52464D - Forehand

L`'CAMA / ❑ DREDGE & FILL 5. �5 NO 11
GENERAL PERMIT Previous permit # (
❑New ❑Modification ,❑Complete Reissue El Partial Reissue Date previous permit issued -
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Name s—cr'Y�/� Project Location: County N P-12 _.
Street Address/ State Road/ Lot #(s)
11 7 `r
State ZIP
Fax # ( ) Subdivision
rized Agent City AP-5— ZIP
_d ❑ CW '�UW C7 PTA XES ElPTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
yes / no PNA yes / no Crit.Hab. yes /C41--0
of Project/ Activity - "'o L{
dock)
ilength
number
��
ead/ Riprap length /
avg distance offshore
max distance offshore
channel
cubic yards
-amp
ouseil 6oatlift !Z
i Bulldozing
C in
FrIX Z
line Length _
not sure yes
ags: not sure yes
:orium: n/a yes
s: yes
:r Attached: yes
Phone # ( River Basin
Adj. Wtr. Body 10)"5-AX ;OLWO At
Closest Maj. Wtr. Body / 0—e ' ' IL -yi✓
`74 U
(Scale:
Iding permit may be required by:./�[/� t—G .A /❑ See note on back regarding River Basin

DENR CAMA Daily Check Log for VVIRU
Date
Received
Check From (Name)
Name of Permit Holder
Vendor
Check
Number
Check
amount I
Permit Number/Cr
12/10/2014 Sun Technologies Sandeep Sharma
- - ------
12/11/2014 Boatzright Inc. Kevin Thomas
12/11/2014 Holden Dock & Bulkheads Don & Elizabeth Whitener
12/11/2014 S&ME USS North Carolina
12/12/2014 Riptide Builders, LLC same, owner Donald Bean BBB&T
12/12/2014 Holden Dock & Bulkheads Dodson, Baxter, Mauney 1
1ill2/2014 Charles and Carol Walters Gloria G. Smith
12/15/2014 David Davis, Steven Davis, Janice Baldwin David Davis
12/15/2014 The Village of Bald Head Island same
12/17/2014 Stewart Engineering, Inc. Sea View Properties
12/17/2014 Connaway Marine Construction, Inc David Wilson and Martin Covert
12/17/2014 Oak Islcommodations Jay Motzinger
and Ac
12/19/2014 Lighthouse Marine Construction inc Maxwell Foods LLC
B of A 5073 $436.00 Vio#14-11D
- --
First Citizens Bank 1805 $200.00 GP 65069D —
First Community Bank 59551 $200.00 GP 64061D
B of A 4726 $400.00 major fee,- Wilmingb
7525 $50.00 minor exemption fei
First Community Bank 5958 $600.00 GP 64087D, 640881
BBBT 7988 $200.00 GP 64085D
SunTrust 1596 $100.00 minor fee, 1203 0c4
PNC Bank 57246 $100.00 renewal fee, MP 22•
PNC Bank 12179 $200.00 fees for mod & rene
B of A
6895
$200.00 GP 52465D
$100.00 minor fee, 703 Cast
$600.001 GP 65071 D
BB&T
32781
B of A
5194
First Citizens Bank
39043
$100.00
minor mod for MPG
12/19/2014 Town of North Topsail Beach same
_
PNC Bank
4223
$200.00
reissue, GP 64045E
12/19/20141F and S Marine Contractors Inc DeSherbinin
12/19/2014'Western Union Money Order, Brandon Grimes Brian Forehand -
Wells Fargo Bank
17-135019617
$200.00
reissue, GP 64041E
a> 0 ]�✓
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L L U -
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DENR CAMA Daily Check Log for WIRO
Date
Received
Check From (Name)
Name of Permit Holder
Vendor
Check
Number
Check
amount
Permit Number/C<
12/10/2014 Sun Technologies
Sandeep Sharma
B of A
5073
$436.00 Vio#14-11 D —
12/11/2014 Boatzright Inc.
Kevin Thomas
First Citizens Bank
1805
$200.00 GP 65069D _-
12/11/2014 Holden Dock & Bulkheads
Don & Elizabeth Whitener
First Community Bank
5955
$200.00 GP 64061D
12/11/2014 S&ME
USS North Carolina
B of A _ _ -
4728
$400.00 major fee, Wilmingti
12/12/2014 Riptide Builders, LLC
same, owner Donald Bean
BB&T _
7525
$50.00 minor exemption feii
12/12/2014 Holden Dock & Bulkheads
Dodson, Baxter, Mauney
First Community Bank
5958
$600.00 GP 64087D, 640881
— -
12/12/2014 Charles and Carol Walters
Gloria G. Smith
_
BB&T !
_
7988
$200.00 GP 64085D
12/15/2014 David Davis, Steven Davis, Janice Baldwin
David Davis
SunTrust 1596
--- --I --
$100.00 minor fee, 1203 Ocr
- —
12I15/2014 The Village of Bald Head Island
g
_ _
same
PNC Bank
57246
$100 00 renewal fee, MP 22•
12/17/2014 Stewart Engineering, Inc.
-- -
Sea View Properties
PNC Bank
12179
$200.00'fees for mod & rene
---
12/17/2014 Connaway Marine Construction, Inc
David Wilson and Martin Covert
B of A
-----
6895
$200.00
1GP 52465D
— -
12/17/2014 Oak Island Accommodations
! y g
Jay Motzin er
BB&T
I 32781
$100.00 minor fee, 703 Cass
— - ---
12/19/2014 Lighthouse Marine Construction inc
Maxwell Foods LLC
B of A
5194
$600.00 GP 65071 D
12/19/2014 Town of North Topsail Beach
same
First Citizens Bank 39043
$100.00 :minor mod for MP 9
12/19/2014 F and S Marine Contractors Inc
DeSherbinin
PNC Bank
4223
$200.00'reissue, GP 64045E
__9/2014 Western Union Money Order, Brandon Grimes
1 2/1
Brian Forehand (see 1/5/15 for add'I $400 MO)
WelFFargo Bank _
17-135019617
$200.00reissue, GP 64041E
12/19/2014 Western Union Money Order, Brandon Grimes
Gail Wamsley
Wells Fargo Bank
17-135019618
$200 00 reissue, GP 63926E
12/19/2014 Atlantic Coast Industrial, LLC
same
BB&T _ —
7451
$200 00 GP 65072D is reiss
12/19/2014 Northern Rivertront Marina and Hotel, LLLP
same
PNC Bank -_ -
3818
$100 00 renewal fee, MP 44
12/22/2014 Coastal Marine Piers Bulkheads LLC
Shinn Creek Estates
Wells Fargo
19946
$100.00 mod fee, MP 72-82
12/22/2014 Clements Marine Construction Inc
Smith/NHCo, YeatonfPNCo, Thompson/PNCo
First Citizens Bank
3673
$750.00 3 MP fees (d$250 E
12/22/2014 Coastal Urge LLC
Jeff Nathan
B of A
2263
$250.00 major fee, NHCo
12/23/2014 Mark U Wild-Ramsing & Dina Wild-Ramsing
Chambers/Jacoby
NC SECU
5323
$200.00 GP
12/23/2014 W. Wayne Holden
Wilbur and Cecil Holden, major permit
Wachovia
2394
$100.00 renewal fee, MP 77
12/30/2014 Logan Marine LLC
Porter's Neck Property Investments, LLC
Corning Federal Credit Union
1144
$200.00 GP 65074D
12/31/2014 Grice Construction of Brunswick
Snow, Mueller, and Stone
BB&T
-
10045
$600.00 GP 65048D @$200
-Co
- --
-
GP 65047D (8J$200
—, -
1V2014 HS Construction, LLC
2/3
Kevin Pless - _
BB&T
1158
$200.00 GP 65049D
Forehand (see 12/19/14 for add'I $200
Bank
17-13501
I
i
I
�
I

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
applicant: 0 - (o ►''`'lGj�� Permit #: r—Z
)ate:
)escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
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 fins
disturbance.
Excludes any
restoration and/
temp impact
amount)
D GV
Dredge ❑ Fill ❑ Both ❑ Oth
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Dredge ❑ Fill Both ❑ Other ❑
Vrel
(�
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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W —
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 ❑