74583D - Bailey

; CAMA / ! 7 DREDGE & FILL NO. 74583 A B C (�
GENERAL PERMIT Previous permit#
54islew --Modification El Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 044 1 V qn
``..�,, ❑ Rules attached.
r
Applicant Name am(✓ - p, Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State_ ZIP ,
Phone (�) �Q�j a� E-Mail�� � >� � Subdivision
Authbrized Agent n �40w1y"e.. City iN/ c 1a) ZIP ';�r49
Affected ❑ CW MEW ®-PTA ❑ ES ❑ PTS Phone # ( ) River Basin f
AEC(s): ❑ OEA ❑ HHF ❑ 1H ❑ UBA ❑ N/A Adj. Wtr. Body man unkn
❑ PWS:
ORW: yes / irk PNA yes / lt�D Closest Maj. Wtr. Body
\■■■■■�■■■■■■■■■■■i■■■■■■■■■
Wye, ■■_�■■■■■■■■■■■GI■■■■■■■■■�!■■
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MOO
AM
Agent o t P ted Name
Signature Ple a read compliance statement on back of permit
Zoo=
Application Fee(s) Check #
Pu'fi'?CI ftl"((
Permit Officer's Printed Name
Signature
S'/1S /.2 Oil 1 a /lS�a o jc
Issuing Date Expiration Date

altzeeiv,
AUG
09 2019
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION 6 ,.���
Name of Property Owner Requesting Permit:
Mailing Address:
/"✓�� %�� /ram
Ora
Phone Number:
Emall Address:
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CCAMA,permits
necessary for the following proposed development
at my prop rty located at G�446�w� 9 NyG `b
in 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 Information:
Signature
GJrnwl ml
Print or T e Name
��iW'
True
Date
l)
This certification is valid through J 1
RECEIVED
AUG 012019
DCM W"MINGTON, NC

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner. pz
Address of Property:
/j (Lot or Street #, S or Road, City
Agent's Name #: 8 Counp)
L�U% Xli Mailing Address: 1 , ►
Agent's phone #: _ lb+ a5�•�Ma N)IIA Pqh
I hereby certify that I own property adjac
ent to the above referenced properly. The Individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. descri Lion or dr wi with imensi s mu t be rovided with thi5 letter.
I have no objections to this proposal.
I have objections to this proposal-
s)o1rt�itf �-OF71" r1u�'1 [ ,Oo�,t
d yoTh objections to what is being proposed, you must nobly tha Division otCoaatat ManaQamant (OCM) In
writing whriin 10 days of rarwlpt o/ this notice. Conupondence should be melted to 127 Cardinal Drift Ext,
tWmington, NC, 28I0&3W- DCM Wresentativas can also be contacted at [phone]. No response la
considered the same 4snp objection N VQu have IT notMed b Certltled Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of ripari date bless unless
) waived
by me (If you
wish to waive the setback, you must I 1 the approp
/ I do wish to waive the 15, setback requirement.
I do not wish to waive the 15, setback requirement.
E7- Ie irmaaon)
fgnat!urre
Print or Type Name
� 1 Uvo
M ng Address
&k*Okma-
citylstatemp
91n-sa3- IL791
elephone Number
�U �1 uly�ol°1
Date
t,
pJA
Information)
Print or type raarne
11 116 s
Marrrrp Address
Z4/4,6 -�gd_
City/statamp
Telephone Number
v�,d1 �w
Dare
Rwlad 9MV ED
AUG A 9 2019
DCM WILMINGTON, NC

CERTIFIED MAIL • RETURN RECEIPT 13gQU>ESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY
PROPERTY OWNER NOTIFICATIONIWAIVER FORM
W % Name of Property Owner: ? � `�
Address of Property: Lp✓ 5robw Ida
� �j(Lot or Street #, Stri
Agent's Name* Gam"/ ' J xl
Agent's phone #: l D �S1 .
or Road, City & Coun yf )
Mailing Address: / ., d' f W16
Gtl*Apmw 1&n4l Y., /. VY0
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.
I have no objcctions to this proposal. I have objections to this proposal.
pe-P144 k--pJ724L nuolz .004
Myou have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) In
writing within 10 days of rocelpt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext,
Wllmington, NC, 2840&3845. DCM representatives can also be contacted at [phone]. No response Is
considered the some as no oblectfon N you have boon no ff*d by Ceri W Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 IS' setback requirement.
I do not wish to waive the 15' setback requirement.
(ro ormation) (Aacent Property Owner Info ation)
Signature S nature
Gl400 6
Print or Type Name Print or Type Name
PDDJr V po 014/6 IA14 Ali)X48&
M ng Address Malilnp Address
0"*I-+LM-L �doj1 nL 2,62,Y6
City/Staftop City/Stataep
91 n-saw M VLII ..
ele�hane Number
Dote
Telepho Nu7))
r
-5y , u1(1
Date '
Rev/se4,f-?/ ED
AUG Q-9 0i9
DCM WILMINGTON! NC

Warren Bailey, 103 Seapath Estates, Wrightsville Beach, N. C. 28480
Replace existing f O'x40' deteriorated floating dock.
1
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FsS Marine Contractors, Inc.
Complete Marine Construction Services
For Over 40 years!
CAPT. ED FLYNN LLpURvibOD S)GES
W J Z
Piers, Floating Docks, Pilings, 04jchea&
Boat Lifts, House Pilings, FWairs
a: Q
P.O. Box 868 Phone/Fax: [phone]
Wrightsville Beach, NC 28480 email: efly@mAlcom

Dab RacaNM
Data /bd
Cheek From kbma
Name of Permit Noklar
Vendor
Ch�,.rNumb
Chock
amount
ParmM NumbaNCommantr
Race t or Ralwrd/Rw/bcatrd
Columnl
Column3
Column]
Column)
Column5
Column?
Coi-S
Column9
8/19/2019
F and S Marine Contractors Inc
Warren Baile
PNC Bank
3
200.00
GP #74583D
PA rct. 9165