The URL can be used to link to this page

Home My WebLink AboutBaker, RobertOCAMA / F1 DREDGE & FILL No. 73988 .. �C� GENERAL PIERMIT Previous permit# A B D CNew ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resourcejonnission in n area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name / (;f " �` Project Location: County 16 Address 0 ? ^ t J Street Adi�ess/ State Road/ L2t #(s) ^t/ City P. F/ 1 State A,"(' ZIP % �.� t5AC) �% (/�J f c Phone # (101 ) 7 U l- 0121 �E-Mail Authorized Agent Affected rII& AEC(s): 0 OEA ,aeW .<p'PTA LIES ❑PTS ❑HHF ❑IH ❑UBA ❑N/A ❑ PWS: ORW: (es )no PNA yes(%no Subdivision City G✓ F� t i t ZIP O t� Phone # ( ) ver Basin i i Adj. Wtr. Body " ^ iman unkn Closest Maj. Wtr. Body J ■■■■M■MM■■■■M1` ME■■MM■M■■■■EMENIMMEMELMI - I ♦ p ECM■■ MEMO■■■■■■■ MEMO■■■■■■■ NCO®�®®ooi ��i��i��L■■��pi�■■��■® ■■■■.M.�M.......� :::: ::OMMEMEMEEME:::■■..■.■■..INE ME■■■■■.. ■M■■■■■M■■■IM■■■■■..■■M■0■■■.■■■■■■■■■M■ M. ■E■■EMEM■M■'■■NONE ■■M■■■E■■. ■■■■■■■■MM IMMENNOMIMMIN'' .�..CMEMEM'■'.NEC'.'.�'.�� • �.... ■■■■�N■■■■■■.■■■■■■■■■■. .■M..•.■ n■'M■■■MCIni -.■M :ir uMi��■■�■ME fib Agent or Applicant Printed Name -. Signature ""Pleas read compliance statement on back of permit" Application Fee(s) Check # Permit Off Or's rprinted Name _ Signature <//;J/�/��i Issuing Date Expiration Date Davenport, Ryan From: Robert Baker «pBbA lc Sent: Tuesday, Apriza9,aoa To: Davenport, Ryan Subject: [Extm4msigned statement cuD& Externalmk a not clicklinks =open attachmentsunless you verify.Send all suspicious email aa attachment to pm@ Gov<9ort. pm@�� wG Here mis! Tnnks, x - ® �7 �{ |! 2 $ � ——! £U . , ! • or ! � $ k |.§ |° .\ « / �.�■.!!|, �2 Sent from Wh _ ■ / | / f | AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: R. E, V-IP OAII-02- JiZ Mailing Address: Phone Number: Email Address: Z�& wAS l{ (1\16 TVJ STaEL -_r;MPLI-9 LIF-0 NC �65?4 S?-) 2-b?-b`(54 lZt I/ -I P . COM I certify that I have authorized+lt�- Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 2(VLAr;V�10E�A Pit`2 U/lTq C N A N/rs at my property located at 14/4� k(NOVNJ <Tf12tF-_T , in C KTeWr 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 Owner I ation: Signature V-t (-') V:W_tf2 'x Print or Type Name Title I t l� Date This certification is valid through I�C-R- CL52-)Z(o9 -()Y, G a I, -- p" fit-IMG to, p f4utw-lotA e <I �4 G-KU O) -' PlkQ. D�'[A / t-- l IEP SIC1,10" !I lNI ft( 1l�iL- q i e F MNdI< !1 [ts �.1<Olkll�u`r �-• v i! 2trJND 0 O �4k'tj"t.lki {113 VE: it��i7 a.1 6 ! J(,)t: PE"m�i of !!y to tl. % Od II ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so,that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space oermits. 90R15 Liar46ASrejL T1tr��tPSON l04`1 �E�t �- LEA Di21uc if31LMIN(x-tON, Ne Z ✓�rz ❑ Agent Name) I C. Date of Delivery Is delivery address different from item 17 U YSE If YES, enter delivery address below: ❑ No 3. Servicee PMall riorityPreWQ IIIIII II I IN I IIIIIIIIIIIIIIIIIII 71 ilIIIIIIIIII ❑ duSintureRestrictd Delivery Reerd Mail Restricted 9590 9402 3756 8032 2336 19 ❑ Codified Mall® ❑ Cdifled Mail Restricted Delivery Del very O Return Recelpt for ❑ Collect on Delivery Merchandise 2. Article Number ❑ Collect on Delivery Restricted Delivery ❑ Signature Conflm atlon* ' eL118 '1130 0000 5074 1491 Il Restricted Delivery ation ❑Rlestrict Deliiveery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ■ Cc:nplete items 1, 2, and 3. A. Slgnature 1� • Vq , ■ Print your name and address on the reverse X _ 'aF0 Agent so that we can return the card to you. i9 ❑ Adore ■ Attach this card to the back of the mailpiece, B. a iv d b§ (PdntedN n )� C. D to of ell or on the front if space permits. 7C 3 Ly 1. Article Addressed to: D. Is=PS ama L V Mtt�.Ws /. - J ORDOi J � IfNo 1o2t5 �ot�S�SNtx �3ENv Q,e. G- oNIE � r VA 240g4 eRestrited LI Priority Mail III I I I I I I II I I I I I II I I I II I I I I I I I I I II I I I ls signature ❑ dul3. tureice Delivery ❑ Rlegisterd Mall Restricted 9590 9402 3756 8032 2336 26 Certified Malle) ❑ 0ertifi d Mail Restdctd Delivery ❑ Retium fiectpt for -_ ❑ Collect on Delivery Merchandise - "-' •--"_. rriansfer from service 1a5e1J ' 7018 ❑ Collect on Delivery Restricted Delivery ❑ Insured Mail ❑ Signature Confinneilon"M ❑ signature Confirmation 1130 000p 5074 1484 Il Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt