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Home My WebLink AboutBaker, Bradford & Eileen MackeyCAMA / ❑ DREDGE & FILL No. 75940 A B C r GENERAL PERMIk Previous permit# New ❑Modification []Complete Re ue L lartial Reissue Date previous permit issued 4fi As auth rzed by the State of North Carolina, Department of Environfmental Quality and the Coastal Resources Commission in;an areaof environmental concern pursuant to 15A NCAC ❑Rules attached. Applicant Name ,� 1� } ` Street Address/ County l � �� t I ``E L- C,�.i Project Location: Address dress/ State Road/ Lot #(s) / .. City,(-t Yn State f ZIPPhone # ( rE-Mail SubdivisionAuthorized Agent I City ZIP Affected �,tW `IJEW ,PTA DES OPTS Phone # ( ) V T- River Basin _ ❑AEA ❑HHF 617 11. ❑UBA ❑N/A i/ AEC(s): Adj. Wtr. Body f (nat /man /unkn) Closest Ma'. Wtr. Body ORW: yes /-no PNA yes /- no _ 1� Type of Project/ Activity it ll Pier dock len h :�� ■■.�;�,�.^-• ■■■■■e■ ■I�iW1►J111m�Rl.p1�■e■e■■■■■■e■■■■ nCC : tiRNKi•"'CCW:nMIN I� � n: =■r1l■ ��v ■ SEE ME ■■I■■■Nt■eE■ ■■ ■E ■e■NS��re■■ 0 NNE111.EC■f■■101E■RI■FAINE .■.■■■Elf!■■■No, soC ■� MEN .SEEMS ■le■■LIrt■e■N mmom■■■■■■..■■S■■N Is ■■■■■■ ■■ ■le►`1'Nii■i■■ei11i■■■■■■■■1',±■■■SEEN ■ e■■■■■�■I■■1■1i1 ■■1■■e■SS■■■■ ■11■D/■■ ■■EN ■■..ee■EI■EPi`!I■�■■e■e1i�JS■■■■C■■ .■. ■. . eE■S■■■■See■■tLi■I■■■N■■MENN■■S■..� ■. ■so MENSMEENN Ai nminiiiiimiiiiiiiiiiii ME ME:n IhN nl::n::n :1n::n:n:C.■n:nn:�n ■■■■ MEN ■■ SI■P:■I■■■■1■■■■■S■■e■N0■eN■■■■■■■ M. nn n nnnAM.nni n nn:n :l=0 :®�ln::nnlf:ml ■■ lu0 MMVAnin�Em ,nninenn{Cei� ni:Cn ME ME MEMO MEMO • ■■i■I 1�- ■SEES .■I■SEEN bimm ■■■■■S■■■■. ■. . �f321�■■■■■■ i■Se■■ 0110"FAM ■■■E ■■■N■i■■ie en0MI nenS OEM eR1■erN�� lEN■ME■ M■eE: MEN Ne:■:■:■:�C wn MASinn M■sr'ME nn■ nn'm1 a =21 ®'C�n:n: nnnn nn ■■I■■■■■■■■■e■■N■■ NINE ■■■■■■■ MEMO 0■■■■ ■ E:n:nnnMMISIN nnn::nMEN n:Cn■: M A Agent or Applicant Printed Name Signature •* Please read compliance statement on back of permit" Application Fee(s) , Check # PermitOffcer's Printed Name` •✓ J Signature / i y� Issuing Date Expiration Date Agent Auth.pdf AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesfing Permit: Bradford W. Baker Mailing Address: 106 Gibbs Circle, Beaufort, NC 28516 Phone Number: (813)528.3291 Email Address: bradbaker@mac com I certify that I have authorized Dean Barnes/Mud Bucket , Agent I Contadw to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Asingle structure fixed dock with lift, extending from the above property out into the water, with the length to be approxbnately the same as the docks on either adjacent property, at my property located at 106 Gibbs Circle, Beaufort, NC 28516 in Carteret rtrnmN 1 furthermore certify that I am authonzed 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. Properly0wner)nformation -'Signature Bradford W. Baker Print or Type Name Owner 01 1 30 l 2019 Date This certification Is Valid through n2 / 31 1 2019 RECEIVED OCT T o 1019 Page 1 l 1 DCM-MHD CITY 6' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent to I ' s (Name of Property Owner) property located at—! (Address, Lot, Block, Road, etc.) on :sfd in — , �..a r.: 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 development must till in description below or attach a site drawing) r. J33it i.• �... .. ,.. .... _ ie �_...,,. , _ ,.. . .... `tai. ih'J fettath to be a ,{ o - �. L._ 1. ., :�Y•a .>t�i�"�"fN'(% 7. F5ii G� ..r, C� a� V_ , 'UX V' t I d t\L-wr Do L 1K WAIVER SECTION O L 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) Signutzn•e Print or Type Name Mailing Address City/state2lp J Telephone Number / email address Dale 'Valid for one calendar year after signature' Information) t9t iM ^ S & ?� D dY✓ t Address LJ � L one Number/ email addr ss �M Map (Revised Aug. 2014p I ADJACENT RIPARIAN, PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to =__ad c, .. •...,..._., c:•,___ :; i_.:vcc, 's (Name of Property Owner) property located at i `- (Address, Lot, Block, Road, etc.) on in i N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. R i� I have no objection to this proposal. I have objections to this proposal.. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must till In description below or attach a site drawing) m Iv y `� bt _ ..-Ae ai)o+ ; • uet t the .a=.2r, =eiLit the alp aECENED DCM_MHD CITY < WAIVER SECTION G 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 Own% Information) Signature ry1 Print or Type Name Print or Type Nal 02 Mailing Address M hg Address City/State2ip City/state2i el �v 17 S� Telephone Number/email address ,..._.-. Tel' ho%e Numb 1d A? 'Valid for one calendar year after signature' Owner Information) / email address (Revised Aug. 2014) .c� S