56576D - Guard

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
4 F. Easley, Govemor James H. Gregson, Director William G. Ross Jr., Secre
Authorized Agent Consent Agreement
i^A py c � y is hereby authorized to act on my behalf
/ (Printed Name of Agent)
r to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to tt
activities described in the attached sketch.
riON OF PROJECT:
> S�6"nr; � i�A.
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ERTY OWNER MAILING ADDRESS:
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ORIZED AGENT MAILING ADDRESS:
PHONE NO. G q S J

Coastal Earthworks, Inc.
1955 Middle Sound Loop Road Wilmington, NC 28405 Phone: [phone] Fax: (910) 686
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Name Of Individual Applying For Permit:. In 1, ,fix R oN a arc(
Address Of Property: 2 j S 1;',1v1,,,I
UIJ 'I L.. p �
(Lot or Stree #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above -referenced property. The individual
applying for this permit has described to iAe as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter. •
�- I have no objections to this proposal.
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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' setback requirement.
'� I da-= wish to waive the 15' setback requirement.

2010 07:40A FROM:
M : K l M-WATTERS
19102562660 TO:6r67555 P.1.
FAX NO. :9106e 7555 Dec. 02 2010 05:15PM P2/
Date
Coastal Earthworks, Inc.
1956 {Middle Sound Loop k*Cd • WftirQft;rs, NC 2fi41is � FTkx�t: ,4iQy ai86.7555 � f�c !1�
To rqa+*e> 6&.0f
From: Tommy 'W'wcrs
Pages with cover _I
Fez# .256 - A6 0
F x# 91 t3.6W7555
fit? � � u�5.'� i,v� '�{,w'f' ��a..�k ���� r� 5 ► �+c, $t otu{�+®r; 2 �.� .b
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C Division of Coastal N19t. Habitat Impact Computer Sleet
plicant: j�j Permit #.
te: iZ l 110
scribe 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.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
bitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
Dredge Fill ❑ Both ❑ Other ❑
-z— -
Dredge ❑ Fill 9 Both ❑ Other ❑
"'
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
❑___Fill M Both ❑ Other ❑
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery Is desired.
■ 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 permits.
1. Article Addressed to:
-50 - c c 6a JA e t-s CIO Ir P,
I I L) HiN +ex-: Ave.
DEC 0 9 2W
A. Signature
Agent
X � ❑ Addressee
B. Rece by ( Name) C. Date of Delivery
ftI 0,2.QMP '15L c
D. Is delivery address different
If YES, enter delivery addre ow: ❑ N 2
Q O
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(transfer fromarylcofabel i�IG' _ 7010 0780 0001 6935 1444
PS Form J611, February 2004 Domestic Return Receipt 102595-02-M-1e40

DATE/TIME
NAME
REPRESENTING
PHONE
STATE OF NORTH CAROLINA
Department Environmental Quality
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
FILE ACCESS RECORD
DIVISION OF COASTAL MANAGEMENT
8/3/17
Nikki Cooper
Smith Moore Leatherwood
910-815-7143
Guidelines for Access: The staff of Wilmington Regional Office is dedicated to making public records it
our custody readily available to the public for review and copying. We also have the responsibility to the
public to safeguard these records and to carry out our day-to-day program obligations. Please read .
carefully the following guidelines before signing the form:
1. CAMA Major Permits are issued out of the Morehead City District Office The COMPLETE
file is in the Morehead Office and may contain additional information and/or comments which
may not be in the WIRO file.
2. Due to the large public demand for file access, we request that you call at least a day in
advance to schedule an appointment to review the files. Appointments will be scheduled
between 9:00am and 3:00om. Viewing time ends at 4:45pm. Anyone arriving without an
appointment may view the files to the extent that time and staff supervision is available
3. You must specify files you want to review by facility name. The number of files that you
may review at one time will be limited to five.
4. You may make copies of a file when the copier is not in use by the staff and if time permits.
Cost per copy is $.05 cents. Payment may be made by check, money order, or cash at the
reception desk.
5. FILES MUST BE KEPT IN ORDER YOU FOUND THEM Files may not betaken
from the office. To remove, alter, deface, mutilate, or destroy material in one of these files is
a misdemeanor for which you can be fined up to $500.00. No briefcases, large totes etc are
permitted in the file review area
6. In accordance with General Statue 25-3-512, a $25.00 processing fee will be charged and
collected for checks on which payment has been refused.
FACILITY NAME
Bailey & Assoc. appl Summer Rest Rd.
GPs adjacent on Summer Rest Rd.
COUNTY
New Hanover
New Hanover_
New HnnnvPr
MP 37-97 NC WRC WB

ID SELECTED: 47744
Edit Initial Reissue Permit EDIT Reissue Modify Permit EDIT Modify QUICK Reissue
General Permit (Detailed Database Display Page)
Permit Information
Permit No.: GP-56576
Permit Status: PERMIT is issued (unconditionally)
Permit Type (CAMA/Dredge & Fill): Both
Project Type (Private): Y
DCM District: Wilmington (D)
Application/Permit Fee: $200.00 [General Permit Fee (9/l/2006)]
Issue Date: 12/14/2010
Expiration Date: 03/14/2011
Project Description: PERFORM MAINTENANCE EXCAVATION WITHIN EXISTING SLIPS
Applicant (Owner or Agent): RONALD GUARD
Addl: 215 SUMMER REST Road
City: WILMINGTON
State: NC
Zip:28405
Country: USA
Phonel:910-256-6899
Physical Addl: 215 SUMMER REST Road
Physical City: WILMINGTON
Physical State: NC
Physical Zip5: 28405
Applicant (Contractor): COAST EASRTH WORKS, IC.
Applicant (Contractor): TOMMY WATTERS
Addl: 1955 MIDDLE SOUND LOOP Road
City: WILMINGTON
State: NC
Zip:28411
Country: USA
Phonel:910-686-7555
Project Location
Addl: 215 SUMMER REST Road
City: WILMINGTON
Zip:28405
Phone:[phone]
County: New Hanover
RoverNo: 0120614A 2010
Local Planning Juris: New Hanover Co./ Wilmington
Riverbasin: CAPE FEAR
Major Waterbody: Greenville Sound(New Hanover Co)
Site Description
AECs
GP-56576 071-1.0209 Estuarine Shoreline
GP-56576 07H .0206 Estuarine Waters

'Notes:
Miscellaneous Notes: ALL CONDITIONS OF 7H.1500 AS WELL AS ALL OTHER STATE, LOCAL & FED REGS SHALL APPLY.