,-Yll- �u C4'
linl� t or Type Pome
axe W�, -yaa-
(Adj ce t Pr Own Info r 'on)
Signature
/ill CO & "'4
Print or Type Name

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
Name of Property Owner: /� ei�
an cc
Address of Property: QroNP!Q
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #: -3 _,-n
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
X�l have no objections to this proposal. _ I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at w:,. _:iagement.net/contact dcm.h ;._ or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
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 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property , wner Information)
Signa re
Print or Type N
W-G Ly"t YGIrjl
(Adjac t Property Owner Information)
✓�
Signatur
/ �lUIna s (-it!! l �
Print or Type Name

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date �7
Name of Property Owner Applying for Permit:
Mailing Address:
aoo& w f y
I certify that I have authorized (agent) '411"') to act on my
behalf, for the purpose of applying for andobtaining all CAMA Permits necessary to
install or construct (activity) h441/
at (my property located at) a4�ea
This certification is valid thru (date) la 3/
3