Davis, Lonnie III

®CAMA / ❑ DREDGE & FILL No. 74452 A B C D
GENERAL PERMIT Previous permit#
XJNeW ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality <<�
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC t ,,/ / f -/ • c-
{{ ules attached.
Applicant Name-t / J7) f i I .t V ( Project Location: CountyCp
Address L7 �tT .0 C l j r � { �x Street Address/ State Road/ Lot #(s)
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City l D tAn tiro 1 State ZIP
Phone # ( ) r —� � OE -Mail Subdivision
Authorized Agent h ` t 11('� 5 pX ( Ciry \i ' '1 E- L ZIP
Affected ❑CW —NEW LPTA � ❑PTS Phone ( ) /River Basin ��< r f
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA El N/A � E'
1-1PWB:
ORW: yes / no) PNA yes no
Type of Project/ Activity
Pier
Fixe
Float
Fing
Groi
Bulk
Basi
Boat
Boat
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A building permit may be required by: ') ( re Co co-4
Note Local Planning jurisdiction), /
Notes/Special Conditions iC1'�'*�ic4
Agent or Applicant Printed
Signature"*Please read compliance statementonbackofp�e!r�mit*-"'
Application Fee(s) Check #
[See note on back regarding River Basin rules.
Permit Officers Printed Name /
Signature
h
Iss ing Da a Expirationbate

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:: LohwvG S-a.01-*T t
Mailing Address: !se 3q . Pr-- Oi'oC rd
Coy9ooPr 1,-0G
Phone Number: 97 AA- SAD- 417 no
Email Address:
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 'D ©C G h d- 326
at my property located at
in C County-
1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property 0 r Information:
i�
Signature
LOr1n1'e T--DGv/ �
Print or Type Name
eu he- ✓
Title
Date
This certification is valid through 12— / 3 / /2�?—
d�

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Dear Adjacent Property
This letter is to Inform you that i, 4 oNNig $2)A✓t x have applied for a CAKIA Minor
Property Owner
./�
ao'll �C�/ _ � � /�X-m PAm l.ea
Permit on my property at a J }vl'q # _rN-AL
Property Address
aunty. As;equlrec by CAMA regulations, I have enclosed a copy of my permit application and project
draw ng(sj as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form If you have any questions or comments about my proposed project please
c^tac: ma a[ afj ^_.iJ?A — $-/-O-e _ or by mail at the address listed below If you wish to
Applicants Telephone
File written comments or objections with the New Hanover County CAMA Minor Permit Program.. you may submit
them to
CAMA Local Perm! Officer JiyM`ico
coal Permit Officer for lltvkl, ena+rer County
?10
�A'tfq�iPStor-itlC'ZER93
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Mailing Address
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Cly. State Zip

I Receipts for
certified Mail
' (Staple Here';
;i;y State Zip Coda se pgxki'L'/'r®�T%m./4'r�'' ��H?
Dear Adjacent Property
This letter is to Inform you that i. oNN/ ji&YIW have applied for a CAA44 Minor
Prcoeny, Owner
PAM �� ea
Permit on my oroperiv at , ./P./Jl'ON Rol
Property Address
�'2unq As requires by CAf\1A regulations, I have enclosed a copy of my permit application and project
dra,v ngjsj as notification of my proposed project. No action is required from you or you may sign and return
tr�e enclosed no objection form If you have any questions or comments about my proposed project, please
'tact :roe at IF?IF -34 or By mai' at the adoress listed below If you wish to
Applicant s Telephone
file written comments or objections with the New -Janover County CAMA Minor Permit Program. you may subm!t
therm to
CAMA Local Permit C51cer fJAM`iCo
Local Permit Officer for b*w+lemevar County
110
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Property Owner
U.S.
Sys -or A'0'e C/;,We
CERTIFIED MAILOPECEIPT
Domestic Mail Only
Mating Address
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❑AtluIt SlEeetere aeemctea OeMery E
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$ 04/26/2019
aTotal Postage and We 20
$ i1
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Tracking Number: 70190140000096702509
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Your item was delivered at 3:35 pm on April 30, 2019 in WINSTON SALEM, NC 27106.
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Your item was delivered at 3:52 pm on May 2, 2019 in MOUNT OLIVE, NC 28365.
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR LAMA MINOR PERMITS
hereby certify that I own property adjacent to 0'VA1/ 0 y/ ____ 's
(Name of Property Owner)
rr7�� /
property located at "&-2 x !//r 1 94/ Y91✓c�,
Address, Lott, Block, Road, etc.)
onin --a6 /YL/Ff" . N,C
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal,
D(f�KUt �
let.
Signature
Pay
6,154n _
Print or Type Name
3 7 6 - 416R
Telephone umber
5 3 0
Date