59102D - Baker

CAMA / ❑ DREDGE & FILL
ENERAL PERMIT Previous permit # P51,
New ❑Modification ❑Complete Reissue �artial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Enyllro4ent and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Z
� Rules attached.
t Name , Afq`� ��t i1t i L �Gt �f 'v' Project Location: County �j)� LQ 1 C ' L
sStreet Address/ State Road/ Lott #(s)
-1 O'U i I t t State ZIP 261 Sc�-'� �� VGIVkV l
# tffi Z— 'ig'9q Fax # ( ) Subdivision i`I 14�1
ized Agent +"4ity (k4k Su L 4ct, ZIP
d ElCW p;EW (PTA ❑ ES L, PTS Phoriet# !� V IJr River Basin u rjA
❑ OEA ElHHF ElIH ElUBA C7 N/A t'�
❑ PWS: ❑FC:
yes// no ) PNA yes
A Project/ Activity
lock) length
pier(s)
length
umber
!ad/ Riprap length
vg distance offshore_
iax distance offshore
channel
ubic yards
amp
)use/ Boatlift
Bulldozing
ne Length 5,0
not sure yes
igs: not sure yes
>rium: �.. n/a es
Attached: yes
Ling permit may be re
Adj. vvtr. Body V I (nat
Crit.Hab. yes / no Closest Maj. Wtr. Body ' W

/09/2010 04:36 S105799096 GRICE Cal PAGE 04
US MAIL I
DIVISION OF COASTAL M NAGEM]ENT
ADJACENT RIPARIAN PROPER
TX QW.NER ST'ATE1lEi`i'I
name of Property Owner, A) 'KS�
kddress of i'ruperty:'�
(l,ot or Street 0, Scree or Road, City Cnu1tty)
Applicant's phone...�.�.,..-,..,..�.r.Mailing Adss:
� � �;,1.._!� r [ •.k.��e. �:.,,� _......�.
e, LV /r, C k--- C_ 9 9.5 ()
l hereby ceriiCy drat %own property adjacent to the above referenced roparty. The individual applying for this permit
tas described to cne as shown on the attached drawing the developm nt they arc: proposing. A de5criplion of tiajwin
vith dimensions, ist be provided with this letter.
I have no objections to this proposal. _ 1.- - I have objections to this proposal.
If you have objections to what is being proposed, you must noti1 the Divi9ion of Coastal Ma1%ageme1)t (DCM)
in writing within 10 days of receipt of this notice. Corresportden a should be trailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405-3845. nCM representatives can also be 4antacted at [phone]. No response is
WAIW'A SECTI
l understand that a pier, clock, mooring pilings, breakwater, boaihoi
15' from my area of riparian access unloss waived by me. (If you %
appropriate bla ak bflow,)
1 t{, � �', u ; ter- •
l do wish to waive the 15' set back requirement.
_ a!'. _ 1-do not wish to waive the 15' set back requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
r,tv / .RtAte / 7.in
or }ift must be set back a minimum distance of
to waive the setback, you must initial the
'parian Property O,svner hifoxmation)
1
Sig tur (C
pritt or zy ame
Ma ling Address
f
Ci i State / Tin

13 11 12:48p KEN BAKER
W MAIL
843-669-1344 p.:'
CERTIFIED iIYLU1., RE TURN RECEIPT REQUESTED
DIVISION OF COASTAL i' A-NAG);jrfENT
e0JACENT RiPARI N PROPERTY OWINCR STATEMENT
Name of Property Owner � -�
Address of Property:
(Lot or Street if, Street or Rcsd, City& County)
Applicant's pi:one #: 2�; l C1 q Mailing Address: i
I Hereby certi,''v that I own property adjacent to :he above reibrenced property. The ind:vidttal applying for this permit
has described to me as shown. on the attached drrwirg lre devolopr^ent they are proposicig. A descriw Jon of drawing,with dimensions, must be )yidesi with this letter.
C I have no ob,;L% ors to this propo d.
I have objections to this proposal.
If you bane objections to what is being proposed, you nnust notify the Division of Coastal Management (DClkl)
in writing within 10 days of receipt of this notice. Correspond- ce should be mailed to 127 Cardinal DriveExt.
Wilmington, NC 28465-3.545. DQM representatives can also be contacted at [phone]. No response is
cotisid,tred the.samc as Ito vb►eetion if you have been notified by Certified Mail. _
WAItiER SECTION
t understand that a.pier, doci mooring p:lings, �,cesltitivater, boathgtnse, or lii must be set back a minimum distance of
15' from my area of riparian access unless wrived by me. (Ifycu wish to waive too sctback, you must initial the
pprapriate. blank glow.)
I do wish to waive cia i$' set back requirement.
,. I do not w ich tc waive the 15' Set back. requirement.
(I' city Own nformationj
`ngrialy re �.
D.
Print or Type Name
Mailing Address
IFi6 ticLC
City / State / Zap 3
Telcpheri Number
_ P; v O�vn afarrnati
tgnaztire
Print or Typ Name —
Mailing Address
City / State / Zip '
Telephone Number

)9 11 03:42p KEN BAKER 843-669-1344 p.2
CERTIFIED MAIL — RETI1R1'q RECEIPT RE JESTED
DIVISION OF COASTAL MANAGEMENT
ADJ-,C� f M_PA JAN_ PIt0. RTY OWNER STATEyIENT
Name of Property Owner_
Address of Property:
(Lot or Street 9, Street or Road, City & County) {
Applicant's hone #: YL _2 �, (P i Cir' Cl)p� Mailing Address:.
I hzreby certify that I own property adjacent to the above referenced
has described to me as shown on the attached drawing the development �� The
1i ndun! applying %r this permit
with dimensions mist be P Y proposing.
A description nfd�y,jR
provided with this Ietter�
_ I have no objections to this proposal.
1 have objections to this proposal.
If you have objections to what is being proposed, you urnst notify the Div"sion of Coastl aMaemeut nag(DC1Yl}
in writing within 10 d$ys of receipt of this notice- Correspondence should be mailed to 127 Cardinal Drive ExL
Wilmington, NC 28405-3645. DCM representatives can also be contacted at (910) 796-72I5. No resp as is
considered the.same as no oh'ection if You have bee notified b Certified Mail
WAIVER SECTION ............... . .
1 tulderstand that spier, dock, mooring pilings, breakwatez 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 isitis, the
appropriate blank below.)
Y—e 6
I do wish to waive the 15' set back requirement.
1 do not wish to waive the 15' set back requirement.
(P rty Own aformatioa)
7gnalUre
Print or Type Name"r
Mailing Address
,ity i State 1 Z—
P
yt L) I "M fog 1
Priat orTYpfNarne
Mal (Lag Adddrress! t _
City 1 State I Zip
rPIAnl�nna aT�...,.L.•- 'XT� _ / _/.. � .rc r-r�-:

C Division of Coastal Mgt. Habitat impact Computer Sheet
plicant: D, &V,,,,,Q,. 6cduv Permit #
te:
12/H/ll
Scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
iitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
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 El
Other
O
Q
Dredge
e
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 ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑