65015D - Sullivan

(^AMA / r"11 DREDGE & FILL
a'3 N ERAL PERMIT Previous permit #
yew —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 I SA NCAC
J?Rules attached.
Name G'0 f�-
-:<& 4;4422
P-©. & eir
36Yf
t�
State & ZIP
( ) — 2' .2 W Fax # ( ) --�—
ed Agent T
r} I 1 /j4,
Sl'/CW J EW -i
G4 A ❑ ES ❑ PTS
OEA ❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
yes / eq,, PNA
es / no Crit.Hab. yes / no
1
Project/ Activity
�IA-S, SfYi.!'f/,p" r?
illdozing
o
Length
not sure yes (9
not sure yes
Jm: n/a yes e
CYO" no
ttached: yes (19) 1
Project Location: County A' �'r
Street Address/ State Road/ Lot #(s)
HY3 MA— soh 6zev
Subdivision
City `A// '/** �K h ZIP
Phone # ( ) `20-NRiver Basin 4�.�
Adj. Wtr. Body
Closest Maj. Wtr. Body��--��5ZV7 4!n''
(Scale: / A ::
g permit may �eq � d�y: 1#00AV �yt M//- HSyi� / ?� .A Jot See note on back regarding River Basin ru

DENR CAMA Daily Check Log for WIRO
Date
Check
Received
Check From (Name)
Name of Permit Holder
Vendor
Number
Check amount
I Permit Number/Con
10/14/2014 Samuel W. or Tracy Clary
Middle Sound Marina
SunTrust
4139
$100 00 renewal, MP 164-07
10/14/2014 Coastal Marine Piers Bulkheads LLC
Ken Kolling/transfer to Shawn Nassen
Wells Fargo
19854
$200.00 transfer and mod., MP
10/15I2014 Edward Stokes Parrish or Margaret Waller Parrish
Historical Society of Topsail Island
PNC Bank
804
$100 00 mod. Fee, MP 86-05
-- - -
10/15/2014 First Community Bank certified check
Maritime Coastal Const./William ThomE
Moneygram Payment Sys. In
35069222
-
$50.00 returned check fees/chr
10/1/2014 First Community Bank certified check
Maritime Coastal Const./William T_homE
Moneygram Payment Sys. In
350677l)
$400.00 to cover GPs 63273D 8
10/15/2014 Connaway Marine Construction, Inc
Amanda Chaney & Lee Thornton
B of A
6852
$200.00 GP 64096D
10/16/2014 Richard L. or Erica J. Penny
same
USAA Federal Savings Bank
716
$200.00 reissue GP 63924
10/17/2014 MoneyGram/Brandon Grimes
Wells Fargo Bank
59098505697
$400.00
10/17/2014 Western Union Money Order/Brandon Grimes
Paul Fornwald
Wells Fargo Bank
17-081677370
$200.00 GP 64097D ($800 total;
10/17/2014 western Union Money Order/Brandon Grimes
Wells Fargo Bank
17-058990188
$200.00
10/17/2014 Allied Marine Contractors LLC
Daniel Winfield
B of A
6873
$200.00 GP @346 Admirals Cot
10/17/2014 Samuel W or Tracy Clary
10/17/2014 John Allen Odham III, Nancy O_dham
me
hn Gray Hunter, Jr.
SunTrust
PNC Bank
4142
946
$100.00 mod. Fee, 164-07
$100.00 minor fee, 406 N Shore
10/1712014 Holden Dock & Bulkheads
mpson
First Community Bank
5928
$200.00
GP 616_40D
10/20/2014 Overbeck Marine Construction Inc fB!ll
Wagoner
SunTrust
4347
$200.00
GP 64099D
10/21/2014 Merril or Louis LeMoine
me
B of A
143
$200.00
GP 64100D
10/22/2014 Eugene Haley & Elizabeth Haley
me__
B ofA
1594
$250.00 majorfee, Haley, NHCc
10/22/2014 TTEREVE Enterprises, Inc.
me
BB&T
1081
$475 00 major fee, Ttereve, Ons
10/22/2014 Southeastern Coastal Construction Co
Wendell Murphy, Jr.
First Federal
9289
$200,00 GP 212 Seacrest Drive,
10/22/2014 Allied Marine Contractors LLC
Marvin Rozear _
8 of A
6940
$200 00 GP 1283 Corcus Ferry 1
10/23/2014 F and S Marine Contractors Inc
James Petrilla
PNC Bank
4101
$400.00 GP for #4 Sunset Stree
10/23/2014 Logan Marine LLC
Matthews Family Properties
Corning Federal Credit Unior
1110
$200.00 GP 65008D
$100.00 minor fee, 4180 Island I
10/23/2014 Eastern Builders of the Carolinas, Inc Jeffrey and Veronica Delaney First Citizens Bank 4032
10/24/2014 J- Cutler and B. Cutier
Turtle Harbour HOA
B of A
5720
$100.00,IMP renewal, #64-00
10/2412014 Swannsborough Yacht Club Inc
Bobby Denning_
SoundBank
18928
$200.00
GP 65004D
10/2412014JJMcKim & Creed
10/24/2014ISteen Moss
Sawmill Point
same
Vantage South Bank
NC SECU
177510
1433
$200.00
renewal and mod. Fees
$600.00
GP 64076D
10/24/2014I William G. McRainey
Parks
First Community Bank
7939
$200.00
GP 64075D
$250.00 major fee, Swan Point I
10/27/2014 Mark Lewis Crew Boats Inc. dba Old Town Marina Swan Point Marina PNC Bank 1959
10/27/2014 Coastal Earth Works Inc
Barbara Hulek Zucker
First Bank
4173
$400.00 GP 65010D
10/28/2014 Poteat-Smith Properties, LLC
Henderson
Wells Fargo Bank
1053
$400.00 major fee, E. Beach Dr.
10/28/2014 Jerry D. Edwards and Karen C. Edwards
same
First Citizens Bank
6531
$400.00 GP 64034D
10/29/2014 Town of Topsail Beach
same
First Citizens Bank
002908
$200.00 GP 65011 D
10/30/2014 Southeastern Coastal Construction Co
Murphey
First Federal
9283
$200.00 GP 65013D
10/31/2014 Allied Marine Contractors LLC
_
Glenn Holladay
B ofA
6919
$400,00 GP 64035D
10/31/2014 Backwater Marine Construction Inc.
Knight, Windham, Braswell
BB&T
1694
$600.00 GPs 64077D, 64078D,
11/312014 Town of Surf City
11/3/2014 Dale E. and Cynthia M. Joslin
11/4/2014 Stacey Hamm and Kevin M. Hamm
same
same--- __ _
same
First Citizens Bank
B of A _
PNC Bank
062221
9000
655
$100.00 renewal request, 190-0!
$200.00 GP for 800 #B Canal Di
$200.00 GP 65016D
11/4/2014 Piooin Marine Construction, LLC
Scoft Sullivan
Wells Fargo Bank
3179
$200.001GP 65015D

JC Division of Coastal Mgt. Habitat impact Computer Sheet
applicant: t"f Permit #: 0150215
late:
)escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
)und 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 fin
disturbance.
Excludes any
restoration and
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
3ov
Dredge ❑ Fill ❑ Both ❑ Other
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 171 Other ❑

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date (L 14—i 4
Name of Property Owner Applying for Permit:
ScD+-F & I tva
Mailing Address:
0 , 6-y- 36 4 9
1��Im�n N N( 0,�40�
r
I certify that I have authorized (agent) t I Q 1 , Q� y) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date)
I A- (" /tAvA,-,-
14 br,ZIV_ GI —a,\/ ,,ck�
Property Owner Signature
Date

ADJACENT RIPARIAN_ PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to SC Dif re ��, (iy, 's
Name of Property Owner)
property located at �y ) �(�Suh%rlYO V"'J K10
(Address, Lot, Block, Road, etc.)
on Yin I t ) "-\ , N.C.
(Waterbody) (City n and/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.
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)
See c zcAed drzcv%��
—TnS-Aa// -? Ls) i e', %/lC 7
DCM WILMINGTON, NC
NOV 0 3 2014
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.
Wd� I do not wish to waive the 15' setback requirement.
(Property Cner717
mation)
C
Sig,-
r ntere
Pri t or Typ Name
7
Mailing.Address. At
(Adjacent Property Owner Information)
Sign tune
Print or Ty e Name
(a q y- YWI41d
MailinaA dress

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _3r t itd j ar� S u I I,`XIu vt
s
/ > > Name of Property Owner)
property located at V !
(Address, Lot, Block, Road,
on vJ�2 YU in (-, ),I , n ( h.- N.C.
(Waterbody) (City /Tf and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locat—_��
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development mtu,t fill in description below or attach a site drawing)
Ste 9-'NcAeW (-4wtdji j
�-^.✓�,"�c�Z�� I"1t'ltl �/F r'� ��C �iT?r� !, C'�Qc� b%:�%'`�c ( l�%! f
rr✓1
RECEJvE�J
DCM 'WILMINGTON
Nov 0 32014
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.
trroperty Uwner I torrnation)
lLt' 1�(' �----
Sign ure
Print or T pe Nam
M 7ing Address /
(Adjacent Property Owner Information)
Sigyratu
1,w
Print or Type Name
Mading Address

Pilings and More
910-327-6353 P.1
W11:= f�/Lc ,�L� t;�✓�3%�'�G �9 i�'b��,`ic/�%lo,✓ o� c� Vim, c.r,�i�,� •' ���in�
L
RECEi
GCM WILMING

Pilings and More 910-327-6353 p.2
�CAMA ! l DREDGE & FILL
-MENERAL PERMIT Previous permit# 4:
New klHodification rConhplete Reissue OPartiai Reissue Date previous permit issued
rized by the State of North Carohna. Department or Emironment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC C? 7 rT
Rues attached.
it t.r sv _2. -�- Project Location: County
• Street Address/ State Road/ Lot #(s)
Jq
t� state !'f ✓ Zp 7,: t'r' _ "`' tf
r f Pax # Subdivision
Safe' ` r t� C:: `i'Z .
!ed Agerrtli�"� � ra � l �l �• C'rcy ,�`i•c �G DP
n CW w /y�� >yrA OES �prs Phone # (�j"— _ River Basin
I OOEA HHF CIH n U8A DIVA Ad{. Wtr. Body`."
F Pws: O FC:
yes o PiNA yes`. Crit.Hab. yes
Closest Maj. Wtr. Body
if Projectf Aetiv}tlr� %,l£�T a- '=�?-lf !•/�=�/ .�'!�-!:� n /�'� f�
(scale: ilk r
vck) length
m(s)— C
length
umber---_-----
Rilxao length
vS dlsrance offshore
nax distance onshore
char1 ..---_..-- - .. .-.._...__.__ ....._._..._�-- ---. _ ._ t _ r...�� b G��• �f --
obit yardf
line Len
'' yC
- fa
Vil
rat sure Y.
_
MA
ags: not sure yes f'
:aril raJsir- r a
5: yes noj _
.rAttwhed:
iding pe-mit may be required by. See note on back regarding River Basin rut
s/ Special Conditions