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Home My WebLink About63968D - MartinVA i CAMA / ElDREDGE & FJL14x ' v 3"ENERAL PERMIT Previous permit # INew —]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 j t _ ules attached. Name I ril l( Tl l�. Project Location: County �li 1,,1 t 1A , 00 d l W Pdvc Street Address/ S ate Road/ Lot #(s) 0Y\ State ZIP'L.-4244 yw5' W " Y.l C f �) LV Subd�d Agent V1 41..-. City Cw E�w PTA ; S ElPTS Phone # ) River Basin WA f� OEA " ❑ HHF ' 11'H ❑ UBA ❑ N/A Adj. Wtr. Body OA)AOA U nat n Li PWS: ❑ FC: des j PNA yes no Crit.Hab. yes 'no Closest Maj. Wtr. Body n N Project/ Activity (Scale: k) length T ' gth fiber I Riprap length distance offshore distance offshore innel c yards P e/ Boatlift r Y V?> Ildozing Vwm Length .+ not sure yes no rt not sure yes im: { n/a yes no yesewo Cached: yes permit may be required by: . i ►W M 10to r..%i l G4, ❑ See note on back regarding River Basin DENR CAMA Daily Check Log for WIRO Date Received Check From Name Name of Permit Holder Vendor Check Number I Check amount Permit Number/Comme 6/25/2014 KleM. i h Prevatte _ -__ Backwater Marine Construction, Inc _ _ _-_ H & H Construction-__ Mike Cecil_ - -- - GP 63959D _@ 200 GP 63960D 1001 $200.00 Crai Brad _ - 1557 $800.00 GP 63296D $400 _ _6/25/2014 Jim & Mary Beth Yeager GP 63297D (M$200 John Lassiter - GP 63167D Q$200 _ 6/25/2014 Charles Fox Homes, LTD _ Ral h Patterson 19381 $200.00 $100.00 _ GP 63295D 6/27/2014 NCWRC wire transfer 0000070743 -- - - --- - ---- --- 6/27/2014 Karen Z. Per _.'_.- -- 6/27/2014 Custon Island Homes by Ken Kiser LLC 6/30/2014 Maritech, LLC Adam C Knierim 6/30/2014 John L. Clark - - Tomm Pe _Y r _ _ 70743 mod. MP # 138-13 -- 5201 $ 100.00,GP $200.00 $400.00 63976D _ GP 63977D James Geiger - Griffin and Zack _ _ _ 2387 1826 GP 6395_6D _ 4549 _ $200.00 GP 63152D major fee, Brunswick Co. 7/1/2014 Timothy U. and Diana B. Glasson _ 7/1/2014'Charles F. Riggs_& Associates Inc. 7/1/2014 Eastern Builders of the Carolinas Inc MY2014 Ryan D. Cooper_ 7/2/2014 Carolina Bluewater Construction, - - 4 Inc.- 7/2/20141George L and Rosemarie K Jones 7/2/2014 Wells Fargo Cashier's Check to B and B Construction _ - -- 7/10/2014 Bruce Marek 7/10/2014 American Marine Const. Inc. _ 7/10/2014 Charles_Riggs & Associates _ 7/10/2014 F and S Marine Construction 7/10/2014 Advance Properties LLC 7/10/2014IW� estern Union Mondy Order_ _ _ 7/10/2014{Western Union Mondy Order _ _ 7/10/2014 Willie Richardson/Richardson Construction 7/10/2014 Allied Marine Contractors, LLC 7/10/2014 Derek D Wright -_ _ _ _ 7/10/2014 James L. Canada _ 972 13529 39886 _ $400.00 $100.00 $100.00 Herbert & Louise Rust - minor fee, TB Donald Thompson _ - Jim and Janie_ Crouch _- Joey Dinkins _ -- Chris Butzko Gail Wamsley _ Catherine Kelm $100 credit- _-__ Middle Island Community Dock Tommy Perry Devincenzo Coleman Parks _ minor fee, NTB 1808 $200.00 $200,00-- $200.00 $1,053.00 _GP 632_9.8D _ GP 63925D GP 63925D GP 63955D @$153 + $47 A GP 63926D $600 _ - 63927D $200_ 63981D - _ _- 9315 3608 6740400592 - -- _ - Wells Fargo - --- - -1357 JOGFPfo $40rm First Citizens First Citizens PNC Bank -_ - BB&T Wells Fargo ___ __ Wells Fago 85590 13512 $100.00 $50.00 - GP 63976D SC Ex 14-08, Pender Col GP for Waynick Blvd 3862 1579 _ $200.00 $200.00 GP 63988D GP63981D Mike Riley_ Ronnie Homes - 17-033118103 1_7_-011962641 5687 6569 6778 1181 $100.00 - $200.00 $400.00 --- $200.00 ---- G , 6_3299D GP 63300D @$200 - 39- GP 663D $200 GP 63982D renewal 4-05 renewal 158-06 Carol Haig-h - -- - Gary& Rachel Moss - _ BB&T B of A Wells Faro First Federal $100.00 $100.00 1130 Canady Ave. TB 7/10/2014 Wells Fargo Money Order_ -__ Gieselman - Wells Faro 14-818390335 _ $100.00 minor fee, NTB 319 Ba Cir 7/11/2014 Clements Marine Construction Inc William Kelly Wolfe First Citizens 3507 $200.00 GP 63989D 7/1512014 Clements Marine Construction Inc Hard -__ _- _- First Citizens 3506 $200.00 _ GP 63990D 7/15/2014 7/16/2014 William C. Gore, Jr. __- ___ -_- PNC Bank Vantage South Bank 2546 $200.00 _ GP_15 Monroe St, OIB John L. Pierce & Associates PA FrankieW_alker --_ 36440 _ $100.00 minor fee, Surf City _ 7/1712014 Seashore Realty Groug_Inc_ Heritage 1, LLC _ -- Coastal Bank & Trust 3449 $100.00 modification MP 64-04 7/17/2014 Larry Rice Construction - Brandon Grimes _ Brandon Grimes Stanen y McCauley Rentals _ Coastal Marine Piers & Bulkheads LLC - _ Coastal Marine Piers & Bulkheads LLC William Ardito BB&T _ 2079 $100.00 minor fee NTB 1915 New Ri 7/18/2014 7/18/2014 7/18/2014 7/18/2014 7/18/2014 7/22/2014 - Brian Forehand -- -- _ Wells Fargo Money OrdEj Wells Fargo Money Ord - Wells Fargo Bank Wells Fargo Bank Wells Fargo Bank B of A 59125196944 _ $500.00 GP 63987D Brian Forehand _ _ _ _-_ _ _ _ -- 59125196933 - $500.00 GP 63987D 2925 19677 - $200.00 - GP 63929D Paul Ellison _ _ $100.00 _ GP 63992D Paul Ellison 19681 $100.00 GP 63992D Thomas M. and Suzanne M. Hodell - 1375 $100.00 minor fee, 2664 Island Dr. S 7/24/2014 _ Backwater Marine Construction, Inc - _ Alan Campbell - BB&T 1590 $200.00 GP 63967D 7/24/2014 7/24/2014,Backwater Charles Fox Homes, LTD _ _- Marine Construction Inc Martin 124 W. Third St. O16 Joel Martin 133 Lions Paw HB Branch Banking & Trust 19438 $600.00 GP 63965D BB&T 15911 $200.00 GP 63960D NC Division of Coastal Mgt, Habitat impact Computer Sheet Applicant: 6W Permit #,j Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measureme found in your Habitat code sheet. Habitat 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 fii disturbance. Excludes any restoration an( temp impact amount) D�S) Dredge ❑ Fill ❑ Both ❑ Other �Q Dredge ❑ Fill ❑ Both ❑ Oth r ❑ 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 0 Other ❑ NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Jams H. Gregson Dee Fr Governor Director Se(( AGENT AUTHORIZATION FORM Date: �_r7�— Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: `EerL r riw. Owner's Mailing Address: Phone Number — 5 l 6:�gTU 7 Agent's Mailing Address: ? �Cir?L" x7ecl S�tJ Phone Number «), qq3 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 necessary4o install or const � the following (activity): (my property located) at This certKiica y n is valid thru date)0e, a Property Owner Signature Date 'l( Mo��p,�, r� back 4'4Ns, b,.B),. n_._ I ■ , Complete items 1, 2, and 3. Also complete Item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: �Ali� A. Signatu / ❑ Agent X Addressee B� Received (Printe e) C. to Deli eL7 D. "d INery address different fq i Item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Ice Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2, Article Number 7 011 1570 0000 3753 4567 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ; ■• Complete items 1, 2, and 3. Also complete Item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Maits Signature �- 0 Agent B. Received by (Printed Narrre' I C. Date of Delivery D. Is delivery address different from Item 1? ❑ Yes If YES, enter delivery address below: XNo 3. ce Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7011 1570 0000 3753 4550 Domestic Return Receipt 102595-02-M-1540 MHCDO Ronnie Smith fi