Pittman, James W.

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue
M 78423
Previous permit #_
Date previous permit
A B C D
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area'gf env ronmental concern pursuant to 15A NCAC L � t
C'y Rules attached.
Applicant Name_ �1 Y' � j � �'1.6d4�- Project Location: County i I
Street ddress/ State Road/ Lot #(s)
--
Phone#kt_-_L1); L." IE-Mail — Subdivision
Authorized Agent ) (Ai (A I 1 c.'�. tT� (t ,t,L� City A l�ZIP x
Affected El OW ❑EW O PTA M,ES ❑PTS ` Phone # M)) :y� ��'^i� 7(T-(River Basin
AEC(s): El❑ ❑ ❑ OEA HHF IH UBA ❑ N/A Adj. Wtr. Body t ( (nat /man /unkn)
��� f (�:10! : i
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #

12/1012019
Riparian Jlm Rumfield.jpeg
CERTIFIED MAIL •RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFIICCATIONNVAIVER FORM
Name of Property Owner: `J;y 1"< `? �.1
Addreasoe Propony: iCOrJ
(Lot or Street s, Street or Road, City & County)
Agent's Name B: tic -wit ' ytilaa Vl C .Ui-Mailing Address: -0 GO -A
Agent's Phone f:?- t,t-I-C: 01"0 w,t Ct22
I hereby certify .list I owrt property adtaoant to the above roferMced property. The mdiwdual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions mold be txo tided with this letter.
dj Y� 11<l7er ra iu
i i L C 11v6 , I't�
�' j/$ f havr no objectio;his proposzl. 1 have objections to 5uis p:eposal.
Ityou aVo Ottoctions to what is beingpmposed, you mustnotify the DMsion of Coast al Management
(DOM) In writing within 10 days of receipt of this notice" Contact information for DOM offices is
avaflabNathtro/Mvvw nccoastalmaraasmcnf.netAwgp(crrust ff-lirtt/n$wby cauingf•888-aRCOAST.
No response is considered the same as no OW#cfon IF You fwwe been notMed by Certified Marl.
WAIVER SECTION
I understand that a pier, clack. frwrng pilings, boat ramp. breakwater. boothouse, or lilt must
be set back a mrmmnrm dWarce of 15' from my area of riparian access unless waved by me. {il
yo7wishto ve the setback, you must Initial the appropriate Wank below.I do wish to waive the 15' setback requirement.
i do not wish to waive the 15- setback requirement.
tProporty Owner Information)
Cif Nglnre•
Print or Typo Mama
Waning Address
Cify1sletaft -
Telephone Numberl Email Address
Dw,
(Rips " n Is n r rrnalion)
.Sig gt re p
\ C M1h
Annf Wr type Name t f%
(Revised Aug. 2014)
htips:llmail.geogle.comlmaillul0lRinboxlFMfcgxwGBmtwNhtyclSfpXtbbPMCVBKr?projector=l&me gePartId=0.2
RECEIVED
DEC 2 3 2019
DCM-MHL) ary
111

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: _).-\t t I yt
Address of Property:
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Nt rc. \ .,AX V Yy 1+4('a+r ( C*J — Mailing Address: Y D V) A
Agent's phone #: ' J. '',c r ..l L ) 010&I, It , li
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 the development
they are proposing. A description or drawing, with dimensions, must be Provided with this letter.
I ! ),..11<: 6 t < , t -t C 1t � t jt 1!' :. 4, ; <.: , t' t ,
f have no objections to this proposal. i have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact Information for DCM offices Is
available at httu://www.nccoastaimenaaement.nef/web/cm/staff-listina or by calling 1-888.4RCOAST.
No response is considered the some as no objection If you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
iV r� 1 do wish to waive the 15' setback requirement.
NA. I do not wish to waive the 15' setback requirement.
(Property Owner Information)
_l
Si naha•e
Print or Type Name
,0, A,, ",. )A'i-
Mailing Address
City/state2ip
:,J )`-W
Telephone Number/ Email Address
\A --
Date
(Rip rian Property Owner Information)
Signahr e `
Louis B. & Debra Hoffman
Print or Type Name
3039 Pleasant Ridge Road
Mailing Address
Summerfield, N.C. 27358 _
City/State/Zip
336-339-8885 [e-mail]
Telephone Number / Email Address
11-12-2019
Dare
RECEIVED
(Revised Aug. 2014
fEC232019
DCM-MHD CITY

will pittman
From: Stem <[e-mail]>
Sent: Monday, December 02, 2019 4:16 PM
To: will pittman
Subject: Re: Agent Authorization for Blue Water Marine Cont.
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Form attached
On Dec 2, 2019, at 9:56 AM, will pittman <[e-mail]> wrote:
Rusty/Steve,
RECEIVED
DEC 2 3 2019
DCM-MHD CITY

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