64032D - Poplar

PAMA / ❑ DREDGE & FILL
IENERAL PERMIT
Previous permit # -z�"-
Vew ❑Modification ❑Complete Reissue ❑Partial Reissue
Date previous permit issued"
ized by the State of North Carolina, Department of Environment and
Natural Resources
U I 1,700
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
r"
Rules attached.
County F �+`.—•-
(7
Name G - (,,A ` . U �- �, �
Project Location:
Street Address/ State Road/ Lot # s)
tins State ) ` ZIP f1 j
Ll
VE U
Fax # ()
Subdivision
V e--
t r
Bd Agent 1 r_,� "' � � � t`�
Ci i IILW
ty
ZIP
River Basin
❑ CW KI EW , PTA ❑ ES [IPTS
Phone #
LiOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
A 1 A (natt
❑ PWS: ❑ FC:
Closest Maj. Wtr.
TO K�jW= L- S1'�i) M�
Body--
yes;/ no PNA yes � Crit.Hab. yes / ri
Project/ Activity
s
(Scale:
ck)length
ngth
tuber
d/ RipNoffsho
g dist
ix distance offshore
cannel
bic yards
np
i� oat% 7
ie Length 0 D
not sure yes
gs: not sure yesIn
rium: n/a yes
yes
Attached: yes
ling permit maybe required by: ycfA a.LA , ❑ See note on back regarding River Basin

4C Division of Coastal Mgt. Habitat Impact Computer Sheet
applicant: E S Y S
late: l a^ z f Y
lescribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremei
)und in your Habitat code sheet.
abitat 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 fir
disturbance.
Excludes any
restoration anc
temp impact
amount
l
Qw
Dredge ❑ Fill ❑ Both ❑ Other
l
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 ❑

Date
Received Check From (Name) Name of Permit Holder
9/19/2014 Parker Construction Group LLC Parker
Check
Vendor Number
9/19/2014 J & J Properties of Calabash 1 LLC
Calabash Marina
Citizens South_
9/19/2014 Seashore Realty Group, Inc.
Heritage I, LLC
Coastal Bank & Trust
9/22/2014 Land Management Group, Inc.
Riverside Park Marina
First Bank
14 Howard and Janice Malpass
—9/22/20—
- --_
sae
m
--
Wells Fargo
i
_
9/22/2014 Danford & Associates Land Surveying, PC
Loder-Strickland
Wachovia
---
9/22/2014 AC & Emily Skinner
�-
-
'AC Skinnard
NewBridge Bank
-
9/22/2014 A'N'A Builders, Inc.
9/23/2014 Geoffrey &Stacy Alexander
Same
`same
TD Bank
Wells Fargo
9/24/2014 CFPUA
_
same
B of A
9/24/2014 Overbeck Marine Construction Inc
Whelan
SunTrust
_
9/24/2014
Coastal Marine Piers Bulkheads LLC
A. Murphy
Wells Fargo
9/24/2014
Barry & Shari Golob
same
Lafayette Federal Credit Uni(
9/24/2014
Willie Richardson Construction
BB&T
9/24/2014
Tidal Ventures
same
BB&T
9/24/2014'B
& K Marine Construction
Prisilla Clark
BB&T
9/25/2014 Johnny J. Williams/Land Surveying
William & Tracy Ellis
First Citizens Bank-
9/26/2014 Southeastern Coastal Construction Co
Ellison
First Federal
_
9/26/2014 Charles Riggs & Associates Inc
Susan Brown
First Citizens Bank
Charles Riggs & Associates Inc
James
same
First Citizens Bank
PNCBank
�9/26/201�4
9/26/20141
Lincoln Bain Scott III/Renee Scott
9/29/2014 GRA Construction Inc.
Seaclusion, LLC (Mike Coltrane)
First Bank
- - -
—9/3--0/2014 Allied -Marine
Marine Contractors LLC
- --
'Forrest Sound HOA
--
B of A
1
10/1/2014 Backwater Marine Construction Inc.
Melton, Vidal-Tai
BB&T
--
10/1/2014'Clements Marine Construction Inc
Transfer/Jam Properties + GP
First Citizens Bank
10/2/2014 David Lee Builders, Inc
(Rouse
B of A
_
10/2/2014 Pippin Marine Construction, LLC
James Davis
Wells Farao
1422
3959
44494
-3787
1793,
8478
6979
2305
Check amount I Permit Number/Cor
$250.00 major fee, 1 Auditoriurr
$100.00 MP 74-OS renewal __
_ $100.00 MP 64-06 mod. Requei
$475 00 major fee, Riverside Pe
$100.00 minor fee, Topsail Bear
_ $200.00 GP 64064D
$100.00 renewal, MP 23-07
— $100.00 minor fee, NTB, 205 Se
$400.00 major fee, Br.Co.4302 1
_ $800.00 Vio# 14-17D
$100.001mod. fee. MP 36-13
2026
$1010.00
$200.00
$100.00
$200.00
IMP transfer 42-05
GP 64065D
minor fee, TB, Pender 1
GP 64066D
1151
15247
9243
13649
$100.00
$100.00
$200.00
$100.00
$100.00
$600.00
$500.o0
$100.00
minor fee, NTB, Onslov
minor fee, TB, Pender I
minor fee, NTB, Onslov
minor fee, Caswell Bch
MP 218-06 renewal
GP 6401 OD@$400,GP
MP 84-14 transfer $11
minor fee, SC 14-14
13650
684
8406
6891
1667
3594
19688F

231404:57p Davis 904-853-6865 p.1
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date q ;�, 0 " 1 4
Name of Property Owner Applying for Permit:
::J'4P1 ff- s V 1>►4 L/I S
Mailing Address:
jDq IVc- CjA-K �-k1l'C
(JJ i L M i /� 6T Al L 26?4 t I
I certify that I have authorized (agent) t �11° A Pelt/ - RPpo� U Cam, to act on my
behalf; for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity) ,Z?y d 7 — /- 1 ,PTf
at (mv property locatW at) J, U cf �% V d OAK L f- -NLE-r Vti + M N & 1 d Ay. N
This certification is valid thru (date)
Proper O"er Signature
Date

,231404:54p Davis
904-853-6865 p.2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that t own property adjacent to -1�� n t ",S
(Name of Prope4 Own�r G
property located at 1 CJ/�/t� U�� -h C-t 1 ��/'�y� Ste'
(Address, Lot, 81oc Road, 4tc.
on G ,in n e Y N.C_
(Waterbody) (CityiTown andior County)
The a r0cant has described to me, as shown below, the developmert proposed at the above
to i n.
I have no objection to this proposa'.
I 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)
'EC
E►VEI'
OCT 0 2 20111
\WOO4f��fQN, NC
WAIVER SECTION
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.
E do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Si
P ype Name
*-�re.-
J - -a--r'l ,
Vame
/1 1

231404:43p Davis 904-853-6865 p.2
ADJACENT RIPARIAN PROPERTY OWNER. STATEMENT
I hereby certify that 1 own property adjacent to, r? i P ` .i o Q , S S
{Name of Property Owner)
property located at � �- cj it I � � � � k � n 2
(Address, Lot:, Black„ Road, etc;,
on l L lit, in1-1 I N.C.
(Waterbody) (City/T(Anrn indlor County)
The applicant has described to me, as shown belcw, 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 rill in description below or attach a site drawing)
R E .
©rT 0 2 2014
DCNi WILMIN(-ION, NC
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 O r Information) (Ad cent Property Owner Information)
Sigst�lffm V • �t� �� �J Smut 0
r-4
/C 4
Print w Type Name Print or T e ame
1,917 �-I L e& D� t4 �A t-�� % r'► z" .' /�
Adadinn ArfrirPts madina Address i . , _ , , .

OWN �O��NNNi_ 5I
1,7