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Home My WebLink About65066D - 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