Baker, Edger

MA / ❑;DREDGE & FILL
ailERAL PERMIT
A B
Previous permit#
C D
❑Modification ❑Complete Reissue ❑Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an areapf environmental concern pursuant
to I SA NCAC
"Emles attached.
�C 1
Applicant Name el
Project Location:
County
Address,
Street Address/ State Road/ Lot #O
;
City, State ". ZIP .
Phone # (_) m' "`'j E-Mail
Subdivision
Authorized Agent 1 ,� f,
CifRr'6`
ty
ZIP
Affected El t�v1/ "2 TA ❑ ES ❑ PTS
Phone # (
) River Basin+'
ElOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AECs�) :
Ad'. Wtr. Body
1
t'r°. _ ��..,._„r ::•' (�at,/man
/unkn)
❑ PWS:..
ORW: (yes /) no PNA yes // no '}
Closest Ma' Win Body
1 Y
Type of Project/ Activity ,,' ,� X " / C ' , c' I
Pier (dock) length
Fixed Platforn
Floating Platfc
Finger pier(s)_
Groin length
number
Bulkhead/ Rip
avg dista
max dist
Basin, channe
cubic yai
Boat ramp _
Boathouse/ Bf
Beach Bulido2
Other
Shoreline Len
SAV: nc
Moratorium:
Photos:
Waiver Attacl
A building permit may ue requireu oy: u oee note on oacK re�garamg rover rsasm roves.
( Note Local Planning Jurisdiction) j/
Notes/ Special Conditions 1 r.' w•
(Scale:.M�.. )
Agent or Applicant Printed Name 3
PermitC Wicer;,Rrinted Name ;
Sign4yfe ` Please �ad compliance statement on �Ack of permit ee Signal
Application Fee(s) Check# Issuin
re4..
bate Expir

4
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 1) 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
El Tar - Pamlico River Basin Buffer Rules 0 Other:
0 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 (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead Citv Headauarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/14

AIWA / 66REDGE &FILL _NO 5q g C p
GENERAL PERMIT Previous Permit
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized, by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area environmental concern pursuant to 15A NCAC , f
�Pmle's attached.'
Applicant Name Project Location: County r,.
Address � l � Street Address/ State Road/ Lot #(
Citye .. State ZIP s`
Phone # E-Mail Subdivision
Authorized Agent &A r/ 1.�'
—� iii'i City e"_ s^ Gl ZI P
Affected ❑ CVV .81WDES Phone# _ River Basin �. !
AEC S : ❑ OEA ❑ HHF ° ❑ IH ❑ UBA ❑ N/A /
O Adj. Wtr. Body c.. 'an /unkn�
❑ PWS: .-
ORW: yes % no PNA yes / no ' Closest Maj. Wtr. Bc d ' u
Type of Project/ Activity I c9', r' f c+ C
%� Jr/
Pier (dock) length
(Scale:,;,,, -T'
Fixed Platforms)
Floating Platform(s) ^-
Finger piers)-_ ..
it
7
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
,k
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
IBeach Bulldozing T
Other
Agent or;Applicant Printe
Sign a Please
&�
Ifs
statement on b
Application Fees) ; ... ,.
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08/25/2015 TUB 12.20 FAX
Z002/003
I hereby certify that I own !� Y ro rt adjacent to
P ja
am of P Is
property located at C��—•.� � l party Owner)
on - o., Addr s, lot, Blo k
Road, at
(Waterbody) In (CRY/Town and/or County)N.C.
The applicant has described to me, as shown below, the development Proposed location. p posed at the above
I have no objection to;this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWINt3 OF PROPOSED DEVELOPMENT
(individual proposing de dRment mist "It In descript/an below or attach a s/Pe drawing)
I IV X �'
15)(Isr
J-1r17
I understand that a pk; dock,
must be set back a minimum (
MG. (if you wish to waive the sE
44-- I do wish& walvej
b�.-- - --
Dam
boathouse, lift, or groin
access unless waived by
)lank qPlo%),
"Valid for one calendar year after signature" (,Revised Aug, 2o14)
DECEIVED
SE? 01015�s
RECEIVED
AUG 2 51015

06/25/2015 TUB 12- 20 PAX U003/003
p.3
i hereby cmW that I own pnVe* "3 at to
ptoperw Ioc om at rr
0,7 ( e of Ow mr)
4
Let IN fe I. .l:tc, Raed, oar.►
on ._..l^ s N.C.
1 *M �t tyn aam as Co~ .
Agent's Name t
Mal ft Addam:
Aperlt's Phone
HEWS h/ hers deocrftd mine aw-shom bellow 111E, lovelopmom he* w ise pro mbW at oW looa*m,
and 1 have no ~arm to #0 propoasi.
O IPTKM ANWOR DRAVAN OF PMWO1W DEVELOPMENT
(MndYVloW PmpoWnd da lop6imt mug! off I i dwarovon below or RmKh a aft ~OW
Nyaraawv ecboris!to1nlx�li3bakEgpncXpaepc�yi uMIAMM00yummll iwofCoaalalJlbn rnent RECEVED
(009,10
Etva/hpi6le ► wain iQ afeys aof r mo of Once" Conant ln�hirrW rM thr bom offfm is ®21015
orar rj4nj a �oou� ZSEP
O/!8!i tl/P p0 l , f /MOYtt bpp/1. .p Jrp tN �` 04",
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Mew►
orb ., C"
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mgdtA?4�r�
Wool
Tenn EMe1.�
RECEIVED
r
Dace AUG 2 5 1015
OW#eda Aug. 20I4) ocL"mI4 #1'

v
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
( e of Property Owner)
property located at
-60�32K. /J--aJ
(Address, Lot to k, Ro d)
on , in C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
Io n
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing devel pm below or attach a site drawing)
Sr
0
v i
0
WAIVER SECTION
0
RECEIVED
SEP 0 2 2015
31AA-W46) ,'e Wv
I understand that a pier, dock, mooring pil ngs, bre akwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area ofi iparian access unless waived by Wloff ou
%wisA to waive the s back, you must initia the_ap ropriate blank below.) AUG 2 8 1015
j 1 do wish to waive the 15'seti iack req Virement.
I do not wish to waive the 15I setbackl requirement.
(Property Owner Information)
Signati
/OA����
Print or Type Name��
Mailing ress
City/StatkZip P
Telep ne Num er J �/
wn�7 LL
Date
(Adjacent Property Owner nformation)
igna
rin - r ZTpe a dq
ailing A�dr ss
ity/ t te/Zip e,
elephon-g Num
ate1
/ (Revised 611812012)

4B/25/2015 TUB 12, 20 FAX
Y'
®002/003
V
OAMMM
I hereby certify that I own property adjacent to
of 's
Property locatedam P . at �'"�"—�( ' party Ownet)
on ov Add a, l ot; Elio k, Road atc.
(Waterbodyj in _ �.1,., N.C.
ty/Ttpj
location. The applfoant has described to me, as shown below(Clown and/or Coun, the development proposed at the above
I have no abjection to;dtis proposal.
- I have objectlons to this proposal,
DESCRIPTION A)Pm . DRAVWNQ OF PROPOSED OEVECOPINENT
(Indi�td l proposing oPmON must till In d"g6pglon below or etlach a aft drawing)
v
I understand that a plat; dock 4
must be set back a minimum di'
me. (if you wish to waive the
A/4,_ - I do wisio wai
"Vadd For one calendar year after s4netune
® O _
boathouse, lift, or pmIn
access unless wslved by
plank b w
�. r t
(Kev/sed Aug, 2014)
RECEIVED
AUG 2 8 1015

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit:
Mailing address:
Telephone Number:
I certify that I have authorized
ral
to act on my behalf, for the purpose of a1ppiying and obtaining all CAMA permits
necessary for the proposed development of
at my property located at
This certification is valid through
(Property Ow r lnf i n)
Q( gna ure
c� 0, 'r gay -of
Print o ype Name
L'yxr
Title, co. owner or trustee for property
_ -0 I QJC 15-
Date
9(0 67L'Uzo
Telephone Number
Email Address
RECEIVED
SEP 0 22015
RECEIVED
AU& 2 5 2015