64031D - Van Epps

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CAMA / ❑ DREDGE & FILL � .`
iENERAL PERMIT
Vew❑Modification El Complete Reissue El Partial Reissu
zed by the State of North Carolina, Department of Environment and Na
)astal Resources Commission in an area of environmental concern pursu
Name,
7C/ 1 Ft k' �1 State /VC_ ZIP
; 0 yG z _& S3 Fax # ( y-------
d Agent i'� �►M t O-Yv,v, , t F S{ t C
❑CW !$EW PTA El ES ❑PTS
❑ IDEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
'�oT,) PNA yes /''n Crit.Hab. yes / -tio
ber
■�■■■
Riprap length_
listance ■CMIN .�_
distance offshore
■�■■ ��
nnel ■rMIG■►MER■■::
yards 0 MEN
■MUNUrc■■■■■
■w■E■r%r 7MM-A
■� MwEIW, ■■IPA
■■�i■■iiii�i
Previous permit #
e Date previous permit issued
tural Resources y ! / �z QD
ant to I SA NCAC / 1`
❑ Rul s attached.
Project Location: County�n GV
Street Address/ State Road/ Lot #(s)
�D_S S/N6iE?nw - ST.
Subdivision
City —,),I ZIP < �O
Phone # ("�"— �'j--" River Basin
Adj. Wtr. Body r` 7 �W W (nat
-40
Closest Maj. Wtr. Body����'✓C1--
(Scale:
❑ See note on back regarding River Basin ru

DENR CAMA Daily Check Log for WIRO
Date
Received Check From Name
Name ofPennft Holder
Vendor
Check
Number
Check amount
Permit NumbadCommonts
8/27/2014 Connaway Marine Construction Inc
8/28/2014'Allied Marine Contractors, LLC
Robert Parks
B of A 6822
B of A 6770
$200.00
GP 64029D
James Gordon
$200.00
GP 63272D
8/28/2014
Maritech, LLC Adam C Knierim
Jennifer Tatum
B of A
1839
$200.00
GP 64038D
8/29/2014
Logan Marine LLC
Jam Properties LLC, Dan Smith
Coming Fed. Credit Union
1086
$200.00
GP 64041 D
8/29/2014
Willie Richardson/Richardson Construction
Charles F. Riggs & Associates Inc.
Charles F. Riggs & Associates Inc.
Bald Head Island LTD./Bruce Marek
Bald Head Island LTD./Bruce Marek
124 Durham
BB&T
5741
$600.00
GP 64002D
9/2/2014
Roanoke Holdings LLC
First Citizens Bank
13615
$100.00
minor fee, 245 Topsail Rd., NT
9/2/2014
Frank & Julia Sherron
First Citizens Bank
13600
$100.00
minor fee, 1130 Canady Ave.,
9/2120141
Swan's Quarters
First Citizens Bank
1591
$100.00
MP 121-07 renewal
9/2/2014
Bald Head Island Limited, LLC
First Citizens Bank
1490
$100.00
MP 2-95 renewal
9/2/2014
Bald Head Island LTD./Bruce Marek
Indigo Plantation
First Citizens Bank
1489
$100.00
MP 41-85 renewal
9/2/2014
Town of Belville
Town of Belville
First Bank
587981
$400.00
GP 63274D
9/2/2014
Norfolk Dredging Co. River Harbor and Dock Im rov.
North Topsail Beach
SunTrust
14087
$100.00
MP 79-10 mod. Fee
9/2/2014
James Thomas Davis
107 Florida, CB
BB&T
310
$100.00
107 Florida, CB
9/3/2014
Paul C. and Robin R. Jones
Forrest Waldon/Far Rockaway, LLC
NC SECU
7297
$200.00
GP 64030D
9/3/2014
Rid estone Construction LLC
Chris Ma'ewski
Trust Atlantic Bank
3213
$200.00
GP 64028D
9/4/2014
Gary L. and Karen S. Sain
same 170 Greensboro St., HB
Community0ne Bank
2148
$200.00
GP 64043D
9/4/2014
Claude R. and Joyce K. Rogers
same 172 Greensboro St., HB
Uwharrie Bank
3358
$200.00
GP 64044D
9/4/2014
F and S Marine Construction
Lookout Harbour HOA Tom Hanna
PNC Bank
3979
$300.00
Major mod, 66-10 2 of 2
9/4/2014
Ocean Breeze Heating & Air LLC
Mark White vio#14-10D
First Federal
2820
$463.00
CAMA vio# 14-10D
9/4/2014
Town of Wrightsville Beach
same E. Oxford Paving)
First Citizens Bank
99440
$100.00
minor fee, E. Oxford Dr., WB
9/5/2014
Karen Moran-Germ/William Germ
Steve Arnold
First Federal
1115
$200.00
GP 64046D
9/5/2014
Ellison I, LLC
Samuel and Tra Cla _
F and S Marine Construction _
Holden Dock & Bulkheads
Antinori Construction Inc
Town of North Topsail Beach
Criser Troutman Tanner
Lucien Ellison
B of A
1102
$100.00
permit renewal fee, MP 65-07
9/5/2014
Middle Sound Marina/Vanguard Prop.
SunTrust
4130
$100.00
permit transfer fee, MP 164-07
9/8/2014
Michael Desherbinin
PNCBank
3982
$200.00
GP 64045D
9/8/2014
First Community Bank
5858
$400.00
GP 64047D & GP 64048D @$
9/9/2014
Mary Lou Lloyd
B of A
3138
$200.00
GP 3039 3rd. St., Surf City
9/10/2014
same
First Citizens Bank
38670
$400.00
major fee, NTB parking #3
9/10/2014
UNCW Center for Marine Science
NewBrid a Bank
2172
$100.00
mod. Fee, MP 81-13
9/10/2014
Town of North Topsail Beach 1 of 2
same
First Citizens Bank
38562
$100.00
fee for GP
9/10/2014
Town of North Topsail Beach 2 of 2
same
First Citizens Bank
38712
$100.00
fee for GP see above en
9/11/2014
Grice Construction of Brunswick Co
Buie
BB&T
9842
$400.00
GP 64050D $200
Holland
jGP 64049D $200
9/11/2014
William R. and Norma J. Burleson
same
Wells Fargo
3865
$200.00
GP 64051D
9/11/2014
Walter Daniel Giese
same
NC SECU
4042
$250.00
ma'orfee, Giese, Onslow
9/11/2014
F and S Marine Construction
William Taylor
PNC Bank
4003
$200.00
GP for 412 N. Channel Dr., WI
9/11/2014
Lester V. Van Epps
same
Navy Federal Credit Union
5038
$200.00
GP 64031D

IC Division of Coastal Mgt. Habitat Impact Computer Sheet
pplicant: f/ I /1 v
ate:
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
,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
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 ❑
Dredge 7 Fill ❑ Both ❑ Other ❑

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 415S7ZrA !lq"/ �W r 's
Name of Property Owner)
property located at v��� S1N�ZeA . ��� 51veyS F5- RAY, AV C._ 2M0
A��A C �ti�S�u.�- . , (Address, Lot, Block, Road, etc.)
on l�;q-�err��in 6 AtfW" UN , N.C.
(Waterbody) (City/Town and/or ounty)
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)
�G W SOOT L /FT
O �Xi S�.tir�
w�05 ,
74 Elm ©c ocl< 9 p' k.
vcsr 1 l
J WAIVER SECTION l
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 blankel�o)N.)'
— l do wish to waive the 15' setback requirement. SE P i 1 2011}
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
�1441
Print or Type Name
(Adjacent Propeoti Owner Information)
Print or Type Name
Mailing Address
Mailing Address

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Z SMe V Vq"v jo/�s' =Z-7 I
(Name of Property Owner)
property located at o?�S S�^��E7�N s SNejWS AW eY, /V,C', 2951C0
,�� (Address, Lot, Block, Road, etc.) `
on IAN, C 1� � N Fte ragy in 42Ar5W ra zI4 N.C.
(Waterbody) (City/Town and/or ounty)
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)
Nc w 90IT L iFT"
ray) �.-op«4y L.ac rya s l ��C�fr L.,„iG C AM p4q 6N'y
TIt / IV C4
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 roust 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)
Signature
Print or Type Name
(Adjacent Property Owner Information)
Signature
STi-A✓LE�/ LJEST—
Print or Type Name
AA'JX-- AAA- A&_:I:__.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ZES7e- ,e 1/. =' 's
5 E7� s (Name of Property Owner)
property located at o?�� r"rgL ^� SNeAF7_S f=-c2Ry, /U•e, 2ywo
1 (Address, Lot, Block, Road, etc.)
on A11A�C 1AWrA60h5 aL k,�4�te ragy in N5w r.J tJ�v N. C
(Waterbody) (CitylTown and/or ounty)
The applicjant has described to me, as shown below, the development proposed at the above
loca— 4C
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)
U
�C w So /)T L / F-7—
mac k
j
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 )
l� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
(Property Owner Information)
SiL Iiatu?,e
Print or Type Name —� Marling Address
(Adjacent Pep" Owner Information)
print or =,',
nlo
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SENDER: COMPLETE THIS SECTION
7Receive'd
■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverseso that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery adc
1. Article Addressed to: If YES, enter c
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3. Service Type
W ; I ('�'� (�} �' ► 1 r ❑ Certified M
❑ Registered
❑ Insured ME
`l 4. Restricted Del
2. Article Number 7012 3460 0003 E
(rransfer from service label)
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rRasfres r PS Form 3811, July 2013 Domestic Return Receipt
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