71837D - Hippel

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: C S 54 1 {-� J
Mailing Address: 7 Lt TO d n , /�, 11�k
-- ffl eo j4o Ili� 11 SAS
Phone Number: 7 S S 6 6 - Q 7 1 7
Email Address:
I certify that I have authorized mC���ii/S7 �a✓t re, SQ�✓i/,Cr�S
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: NCO 60C lC
t orls i -K&f-I P't vJl,1 I
at my property located at -��� rj a1'LQ�✓tj ��,
in County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the focal Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
Permit application.
Property wner Informatio
4
l
Signature
Print or Ty a Name
Title
! /
Date
This certification is valid through Jz- ! ��1( 2—

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
?rcbPet~-t►V-e_
Name of Property Owner: _ �V4✓t kj(��p
Address of Property: �-0 2.c� Sufi t th S a? �s Pl,n�c,-ticca--T�►+�,e $
�V/ �,, (Lot or Street #, Street or Road, City & County) t
Agent's Name # F�V"� MCGNS.'y� Mailing Address: - ((� i V.
Agent's phone #; 91 ID L49 3 31 la ?✓fi' i�t✓ �$`-i Is
i nerevy 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 have no objections to this proposal _T 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. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. 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, 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.)
I do wish to waive the 15' setback requirement.
✓ I do not wish to waive the 15' setback requirement.
(Property.Owner Inform tion)
/
S'ignalure
Print or Type Name I f
7016 d d
Maiiin Address
E'
CitylStatelZip
2/3 �66 0777
Telephone' Number
Dore
(Adja� ro Owner Information)
Signature
Print or Type Name
Mailing Address
/YP+r L� N,�
CitylStat&Zip
Telephone Number
��
Date
Revised 6/18/2012

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Pr4bW .-tov.e—
�^
Name of Property Owner: _ Fy c,✓t
Address of Property: LO {� 20 �Gfi t o� s o17 �i�J �1 Cam- �- l 5 -,T41 -e S
(Lot or Street #, Street or Road City & County)
Agent's Name # aY0t, Mailing Address:
Agent's phone #: -11 ID L}H 3 S
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.
_,_____ 1 have no objections to this proposal. _V _ 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. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405.3845. DCM representatives can also be contacted at [phone]. 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, 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property.Owner Inform tion)
Sig UIT
o pq al, oae
Print or Type Name
aaydd Df
Mailin Address
_ �_ �e �1e�f
Cit y/state2ip
%fig �666 o777
Telephone Number Q�
Dale
(Adjacent Property Owner Information)
Sign :tui e
-ills F rf Ell �lac�a
Print or Type Name
L—&I lP$-2el
MailingA dress
2-g��/
City ate/Zip
Telephone Number
Date
Revised 611812012

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Check
'e Received Date De sited Check From (Name) _. _ Name or Permit Holder Vendor Check Number amount I Permit NumberlComments Receipt or RelundIA
-olumnf I
Column2 Column)
Co1-4
Col-5
Col-6Column]
i Column8
Column9
8/23/2019
8/23/2019 Allen Peele Construction Co Inc
Robert Peele
First Bank
15655 $
200.00 GP 74587D
Tmac rct. 9184D
8/23/2019
8/23/20,9 Town of Oak Island
same
BUT
77062 $
400.00 GP 74572D
Tmac rct. 9180D
8/23/2019
8/23/2019 McPherson Marine Services
Frank Hippel
First Citizens Bank
2836 $
400.00 GP 71837D
Tmac rat. 9182D
8/23/2019
8/23/2019 McPherson Marine Services
Vernon Martin
First Citizens Bank
2838 $
200.00 GP 74589D
Tmac rct. 9186D
8/23/2019
8/23/2019 Ted Helms Backwater Marine Constr
Jonathan Conner
BBBT
1288 $
600.00 GP 74532D
TMcG rct. 9108D
8/23/2019
8/23/2019 Ted Helms Backwater Marine Constr
Roger Walker
BBBT
1289 $
600.00 GP 74533D
TMcG rct. 9144D
8/23/2019
8/23/2019 McPherson Marine Services
First S. James Inc/Kennan Wright First Citizens Bank
2837 $
400.00 GP 71855D
Tmac rct. 9183D
8/23/2019
8/23/2019 Joseph and Tara Milligan
Jim Putnam
First National Bank
6715 $
200.00 GP 74530D
Tmac rct. 91420