64029D - Parks

1 CAMA / '! DREDGE & FILL ` Q 64
`Y
GENERAL PERMIT 1D Previous permit #fl—
'New ❑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
❑RI hd
Name KA i >r 1 e- 5
�i-2.A, 5 ,M>agdz l�
�U)ZK YV� State N C,ZIP 2 ��-
8A) 36 0 Fax # ( )
:d Agent _ (It Vl 14 A tAl jGy.(..1�--
CW NEW 7TA ❑ ES ❑ PTS
ElOEA ❑ HHF CJ IH ❑ USA ❑ N/A
PWS: ❑ FC:
(es /, no, PNA yes / , no Crit.Hab. yes 1' no
Project/ Activity
_ u es —ac e .
Project Location: County LON72EAL_
Street Address/ State Road/ Lot #(s)
I 1 ATKI N ,WO ��
Subdivision
CiZIP_ z�4�
Phone # River Basin
Adj. Wtr. Body TU05/r& SO uNA 41;;;)ln
Closest Maj. Wtr. Body 7TV5,A 1 L. S0VA5C
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Wei
g permit may be required by: SOO- t/lid ❑ See note on back regarding River Basin ri

DENR CAMA Daily Check Log for WIRO
Date
Received
Check From Name
Name of Permit Holder
Vendor
Check
Number
Check amount
Permit Number/Con
8/27/2014
Connawa Marine Construction Inc
Robert Parks
B of A 6822,
$200.00
GP 64029D

NIC Division of Coastal Mgt. Habitat Impact Computer Sheet
kpplica
)ate:
)escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremei
Fund in your Habitat code sheet.
labitat 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 an(
temp impact
amount
W
Dredge ❑ Fill ❑ Both ❑ Otber
I
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 ❑

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
N f Prrt n uner RO P. r � TOE i�
an,e o- ope
Address of property.
I -? �.
A -� �. �o � 0, Cl LOT I `y� a I 5Wf CA
�
tLot or Street #, S:reef or Road, City & CoxntA
Agent's Name ;?:
Agents phone #:
7AaAing Address:
I hereby certify that I oven property ad scent to the above referenced propert . The individual
applying for this permit has described to me as shown on the attached drawing the development
'he - ar proposing. Adescptt or drawing- with dintenstons mustbe provided with this letter.
"r - I have no obieciiona to thi7 proposal. I have oblecrion� to this proposal.
lryou have objections to what is being proposed, you musr norify the Division of Coastal Management
(DCM) in wriring within 10 days of receipt of this notice. Contact information for DCM offices is
available at ygM.inccoastalmanaoemenLngG'copracr dcm.hun or by calling 'I-888-4RCOAS7. No
response is considered the same as no objection if you have been notified by Gerrified Mail.
WAIVER SECTION
I understand that a pier. dock, mooring p.' ngs, breakwater, boathouse, 4ift, or groan must be set
pack a minimum distance of 11 F fron, my area of rparian access ur:ess waived by me. (If you
wish to waiv(A the setback, you must initial the appropriate blank below.)
4/1
J , I do wish to vi*ie the 15' setback requirement
I do not riish to v:a,ve the t5' setback requirement.
(Property Owner Information)
S, al, L7rt,7-C
1R06ev � fi ask
P" ntor .,-go Na,- no
(ZOO.
�,�� �►� N� 2--? -70
i^rty`Siate-�:p
T elepncre N!;mre,
(Adjacent Property Owner Information)
.S;rrr.;rr;t•h
u �
Pdr! or Name
va.r'ng Adders
c;,y,'State T'.
r)aY- (.,94 -662e
Telephone Vwrber
6 1 ,, J

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
!Jame of Property O:-mer: �?b`CA
:address of Propeiv : `� � � � �� �-5 �- �0 0.°d L a-' Z) S,4Crt• v
(Lot or Strec_ #, S:re or Road, City & C:i .rtty)
Agent's Name 9:
Agent s phone ;a:
`Aa,'rng Address:
I hereby certify that 1 own property adjacent to the abc�,e referenced property. The indivAual
app#ying for th,s permit has described to me as shown on the attached drawing_the development
they are proposing. A desc1plion or drawing, with di tWensws. must be pro,ri§ed with Ibis Iett&r.
f a have no objechous to this proposal. I have objection to this propo;al.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in wrhing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoasraknan,?uemenr.neycorttacr 0CM.111tm or by calling 1-888-4RCOAST. No
response is considered the same as no objection it you have been notified by Cerrifled Mail.
WAIVER SECTION
I understand that a pier, dock, mooring p:, ngs. break,vater, boathouse, lift. or gro rt must be set
back a minimum distance of 1 from my area of r par13n access ur:ess waived by me. (if you
v.ish to waive the setback, you must initial the appropriate blank belovr.)
,e I do -rish to wane the 16' setback requ cement.
I do not w sh to %valve the 15' setback requirement.
(Property Owner Info�%ation)
4r t—; _
S7Pr%,M17V
?rmt or T;pe Name
3 C1, (�
6-7
C,!) 'Srate:'Zx
q 1c�- (DMA- �,(oqU
(Adjacent Property Owner information)
Stc'?t,,n,ref
+fir ��.�..
F,ir7 or ypa Name
G gdx -�;ai8
Vait4rg Address
Mal (t<� [4Z. r j
C; y-StatF-c�c
Teri -phone At,-,mter Telen�ope,%,emter
rn

r, c Ate,, q
AL W6tt,AN��
I-1LG

IN WITNESS WHEREOF, the parties hereto have set their hands as of the day and year first shown above.
Offer by individual BUYER(s)
*-Rcto2t
Date: 7 , 201
Date: 2. , 201NJ
Acceptance by SELLER:
Peninsula at Topsail, LLC
By:�'
Manager / uthoriz agent
Date: �% ' 1 , 201 `4
,1 0
Offer by entity BUYER
a
By:_ _ — — —
(print naine and title )
Corp / He / gp / 1p
Date: , 201 _
The "Agreement Date" is the date that Seller executes and accepts Buyer's offer as evidenced by the date affim
hereto by Seiler.
Selling Agent/Firm/Phone
Acting as [ ] Buyer's Agent [ ] Seller's (sub) Agent [ ] Dual Agent
Listing Agent/Firm/Phone as _ _
_ Acting []Seller's (sub) Agent [ ]Dual Agent