62691D - Bauwens

]CA►MA / - DREDGE & FILL Q ` ' N9 62
(4ENERAL PERMIT Previous permit#
)JNew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC G�� • /?t
O'Rules attached.
nt Name iVw l!// to t�y',!r7 S Project Location: County
s 2 2 f1 rllA'h b✓'!✓I Street Address/ State Road/ Lot #(s)
'l✓ A" State ZIP I'`✓rn f
Fax # () r'^"' Subdivision' I
!zed Agent ''' City (4'_h/;YY en ZIP
d �jM PM PTA ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
PWS: ❑ FC:
yes,/ no PNA yes 16 Crit.Hab. yes / no
rf Project/ Activity
ock)
/2 X/A'
pier(s)
length
umber
ad/ Riprap length
vg distance offshore
iax distance offshore
-hannel
ubic yards
Phone # ( ) River Basin C i�
Adj. Wtr. Body � e
Closest Maj. Wtr. Body / ! li•`Z'
ling permit may be required by: T /V lT �� -f i�i� �'!/� �/ _❑ See note on back regarding River Basin
r '% / 1r7 _ .

ppliCant: Va e
ate: / h
Permit #:
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
TOTAL Sq. Ft.
(Applied for.
bitat Name DISTURB TYPE Disturbance total
Choose One includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other y-,
360
v
Fill ❑ Both ❑ Other
Fill ❑ Both ❑ Other ❑
fDredge
Fill ❑ Both ❑ 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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

3724 LOQUAT AVt 23564
MIAMI FL 33133-6818
to
, tha_ nrder of
Bank of America `�
ACH prr aea1002776 q-{l' (7 aq J 0
Nr
Memos
i:063 L00 2771: 003764560 II' 35

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner: rpp,/L—
Address of Property:
(Lot or Street #, Street dr Road, City & County)
Applicant's phone #:y -� 47 -9 & Mailing Address: 176 o66%q 4eM l
611( idz6Rc & 92R2Q U
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 of drawintr.
with dimensions, must be provided with this letter.
c-I have no objections to this proposal. _ I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM)
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Eat.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
I do wish to waive the 1.5' set back requirement.
jiC t-' I do not wish to waive the 15' set back requirement.
(Property Owner Information) (Riparia�Rroperty Owner Information)
Signature Signature
Print or Type Name Print or Type Name
15 j S c Lly
Mailing Address Mailing Address
NC Zk4-0
City / State / Zip City / State / Zip

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:
Address of Property: Ed ] T -'
(Lot or Street #, Street or Road, C & County)
Applicant's phone #: Q Mailing Address: 6 06
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 of drawing,
with dimensions, must be provided with this letter.
t� I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM)
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405 3845. DCM representatives can also be contacted at [phone]_ No response is
considered the same as no oblection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
I do wish to waive the 15' set back requirement.
✓ I do not wish to waive the 15' set back requirement.
(Property Ownelr Infor
ation)
SignatureJ^'y[�
+`
iAJit
6
1PriQnt(orTy�pe)Name (
11
Mailing Address
b— I t w il, ,,
b C ( 2-6 If (✓ 1
City / State / Zip
Telephone Number
Daze l S
(Riparian Property Owner Information)
Signature
Pratt or Type Name
Mailing Address
City I State / Zip
Telephone Number
Date
127 Cardinal Drive Ext., Wilmington, North Carolina 2B405-3845