65049D - Pless

fJ h'
LAMA / ❑ DREDGE & FILL il i�3`
iEN ERAL 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 NCAC4
Rules attached.
Name
State+\Z ZIP2 Aa—
() to Fax
Bd Agent
❑ CW �&EW PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
yes / no PNA yes # no Crit.Hab. yes (no
Project/ Activity
ck) length _
1(s) 10 x
ngth
tuber
d/ Riprap length_
g distance offshore_
a distance offshore
cannel
bic yards
np
ise/ Boatlift
ie Length J
not sure yes no
Project Location: County Nil r 1,
Street Address/ State Road/ Lot #(s)
zwl w L-A- Se -
Subdivision 0 A
Wne#ftAp
Ali
ZIP �r12:
" J13'S ) River Basin
Adj. Wtr. Body -C1 T:�- 1 l na r
Closest Maj. Wtr. Body Pq wl'&�
(Scale: C !/
ONE
■■■■■■■■■V/J■■■1��■■■■■■VI. ■i

UCIVK Ii MlVlfi
Date
Received
Nally l•IIC{4R LVI� IVI YYIM1V
Check From (Name)
Name of Permit Holder
Vendor
Check
Number
Check
amount
Permit Number/Cr
12/10/2014 Sun Technologies Sandeep Sharma B of A _ 5073 $436.00 Vio#14-11 D
12/11/2014 Boatzright Inc. Kevin Thomas First Citizens Bank 1805 $200.00 GP 65069D
12/11/2014 Holden Dock & Bulkheads Don & Elizabeth Whitener First Community Bank _5955 $200.00TGFi 64061 D
12/11/2014 S&ME USS North Carolina B of A 4728 $400.00 major fee, Wilmin tl
12/12/2014 Riptide Builders, LLC same, owner Donald Bean BB&T _ 7525 $50,00 minor exemption fer
12/12/2014 Holden Dock &Bulkheads Dodson, Baxter, Mauney First Community Bank 5958 $600.00 GP 64087D, 640861_
12/12/2014 Charles and Carol Walters Gloria G. Smith BB&T 7988 $200.00 GP 64085D
12/15/2014 David Davis, Steven Davis, Janice Baldwin David Davis SunTrust 1596 $100.00 minor fee, 1203 Oa
12/15/2014 The Village of Bald Head Island same PNC Bank 57246 $100.00 renewal fee, MP 22-
12/17/2014 Stewart Engineering, Inc. Sea View Properties PNC Bank 12179 $200.00 fees for mod & rene
12/17/2014 Connaway Marine Construction, Inc David Wilson and Martin Covert B of A 6895 $200.00 GP 52465D _
12/17/2014 Oak Island Accommodations Jay Motzinger BB&T 32781 $100.00 minor fee, 703 Casu
I V19/2014 Lighthouse Marine Construction inc Maxwell Foods LLC B of A 5194 $600.00 GP 65071 D
12/19/2014 Town of North Topsail Beach same First Citizens Bank 39043 $100.00 minor mod for MP
19
12/9/2014 F and S Marine Contractors Inc DeSherbinin PNC Bank _ 4223� $200.00 reissue, GP 64045C
12/19/2014 ___'Western Union Money Order, Brandon Grimes Brian Forehand Wells Fargo Bank 17-135019617 $200.00 reissue, GP 64041 C
12/19/2014 Westem Union Money Order, Brandon Grimes Gail Wamsley Wells Fargo Bank _ 17-135019618 $260.00 reissue, GP 63926C
1211912014,Atlantic Coast Industrial, LLC same BBBT 7451 $200.00 GP 65072D is reissi
12/19/2014 'Northern Riverfront Marina and Hotel, LLLP same PNC Bank 3818 $100.00 renewal fee, MP 44-
12/22/2014 Coastal Marine Piers Bulkheads LLC Shinn Creek Estates Wells Fargo 19946 $100.00 mod fee, MP 72-82
12/22/2014'Clements Marine Construction Inc Smith/NHCo, Yeaton/PNCo, Thompson/PNCo First Citizens Bank 3673 $750.00,3 - fees @$250 e
12/22/2014 Coastal Urge LLC _ Jeff Nathan _ B of A _ 2263 $250.00 major fee, N_H_Co
12/23/2014 Mark U Wild-Ramsing & Dina Wild-Ram_sing Chambers/Jacoby NC SECU 5323 $200.00 GP
12/23/2014 W. Wayne Holden _ _ Wilbur and Cecil Holden, major permit Wachovia 2394 $100,00 renewal fee, MP 77-
12/30/2014 Logan Marine LLC Porter's Neck Property Investments, LLC Corning Federal Credit Union 1144 _$200.00 GP 65074D
12/31/2014 Grice Construction of Brunswick Co Snow, Mueller, and Stone BB&T — 10045 $600.00 GP 65048D @$200
_ GP 65047D @$200
GP 65046D @S200
12/31/2014 H5 Construction, LLC Kevin Pless BUT 1158 $200.00 GP 65049D
i

t Division of Coastal Mgt, Habitat Impact Computer Sheet
)plicant: KmA Plus
ate:
J--7/ 30/► �I'
Permit #: �5o'-H r
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
ibitat 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/c
temp impact
amount)
WDredge
❑ Fill ❑ Both ❑ Other
�—
6 3
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 ❑

0 --7 DEPARTMENT OF THE ARMY
0% WILMINGTON DISTRICT, CORPS OF ENGINEERS
69 DARLINGTON AVENUE
WILMINGTON, NORTH CAROLINA 28403-1343
REPLYTO ATfENrIPION OF:
December 17, 2014
Regulatory Division
Action ID No. SAW-2014-02293, General Permit No. 197800056
Mr. Kevin Pless
289 Derrick Drive
Bolivia, North Carolina 28422
Dear Mr. Pless:
Through coordination with the North Carolina Division of Coastal Management and email
correspondence with you, we have learned of your request to construct a docking facility on the
Lockwood Folly River at 289 Derrick Drive, Bolivia, Brunswick County, North Carolina.
Coordinates are: 33.954919N,-78.227-257 W.
On January 1, 201-1, we renewed general permit No. 197800056, (copy enclosed), that
authorizes the maintenance, repair, construction and installation of piers, docks, boathouses and
boat shelters, mooring piles, dolphins, jetties and breakwater structures in navigable waters of the
United States in the State of North Carolina pursuant to Section 10 of the Rivers and Harbors Act
of 1899.
Your work is authorized by this permit provided it is accomplished in strict accordance with
your proposed plans, the enclosed general conditions, and the following special conditions:
1. All work authorized by this permit must be performed in strict compliance with the
attached plans, which are a part of this permit.
2. An as built survey of the structure will be sent to our office for review for navigation
concerns.
3. Be advised that the authorized structure is near the setback of the Federal channel and this
it does not authorize interference with the exictina PPA-rnl nrniarrt nnA t1,P 1,PrmliiPP^v Q„� T,+-

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
leverly Eaves Perdue Braxton C. Davis Dee Freeman
'overnor Director Secretary
AGENT AUTHORIZATION FORM
Date: Q-3 -\,A
me of Property Owner Applying for Permit: Name of Authorized Agent for this project:
eut n Press Mao Non <W s Cor\skr uc� ion>
ner's Mailing Address:
DS �.a,P�oda brItoe
0c.45 C ,'a$Og1
Agent's Mailing Address:
279e Sgl4 Vlsi r4
SvpPLy N� 29��Z_
me Number (104) SGQ-'!)4M6 Phone Number %0.5Q3A cAl
10%i 5GA - % 8 z 6 on %so- LAM I CDCL
rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
ind obtaining all CAMA Permits necessary to install or construct the following (activity):
my property located at X$A �P-[60K Urioe pp1�uiq,N�,a$4a�
certification is valid thru (date)
1 L, 1 t1b1
Property Owner Signature Date

jo'. 'IPW
4
Q -1� wIfIQ

'HAND DELIVER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTIBOATHOUSE)
I hereby certify that 1 own property adjacent to (!U i r) Q �e ss _ 's
(Name of Property Owner)
property located at Sc$ QerrICk.. Dr iue
(Lot, Block, Road, etc.)
on L. wood doll Rwer , in �)r Un swi C-W _ , N.C.
(Waterbo y) (Town and/or County)
Applicant's phone 9:=104.560 -3Z46 Mailing Address: SOS L c>, c\0a 4 'i f i o@
-1a+-s6,;x- -L.ocu.�J, Nc aFsogl
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 pierhnooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (I 5') 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 not Arish 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)
pier
Io'xl�'-E'�oahnyao�k
11' KlZ' (T) a� e++d
(Information for Property Owner Applying
for Permit)
0�00S Lo,!5Q6a O6�je
Mailing Address
(Riparian Property Owner Information)
n Signature
1�0 ST% I- Ot t " l` o f\e l'S
prnit nr Tvna Nome

HAND DELIVER
w-U^
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to \�P—U%n p\ess _ 's
(Name of Property Owner)
property located at O° QeS f � ck �b t- i u e
(Lot, Block, Road, etc.)
on ��O&wood Vcklu Ri ue r , in _ 1�runsw 1c15 _ _ _ , N.C.
(Water —body) (Town and/or County)
Applicant's phone#yl0`I56�o-3�46 MailingAddress:'OS L.q�C106q br►ue
104.5G-a -18:1G Locus+ K_1.1$U9-1
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 (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must i ' ' the appropriate blank
below.)
I do not Arish to waive
�j Y' I do wish to waive that setback requirement.( ;- d-
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
y' x4'i, Vier
10I�t ;J0"kj^9 dock
1?' z1VMc k ena
(Information for Property Owner Applying
for Permit)
1�dU'5 L ,5�odoi 'OrWe
Mailing Address
(Riparian Property Owner Information)
Signature
Locusk, Nc

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