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HomeMy WebLinkAbout64030D - Waldon Date Received 8/27/2014 Check From(Name) Connaway Marine Construction Inc Name of Permit Holder Robert Parks Vendor B of A Check Number 6822 6770 Check amount $200.00 Permit Numbe GP 64029D 8/28/2014 Allied Marine Contractors LLC James Gordon _ B of A $200.00 $200.00 GP 63272D 8/28/2014 Maritech LLC Adam C Knierim Jennifer Tatum B of A _ 1839 8/29/2014 8/29/2014 Logan Marine LLC Willie Richardson/Richardson Construction Jam Properties LLC Dan Smith 124 Durham Coming Fed. Credit Union BUT 1086 5741 $200.00 $600.00 GP 64038D GP 64041 D GP 64002D 9/2/2014 9/2/2014 9/2/2014 9/2/2014 9/2/2014 9/2/2014 9/2/2014 9/2/2014 9/3/2014 9/3/20141 Charles F. Riggs & Associates Inc. Charles F. Riggs & Associates Inc. Bald Head Island LTD./Bruce Marek Bald Head Island LTD./Bruce Marek Bald Head Island LTD./Bruce Marek Town of Belville Norfolk Dredging Co. River Harbor and Dock Im rov. James Thomas Davis Paul C. and Robin R. Jones Rid estone Construction LLC I Roanoke Holdings LLC Frank & Julia Sharron Swan's Quarters Bald Head Island Limited, LLC Indigo Plantation Town of Belviile North Topsail Beach 107 Florida, CB Forrest Waldon/Far Rockaway LLC Chris Ma'ewski First Citizens Bank First Citizens Bank First Citizens Bank First Citizens Bank First Citizens Bank First Bank SunTrust BUT NC S_ECU Trust Atlantic Bank 13615 13600 1591 1490 1489 58798 14087 310 72971$200.00 $100,00 $100.00 $100.00 $100.00 $100.00 $400.00 $100.00 $100.00 minor fee 245 Ta minor fee, 1130 C MP 121-07 renew MP 2-95 renewal MP 41-85 renewa GP 63274D MP 79-10 mod. F 107 Florida, CB GP 84030D 32131 $200.00 GP 64028D NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: a tl Date:/ Describe below the HABITAT disturbances for the application. All values should match the name, and units of measureme 'ound in your Habitat code sheet. iabitat 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 fi disturbance. Excludes any restoration an temp impact amount O� 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 ❑ Fill ❑ Both ❑ Other ❑ Pat McCrory Goverrror &A, North Carolina Department of Environment and Natural Resources N.C. Division of Coastal Management John E. Shvaria, III Secretary AGENT AUTHORIZATION FORM Date. $[2,D I 1 Name of Pro Owner Applying for Permit: Name of Authorized Aemnit for this project: :• IL Emalh Phone i_ D-) Address:Agents. Afaffing i � "WREATr 1 certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for, and obtalninp all CAMA PerrnitsT ceasary to install or construct the following (activity): For my property located at This certftication is valid 1 year from (date) g Zb /I q- - /11� I& -1-f H--),L1-a- 01 4 Pat McCrory Governor HdwWR North Carolina Department of Environment and Natural Resources N.C. Division of Coastal Management John E. Skvarla, Ili Secretary AGENT AUTHORIZATION FORM Date 42Z11q-- Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: Owner's Mailing Addr ss:/� (n3cl) Seaw Email ftZ, • woj PhoneI�� Agent's Mailing Address: t Email 601- [L (' ,b 6k Phone ) i2- 5-70 I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for, and obtaining qll CAMA Permits necessary to install or construct the following (activity): For my property located at This certification is valid 1 year from (date) a 1 lZb 0 / I Li FIIur 919-882-99 51 p ,1 AIDJACENT RIPARIANP Opr=RTf pffEg STATEMENT I hereby aartlfy that 1 own property adj2cent to �x UL Is I �- A C� _ I , ► I+ arelof t7operty Owner) property located at t A ,I ttaaare= a n _�. Ma Cly C� — I n (Waterbody) The applicant has described to me, as shrwn below, ft developmant proposed at the above location. I have no objection to this proposal. t I have objections to this proposal. �- N, DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing deve opoent must fill In descripflon below or aaach a site drawinS) %0Z6Z9nd ON NUONIW1IM IN'00 W(AIVIER SgPlION I understand that a pier, dodo, mooring pilings. breakwater, boathouse, lift, oV groin must be set Lack a minimum distance of 15 from my area cf riparian access unless waived by me. (If you wish to waive the setback, you must inttlal the appropriate blank below.) I do wish to waive the 15, setback requirement do not wish to waive the 15' setback requirement. (Property Owner Inform2 lon) (Adjacent Property+ OAS Information) 71 SM L'[ r =bale p TN2j�nro C.tJ PnRt r Type e Maeag Addross 1 --U.l ,, 1-7 MofilgV A(ldress GLE ZONE �•� `��� �b r I Z Z � �'\ �� f aDortroNA�Nolt� f 1 r 911*11F :r:TeM CA5f MEWS w,u, { 1 f1E.MANDIDE"FIEDWIN I j ` r 7RMANENTC0FV4ERUARKeR5 I , 0 � DOCK Q �' w 'f 1 WE ,• 1 ° LOT So MMWLY Lox: ►1 11 �S 112A 10R 1 1IWALK114r, IFAIL -.j wit ♦ /;, a� IFS 11 R-' Y�11MiNE .LN SE IFC i 58 Ap `' b y r % `..:.. �w cp D / 1 Q ,�Q' \l/�f+RfO 1 41 106 , t. 40 OVAL) ell y /;07 N 4„ 121 /�` �`` ; 108 I !°, r \ (9Y 120 ;�CoRb 0 00 404 �'. RCCL]ROED UDC RNWW av U,n I �4% i ADJACENT RIPARIAN PROPERTY OWNER MXTEMENT I hereby certify that I own property adjacent to Is property located at 't (N a on j�� of pe erj A 1 1 lX 0' _�` res Adds, Lot, Black, R !, et . I in N NC. . (Waterbody) (Ityrrown and/or County) The applic has described to me, as shown below, the development prop9sed at the above location. - i have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (lndivldual proposing development must fill In description below or attach a site drawing) 5ee, a�'ru.�r�eol 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 appmpdate blank below) I do wish to waive the 16 setback requirement. I. / I do not wish to waive the 15' setback requirement. (Property r l rmation) LOB g (Adj T ro erty or Information) (Aq or Tyne Name . I _ -^nt of 7YDeJVams arldrai ADJACENT RIPARIAN POP STATEMEN I hereby certify that I own property adjacent to r U ((e6 69M _'s -� �S ( a e of Property Owner) property Iodated at Lo on � It � �eQ,�— (Ad sa, Lot, BI ck, Road, tc.) in N.C. (Waterbody) (City own 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) 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, (Property Owner Info atiop) (Adjacent Property Owner Information) Si&na e - l�l.) Print or a Name 1 R('* LVN W Ma'tinv Address D,L Tedy Jaworowski 6316699082 P.1 earaby o3rd.'y !hs-4 o7iNn ,trop�e--:tl wn, camw5 Tne applicar*.- r= s"z;:cj,-at� M, -Be n 2 !1!� nqd 3u rho�.�F, f, -art. i-w-le ao !a E-lis lllnm^- -INS, �iN DESCR9773 ION ANWOR ORAWIA- OF FROP=E3 SSVELrjFw-ff�..:Ir t. indersland VIRt a pEaF, doo.", mtegg r--aft. Uas, M% cr fAroln m U 1-:-, ;=Zcz ;—nas-Z w:-N. vy �Ts yvu %vat, 2,-; S.7 ym-6 zummm In �?lliil�z 30 lwn;VPI-All's 5: �;-n =-ML Pr ILtS —4— Filer 919�82�957 p.2 AOV 6 AN - sot it ' ` • r Sa I � - kr REGEIV C'. INI,q9T DCM WILMINGTON, M�. �s AUG 2 9 20i4 _