80192D - Kushnir

-,CAMA / !-i DREDGE & FILL N� 80192 A B C
cl—si
GENERAL PERMIT Previous permit# L+ ol 2
/I New Modification ❑Complete Reissue C Partial Reissue Date previous permit issued 7(, ( Lc i 1
As authorized by the State of North Carolina,Department of Environmental Quality `I 1t O
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1�
A, ❑Rules
Applicant Name S 7 1 t 1\ 5 5s k,,)l'1(� r Project Location: County Q r n$w k c
Address 12 c4 , b<3 k\c,r S‘ • Street Address/State Road/Lot#(s) Z k..(1
City k<,\L v-P.c.0 k State til C- ZIP Z.cM(02— -., 1.ii vtk:--1 5(
Phone#(11(A) 9 223S E-Mail Subdivision
Authorized Agent Az , r -•1� a. s i-z.� P-�-(^-it. L,"rCity k v l ` (e c.c ZIP ?V\G 2
Affected ❑cw O EW ❑PTA 4 ES ❑PTS Phone# ( ) River Basin L )-"^L3-4—/
0 OEA C HHF 0 IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body Ca-"•y (nat ma /unkn)
❑PWS: /�f W
ORW: yes PNA yes Closest Maj.Wtr. Body Jail
Type of Project/Activity f,j,e lc. I,,(IC,Law_ . k1 , cm.ITr.-.} 41 C••fr.....,R
--e �,.s\i - (Scale: ~( v )
Pier(dock)length
I I
I ti i - I
Fixed Platform(s) �~� ' ` . \
Floating Platform(s) .I".°\ 1
Finger pier(s) }
i I
Groin length j j ! i
� . � 1 I i t
number - .-_..._._...... - i —
i Lam_. I I
Bulkhead/Riprap length �U I i, •tt 'V
avg distance offshore 1 ; I i. c (t 1))._
max distance offshore I
', ` \ "
Basin,channel c��^c'; •j O f i
C6 J
I rd}Mrt,/
cubic yards I,
Boat ramp ., (((���--
Boathouse/Boatlift ti{I y ` I
I
I
Beach Bulldozing r J
1 � �
Other — ? i
y
I i i
'ys
i
_,5 r % 1
Shoreline Length S-C31 Calk '7„ k41 1 f
SAV: not sure yes o i i i Gi C av 1 it/ I Sc „l bOi\G,je-
a
Moratorium: n/a yes 419 I I ,
Photos: yes ji--f
I _ — a---
Waiver Attached: yes __.._.. 1 . I ' t T,
A building permit may be required by: t-'1C` \5 . c I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions ( t) „1 k++N%=.._ •\ L \\\ n(QV �� 6.,,\t 1.�c,1{'c-(`-)c-- GA
.el-, s �` k-bk 4 G l'A) C(le- S--\ .-14.\'‘'--"\ 'iii-r.�.. \‘L�
/1TCr-c L4a . _ '2 c`-^ ✓o c(�'.
Agent or Applicant Printed Name Permit nted Name� �^�
l <._IL--
Signature **Please read compliance statement on back f permit Signature 1 ,
4 loci _.__ at t 22
cS� � 1 iS z0Z/
Application Fee(s) Check# Issuing Dat Expi do Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(910-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan, Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

4.IVIA/ Ab REDGE&FILL.
- . •
EW EIMOdifiCgtion OCornpiete Reissue Ptial Reissue 0 ar
authorized
N9 80192
A B .. C
ENE L PERMIT
Previous permit# (31Z
Date previous permit issued
As by the State of North In an area of environmental concern pursuant to ISA NCAC Carolina;Department of Environmental Quality
4 It 0
and the Coastal Resources Commission - - -C:-)
L. R .R......,d:
Applicant Name kuic•S it‘.-7.'rk-t1 0 S.: ku416.,-r:-:, -_, .2.? Project Location:tCounty.::.-•':.;,f •1'..ix.S...;:t-vc.;‘ ,(...
A4diei.-" ''' 12r'' ''.c.c.;,'; ''''CW‘Lr''S k '' '' '' .— '':'§i-Ieet-'-Addegi)Si;lie lkojaekoi i(si-"-:.. -' '
City (-VAL CL\ State plc— ziP2A4-1(02.L • , .A., '-Dokke—," S ' ..• ----,i-;---- -
'• '' ;.!.r.."'''.Subdivision:,I .. --_-, • fin..:1... .,- -%,..s.----
Atitt;Oied Agent i.:,•:. ,;.- Ic. C. at;-:.‘1-tsircity 12;:2 •‘
Affected DO; '13IEW El PTA idES OPTS Phone# (_) River Basin to4.4....19-1-/-
piii _..., 0 .ii3A, ,...;,p.itl/A;
AEC(s):,:, 1:1°E ... , ,p Elk F..
Adj.Wtr.Body .--i C.a.....•.,......... .! .,...--- . . . 4nat Nunim)
ORW: yes
'14,,iti• -;:s:400IP --' -,--.) '.'n i: -`•'Cloiiittlal.Wtt Body •''1-. -- - ' - ' -
.,.&,3 ; .
Type-of Project/Activity lea ek Cre.... 0(ICkLe... k •\ Se,es, G.,e,t-er.,\I- de. c,,,,r,"IA
-7-
= . 3,.._. Z''t
Pier(distk)length
Pored Platfonn(s) - mmart,-. - '!".1
I1E1111111111111/11 NMI 111111111,
:Finger pier(s)
GrOinierngth " ''; — ' '- s 1111111111111111 ; EE
i.,..",:-riun:liee I ra;--.7-,1,,,--;-.- r_.-:,e .f.., ri 4111 -I - IIIIIIIMI
Bulldiead/Riprap length 57C.)i:;:.”11M1111111MMIIIIIIIIIIIIIIII II , el - - 1 •-• ,
i -j I 1 '11
avg distance offshor iiiiiiimq a, Vis A.0 I%
max distance offshore I 40 i
Ei III . .,./............,...
Basin.channel .-
• RowirpIviiiiiinm.. lim mom. immonnimmEmommiumulim
. RERframmaiumm 111111111111= NIIIIIIMM1111111111111.11111111111.1.1
-cubic yards
,
Boat ramp '' Millili11111111111111111111WARIIII
Boathouse/Boatlift _ EiTangirlii 141 gas 1 Nirtalrainginomi:
. unimul
1111111mmi millai IPI ill -3E IEMEMEMEEMIMEMMIE
Beach Bulldozing '-al MEMEMEMEMEHMEMEI
_,,, IMEMEMEM WM El li MEE MEMMIEMEMEMEMEMEM Other . •
1111111 1111111tEti1IR13NI1IMERIMI1MPI1EIL111 11LirIN1E.iES,E_MIlIIiIr 1_-C 1e IMI1ER 11Ni1
• aMMEM
Shoreline Length Cb
MEMWUWIE MEMEMMMEMEM ME
sAv, frar;ure yes- 49 alliliiiiiIPMEN MEMINENNSIIIINNU •%IC.&m PIINEEM
Mor.ateriurn: n/a yes 41P iiiiiiii iiiiiiiiim._ 1 .
Photos: Yes eir, E
Waivei-Attached: yes der 111110111111111.1 '-- - -. - : . - . .III,111111 ,II
A building permit may be required by; 6‘01.2.... ..e•.. t.c..c. - . : ": :(::, LJI-1 See note on back regarciing_ .River fiasir ;ule 4..::- •
(Note Localplanning jurisdiction)
Notet/iSpecialkConditions- laNA.-k — .1 IJ: _bkt
% ,e.,.\-e-r•—..,,..: .--•, k- ,.!,-- -
.,
Ben Brink (CPG, LLC) .
\ '-^ "—^ y ac I
Agent or Applicant Printed Name Permit ntecf Name
.
04-0/p - ...... .....
,_ignature .4,please read-cr liarosvaternentorrinclitrf.Permit" Slgrature-
- 1-- -,,
Appgcad?9 Fee(s) Issuing Dat 1
- rxPi lion Date
_.•____
Scannpd.with:oartiScannier

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Basil and Melissa Kushnir
126 Sand Dollar St.
Mailing Address:
Supply, NC 28462
919-943-2235
Phone Number:
[e-mail]
Email Address:
CPG, LLC
I certify that I have authorized
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: replace bulkhead in existing footprint
126 Sand Dollar Holden Beach
at my property located at
in Brunswick County.
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Basi I Kushnir(Mar5,202116:55 EST)
Signature
Basil Kushnir
Print or Type Name
Property Owner
Title
3 5 2021
Date
This certification is valid through 3 / 5 12022

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at
(Address,,Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (City/Town 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 developmentmust fill in'description below or attach a site drawing),
WAIVER SECTION
I understand that a pier,'dock, mooring pilings, boat ramp, 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 Information) (Adjacent Property Owner Information)
Basil Kushnir(Mar 5;2021 16:55 EST)
Signature.;, Signature* --
Print or Type Name Print or Type Name
Mailing Address • Mailing Address
City/State/Zip City/State/Zip
Telephone Number/email address Telephone Number/email address •
Date Date* ,'
(Revised Aug. 2014)
*Valid for one calendar year after signature*

3/8/2021 North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online •
Add Entity to My Email Notification List • View Filings • Print a Pre-Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
Mas Properties, L.L.C. 1 Z S e Do 11.0-
Information
Sosld: 0518525
Status: Current-Active 0
Date Formed: 2/7/2000
Citizenship: Domestic
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: Rizzo, Kristina A.
Addresses
Mailing Principal Office Reg Office
131 Ocean Blvd W 131 Ocean Blvd W 131 Ocean Blvd W
Holden Beach, NC 28462 Holden Beach, NC 28462 Holden Beach, NC 28462
Reg Mailing
131 Ocean Blvd W
Holden Beach, NC 28462
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Chief Financial Officer Vice President Manager
Brad Cheers Becky K Noble Mark A Saunders
PO Box 1969 131 Ocean Blvd W PO Box 1969
Shallotte NC 28459 Holden Beach NC 28462 Shallotte NC 28459
https://www.sosnc.gov/online_services/search/Business_Registration_Results 1 1

Your Agreement Has Been Sent for
Signature!
• Adobe Sign has sent 126 Sand Dollar
Holden Beach APO Form to
--- ..., ,�--• [e-mail]
.._,.,.,..•., •° for signature..
..,Ip•••.•MONO••••..any••._.a.........11••
a_
------ • A copy(cc) has also been sent to
x.c•a...*e.•...••r..•.vt•61.0,*vibe
[e-mail].
ft/..W.0mm
• When bcheers@thecoastalcompanies.
com completes 126 Sand Dollar
,••�� ,sown..�,_r Holden Beach_APO Form all parties
(including a cc to
[e-mail]) will
�.. receive a final PDF copy by email.
crib`. Sr.am.
ZOILIf MUMClick here to view this document online in your
1%0Adobe Sign account.
You can always Login to Adobe Sign to:
• Check the status of this document
• Set up a reminder informing another
party that you are waiting for their
signature
• Share your agreements with a
colleague

3/11/2021 Coastal Permit Guy LLC Mail-Notification
hi3mai I Ben Brink <[e-mail]>
Notification
2 messages
Ben Brink<[e-mail]> Wed, Mar 10, 2021 at 4:41 PM
To: Anthony Carr<[e-mail]>
Afternoon Anthony,
I just wanted to confirm that the docusign (Adobe)APO Form went through to Brad Cheers-yesterday. Please let me know
if I need to resend. Thanks in advance. This is in reference to 124 Sand Dollar owned by MAS Properties LLC.
Best regards,
Ben
Coastal Permit Guy, LLC
[phone]
Helping you get your work done!
erCOASTAL
P E R M I T GUY
Anthony Carr<[e-mail]> Wed, Mar 10, 2021 at 6:13 PM
To: Ben Brink <[e-mail]>
Cc: Brad Cheers<[e-mail]>
Ben,
Bradgot.the email'and he sent it to Mark Saunders who is the owner of the site and our company..flopefully you will
have it back soon.
Anthony
MARK
SAJNDERS
Anthony S. Carr
Custom Home Consultant
https://ma il.goog le.com/mail/u/0?ik=80d48a80d2&view=pt&search=all&permthid=thread-a%3Ar748821771553101235&simpl=msg-a%3Ar1166900210... 1/2

3/11/2021 Coastal Permit Guy LLC Mail-Notification
3184 Holden Beach Rd.
Supply, NC 28462
Phone [phone]
Phone [phone]
Fax [phone]
www.marksaundershomes.com
[Quoted text hidden]
•
https://mail.google.com/mail/u/0?ik=80d48a80d2&view=pt&search=all&permthid=thread-a%3Ar748821771553101235&simpl=msg-a%a3Ar1166900210...• 2/2

Details
Confirmation #: WER209101986
Redelivering mail to: hJ,
BEN B BRINK MPr Fropzrkie- L1--L
131 OCEAN BLVD W ' Delivery Date:
HOLDEN BEACH, NC 28462-5024 Redelivery Date: 3/12/2021
Phone: [phone]
Email: [e-mail]
Package Information
Tracking #: 70202450000063085011
Redelivery Type: USPS Carrier Redelivery
March 10,2021
Redelivery Scheduled
HOLDEN BEACH,NC 28462
The customer has requested that the Postal Service redeliver this item on March 12,2021 in HOLDEN BEACH,NC 28462.
March 10,2021,12:10 pm
Notice Left(No Authorized Recipient Available)
SUPPLY,NC 28462
March 10,2021,9:04 am
Out for Delivery
SUPPLY,NC 28462

CERTIFIED MAIL • RETURN RECEIPT REQUESTED n
rritl
DIVISION OF COASTAL MANAGEMENT >�� KAIc
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner- S 1 l KIAs�tr
Address of Pnoparty: 1.u7•ZG t 12L Scud Dollar S�. 144101 &Alai
(Lot or Street I,Street or Road.City b Ccw*y) fjrt,timJL tCK
Agents Narrle t {�7 Q '�r Mailing Address: Po I a(lO
A904 010M* 410-3°2-57,7S LarcAlp.o, EcAdiM B B
I hereby certify that I own property ed)ecent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing_the development
they we proposing.A descnpt on orsirDwiricL with dimensions.must be Draviskil with this letter.
I have objections to this proposal
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(0CM) in writing within 10 days of receipt of this notice. Contact information for OCM offices is
available at htip//www nccoastalmanapement nethwebtrnistaff-thtinp or by calling 1-888-IRCOAST
No response is considered the same as no objection if you have been notified by Certified Mai,.
WAIVER SECTION
I understand that a per,dock,mooring pilings,boat ramp,breakwater.boathouse, or lift must
be set beck a minimum distance of 15'from my area of nperian access unless waived by me.(tf
you wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15*setback requirement
t
(Property Owner Information) (Riparian Property Owner Information)
6
Signapvett t Signature,'
bo.S e t Kuc In t tr ice`;!r 7 (-to 1 I r ac c c
Prix or Type Name Flint or Tx*None
Iu Sowci Dollaa St., l77o 014Ocei1 /1lisillktg*Mtn Using Addinse
KoUw &ACJS WC -aye-Z f 1 v;a, uG z sgZ Z-
19 —qK3- a ss //o -540 • 's iS
Telephone Number/Email Add ess TelMrrwu Mrmmber.ewe Adrymeee
3/8/$02l .3 /D• jai z1
Date Dale
(Revised Aug.2014)

10 2021 USPS.com®-USPS Tracking®Results
USPS Tracking® FAQS '
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Track Another Package + Gocll( \Deop\_f
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Tracking Number: 70202450000063085028 Remove X
Your item was delivered to an individual at the address at 1:35 pm on March 10, 2021 in BOLIVIA,
NC 28422.
C✓ Delivered
March 10, 2021 at 1:35 pm Q
Delivered. Left with Individual
BOLIVIA, NC 28422
Get Updates u
Text & Email Updates v
Return Receipt Electronic n
Confirmation
Your Proof of Delivery record is complete and will be processed shortly.
Your confirmation will be sent to the following:
[e-mail]
Tracking History
March 10, 2021, 1:35 pm
Delivered, Left with Individual
https://tools.usps.com/goffrackConfirmAction 1/3

UNITED STATES
PQSTAL SERVICE
March 10, 2021
Dear Ben Brink:
The following is in response to your request for proof of delivery on your item with the tracking number:
7020 2450 0000 6308 5028.
Item Details
Status: Delivered, Left with Individual
Status Date/ Time: March 10, 2021, 1:35 pm
Location: BOLIVIA, NC 28422
Postal Product: First-Class Mail®
Extra Services: Certified MaiI1
Return Receipt Electronic
Shipment Details
Weight: 1.0oz
Recipient Signature
VG
Signature of Recipient:
1770 OLD OCEAN HWY
BOLIVIA,NC 28422
Address of Recipient:
Note: Scanned image may reflect a different destination address due to Intended Recipient's delivery instructions on file.
Thank you for selecting the United States Postal Service°for your mailing needs. If you require additional
assistance, please contact your local Post Officer" or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service®
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004

N < < < CANAL
—24ft
Existing structures
UP
0.,‘_ct,\ W S
•47 I126 SAND DOLLAR 5T ©� e,-Aac_i�T
‘k, HOLDEN BEACH NG ^r'ccovAix:ritipoi
V r`y V1
SCOPE OF I^IORK: �OG�
REPLACEMENT OF BULKHEAD NALL C ����� 11
��
IN SAME LOCATION

Check
Data Receive Date DepoeRed Check From(Name) Name of Permit Holder Vendor Check number amount Permit Number/Common t Re
ceipt or RefundR7eeikv:ate
Columnl Ceiumn2 Coksm7J Cohunna Columnd Cekemt! Cokonn7 Column! Columns
3/16/2021 Southern NC Marine LLC(1 0 2) 'William and Tonya Roberson First Bank 1390 $_200.00 GP#80103D JD rct.13573
3/16/2021 — Southern NC Marine LLCS2 of21 William and Tonya Roberson First Bank 1386 $ 200.00 GP#80103D JD rct.13573
3/16/2021 Steve Woodard same PNC Bank 2572 $ 200.00 GP#76187D 'PA rct.11591
3/16/2021. John J Strobel(1 of 2) same BB&T 1622 $ 200.00 GP#80186D BB rot,12944
3/16/2021 John J Strobel(2 of 2) same BB&T 1626 $ 200.00 GP#80186D 'BB ret.12944 -
_
3/16/2021 Kenneth Billings same SunTrust 1144 $ 200.00•GP#80188D 1BB rct.12710
3/16/2021 Thomas J Rumsey same USAA Federal Savings Bank _ 7001 $ 200.00.,GP#80122D ;BB rct.12950 _
3/16/2021 Torn and Holly Rumsey same United Bank 153!$ 400.00 GP#80122D BB rct.12937 _
3/16/2021 'Backwater Marine of NC LLC Tony and Stephanie Hill BB&T _ 1264 $ 400.00 GP#80185D BB rct,12943 —
3/16/2021 Ted Hudler same BB&T 10915.$ 200.00 GP#80118D BB rct.12940
3/16/2021. Grice Construction of Brunswick County In Alvin and Annette Odom BB&T 14496 $ 400.00 GP#80125D BB rct.12945
3/16/2021 Grace Construction of Brunswick County In Walter and Jennifer Fielding BB&T 14497 $ 200.00 GP#80130D BB rct.12946
_3/16/2021_ Grice Construction of Brunswick County In Edward and Patricia Murray BB&T 14498 $_ 200.00 GP#77562D BB rct.12947
3/16/2021 Kenneth Gregory K and Louise Gregory Coastal Credit Union 3655 $ 200.00 GP#80187D BB rct.12948 __
3/16/2021 Basil Kushner Basil and Melissa Kushner NAVY Federal CU 829 $ 400.00 GP#801920 BB rct.12949 __
3/16/2021 Grice Construction of Brunswick County In Town of Sunset Beach BB&T 14499 $ 400.00 GP#801320 BB rct.12976 -_
3/16/2021 Grace Construction of Brunswick County In Donna Doudican BB&T 14502 $ 400.00 IGP#801270 BB rct.12977 _
3/16/2021 Structural Concrete&Millworks,Inc. Dairy Hargrove Southern Bank 41602 $ 800.00 GP#77550D BH rct.12714
3/16/2021 Allied Marine Contractors LLC Allen J Warren FCB 9937 $ 200.00 GP#801750 BH rct.12713
3/16/2021 Allied Marine Contractors LLC Jane Autry FCB _ _ _ 9938 $ 200.00 GP#80174D BH rct.12712
3/16/2021 Charles Duckworth Money Order Chris and Mary Batten Wells Fargo 17-7680536;$ 200.00 GP#80124D (BB rct.12941