22514D - Baker

CAMA AND DREDGE AND FILL
GENERAL 1T° 22514- D
_, ) PERfvIIT
T - l cf
t0 dt re-driic erd e11 as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 1 41 • I i UU
Applicant Name --- QbE:-ri -tA Phone Number do..... 3a7 -03 4q
Address 1(0 S e7 St.\ •1,6000 --•• 0.-.0u r+
City tot ..• AA,\\ State S d Zip oWi"?3 2---
Project Location (County,State Road, Water Body,etc.) ISCUrSv1C-K- CdLt-r '41 i -80 ()«►"N '--Pi '
t)3C SA , 4'\v\6G-t\ .4\e 4, ,
Type of Project Activity T)u W-1-.C^eci / I,e_'t'A t^t r ci LA)A \` •Z 1 1 (. Q r`ra c U t.J - ico rd e-rs
MQr(`-sVN
PROJECT DESCRIPTION SKETCH (SCALE: 1)OT Ti„ )
Pier(dock)length
Groin length
number or) _s 1
Bulkhead length I / A\r,Y.a
ti(r',c-,toe O G v.X
max.distance offshore 3ki
�1
0 L
Basin,channel dimensions V")
cubic yards t 3 L
,
Ex�54'
Boat ramp dimensions a
Other OC AA ckwr -
j [
686 Q<_e-A -$\Jd k, z'sT
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any 4111116 0• / KYtif4A,....-1/
violation of these terms may subject the permittee to a fine, / applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- 19} 1C1CI c) i—<.-t kte, i 9 i 2 000
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no ' I U 0 /� k �,Q3
objections to the proposed work. attachments
. .L•_ .....:. ♦L... Ct.,♦.. ..$ AI...+L. r ....1:..,, ...t:F:.., 4 L.-.+ 1'r s A 0

ij CO k' UTER FORA'.
�2?UCANT NAME: -4 A Kew`
ADDIT1OILzLN 1 S:
AEC D:SIG: O}A D�TOP ARIA: .O L PROJ D=SC: p
(��Da3y is r -
WORI . ' •E-1 51 ) 1 O' -
CW 3 4)
Mb.INT:
(WI only ink:4) •
IMP: +1G si b •
(will Daly,_"_
ACTIONIRATION
FEL REQUIRED: • 1 ` V9 1 `VA 2— 1 l9. I 2_0Oo
CAJ A MAJOR DEV REQUIRE):

o
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p ���
• Il-s— qy 1
Nov—.3—_.y .c0 :2, ,..M
IRILOL:1
1 VP 1—'64
•
AGENT
ADJ,nCErtl L 'I ?C?N CF._ OASTA; (/
nA---�•— _'a_??LTiFT.cA.,?TCILLp 1t$. F,�R
Name of Individual A D1Vznq For .Permit :
Ai:dress Of Property;
2or .; {� kCr4-
c
iLot or atrt g ~o_pc Cit,, . a .
I here* certify Y . ou11t )
I her raced property.that I own property
described to op y he individual adjacent thisi the it hEl-.
they are as shown on the attached applying for fermi ent should he.' Pr uldej g. A description nr drawing,in. ralsion! ,
With7 the c3 •
,,.-- this letter. with d±mQ;,sion: .
Z have no objections to this proposal .
2.f you heve obie
iv zon -- ions tow +
91m�' . 4 NCoas��j��nO`—ir bi Ana Dr Dt7S?G_. D'P_a5�
d vs 5, P ?,C 1roe�ce, z 2-&--- _ 7 cad s.1 er ."__ rite_ .
%
.react offC s r,ot~� 4 ca: c{ 5.i.0 f -39P0 .t
Or1 1f' V0L' � PSDOTtS�+ ' S cont - - wr]i`1 �i
— y_ AVG, beRn ►;otif' d �,v C rt ercd t} s3 P -v C rtzfied .Ma�]�` .
— DER SrCT:12?7 ��
S ur:der�t� '
, .n.. 8 i � •
+ ouse, lift . pier, dock, :nocr: f'
t �nq
it .. must Pi2inilr br ,from my a,-Ea ,� '�. . w bE7 se*_ �,. ��=�at�r boat
r
''- •-La f sr back a nir. a
to waive �a setback, � s unless' 1..0.ivE:a 'aIT� n 13 �f)^ C i 5�
c on Cnr
`� .-� ne appropriate blank inn
r`"-`T �`
_ �� ecl"r ement.
- wi'..h to waive tbae}: res- ent
PI"lr Nam `-- _ •AA
if —
m=1 = is n~ _ _—_ _ �„..�..�..�.,
66.y.\.4m,1/47 ti:jit, US2d S4 *4 I
�► aYlOwe wt1€YcJ✓ +-Q4/4 1
( i/ti-14.r le4>4"L
/'

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delive
item 4 if Restricted Delivery is desired. PO-`t Or!IQ 132 L4 I I
• Print your name asinaddress on the reverse C.Signet re
so that we can return the card to you. ❑gent
• Attach this card to the back of the mailpiece, X I
or on the front if space permits. 8C-A-0 0 Addressi
D. Is delivery addre/ different from item 1? 0 Yes
1. Article Addressed to:� 1 �( i If YES,enter delivery address below: El No
T
L( A DV 7 4-I? _/0-7-7 3. Service Type
J f1 ' V f'Yt `Q$Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandi:
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number(Copy f_ rom�,5 7 gbP) --. ^ -
PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-178

.3
•� vs" . • •
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WP_IVER_ FORM
Name Of Individual Applying For Permit: , � 11
Address -----"T W _____L
Of Property: $ y O0.64,.1 �LJd s
(Lot or Street r, Street or Road,
City & County)
I hereby certify that I own
property adjacent to the above-
referenced property.
described to 'me as showne individual applying on the attached drawingfo the develop
they are proposing. A description or drawin
should be provided with this letter, g, with dimensions,
•
I have no objections to this
Proposal.
If you have objections to what is being proposed , please
Division of Coastal Manaoement• le--e write the
Wilmington North Caroni 127 Cardinal Drive Extension •
days of receipt of this notice. No response05 or call is
considered
00 within
as no objection if you have beenis consider 10
notified by Certified Mail a same
WAIVER SECTION
I understand that - .1G, �
hound, lift , dock, mooring
'lust be set b- -ngs, breakwater, boat •
from my area of riparian ac _ � a minimum distance of 15 '
to waive the �- -=ss waived by me. �T setback, you �- .s t initial the (-- you wishn
below. ) appropriates blank
do wish to waive the 15 'setback reau_ event.
I do not wish to
waive the 15 'setback recuirement.
Siang` re �I(�/�
,-LJ c. h�► oc , Date
AV4
Telephone Number With Area Code

Yarn C. Kll1laW, yr. 341300427
6645131
_ .._ , __ _A ' — —
'�-0" ,Cie. 2400389 910-754-6353 Pit. ' _ -
1 4657 JUilrtz Street dale I
•
��� Shallotte, �VG' 28470 $ 50 b�
Ipnyto ��E►JO.i. (lre m•Arr n/ zn(lnra 0�"�'����� : •
a y n � ��(oo I
CenturaBank� ,AS
Shallotte,NC 28459 ! 6j�� I
I Munro
I — _pINCP
Ayr 1
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i:0 5 3 L008 501: 3 4 1300 11, 2 70 L 58 — - _ _