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Home My WebLink AboutMiller, Tom & TrishJCAIV1x ,' J DRt )GE & FILL No. 75967 9NE0AL PERMIT Previous permit# ew ❑Modification' ❑Complete Reissue ❑Partial Reissue Date previous permit issued_ As authored by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of enviromental concern pursuant to 15A NCAC �ul s attached. Applicant Name _ t' Pr ject Location: County Address \ Street Address/ State Road/ Lot #(s) City State + i ZIP - Phone # ( `) E-ail l�J~ Subdivision _ Authorized Agent X 1 (.{� i i/'City__ ZIP <- ❑CW L1 EW ❑PTA El ES ❑PTS Phone# ( ) _ River Basin Affected LI OEA ❑ HHF FIN ❑ UBA [I N/A AEC(s): Adj. Wtr. Body__ rl PWS: ORW: yes / no PNA yes / no Closest Maj. Wtt. 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SEEM Shor SAV:notsure yes Mo Phot Waiv A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions ❑ See note on back regarding River Basin rules. /4"(St It _ ant or Appljcant Printed Name - Permit Officer's Printed Name eature j-," Please read compliance statement on back of permit" Signrture e ��/ / blication Fees) Check # Issuing bate —�—r� E>(iration Date ■ Complete Items 1, 2, and 3. ■ 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: y cn/.�I��,NG �78� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIII 9590 9402 4706 8323 9674 47 �7019 0�140 0001 0229'1973 PS Form 3811, July 2015 PSN 7530-02-000-9053 ■ Complete items'l, 2, and 3. ■ Print your name and address on the reverse so that We cat' return the card to you. ■ Attadh this card to the back of the mailpiece, or on the front if space permits. ,Mich e i Lc, t1 y kLI q`I -7, Lon,-Aor, ChurLh I2Z' EI t-n 6 -I f1, Nc. 97 9 IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIII IIII IIIII III 9590 9402 4706 8323 9674 61 2. 7019 0140 1 PS Form 3811, July 2015 PSN 7530-02-000-9053 SENDER: COMPLETE THIS SECTION IIIComplete items td 3},. ■ Print your name and Sddrrz$s on the reverse so that we can returirtha Gard to you. Is Attadh this card to& hank of the mailpiece, or on the front if sp`aceperpiits. 1. Article Addressed to: A.1 /Ir /Ir/ ❑ Agent S. Received by (Printed Name) I C. Date of Delivery e V ass b item 17 u Yes s N my'ffFd(anter �a"l�� r� below: ❑ No C ;a ZSOSIP ❑ Priority Mall Express® 7 fT101c [Signature 7 Adult Signature Restricted Delivery ❑ Registered Mail*" ❑ Registered Mall Restricted ❑ Certified Melt® ❑ Certified Mall Restricted Delivery Delivery ❑ Return Receipt for ❑ Collect on Delivery ^jllect Delivery Restricted Delivery Manures o Signature Confirmation*" on D Confirmation ❑ SignaRestricted cared Mail cured Mall Restricted Delivery —re. asnm Reetdcled Delivery 229 353 �JpY'fIVYC 6Y��-I �S %o 1�fne Lo�^e L�f (Uri-k-lo meo i , -71 3� 33 9590 9402 4706 8323 9674 78 2. Article Number (Transfer from service label) 7019 0140 0001 11229 PS Form 3811, July 2015 PSN 7530-02-000-9 Domestic Return Receipt A. Signature - ❑ Agent x ❑ Addressee B. Received by (Printed Name) C. Date of Delivery D. Is delivery address different from item l 7 ❑Yes if YES, enter delivery address below: ❑ No 3. Service Type 3 ❑ Priority Mall Express® ❑ Adult Signature ❑ Adult Signature Restricted Delivery ❑ Registered Mail*'" ❑ Registered Mall Restricted ❑ Certified Mall® ❑ Cedified Mall Restricted Delivery Delivery ❑ Return Receipt for ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery - Memhandise IJ Sinature Confirmation'"' b Sgnature Confirmation Mal Mail Restricted Delivery Restricted Delivery rim X Domestic Return Hecelp, i 4 ❑ Agent El Addressee C. Date of Delivery D. Is deliveryaddress different from item 17 U Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Express® ❑ Adult Signature ❑ Adult Signature Restricted Delivery ❑ Registered Mall" ❑ Registered Mail Restricted ❑ Certified Meil® ❑ Certified Mall Restricted Delivery Delivery ❑Return Receipt for turn Recei ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery M rdtUr ❑ Signature Confirmation*" CI Signature Confirmation Nail 3526 Nail Restricted Delivery Restricted Delivery Domestic Return Receipt I MOREHEAD CITY 3500 BRIDGES ST MOREHEAD CITY, NC 28557-3095 365224-0557 (800)275-8777 11/14/2019 11:54 AM -------- ----- ------------- Product Oty Unit Price Price ----------------------- ------------------- First-Class Mail® 1 $0.70 $0.70 Letter (Domestic) (CANTONMENT, FL' 32533) (Weight:0 Lb 1.20 Oz) (Estimated Delivery Date) (Monday 11/18/2019) Certified $3.50 (USPS Certified Mail #) (70190140000102293526) Return Receipt $2.80 (USPS Return Receipt #) (9590940247068323967478) ). First -Class Mail® 1 $0.70 $0.70 Letter (Domestic) (ELM CITY, NC 27822) (Weight:0 Lb 1.10 Oz) r (Estimated Delivery Date) (Saturday 11/16/2019) Certified $3.50 (USPS Certified Mail #) (70190140000102293533) Return Receipt $2.80 (USPS Return Receipt #) (9590940247068323967461) ------------------------ Total: $14.00 --------------- -------------- Cash $20.00 Change ($6.00) --------------------------------------- Text Your tracking number to 28777 . Postal Service'"RTIFIED L MAIL° RECEIPT estic Mail Only elivery information, visit our wehsltc ar w............_ for In. ru O ri C3 0 O t3 1-i O 0 ri O M1 f2USPS) to get the latest status. Standard Message and Data rates may apply. You may also visit www.usps.com USPS Tracking or call 1-800-222-1811. In a hurry? Self-service kiosks offer quick and easy check-out. Any Retail Associate can show you how. Preview your Mail Track your Packages Sign up for FREE www.informeddelivet-y.com All sales final on stamps and postage. Refunds for guaranteed services only. Thank you for your business. nRV _TIEROUT YOUR RE TEXPERIENCE to:httpxperience.com/P s840-02-00036-06442-0is code withile device: , or call 1-800-410-7420. YOUR OPINION COUNTS Receipt #: Clerk: 06 -0 •. ill Let M _ n rL Certified Mail Fee ru $ ra e11M BFeee (mel ❑eeNrnew•Dt ITPrdwp» I7 ❑eeMneeNlPl (elecimnk) ❑Certlpeil Mall aesMctetl Dr [JAdutt aigneWrS FequlreE O Postage S CO Total Postage and Fees Sent To c7V��n ne M1 SFreei67 K eM olirQU llli �.9->T lam, P $ P sMe s 2019 Hem or')e 53 3 Name of Property owner Req'esting Permitc t Mailing Address: I t C a Phone Number: Email Address: _I C 1 certify that I have authorized �i�,;�,-r,tx `c, _ f 41[,�7 i r a - �; t } �4, A nt Cont-wAur f to act on my behalf. for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development:. 11 L ', \1 "_ 44 4� i' r f-)a w j re f> 1 at my property located at in l S i c r t- .1'' County. t furthermore certify that t 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 corinection with evaluating information related NJ this permit application. Property Owner information: Signature Print or Type Name .�.�._w. Title l0 1 7z t l`I Dais -.._._v_.�. This certification is valid through LO t 2-2-1 Za 20 RECEIVED ncr 0 2 7019 DCM-MHD CITY RECEIVED h", n 2 9019 DCM-MHD CITY A- AGE 1 RIPAMM PRt}PE, DER siMIMeNT I hereby cw* that I own property adjacent to -` { ; ; s (Name of Propeft Owner) Property located at i (Addroaa, Lot, Block, Road, on t N.C. Mtt1g►faddYl (Cltyfi AnQiar Gounty) The appllcent has described to may as sham below, the develop Twm proposed at the above t I have no objection to this propossi. x I Pave objections to this propoaal, dESCRIPTIDN ANDfOR DRAWING OF PROPOSED DEMOPMENT M WMusl pmpoafrry dwWop mont must fill In descr4Won below or attach a safe drawinp) WAt';lM$H MM I understand that a pier, cock, mooring pilings, boat ramp, breakwater, boathouue, lift, or groin must be set back a mktbmum disUnce of 16 from my area of riparian access unless waived by me, (H yiofu wish to waive the setback, you must initial the appropriate blank below) rJa I do wish to Wawa the to setback reclulreaw'l. I do not wish to waive the ' S' setbaca requirement. (Prop" Owner Information) (A54cenf Property Owner Informatt�ra) e-'t I( 0 iU iL U t).t cc M J TAlN,C6',4^ 'ReAmd Aug, 20141 'Valid for one calendar year after aignstura' a Mail - Derek smith - Outlook Miller Dock addresses Trish Miller <trish.g.miller@gmail.com> Thu 10/17/2019 12:02 PM To: DerekSmith <bbmc71@h0tmail.c0m> Brooke/Ronnie Langley 4472 London Church Road Elm City, NC 27822 Norrine E Humphrey Gray 9590 Pinecone Drive Cantonment, Florida 32533 Sent from my iPad ._I wt"r.�l�irwt� DCM-MHD CITY a. o O 0 Cl) OD O F 0 0,0 C 0 M a 0 C i�i N a 'd' `a a3o bx z'I"a w p Cl) N N O O O O O +: � ; M O p W W y O C4 N W o a CO x d ro ti a° rA z a a � a ,Wj 6 01�1 O, o N s V r A QN � b V p x O a „ ' 6 !n' N a �} O y} W M N n O O O" M O