63962D - Smith

m r V
eCAMA / ` DREDGE & FILL
.FENERAL PERMIT
Aevv ❑Modification ❑Complete Reissue El Partial Reissue
83
Previous permit # 3 29 -
Date previous permit issued_
rized 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
3yti �J�(rIDLt f•i ulesattached.
Nan,
t Na,H i Project Location: CountyAlet-v Ahoe
t' Street Address/ State Roaad,//Lot #(s)
M�1YtI h State AX ZIP- l�q Yet f rG� �1'4sq'
( Fax # ( ) Subdivision
ed Agent �i✓ C�syrGy j' City ' ZIP 2-,s?-,4
C CW ❑ EW ❑ PTA QES ❑ PTS Phone # (1??Ip) 157 River Basin r--l-ie7-
OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
es J no PNA yes y "0
i Project/
:k) length
er(s)
igth
nber
1/ Riprap length
distance offshore
x distance offshore__
annel
k yards "—
ip
>e/ Boatlift
dldozing
Length
not sure yes
not sure yes C 0
um: n/a yes
no j
ttached: yes
❑ UBA ❑ N/A
i Crit.Hab. yes / no
al
Adj. Wtr. Body na i
Closest Maj. Wtr. Body 0 Dtf
g permit may be req red by: &/V Cif . yjSS,, T; See note on back regarding River Basin rt

UtNK UAMA Ually cnecK LOCI Tor WIKO
Date Received Check From Name Name of Permit Holder Check Number Check amount Permit Number/Comments
6/5/2014 Allied Marine Contractors, LLC_ _ _ Peter Caldwell 6607 $400.00 GP 63189D 0$200.00
____Th_e Andre_w_C_. Edwards Trust _ _6607 GP 63190D @ $2.00.00
6/5/2014 Antinori Construction, Inc- J.R. Barbour 2952 $200,00,GP 63187D
6/5/2014 John H. King Kenneth Samuel Catlett Jr. 1122 $200.00 GP 63934D
6/6/2014 Hope Gra and Larry Kekh Bowen Jeremy Phillips 5334 $200.00 GP 63292D
6/6/2014 Antinori Construction, Inc ? - - - 2959 - $200.00 GP 53 N. Ridge Surf City
6/6/2014 Boatz ht_Ina - ? g 1748 - $200.00IGP 60691D - -- -
6/6/2014 Overbeck Marine Construction Inc. Leigh Barnes 4264 GP 63937D
-- - _.
--- -- - - -
6/10/2014 Carolina Marine Construction, Inc Blockade Runner Resort 9066 $200.00 GP 63942D-- -
6/10/2014 Michael Joseph Sauer Michael and Carey Sauer 576 $100.00 NTB minorfee 114 Oceanview Lane
6/10/2014 Lighthouse Marine Construction Inc INash Johnson- - 49-87 $200.00 GP 62659D
- --�
6/10/2014 Lighthouse Marine Construction Inc. - Jane Bowden _ - _ _ 4994 $200.00 JGP 63928D _ _ _
6/11/2014 Herman E. Rouse same 1171 $800,00 GP for 160 Chadwick Lane Sneads Ferry
il
1- .
6/11/2014,AIIied Marine Contractors, LLC Lepsig _ 6640 $100.00�modification MP# 23-13_3 _ '
6/11/2014 Holden Dock & Bulkheads Short 5643 $200.00 GP 63293D
6/11/2014 Constance Stokes 119 Burlington St. OIB 1260 $200.00 GP 63938D _
6/11/20141Grice Construction of Brunswick_ County 29 Raeford St. OIB - 9677 $200,00 GP 63940D
-- - -
1/7/2014iGrice Construction of Brunswick County Robert &Susan Hoppe - 9383 $1,000 00 GP 63165D @U00
--
6/13/2014 Antinori Construction, Inc Fussell 2966 $200.00 GP 63919D
6/13/2014 Southern Environmental Groff, Inc Blankenship- 5867' $400.00 Major Permit fee, Turtle Creek, Oak Island
6/13/2014, Charles Rigg & Associates James
6/16/2014 13471 $100.00 1 minor fee 129 Atkinson Rd Surf Cit
Joyce Godwin same _ 1096 $200001GP 63948D
6/17/2014 Vince and Mary Hinson same - - - - 54191 $630.00 Vio.#10-42, Ocean Isle Beach, Brunswick Co.
6/17/2014 Steven T. Farmer/TRA Com Services Puente - 4517 $400.00 GP 63944D @$200
6/17/2014Escobar 4517 GP 63945D @$200
- - --- -
6/17/2014 B & K Marine Construction Hickman 1145 $200.00 GP 63939D
6/17/2014,Grice Construction of Brunswick County Smith 9695 $600.00 GP 63947D (d)
-- - -
6/17/2014 Leatherman 9695 GP 63949D $400 _
-- -- - --
6/18/2014 Kyle A. Buck Paul Mounts 1016 $250.00 Ma or fee, Shipwatch
6/18/2014 Town of Leland __ 29013 $100.00 Minor fee, 844 Appleton Way, St eon Creek,Leland
6/18/2014 Hunter Development Corp. Michael Tuton_ _ 21071 $200.00 GP 63950D _
6/18/2014 Charles F. Riggs & Associates Inc. Lynwood Lee Thornton 13473 $100.00 minor fee SC14-09
6/18/2014 B of A Money Order Kenny Morgan 1139200123 $1,000.00 GP 63922D _@$200
Ahce Brown 11392001 33 GP 63921 D $,600
1139200123
6/18/2014 Delivery Concepts East Gary Sample 15031 $200.00 GP 63920D
- - -
6/18/2014 Atlantic Coast Industrial, LLC David Brinkley, ACI Holdings 10234 $200.00 GP 63951 D
6/18/2014 Grice Construction of Brunswick County John Teague 9702 $200.00 -GP
6/19/2014 Hammocks at Shallotte Pointe LLC 1053 $100.00 modification of MP #93-08 _
6/20/2014 Villaver Law Firm Steven Villaver 5992 $200.00 GP 63202D
6/23/2014 Bank o_f_A Money Order Brandon Grimes 1139200122 $497.00 Vio# 14-03D B & B Marine Construction $200 permit/$
Brandon Grimes 1139200122 + GP 63955D�$47)
6/23/2014 Carolina Marine Construction, Inc Cord Grass Bay_HOA 9105 $400.00 GP 63957D
-- -
6/23/2014Reggle W. Barnes Jr 1200 $100.00 Transfer fee #70-09 _
6/24/20141Charles F. Riggs & Associates Inc. Giles Jeffreys & Lee Thornton 13510_ $600.00 GP 63952D @$200
Jason Dixon &Lee Thornton GP 63954D $200
_ Mike Turbeville & Greg Colner GP 63953D @$200
6/24/2014 Richard L. and Erica J. Penny 535 $200.00 GP 63924D
6/25/2014]Clements Marine Construction Inc i Dan Smith 3488 $650.00 GP 63962D @$400

C Division of Coastal Mgt. Habitat impact Computer Sheet
-
(2-
)plicant: Permit #: 6-3 q �n/jf,�„ Y1�t-�
ate:
&
;scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
and 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 fin
disturbance.
Excludes any
restoration and
temp impact
amount
Dredge ❑ Fill Both ❑ Other ❑
V
rC�
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 ❑

Letter of agent
I` b Ilr> have retained Mark Clements DBA, Clements
Marine Construction Inc, to make pplication for any and all permits needed to start
construction on the work requested for our property or properties.
By allowing Mr. Clements to make such applications I do understand that this will in no
way relieve me of any obligations to perform all work according to the building codes of
North Carolina, CAMA, DWQ or any other state and or county ordinances.
�� AkA A 2 �-A- I f�- zx--tn
Prim man
L �
Signature
%A1 -a GC - date f
Contact information
}�V
RECEIVED
DCM WILMINGTON, NC
JUN 2 5 2014

RECEIVED
DCM WILMINGTON, NC
JUN 2 5 2014
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Lb 6 �(� t�k
Address of Property:
(Lot or Street #, Street or Road, City &
Agent's Name #: _ ma*' LI6,Pi1-)5
Agent's phone #: J f i� A-2-a 9L565_
Mailing Address:) 12- C i rL le- )>-
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I,,/- I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmanagement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
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 byMt. nPNE[
wish to waive the setback, you must initial the appropriate blank below.) DCM WILMINGTON
I do wish to waive the 15' setback requirement. JUN 2 5 2014
1 do not wish to waive the 15' setback requirement.
(Property Owner I rma ' n)
Signature
axlz
Print or Type Name
/ z2L
(Adjacent P perty Owner�ormation)
Jsa--
nature
Print or Type Name 1,t/40

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: L�2 6 4--\
Address of Property:
(Lot or Street #, Street or Road, City & CountA "
Agent's Name #: M AOV. C, I�r 1 Mailing Address:) C i rZ //
e-
Agent's phone #: 9 & A-2 9L5 fL '
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
11� I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmanapement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
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.) RECEIVED
�
I do wish to waive the 15' setback requirement. DCM WILMINGTON '
- I do not wish to waive the 15' setback requirement. JUN 2 5 2014
(Property O ner 1 rma ' n)
Signature
J /j L
,I -IA d // /' / . un
(Adjacent Property Owner Information)
Signbure
Print or Type Name
Print or Type Name