Gallants Landing OA William P. Baker

fJ�CAMA / El DREDGE & FILL NO. %SO I S A B C D
TTENERAL PERMIT Previous permit#
Y ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Com Imissipn in an a(ea of environments oncern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name- i I � 1, i- � , ' �; ��-� ) - PP �,(;, i Project Location: County_
Add re s ( �)e� k CLIt v. Street Addre s/ State Ro d/ Lot #(s)
State ZIP �' ����� 11(If
Phone #(�� '�E-f3lail Subdivision %
Authorized Agent' S� .l, t I i City_ ZIP
Affected OCW CaEW . 4 PTA ❑ES ❑PTS Phone# (�__,River Basin _
AEC(s): ElOEA ❑HHF
❑ PINS:
IH p-USA ❑N/A
ORW: yes / no PNA yes /
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)�i
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
t.�
Shoreline Length ._
SAV: notsure yes no
Moratorium: n/a yes no
Photos: yes no _
Waiver Attached: yes no
A building permit may be required I
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature/ 'ts'Please read compliance statement on back of permit'"•
Application Fee(s) Check #
Adj. Wtr. Body
Closest Maj. Wtr. Body V --
(nat./man /unkn)
(Scale:
❑ See note on back regarding River Basin rules.
I
Signature '-
`7i1�i<��
Issuing path Expirr�on Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: William Prentiss Baker III
Mailing Address: 517 Mercury street
,Raleigh NC 27603
Phone Number: 919_828.2975
Email Address:
I certify that I have authorized
[e-mail]
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at --J.04 Gallants lane Beaufort NC 28516
in _Carteret County.
1 furthermore certify that 1 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 Ltforrnation:
Signatdre
-1Villia.m Prentiss Baker III
Print or Type Name
_Manager
TWO
OS l )► 1 ';t lI
Date
This certification is valid through

i
X
7
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -WI I Ii orn Peeyi4, � &A kQ r III 's
property located at 1 oq C1Ll II Gv1{-S IV, (Name of Property Owner) .
(Address, Lot, Block, Road, etc.)
on in
(Waterbody) and/or yr f tv N.C.
(CitylTown and/or Countv)
The applicant has described to me, as shown below, the development proposed at the above
location.
"k 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, 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)
or Type Name
c:ltiic P( 2-1(c U 3
City/SfafefPf
Telephone Number/email address
"Valid for one calendar year after signature*
J/Y
(Adjacent Property Owner Information)
(Revised Aug. 2014)
rb/1�1t�1(J i��

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner- ! t I (AIM pv-Ee ail S 5 L� 0.ker
Address of Property: I ()'J 1 U I I (A,-S LC,,n - 6,e U uA Svc { \I C l S (I j�
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #:
\
l C( J
I hereby certify that I own property adjacent to the above referenced property. The individual
,
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions
��
must be provided with this letter. •,
L
/ I have no objections to this proposal. I have objections to this proposal.
C:
(�
J If you have objections to what is being
i g proposed, you must notify the Division of Coastal Management
i (DCM) in writing within 10 days of receipt of this notice. Contact Information for DCM
0 Fl
offices is
i available athtto✓/www.nccoastalmanauementnet(web/cm/stafflistinoorby calling1-888-4RCOAST.
X
No response is considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
c
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
v
I do wish to waive the 15' setback requirement. /
rj 1 do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
IA)tl`tc tm Piret�{lSS �ji/l I I�'
Print or Type Name
!} _ 1 I )( �—
Mailing Address
0ty/5tate1Ztp
p1;v4cer
Telephone Number/Email Address
Date
(Ripari n Property�r Inf rmation)
Signature
Print or Type Name
-330I I?Msek �7rtvc.
Mailing Address
1&1eY91t 416 27�
Ctty/sta� te/Ztp
Q/f
Telephone Number/Email Address
_4W dG . o•
Date
(Revised Aug. 2014)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: CxrQar, f� �rn6;�`tUw�p %��rd,
Mailing Address: Gcr l(a/pis 1�a„ C
Phone Number: _�(i Z / - y -6 cj
Email Address: V ✓noo, ;^e ez it c / Crew
I certify that I have authorizedd;ir / i r !3aIrC
Agent i C ntractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: i 6,5Ia
O
at my property located at e I �l K�q !/ah I—C 1-0,00lj
in �[Lr2f County.
I furthermore certify that 1 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 el;rmation:
y .
Signature
Print or Type Name
Title
Date
This certification is valid through I I