19921_BAKER, MACK_19980611

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CAMA AND DREDGE AND FILL
GENERAL ` �!p. ,
n19921,
PERMIT.-,��nc
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
— C
Applicant Name
Phone Number
Address
City
State
Zip
Project Location (County, State Road, Water Body,
etc.)
Type of Project Activity
7
p r,
PROJECT DESCRIPTION
SKETCH (�
y7
j tf �' .4 (SCALE: /--,'
Pier (dock) length
L y
f
b,ry .1
Groin length
number
�
A
+'
Bulkhead length
max. distance offshore
! j/
Basin, channel dimensions
`
/
c
cubic yards
Boat ramp dimensions
.v
Other,.
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,
imprisonment or civil action; and may cause the permit to be-
come 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 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
attachments
application fee"
applicant's signature
i�
v
y permit officer's signature
issuing date
expiration date

IF 1013
MACK BAKER 66-112/531 J U.
GLENDA BAKER
HOUSE ACCOUNT s
'P.O. BOX 3074 PH. 919-247-6444
ATLANTIC BEACH, NC 28512
't $ 5'0.�a
n 02301 BB&T
4408 ARENDELL STREET umc o o
0 CITY, NC 28557
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1:05310LL2L1:52L23El L2911' LOL3

I hereby certify that I own property adjacent to ICI 0a, is
II (Name of Property Owner)
property located at LbT p U+k
(Lot, Block, Road, etc.) —
on Spin , N.C.
(Waterbody) (Town an ty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
";,/-y C) --- / / > 0
Telephone Number
Date: �� ��

ADJACENT RIPARLAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 222�a .4Lis
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on �-�-P� , m
N.C.
(Waterbody) (Town and/or County) a
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
D '
L
Signature l
Print or Type Name
d 3 o zo
Telephone Number
Date:

Reward
Spend S250* between April 3rd and April ZOth
and y;.•u will re(eivp
TRIPLE greenpoints
on the order of your O)oice between
May 1,t v,d May I4th. 2002
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