63988D - Parks

CAMA / DREDGE &FILL Q ^ ��
�Q 4L
�ENERAL PERMIT
Previous permit#
ew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue Date previous permit issued N
rized by the State of North Carolina, Department of Environment and Natural Resources ��`` ' ' Z00
7-oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC V -J (4 '
it Name'� l (l
❑ Rules attached.
Project Location: County �'�J�j1 Eye.....
2 I4- �P'qz-N A & t-c - ( ct E
Street Address/ State Road/ Lot #(s)
N!6-Tt State `' ZIP
G
'7%0 g r �? lFax # ( )
Subdivision wA� N NEr�yNS
:ed Agent
City b1r1 a/D ZIP
1 ❑ CW *W �ypTA Li ES ElPTS
Phone # ( "' River Basin
❑ OEA ❑ HHF IH ❑ UBA ❑ N/A
r�
Adj. Wtr. Body
❑ PWS: ❑�C—
f
Project/ Activity
Pck) length t C
'(s)
iier(s) C�
:ngth
amber
�d/ Riprap length
gi tance offshore
ax dis*nce offshore
hannel
bic yards
np
ise(B—oatlift',� 11 al 11
aO MW
■R)t1NOli 1:Ji
■Ww"■■M
■■■■VEN
•■�PAT,o
'an- w o . I
1�iQ 11119
■■I2119.
r
J
(Scale:
❑ See note on back regarding River Basin i

DENR CAMA Daily Check Log for WIRO
Date
Received
Check From Name
Name of Permit Holder
Vendor
Check
Number
Check amount
I Permit Number/Cot
6/24/2014
6/25/2014
Richard L. and Erica J. Penny
Clements Marine Construction Inc Dan Smith
Snow Marine Construction & Dredging, Inc Charles Ashley Man_ n
Elite Homes By Forrest Taylor, Inc. Cableu, LLC
535
$200.00 GP 63924D
$650.00 GP 63962D $400
Major fee (Smith) @$
3488
6/25/2014
_
2839
8046
$250.00 Major fee (Mann) NH(
$200.0o GP 63973D
6/25/2014
6/2512014
_
Grice Construction of Brunswick County H & H Construction
H & H Construction
Klei h M. Prevatte Mike Cecil
Backwater Marine Construction, Inc Craig Brady
Jim & Mara Beth Yeager
John Lassiter
Charles Fox Homes, LTD Ralph Patterson
NCWRC wire transfer 0000070743
Karen Z. Perry Tommy Perry
Custon Island Homes by Ken Kiser LLC James Geiger
Maritech, LLC Adam C Knierim Griffin and Zack
John L. Clark
Timothy U. and Diana B. Glasson
Charles F. Riggs &Associates Inc. Herbert & Louise Rust
Eastern Builders of the Carolinas Inc Donald Thompson
-RyanD. Cooper Jim and Janie Crouch
_p -- -- — - — -
Carolina Bluewater Construction, Inc._ Joey Dinkins
George L and Rosemarie K Jones
Wells Fargo Cashier's Check to B_ and B Construction Chris Butzko
Gail Wamslley
Catherine Kely
$100 credit
Bruce Marek Middle Island Community Dock
American Marine Const. Inc Tommy Perry
Charles Riggs & Associates _
F and S Marine Construction Devincenzo -_ _
Advance Prooerties LLC Coleman Parks
9710 $400.00 GP 63958D @$200
_ GP 63959D $200 _
1001 $200.00 GP 63960D
1557 $800.00 GP 63296D @$400
-- GP 63297D @$200
GP 63167D $@ 200
19381 $200.00 GP 63295D
70743 $100.00 mod. MP # 138-13
_5201 $100.00 GP 63976D
_ 2387 $200 00 GP 63977D
1826 $400.00 GP 639560
4549 $200.00 GP 63152D
972 $400.00 major fee, Brunswick
13529 $100.00 minor fee, TB
6/25/2014
6/25/2014
—
6/25/2014
6/27/2014
6/27/2014
6/27/2014
6/30/2014
_
6/30/2014
7/1/2014
7/1/2014
7/1/2014
7/2/2014
7/2/2014
_ _
39886 $100.00
1808. $200.00
- - ---
_9315, $200.00
3608 $200.00
674 4400592 $1,053.00
minor fee, NTB
GP 63298D
GP 63974D
GP 63925D
GP 63955D @$153 +
---- ---
_
7/2/2014
7/2/2014
7/10/2014
7/10/2014
7/10/2014
10/2014
1012014
GP 63926D $600_
GP 63927D $200
1357
85590
_ 13512
_ 3862
GP 63981 D
$400.00 GP for riprap
$100.00 GP 63976D
_ $50.00 SC Ex 14-08, Pender
_ $200.00jGP for Waynick Blvd
Wells Far o_
_
First Citizens
First Citizens
_ -_ _
PNC Bank
BUT
-1579
$200.00
1 GP 63988D

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: L e I e-//P, al„\ rn Y" 14S
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
'ound 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 f
disturbance.
Excludes any
restoration ar
temp impact
amount
(( (j
Dredge ❑ Fill ❑ Both ❑ Other
(D
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 ❑

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /,ew~
��""
(Na of Property Owner)
property located at ��7Z�. / /0"V Y>f 4-4 90 i�All
dress, Lo ,Block, oad, etc/
on inf% i'�� /v ��t!a N.C.
(Waterbody) (City/Town arid/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.
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)
`U
m C {-�4�s►�
. �L
- - IS-20 d
�—� �j�✓�-�OC� 717 �
, ►� I a o>b= I mod^^ PC' P
WAIVER SECTION t
understand that a pie , 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.
V I do not wish to waive the 15' setback requirement.
(Pr9perty Owner1nfokmation)
(Adjacent Pro Owner Information)
Signature
. JOrS�n/ IZ�L./Cf�
5n� t Wor ` Name
Print or Type /vame
SD/ N E" .LSD

PIN:3282-90-7316-0000
PLAT:00120001
NAME: WASHINGTON ACRES INC
ACCOUNT: 23081AID0000
ADDR: C/O PARKER STEEL COMPANY.10270
TOWNSHIP: 102
SOUTH PROGRESS WAY
TNSH DESC: TOPSAIL
CITY: PARKER
ACRES: 1.64
STATE: CO
LAND VALUE: $407,000.00
ZIP: 80134
BUILDING VALUE: $0.00
PROPERTY ADDRESS: HUGHES ROAD
TOTAL VALUE: $407,000.00
PROPERTY DESCRIPTON: LOT BETWEEN 89 & 90 DEFERRED VALUE: $0.00
PB 12/ 1 WASHINGTON ACRES
SUBDIVISION: WASHINGTON ACRES
DATE: 2/7/2001
ZONE: SEEMAP
SALE PRICE: Null
TAX CODES: G01 F29 R40
1 1 /29/2013

Ln
EIP
e
DEED BOOK 1142
PAGE 220
MAP BOOK 12
PAGE 1
EBB
FLOOD /� a2
80' CHANNEL / ,•e13
PER MAP BOOK 12
PAGE 1
//c15
YEnAN1S
c7 5 so
---
S79°42'3"W 228.39 TIE LINE
�z7
1.29 ACRES
ME SAND
°2 L IIE n7
/
i
/
/
i
/
i
i
/
/
/
/
/ / / / I . S�A�FRiDr1 GEEEtlE1�If�BY CERTII
THAT THIS MAP WAS DRAWN UNDER MY 0',
/ AND SUPERVISION FROM AN ACTUAL SURI
cONC. UNDER MY DIRECTION AND SUPERVISION.
MON THE RATIO OF PRECISION AS CALCULATE
+1:10,000:
off( �
WITLESS NY FIAI� /�N0 SEAL THIS 4 ,
N DAY OF a _----_--_--- 2013.
S
N
o '
90
MAP BOOK 12
PAGE 1
-pie
..�ytri'
C 0NC•
MON
N80°33'52"E C.280.68
_ HVGHES_ROAD_----------
40 20 0 40 so
GRAPHIC SCALE: 1 = 40'
EXHIBIT SKETCH
L"m v
WASHIP
OPSAIL TOWMM IP
OWNER:
ADDRESS:
PHONE:
STROUD ENGI
102-0 CINEMA DRIVE
■ILMI NDTON. NORTH C1
191,, S19-DTT9 1

SOS---C"aNMEL
- 70
0 FLONTIN6 DOC
min
I (D RA PA Z- x
kPi KS H

>cale: 1:100
PIN:3282-90-5287-0000
NAME: HAAS ]ON
ADDR: 2215 HIGHLAND AVE
CITY: KNOXVILLE
STATE: TN
ZIP:37916
PROPERTY ADDRESS: HUGHES RD
PROPERTY DESCRIPTON: LT 90 PB 12/1
WASHINGTON ACRES SEC 8
DATE: 2/16/2006
SALE PRICE: $90,000.00
PLAT:00120001
ACCOUNT: 88 5111.000000
TOWNSHIP: 102
TNSH DESC:TOPSAIL
ACRES: 0.71
LAND VALUE: $200,586.00
BUILDING VALUE: $0.00
TOTAL VALUE: $200,586.00
DEFERRED VALUE: $0.00
SUBDIVISION: WASHINGTON ACRES
ZONE: SEEMAP
TAX CODES: GO1 F29 R40
11 /29/2013 E

Scale: 1:100
PiN; 3282-SG-5287-00C•3 PLAT: 0012000,
NAIMF; HAAS JON ACCOUNT: qss-, 11.030000
AIDDR: --215 MTGHLAND AVE TOWNSHIP:'10-02

http://gis.pendercountync.gov/newgis/site/PrintTemplates;'F
i
i
= HUGHES RD
\`COO
i
'f
0 I/
Scale: 1:100
v
a,
PIN:3282-90-5287-0000
NAME: HAAS JON
ADDR: 2215 HIGHLAND AVE
CITY: KNOXVILLE
PLAT:00120001
ACCOUNT:- 885111.000000
TOWNSHIP ' 102
TNSH DESC:TOPSAIL

ADJACENT RIP_4RIAA-N PROPERTY OWNER STATEMENT
(FOR A PIERMOORL1r'G PLUNGS/BOATLIFTBOATHOUSF)
I hereby certif--) that I own property adjacent to % - 4,1 �ii/CC � • ✓ A///,/'s
(dame of Property Owner)
property, located at
LOTS ,�IF9fga
(Lot, Block, Road, etc.)
cn /—�cle , in h;V4�;e 6 • , N.C.
(Waterbody) own andfoe County)
Applicant's phone #: Q:MlMailing Address: Z"/V 1.� '/ " %& 4t��
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (I5') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
�ldo not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
2w>�•9a�Aoolzr f
Mailing Address
/Z/;�/ ..' c7i1 5�G zq�
(Riparian Property Owner Information)
Signature --
Print or Type Name
r';1h7/QfafA/7;n

•0
I Ic yr SI313I MI r I u I I i cu IN IaMbl r I
Scale: 1:50 C)
PIN:3282-90-7316-0000 PLAT:00120001
NAME: WASHINGTON ACRES INC ACCOUNT: 23081.000000
ADDR: C/O PARKER STEEL COMPANY.10270 TOWNSHIP: 102
SOUTH PROGRESS WAY TNSH DESC: TOPSAIL

HOLLY RIDGE PO
HOLLY RIDGE, North Carolina
284457879
3613950445 -0099
01/08/2014 [phone] 03:33:20 PM
Sales Receipt
Product Sale Unit Final
Description Oty Price Price
KNOXVILLE TN 37916 Zone-3 $0.46
First -Class Mail Letter
0.70 oz.
°^heduled Delivery Day: Sat 01/11/14
@4 Certified $3.10
Label #: "'123460000349314786
Issue PVI: $3 56
m
KNOXVILLE TX 3746
.
a
m
E'
s
Postage $
m
Certified Fee
$
O
Return Receipt Fee
(Endorsement Required)
V1058P102014
O
Restricted Delivery Fee
C7
(Endorsement Required)
m
Total Postage & Fees
R1
Sent To
L�S�Ii,ieiejlf'A;Yt. No.; ------------------------------------------------------
PO Box No.
, State, ZlP+4 ------------------------------ ---
;l $3.56
Paid by:
MasterCard $3.56
Account ii: XXXXXXXXXXXX1506
Approval #: 09585J
Transaction #: 974
23 903231793
For tr� inquiries go to
US or l
ca
USPS.com or call 1-300-222-1811.
�Daits
Order stamps at usps.com/shop or call
1-800-Stamp24. Go to usps.com/ciclicknship
M H C D O
to print shipping labels with postage. For
,r information call 1-800-ASK-USPS.
k r x7C 7�Yc x t Ycx*rre*e re*r*xrre �rr �r sex xr xr �c rr e
Ronnie Smith
Get your mail when and where you want it
with a secure Post Office Box. Sign up for
LP O
a box online at usps.com/poboxes.
DW Review
Bill#: 1000100768729
Clerk: 07
Scan to DMoye
All sales final on stamps and postage
Refunds for guaranteed services only
Thank you for your business
�I `
jlt & ar �
, ��
L'`^-'GJ
7 "lt rcx rr7CKY(XYlK7CY(K�XYf %'%�Y(�Ir YI xIC �Y(It e xr lC
HELP US SERVE YOU BETTER