64002D - Nelson

x DREDGE & FILL "
CAMA / ,C� DRE � a+
iENERAL PERMIT
Vew ❑Modification ❑Complete Reissue El Partial Reissue
Previous permit #
Date previous permit issued
4 F
zed by the State of North Carolina, Department of Environment and Natural Resources . I
>astal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rules attach d.
Name , `' Project Location: County
C� -Z -A StreetAddress/ State Road/ LotA(s)
tk State �.+ Zl P y
_ 1 2.4 ``Jy VqA it 1`N, ��) Kee
Fax Subdivis'on N
Li
��en%t S� t Yl trl t L�'i"�•- City. ZIP " R�(�
❑ CW yy-�� `W i�PTA ES ❑ PTS Oh ne # O River Basin
❑ OEA LJ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body l/AV O`er-
❑ PWS: ❑FC: A WiJ
Closest Maj. Wtr. Body
(es no PNA yes /(G) Crit.Hab. yes / r
Project/ Activity
:k) length `►,
(s)
er(s)
ngth
nber
i/ Riprap length C5
"Bistance offshore i
a distance offshore
cannel
bic yards
np
ise/ Boatlift
.ulldozing
fWf
i
ie Length
not sure yes
gs: not sure, yes
rium: n/a
yes
Attached: yes
ling permit may be r
(Scale:, //

DENR CAMA Daily Check Log for VVIRO
Date
Received
Check From Name
Name of Permit Holder
Vendor
Check
Number
Check amount
Permit NumberlO
8/25/2014
Bearing Point Consulting
Topsail Reef Condos HOA
Postal Money Order
21814097771
$100.00
mod. fee, MP 39-12
8/25/2014
Steven and Robin Farmer
John Crooks
BB&T
7060
$200.00
GP 64001 D
8/25/2014
Varnams Docks & Bulkheads
Deborah Libucki
BUT
6902
$400.00
GP 64000D
8/25/2014
Clements Marine Construction Inc
Vern Hawkins
First Citizens
3546
$200.00
GP 64040D
8/26/2014
F and S Marine Construction
Lookout Harbour HOA Tom Hanna
PNC Bank
3955
$100.00
mod. Fee, MP 66-10
8/27/2014
Charles F. Riggs & Associates Inc.
Lot 13 The Peninsula CpTopsail
First Citizens
13599
$100.00
minor fee, Living Coa
8/27/2014
Charles F. Riggs & Associates Inc.
Frank Vick
First Citizens
13601
$100.00
minor fee, 507 S Sho
8/27/2014
Antinori Construction Inc.
Bob Julian
B of A
3137
$200.00
GP 63930D
8/27/2014
Connaway Marine Construction Inc
Robert Parks
B of A
6822
$200.00
GP 64029D
8/28/2014
Allied Marine Contractors, LLC
James Gordon
B of A
6770
$200.00
GP 63272D
8/28/2014
Maritech, LLC Adam C Knierim
Jennifer Tatum
B of A
1839
$200.00
GP 64038D
8/29/2014
Logan Marine LLC
IJam Properties LLC, Dan Smith lComing
Fed. Credit Union
1086
$200.00
GP 64041 D
8/29/2014
Willie Richardson/Richardson Construction
1124 Durham IBB&T
5741
$600.00
GP 64002D

', Division of Coastai Mgt, Habitat impact Computer Sheet
Acant: Kai 6-� Permit #:
.e:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in vour Habitat code sheet.
bitat 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 final
disturbance.
Excludes any
restoration and/o
temp impact
amount)
;' P/1
Dredge ❑ Fill Both ❑ Other ❑
5�
Dredge ❑ Fill Both El Other El
v
Dredge ❑ Fill ❑ Both ❑ Other
1 O�
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Q
C.IJ
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 ❑
Dredge ❑ Fill ❑ Both 171 Other 0

AZLr#A`
AE-_
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Direcbr Secretary
AGENT AUTHORIZATION FORM
Date: :r-9-5-; G(+
Name of Property sOwner Applying for Permit:
� i aAl i� eV.,u)-1
Owners Mailing Address:
Phone Number i.iL1 61.3v'9 `- jrR (n
Name of Authorized Agent for this project:
Agent's Mailing Address:
3;Z3 i Scc c yeA Ni e, S�ti
Phone Number (61,D)
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all LAMA Permits necessary to install or construct the following (activity):
-ftn(_Acck
(my property located) at LvV flu p,p ��- � iC �1 ' C L; KC
This certification - valid thru (date)
%lJ
Property Owner Signature Date

V" - - " - ", N , \ \ , o 'N "
Z I

%-XA4 ' % f 1 VdaQ
CE.IZTIFIED itl II:—RE1C-Rti RI',CEIP`�
DDY7SION OF GOAST':kl, VIA N 'GEYIENT
ADJACEINT Rip .-IUAN PROPERTY OW—iNER STAT MENT
Z here by cerrisY that z orry-n propx,,rty acij actnt to �Q t 'C.�S wi
of P ropert; Owner)
prooc�fi.�locatedat �o2'-i- I�UYb1CVm 51--. �Lo� 19JL-
(Lot. BIoci;;�'�Road. etc.' —__ .. _
E0 L a c�ll
("'aterbody) _
� ^lie2.-1t's hone #- (Town arid/or
Ceo-aiy^
� t' � •—_1.1L� W I ' C 3.�J� ��3.�� ��� B55' a.�e�W2y2_Q���St
He/She i7 d,,-;scribecl to nee is sboTNu bcjwy the 3evelopnzeat hei_&� ss ire o in at t;��t ioc$aa�L —
aud I have ro chjectEcus to the pr:a"Rl. -
------------------------__ - .------------
I).ESCR7PTIOIT AINDiOR DRA'VVI G OF PROPOSED DIi;_�'Fr.OI'NIE TT: -
(1'ndividuaLprop,x7ing development Ntusr_fW in description belmv or mach a sire drawing]
9
If you have objeetiansto wbati,- being proyosed,you must -not the liirisiva of CoxstaliVlanagemcnt I� a Within ld cays oizeceipt ofthis 1lafice. Correspondence should be mailed to 1?'i CardinatDrive: lrxt W'Irn G
DCryl Fepre¢cntatiyec caa also be contacted at (910) 796-731.5.
No res 5nose is ct?nsidereC the sa)n,-. as Ra ;ectica it'vo!t ]�34e ee nutza b_y Certified flail
Z7AU ation)
iglatut-e
._ VJ , I I (� _c �l u rc.� silk .
?riat, cr Type �-auie
35 aocvcst igve
.''ailing Address _--
- C, aj,
(Riparian P.r. epp . ()-vner informatiol
S ign abuo
Via.ss�ms
Print or Tyrpe hTarne
6`6 4-5 6 t r lef a L, . Ct�u�
Mailing ,1ddress -

.... , _. cal A"p) &-hdl
CERTIFIED NIKE — RU .i UM RECEIPT REQUESTED
DI"TSIO�r OF COASTAL 1WNA.GEMI ENT
ADJACK-N-T i PROPERTY UMN7 R STA.Tl NT ENT
lhereeby cerxifi teat: z o��,n property adia atto i�a I� �S
y Owner)
p,00crtt• Iacafzd at %ICVm .,tit Loi-P-) .._
(Lot, 1310Ck. lZoad,ctc.}
(Waterbody) {Town and/or Cacuty)
AprLca:�t's plane : TO 3(0'7 - b 3 35 hlali��f �;dd ess: ��-c�cres}
u
HP,She baz- described to ,e as ahowci bdw.v q,t 3evelopmeat hels` t �s : cs nb T that Iot riosL
and I have rc cbjectcns to the pram- sal,
DESCRIPTIGN .AIN OR DRAVMN-G OF PROPOSED DEV-LOVMBNT:
(X'ndividual.proposing development MUSSfiIl in dzscription below or attach a sue drawin
_( leap. C,-, aV-OC1 s_ck A -raw\ -A ).
If ,you ha re objections to what is being p roposed, yo u must notify the f4wWwa of CoastaI Management (E)CM)
Within 1d days of receipt of this itoticEt. Correspondence should be mailed to Uri (:ardinni Drive Lit, Wilmin:K
DCNI'reprwentatives ran also be contacted ai (910) 796-721.5_
No re, o�se is considered the same as no ob;eciicn if you h3va beea by Certified Mail
ai c Li ner xnX� ma#aob} (Riparian �'rc�nssiv et.1.nL r a
Si�tgture S.ig; tat+.tre
Wd I I k_ armor. .
?riot crType haute
Sa35 &acrest eve
'vjailinr Addr-s ---
�v
T'rint r., . ,Pe I�arr,.e
Mailing Address

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