HomeMy WebLinkAbout65066D - Tysinger0
�' AMA / DREDGE & FILL
3rzNERAL PERMIT Previous permit #
K4ew ❑Modification El 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 I SA NCAC ?i
ules attached.
t Name Sae I y�Gl [ Project Location: County 4&4— tV
A/1"
StateAt' tt zip ZV i l
XS% Fax # ()
ed Agent
�?tW f iw &W4 ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
yes /i no PNA (:J / no Crit.Hab. yes / no
Project/ Activity
a length ZA
igth
nbe
nber
i/ Riprap h
distance
x distance
cannel
iic yards_
ip
se/ Boatlift
Adozing
Street Address/ State Road/ Lot #(s)
�?/4, !-VI f lzw
Subdivision
ci zip___{_
Phone # River Basin
Adj. Wtr. Body gffl raatr'6
Closest Maj. Wtr. Body
/cH i 01 >;
--mmy oil
■■■Ir■■no
MEM_ 11111WITIZZ1,231111111 oil
walnim
■■■■■■■11
- � �I�G'�ic1��I�Ci ` u�l■ilif�il ■If
MMIENNEEII
s
(Scale /., A
❑ See note on back regarding River Basin n
DENR CAMA Daily Check Log for WIRO
Date
Received
Check From (Name)
Name of Permit Holder
Vendor
Check
Number
Check
amount
I Permit Number/Cc
11/13/2014 The Village of Bald Head Island
same
PNC Bank
57057
$100.00 mod fee, MP 208-8(
11/14/2014 John W. Thompson
Caswell 105, LLC
First Bank
1239
$100.00 minor fee, 105 Casv
11/14/2014 Brandon Grimes, Money Order
Volney Warner
Wells Fargo Bank
59098506577
$400.00 GP 65022D
11/14/2014 Brandon Grimes, Money Order
Julia Rivenbark
Wells Fargo Bank
59098506588
$400.00 GP 65021 D
11/14/2014 Dr. Gwendolyn Faye Jones
same
First Citizens Bank
3843
$600.00',GP 63203D
11/14/2014 Ted and Sharon Hudler
same
BB&T
1618
$200.00 GP 64080D
11/18/2014 Holden Dock & Bulkheads
Russell Salisbury
First Community Bank
5951
$200.00;GP 65020D
11/18/2014 WF Boucher
William Boucher
B of A
7973
$100.00 'renewal fee, 164-97
11/18/2014 Connaway Marine Construction, Inc
Saintsing and Koloski
B of A
6871
$200.00 GP 65025D
11/19/2014 Arrants Cabinet and Trim
Joseph and Laurette Arrant
BB&T
1037
$200.00 383 Lockwood Folly
11/19/2014 Land Management Group, Inc.
Hawkeswater Marina
First Bank
44757
$100.00 mod fee, MP 48-14
11/19/2014 Bald Head Island LTD/Bruce Marek
Bald Head Island Marina
First Citizens Bank
1489
$100.00 mod fee, MP 172-81
11/20/2014 Clements Marine Construction Inc
Jam Properties/Dan Smith
First Citizens Bank
3642
$200.00:GP 65026D
11/21/2014 J. Dean Burge
Linda Averette
Community One
2335
-$200.00 GP 64081 D
11/21/2014 Holden Dock & Bulkheads
First Community Bank
5952
$600.00 GP 64082D
11/24/2014 Bruce L. Kirk Jr.
Chemserve Terminal of Wilmington
B of A
1282
$100.001renewal fee, MP 35-
11/24/2014 Town of Sunset Beach
same, for beach bulldozing
First Citizens Bank
13073
$100.00 renewal fee, MP 40-
11/25/2014 CB Marina, LLC
same, transfer from Saint Joseph's Marina LLC
iSunTrust
1067
$100.00 transfer fee, MP 36-
11/25/2014 Logan Marine LLC
Norton & Rowlett major permit
Corning Federal Credit Union
1117
$250.00 major fee, NHCo, N,
11125/2014 F and S Marine Contractors Inc
Flaughen
PNC Bank
4182
$400.00 GP 65029D@$200
11/25/2014 Willard S Buffkin
same
'BB&T
3434
$250.00 major fee, NHCo Bu
11/25/2014 Backwater Marine Construction Inc.
Klutz
BB&T
1731
$200.00 Klutz GP
11/26/2014 American Marine Construction INC (Charles Perr) Margaret Wagstaff
First Citizens Bank
85738
$400.00 GP 64059D
11/26/2014 Village of Bald Head Island
same
PNC Bank
57163
$100.00 renewal fee, 208-86
11/26/2014 Allied Marine Contractors LLC
Berkley
B of A
6957
$200.00 GP 64060D
11/26/2014':Bruce Marek, P.E.
Waddell
Wells Fargo Bank
1409
$400.00!major fee, Waddell,
11/26/2014 Town of Oak Island
same
BB&T
57857'
$475.00 major fee, Town of(
_
12/1/2014 Charles F Riggs & Associates Inc.
Gary and Jeananne Cranston
First Citizens Bank
13754:
$100.00', minor fee, NTB, On!
12/1/2014 Charles F. Riggs & Associates Inc.
Keith and Cheryl Steinhoff
!First Citizens Bank
137571
$100.00' minor fee, NTB, On!
12/1/2014 D. Chad Kimes
B & B Holdings, LLC (Scotts Hill Marina)
NC State Employees Credit Union
4443
$100.00 renewal fee, MP 131
12/1/2014 Waterfronte Villas Owners Assn
same
North State Bank
1579
$100.00 renewal fee, MP 84-
12/2/2014 Todd and Kelly Surratt
same
First Bank
7154'
$400.00' major fee, BrCo
12/2/2014 Above Par Home Inspection LLC
John Karlof
Wells Fargo
1026
$200.00 GP 65043D
12/2/2014 James and Tammy Ratcliff
Chloe Rose LLC
Wells Fargo
4962
$250.00,major fee, NHCo
12/3/2014 American Marine Construction INC (Charles Pen) Lynn Faircloth
First Citizens Bank
85739
$200.00 Faircloth permit, Sul
12/3/2014 Bald Head Island Ltd.
BHI Harbour Village Development
First Citizens Bank
1498
$100.00 renewal fee, MP 19'
12/3/2014 Michael Corn
same
First Citizens Bank
9119
$200.00!GP 65030D
12/3/1024 North American Money Order/Brandon Grimes
Jennifer Honeycutt
BancFirst, Stratford, OK
203478662
$200.00 GP 65033D
12/4/2014, F and S Marine Contractors INC
Flaugher (major permit with $200 credit #4182 1 of
PNC Bank
4196,
$50.00 major fee, Flaugher,
12/5/2014 Coastal Marine Piers Bulkheads LLC
Sunset Docks
Wells Fargo
19915
$250.00 major fee, NHCo, Ni
12/5/2014 Backwater Marine Construction Inc.
Reed
BB&T
1743
$200.00 GP 64083D
12/5/2014 Town of Holden Beach
same
BB&T
26833
$400.0O GP 64084D
12/5/2014 Global Express Money Order/John Cassidy
Julian Stewart
North American Banking Co., MN
341374157
$400.00 GP 65034D
12/5/2014 Allied Marine Contractors LLC
Sear @$200, Mitchell @$400, Ratledge @$400
B of A
7001
$1,000.00 Sears GP 65060D, I
12/5/2014 Mill Creek Waterway Restoration Inc.
same
PNCBank
1510
$100.00 renewal fee, MP 17.
12/8/2014 Connaway Marine Construction, Inc
Lucas, Geagan and Farmer
B of A
6890
$200.00 GP 53200D shared
12/9/2014 LCI Properties, LLC
Cathy Lovejoy
Wachovia
1265,
$400.00',GP 65063D sandba,
12/9/2014 Bruce Marek, P.E.
Village of Bald Head Island
First Citizens Bank
1489
$100.00 CREDIT from 9/2/2C
12/9/2014 Edgar and Elizabeth Fisher
same
Wells Fargo
11594
$400.00 sandbags GP Oak I:
12/9/2014 Coastal Marine Piers Bulkheads LLC
Sue and Andy Tysinger
Wells Fargo
19935,
$200.00 GP 65066D
IC Division of Coastal Mgt. Habitat impact Computer Sheet
pplicant:Q
ate: /ZIVIIi/
Permit* �56` �&/
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
)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 fin
disturbance.
Excludes any
restoration and
temp impact
amount
LmDredge
[I Fill El Both El Other
M
QWDredge
❑ Fill ❑ Both ❑ Other
( (L
�7 Z
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 ❑
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
'at McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: I
me of Property Owner Applying for Permit: Name of Authorized Agent for this project:
�-A�`fi�S(N6 ; M *A4 Hr�-
ner's Mailing Address:
me Number
Agent's Mailing Address:
/o 3/C/ G0rf, 05.of L6
Phone Number(5/0 ) 9-3/-55./cl
rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining all CAMA Permits necessary to install or construct the following (activity):
I�o�iNrn�`lia 11, � i J' �lbG
my property located at 3 / 6 G)'. `jf & ,, s /2a�
certification is valid thru (date)
gyo�
Pro Owner Signature Date
SS✓,
p-7I-V
r,
j° (�/ N ° k S
4Pc"'bt L a n
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to E�� ,s
t ' 1 t� (Name of Property Owner)
property located at �� W �(�.ri �C.0
(Address, Lot, Block, Road, etc.)
on � w in 9W I&*N.C.
(Waterbody) (City/Town and/or County)
The appI' nt has described to me, as shown below, the development proposed at the above loc2
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 drawin
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set b
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to
the setback, you must initial the appropriate blank below.)
t v I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pr e y Owner Information) (Adjacent Prop rty wner Infor ation)
& �— 906—k N�
ign ure J �• S� Signature
Print or _Type Name Print Type N e
or i b VJW6-m nfj% 7 .( n \J)ILU0lnf hr)w
ADJACENT RIPARIAN PROPEO
RyT�Y OWNER STATEMENT
I hereby certify that I own property adjacent to I ��i Lfo Is
'� W (Name of Property Owner)
property located at (
i (Address, Lot, Block, Road, etc.
on in l(.h� tiy�;7iv
(Ntlaterbod N C
y) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above loc
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 drawiir
Se e A 116C-���
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set t
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to
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 Owner Information) (Adis nt Property Owner I ormation)
Si
- g aure Signature �h „ V,+ IV
Print or Tye Name Print or TypeXt