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Home My WebLink About71821D - CampAGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: R D White III Mailing Address: 884 Copas Road Shallotte, NC 28470 Phone Number: Email Address: I certify that I have authorized Eddy Jones, Chair of Trustees, CAMP Methodist Church Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Riprap Revetment at my property located at 4807 Main Street, Shallotte, NC in Brunswick County. l 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 Owner Information: Signature RD White III Print or Type Name Owner Title Date This certification is valid through 05 I 30 1 2020 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to CAMP United Methodist Church 's property located at 4807 Main Street (Name of Property Owner) on Shallotte River (Waterbody) (Address, Lot, Block, Road, etc.) in Shallotte N.C. (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. X I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.) N/A I do wish to waive the 15' setback requirement. not wish to waive the 15' setback requirement. Eddy Jones Chair of Trustees Print or Type AVame P.O. Box 776 Mailing Address Shallotte, NC 28459 CitylStatelZip (910)754-4840 Telephone Number Date (Adjacent Property Owner Information) Sig,dature Jack Kyle White Jr Print or Type Name P.O. Box 40 Mailing Address Shallotte, NC 28459 QtylStatelZip Telephone Number Date (Revised 611812012) 1.0 CAMP United Methodist Church P.O. Box 776 Shallotte, NC 28459 August 22, 2019 Certified Mail — Return Receipt Requested Jeffery Simmons P.O. Box 7 Shallotte, NC 28459 Dear Mr. Simmons: CAMP United Methodist Church is applying for a CAMA General permit to repair the river bank located at 4807 Main Street adjacent to the Shallotte River, in Brunswick County, North Carolina. The specifics of the proposed work are in the enclosed drawings. As the adjacent riparian property owner to the aforementioned project, I am required to notify you of the development in order to give you the opportunity to comment on the project. Please review the attached permit drawings. Should you have any objections to this proposal, please send your written comments to Debbie Wilson, Wilmington District Manager, 127 Cardinal Drive Extension, Wilmington, NC 28405. No comment will be considered as no objection. 0. Enclosures Sincerely, Eddy Jones, Chair of Trustees CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: CAMP United Methodist Church Address of Property: 4807 Main Street P (Lot or Street #, Street or Road, City & County) Agent's Name #: Eddy Jones, Chair of Trustees Agent's phone #: (910) 754-4840 Mailing Address: P.O. Box 776 Shallotte, NC 28459 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 , tzrovided with this letter. X I 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 http://www.nccoastalmanagement net/web/cm/staff listing orby calling 1-888-4RCOAST. No response is considered the same 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.) N/A I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pr rty O er I ormation) (Riparian Property Owner Information) 2lf/� Signature Signature Eddy Jones, Chair of Trustees Print or Type Name P.O. Box 776 Mailing Address Shallotte, NC 28459 Gity/State/Zip (910) 754-4840 elephone Numberl Email Address August 22, 2019 Date Jeffery Simmons Print or Type Name P.O. Box 7 Mailing Address Shallotte, NC 28459 City/StatelZip Telephone Number / Email Address Date (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to CAMP united Methodist Church s (Name of Property Owner) property located at 4807 Main Street on Shallotte River (Waterbody) (Address, Lot, Block, Road, etc,) in Shallotte N.C. (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. x I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.) NIA I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Janes, ;Chair of Trustees Print or Type Nam P.O. Box 77 Mailing Address Shallotte, NC 28459 CitylStatelzip (910a754-4840 Telephone Number Date (Adjacent Property Owner Information) Signature Iris McCombs / NCi)0'1' Print or Type Name P.(.), Box 1500 Math)» Address Shallotte, NC 28459 CitylStat&z#) 910)754-6527 Telephone Number - - - _ _ 11r4.,1,Pc1'/ Date (ReVised 6I18I20 2) -0 ra Domestic r%- - m . 0 -ElSN � rU Certified Mail Fee r $3..!II 11459 $ q/9 Extra Services & Fees (check box, add tee aiary rtIte) I�t �t �t 11 �i O ❑ Return Recelpt (hardcopy) $ ❑ Return Receipt (electronic) $ ) i - rift I) Postmark Q ❑ Certified Mail Restricted Delivery $ Sri 00 _ Here ❑ Adult Signature Required $ . ❑ Adult Signature Restricted Delivery $ Postage $0 . cc O CO $ A8 22/2(119 Total Postage and Fees $4.05 _p $ IU Sent To r-i Stiee�iiiwAEiCw, i i p ffoz nlo: ------------------------------------------------- CihbYate. jIP+4+--------------------------------------------------------------------- 9/25/2019 USPS.comO - USPS Tracking® Results USPS Tracking' Track Another Package + Track Packages Anytime, Anywhere Tracking Number: 70180680000070263716 FAQs > Get the free informed Delivery® feature to receive Learn More automated notifications on your packages (https:flinformeddelivery.usps.com/box/pages/intro/starLaction) t Your item has been delivered to the original sender at 2:55 pm on September 19, 2019 in OCEAN ISLE BEACH, NC 28469. G Delivered September 19, 2019 at 2:55 pm Delivered, To Original Sender OCEAN ISLE BEACH, NC 28469 Get Updates \/ Text & Email Updates v Tracking History September 19, 2019, 2:55 pm Delivered, To Original Sender OCEAN ISLE BEACH, NC 28469 Your item has been delivered to the original sender at 2:55 pm on September 19, 2019 in OCEAN ISLE BEACH, NC 28469. Remove X m m m a 0 i https://tools. usps.com/go/TrackConfirmAction?tRef=fullpage&tLc=3&text28777=&tLabels=70180680000070263716%2C`/o2C 1 /4 9/25/2019 USPS.com® - USPS Tracking® Results September 19, 2019, 2:54 pm Insufficient Address OCEAN ISLE BEACH, NC 28469 September 19, 2019, 8:49 am Arrived at Unit OCEAN ISLE BEACH, NC 28469 September 18, 2019, 8:49 pm Departed USPS Regional Facility FAYETTEVILLE NC DISTRIBUTION CENTER ANNEX September 18, 2019, 12:51 pm Arrived at USPS Regional Facility FAYETTEVILLE NC DISTRIBUTION CENTER ANNEX September 18, 2019 In Transit to Next Facility September 17, 2019, 6:39 am Departed USPS Regional Origin Facility RALEIGH NC DISTRIBUTION CENTER September 15, 2019, 9:07 am Arrived at USPS Regional Origin Facility RALEIGH NC DISTRIBUTION CENTER September 9, 2019, 9:49 am Unclaimed/Being Returned to Sender SHALLOTTE, NC 28459 August 24, 2019, 8:57 am Available for Pickup SHALLOTTE, NC 28459 m co co a or n) 0 X https:/ltools.usps.com/go/TrackConfirmAction?tRef=fulipage&tLc=3&text28777=&tLabels=70180680000070263716%2C%2C 2/4 9/25!2019 USPS.comO - USPS Tracking® Results August 24, 2019, 8:20 am Arrived at Unit SHALLOTTE, NC 28470 August 23, 2019, 7:07 pm Departed USPS Regional Facility FAYETTEVILLE NC DISTRIBUTION CENTER ANNEX t August 23, 2019, 8:52 am Arrived at USPS Regional Facility FAYETTEVILLE NC DISTRIBUTION CENTER ANNEX August 23, 2019, 12:32 am Arrived at USPS Regional Facility CHARLOTTE NC DISTRIBUTION CENTER August 22, 2019, 3:28 pm USPS in possession of item SHALLOTTE, NC 28470 Product Information See Less /\ Can't find what you're looking for? Go to our FAQs section to find answers to your tracking questions. FAQs MA https://tools.usps.com/go/TrackConfirmActio n?tRef=fullpage&tLc=3&text28777=&tLabels=70180680000070263716%2C%2C 3/4 Project 0 Amp ii Vic. Date Drawn By Sheet Of -IRWPRP�P -'Sk4kLL -BE CC*ISTk'-XM)3 cl:- Gp-P�Qx-lc) MARL) 00WCVZTE V�rvhc�7- LzCBC- -DCT CK CR'r-�" pt&Lul TA U Ts "IKIMLUA (COF65'r \40ftEPQWA9.0 t;::7 1444W ' I v I t-11 C 1:1LI15Z, FMIZIL CAMP United Methodist Church P.O. Box 776 Shallotte, NC 28459 4807 Main Street Shallotte, NC 28470 F7wTF_IQ, FAWC EXIaTl, 6pt--)(AIW b mtIN\Ut.\ I.S I kl04L N tA,+j -SCPI\�e; "C0,11t-OW-ML l'!r,5 I \J r- �- 16, s� L 11, r'� I Riprap Revetment Detail i � T •�' a ri i zr l Project t,,,_ Aunt) u mr- Date Drawn By Sheet Of CAMP United Methodist Church P.O. Box 776 Shallotte, NC 28459 I) PWeR�-\P v�i �. r'-S1-AAtLL BE NWI RL) COW cVETE W mt-1C S, cx� t Y�itr.BPs Ro &R. M6 ALS pk??Q,(A J -Y`j `T"C- -:Cc p� a k�E.VC``i V�t4l W t+1pCT€ Z0ai . 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