48230 - Baysden

CAIVIA/ I1 DREDGE & FILL
3ENERAL PERMIT Previous permit#
1New C'Modification 'Complete Reissue Partial Reissue [/ Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources L
,oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC --7 - I Z
I N Au T41 NI- \ Rules attached.
Name �ArJ1y ge13 hEN C N4.,fy ) Project Location: County `. t3SL Qt.,/- - _
L/'35 D IZZC A C.pt..> > 5 WJy Street Address/State Road/ Lot #(s)
►c.ILS�t-t•6 State j'JL ZIP L/85443 z .83 I L.4,,,,AL2►JC56e-0 C. L.twi
01 0) 3%q • x H g Fax# ( ) Subdivision
'd Agent City 0'3L L'f c2-2'b(5 C — ZIP z8(1.{�/f2
❑CW DEW > TA ,S ❑PTS Phone# (Si )339 • ' ''‘'.1S River Basin MIF\'111C
❑OEA n HHF El IH ❑UBA ❑N/A Adj.Wtr. Body 5 iA rr-•.Q i's.iN "L r
❑PW : ❑FC:
yes PNA yes 11101 Crit.Hab. yes / no Closest Maj.Wtr. Body Z
Tt )
Project/Activity J--►JS`(IA Li- (, X /3.5` ' pL& It ,,✓/ f cl )( I(./ ) - HrAh
L Z) ( 1--1. I Lo f>.-AiN1 t,I 4.75 (i 1 C�v R`1� 13)( I lv, 1-1-17 0 0 ,st (Scale: /Pc L
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1
:k)length v�X 1 Z S' r
(s) I CM/ o 13 19 '-1 , -
• ts
er(s)
igth T / • . I 1 f
nber — - -i I I '
I/Riprap length I _ 1
distance offshore p°xi- 1 _ ' T�
(distance offshore H Ou,
l
annel I 1 + I l ,
ic yards l27
p
;l --) 1 7-1C I to I , I _ i -+- - - l
)o► 1-;X I1p ,
dldozing i 1 1
Length al00 r
not sure yes no '" '^-„� p r✓_..—
not sure yes no
I
Jm: n/a yes no __
yes nod 1 1 j i }
ttached: yes no I I j I
ig permit may be required by: O(45L0 GC> See note on back regarding River Basin ru

"' DANNY BAYSDEN 1044 s"
WANDA BAYS DEN
:
531 HAW BRANCH RD. '-,) -0 7 66-30/531
RICHLANDS, NC 28574 �� 076
�/nrla��e LL rr =
NC 1 $ 0766 . 06
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FFIRST CITIZENS 076 MONEY MARKET S VINGS
BANK ntnLotrmmllro BCk aB h5% Co n
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1:0 5 3 L00 3001'000 7 7B0 304460 01,0411 44

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04- '7221 )
/4.111P� C1'R7'1E1E1)MAU. -RF,TURN RFCFIPT REOUESTF.1)
0 ®0 DIVISION QF COASTAj.MA.NACEMENT
' ADJACENT RiCARlAlie8,( ERTY OWNER.NOTIFICATION[WAIVf YORM
The purpose of this form is to provide proper notice to you ns an adjacent riparian property owner to the individual or
individuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of
Coastal Management confirmation that a written statement has boon obtained signed by the adjacent riparian property owners
indicating that they have no objection to this proposed work pj that the adjacent riparian property owners have been notified
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by o marine
contractor or other individuals acting as an authorized agent on behalf of the applicant,
This form was sent to you by the following Individual or company designated by the applicant as an
authorized agent: 414 dr/
ug - 1`R L t7 bmr.S)7111 J/ ! t'� �'r 6-7-o r7
Authorized Agent's Signature Dote
Name of Individual Applying For Permit: OPAO
Address of Property: ? ) u �(lb) Nbi, cO k L r_,_�_
•
(Lot or Street$,Street orf oltd)
Rc1 IV 0 w 5Lot
(City and County)
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 tho development they are proposing. A description or drawing,
with dimensions,should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal Management, 127
Cardinal Drive Extension,Wilmington,NC 28405 or call 910-796-7215 with in 10 days of receipt of this notice.
No response Is considered the same as no objection If you have been notified by Certified Mall.
WAIVER SECTION
l undemtund that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set back a
minimum distance of 15' from my area of riparian access- unless waived by me. (If•yon wish to waive the
setback,you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
I t g D /wish to waive the 15'setback requirement. AVA
St Amp Data z NCD R

CFRTIFIE,I)MAIL - RETURN RECEIPT REQUESTED
ppoi1911 Qf qQAaTAl.MAN&Q EN ENT
ADJACENT RIPA$14N.FAQ?ERTY OWNER NWIFICAT1ON/WAIVER FQIIM
.,..',IN.... . _,•:..—
The purpose of this form is to provide proper Mut*to you as on adjecent riparian property owner to the individual or
individuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of
Coastal Management confirmation thai a written stetomont ha boon obtained signed by the adjacent riparian property owners
indicating that they have no trajection to the propoied work gr that the adjacent riparian property owners have been notified
by certified mail of the proposed work,'040 ditess tone era suttinined MOO adjacent riparian property owners by a marine
contractor or other Individuals acting es an authorized'gent on behalf Oftho applicant.
.,..,
This Vann was sent to you by the following ladividuai or company designated by the applicant as an
authorized agent:
I)6/ci-R i/9 I. 1-/we.0 7—Al
/ .-•-
til i(t) /Iwo 14 _ if/4 6 —
Authorized Agent's Si re __... — Date
Name of Individual Applying For Permit: /, A-IL ic/•
Address of Property: i S Ui Vk 2. f) q -
e
LS. (Y\bl Nt C\11),
1
(Lot or Street 0,Street orRoad)
holt R ''c,1 i\i c- otAisi_00 cs-c(L-i
Y
(City and County)
..-
1 hereby certify that I own prop*tkitiormilp the aboveleggenced property. The individual applying for this permit
has described to meal shown on 0111 OPP*drawing the derpippnumt they are propoainp,, A description or drawing,
with dimensions,should be provided with this toter,
7 I have no objections to this proposal,
It you have objections to whit*klightg proposed. pleas; write the Division of Coastal Management. 127
Cannata Drive Extunsioas WUnsiagtosi,NC 211405 or PA 910-7%-7215 within 10 days of receipt of this notice.
No response is considered lb.same as an objection If you have been notified by Certified Mall,
WAIVER SECTION
I undonitsad that a pier, dock, urtsirksj piling., breakwater, boat bongo or boat Uft must be set back a
minimum distance or IV from intom:or ripariso acme•nalmwtiv9d by me. (If you wish to waive the
setback,you must initial the A. . . t ' blank below,)
..,. 44 e t ,
I do :,, . 4.ir i • 15.1 sctback requirement.
ii ..-
-:- j , • ,,..,1,0,:30-71- , , IS'setback rocluirgment. Ticirt
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1 Nemto7 ' . Date . • NCDelli
sew Olacia.CisnirNair or