69383D - Bald

CAMA ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Bald Head Island Limited LLC's
property located at Harbour Village "QM4 Peninsula" (Name of Property Owner)
on Bald Head Creek (Address, Lot, Block, Road, etc.) �� ^�
in Bald Head Island Brunswick Count N.C.
(Waterbody) (City/Town and/or County) �K �00w
The applicant has described to me, as shown below, the development proposed at the a �_�
f�,__ l P P e move lobation.
I have no objection to this proposal.
I have objections to this proposal.
If you have objections to what is being proposed, you must notify DCM in writing within 10 days of receipt
of this notice. CAMA Field Agent is Tara MacPherson, 910-796-7425
!ara.r acohersor^a y c e,u go i
is : 127 Cardinal Drive Extension, Wilmington, NC 28405
No response considered the sane as no objection if you have been notified by Certified Mail
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Bald Head Island Limited, LLC timber bulkhead permit request, appx 155 If at "QM4 Peninsula" at
intersection of Keelson Row and the Cart Bridge, plus appx 110 If to tie into existing bridge abutment
and QM3
i t
}
(Prop" Owner Inf ation) (Adjacent Property ner Information)
J �
Signatu e Sig atu e Ail
Bruce Marek P.E. anent C? 0V1
Print or Type Name Print or T �e Name
5489 Eastwind Rd F?� �a,� 3Oo7
Mailing Address �l► 9�Ap�Tess
Wilmington NC 28403 geen
Crtylwate/Zip C1t /Stat
910-799-9245 0-
Telephone Number Telephone umber
Date 3�2 ��i 7
Date

Bruce Marek, P.E.
5489 Eastwind Rd
Wilmington, NC 28403
marekyd@ec.[L.com
910-799-9245
March 22, 2017
Re: CAMA Adjacent Properly Owner Notification: Harbour Village QM4 Peninsula Bulkhead
Village of Bald Head Island
Chris McCall, Village Manager
P.O. Box 3009
106 Lighthouse Wynd
Bald Head Island, NC 28461
Dear Property Owner:
By Hand Delivery
Bald Head Island Limited, LLC has retained me as authorized agent in applying for a CAMA
Bulkhead General Permit for appx 155 if of timber bulkhead at the peninsula near the intersection of
Keelson Row with the Cart Bridge, Bald Head Island, NC at what is referred to in its State Stormwater
Permit as QM4. Limited has a 2016 404 Wetland Delineation approved by the Corps of Engineers,
and CAMA will come out to verify Coastal Wetland Locations. An additional appx 110 if to tie in to
the existing bridge abutment and QM3 bulkhead is also being requested.
As the adjacent riparian property owner to the aforementioned project, I am required to notify you in
order to give you the opportunity to comment on the project. Please review the included
documents/drawing.
I have included the Division of Coastal Management Notification/Waiver Form. If you could so
kindly fill it out and return to Ms. Tara MacPherson, CAMA Field Rep at the North Carolina Division
of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405, it would be much
appreciated. You may e-mail the form to tara.macpherson ,,ncdenr ov, or allow me or someone from
Planning to pick it up.. Non -response after 10 days is considered acceptance.
If you wish to receive further information you may contact me at the page top contact information.
You may also contact Tara direct at 910-796-7425.
Sincerely,

Bruce Marek, P.E.
5489 Eastwind Rd
Wilmington, NC 28403
[e-mail]
910-799-9245
March 22, 2017
Re: CAMA Adjacent Property Owner Notification: Harbour Village QM4 Peninsula Bulkhead
Old Baldy Foundation By Hand Delivery
P.O. Box 3007
101 Lighthouse Wynd
Bald Head Island, NC 28461
Dear Property Owner:
Bald Head Island Limited, LLC has retained me as authorized agent in applying for a CAMA
Bulkhead General Permit for appx 155 if of timber bulkhead at the peninsula near the intersection of
Keelson Row with the Cart Bridge, Bald Head Island, NC at what is referred to in its State Stormwater
Permit as QM4. Limited has a 2016 404 Wetland Delineation approved by the Corps of Engineers,
and CAMA will come out to verify Coastal Wetland Locations. An additional appx 110 if to tie in to
the existing bridge abutment and QM3 bulkhead is also being requested.
As the adjacent riparian property owner to the aforementioned project, I am required to notify you in
order to give you the opportunity to comment on the project. Please review the included
documents/drawing.
I have included the Division of Coastal Management Notification/Waiver Form. If you could so
kindly fill it out and return to Ms. Tara MacPherson, CAMA Field Rep at the North Carolina Division
of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405, it would be much
appreciated. You may e-mail the form to tara.macphersonAncdenr gov, or allow me or someone from
Planning to pick it up.. Non -response after 10 days is considered acceptance.
If you wish to receive further information you may contact me at the page top contact information.
You may also contact Tara direct at 910-796-7425.
Sincerely,

NC `Dept of Environmental Quality CAMA ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Bald Head Island Limited LLC's
C
(Name of Property Owner)
property located Harbour Village "QM4 Peninsula" (Address, Lot, Block, Road, etc.)
on Bald Head Creek , in Bald Head Island. Brunswick Count_, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
1 have no objection to this proposal.
I have objections to this proposal.
If you have objections to what is being proposed, you must notify DCM in writing within 10 days of receipt
of this notice. CAMA Field Agent is Tara MacPherson, 910-796-7425,
tara.macunerson-)ncdenr gov : 127 Cardinal Drive Extension, Wilmington, NC 28405
No response is considered the sane as no objection if you have been notified by Certified Mail
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Bald Head Island Limited, LLC timber bulkhead permit request, appx 155 If at "QM4 Peninsula" at
intersection of Keelson Row and the Cart Bridge, plus appx 110 If to tie into existing bridge abutment
and QM3
(Property Owner In nnation) (Adjacent Property Owner Information)
Signa ure Signature
Bruce Marek P E agent Gtf�rs r,a w
Print or Type Name Print or Type Name
5489 Eastwind Rd t° D, r3ox 3o o 9
Mailing Address Mailing Address
Wilmington NC 28403 i3,4 La t4cAz 1st NG Z 951G I
City/State/Zip Ci /State/Zi
910-799-9245 '�'' to . q6' 47oD
Telephone Number Telephone Number
27- MRR 2o/7
Date Dat .
>-O�
A4

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: yr/�f��} r) !>��v� l /M 1rrl-� ` G
Mailing Address: d Cl
Phone Number:
Email Address:
I certify that I have authorized A
Agent / Contracto
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: A+Ld &= /SG,g�J�
at my property located at �a
r
in U 9LV C County.
l 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
` W �A, I���
Print or Type Name
OW"ie OPTit
/ !t/—k�
D
This certification is valid through / / RECEIVED
pCU WILMINGTON, NC
AUG Y 1 2017

NC Dof Coastal
Applicant: • A � L-7
Date:
Describe below the /V(J/dist rbances for the application.
Mgt. Habitat Impact Computer Sheet
All values should match the name, and units of measurement found in your Habitat code sheet
TOTAL Sq. Ft
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
anticipated
Excludes any
restoration
total includes
any anticipated
Excludes any
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts
amount)
Dredge ❑ P1Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

WIRO
Date Received
Date Deposited Check From Name
Name of Permit Holder
Vendor
Check Number
Check amount
Permit Number/Comments
Receipt or Refund/Reallocated
8/16/2017
Lighthouse Marine Construction
Anthony Strickland
Coastal Bank & Trust
1608
$200.00 GP 69310D
JD rct. 4733D
8/16/2017
David C. Douglas
same
BofA
2243
$200.00 GP 69314D
JD rct. 4730D
8/16/2017
Bald Head Island LTD
same
First Citizens Bank
1564
$400.00 GP 69383D
TM rct. 2647D
8/16/2017
Joseph or Susan Henderson
same
BB&T
5903
$400.00, GP 69313D
JD rct. 4731 D
8/16/2017
Charles or Felesha Stone
same
BofA
1292
$200.00 GP 69312D
JD rct. 4732D
8/16/2017
Logan Marine/David Logan
Holly Hendrick
Corning Federal Credit
588
$200.00 GP 69212D
JD rct. 4714D