74707D - Yoder

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AMERICAN MARINE CONSTRUCTION
3WO Old Bridge Road
SoWport North Caro 26461 NO.
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(910) 4674MM
[phone] Fax
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■ Complete Rems 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:
A. Signature
❑ Agent
X ❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. is delivery address different from item 1? ❑Yes
if YES, enter delivery address below: ❑ No
3. Sult Type
❑Priority Mall essO
II�II��I (III
(III
II II III (III
III III
II II
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❑ Adult Signature
❑ Adult Slgnatun; Restricted Delivery
Sig
❑ Registered Mail-'
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❑ Registered Mail Restricted
9590 9402 4003 8079 0501 10
❑ Certified Mai'O
❑ Certified Mail Restricted Delivery
ery
p Return Receipt for
Merchandise
Number (frartsferfrom ser✓,ce label)
aCollect on DelivCollect on ery Restricted Delivery Signature ConfirmationT"'
re ti�
Mail
2. Article
7 018 0680 0 0 0 1 2 8 0 3 5 6 0 9
insured
Insured Mail Restricted Delivery
$500)
Restrriicted Delivery
_-(Over
Domestic Return Receipt
PS Form 3811, July 2015 PSN 7530-02-000-9053
■ Complete items 1;Z'and 3.
s 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,
IIIIIIIII (III IIII(III IIitIIIIIIIIII II IIIIII III
9590 9402 4214 8121 8704 79
7018 3090 0000 8998
A. signatl� ]
X U�./// gent
� ''"�❑ Addte
B. Received by (Printed Alamo) C. Doo o(.Del'
D. Is delivery address different from item-T? ❑ Yee
If YES, enter delivery address below: p No
Oervlce rype
❑ Priority Mail awene
0 Adult Signature
O Registered McUTM
10.
❑ Adult Signature Restricted DeUve y
O Registered Mail Restricted
17 Cued Mail D
D Certified Mail Restricted DeihHuy
very
0 Return Receipt for
1?WI A on Delivery
Merchandise
Delivery Restricted Delivery
Elsignature Confirnatlon^
9618,
ID Signature Confirmation
T�i 1 Restricted Delivery
Restricted Delivery
Ps Form 3811. j* 2015 PsN 7530-o2-oo0-sons Domestic Return Receipt
J,711,eeca_�&q

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: 2 U ( � e4-S5.7 .- h
aim
Phone Number. t � l - 0C, - <�2,1, O i
Email Address: PS ® CSC
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
for the followi
meet:
at my property located at
ink`'"- County.
I furthermore certify that I 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
Print or Type Name
itle
05
Da tej
DECEIVED
OCM WILMINGTON, NC
AUG 0 5 2019

- CERTIFIED MAIL • RETURN RECEIPT REQUESTED RECEIVED
DIVISION OF COASTAL MANAGEMENT 0 1 ADJACENT RIPARIAN PROPERTY OWNER NOTIFIC TIONMAIVER FO'R61 2019
Name of Property Owner: OS �� lL �
CC"" WIL !MING T ON; RAC
Address of Property: -<
(Lot or Street #, Street or Ro d, City & County)
Agent's Name #: Mailing Address:
Agent's phone #:
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 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. Correspondence should be mailed to 127 Cardinal Drive Ext,
AriImington, 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.)
k I, D wv Qc �cJ
I do wish to waive the 15' setback requirement.,
I do not wish to waive the 15' setback requirement.
(P er Information)
atu e
a5 L
not or Tye Name
zw8 /Wei -�) r-
Mailing Address
-W tq G bh
City/State
Telephone Number
Date
(Adjacent Property Owner Information)
Signature
Print or Type Name
2zv 64-sweA
Mailing Address
6SUXR
City/StatelZip
ql© &1 ? -0Aq/
Telephone Number
o p A as y
Date
Revised 611812012

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �5 '�` 's
1 r �Q Owner)
property located at � 1 � 1 (N me of Prop,
_ (Address, Lot, oak, Road, tic
a _ ' 4v
on 1--zC l/(S �,� in , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
; r I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
rcp n%-f �G
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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.)
go,,
TA,__ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Propsoy Owner Information) (Adjacent Property Owner Information)
ignu re
Print
M ' 'ng(ddres
C,Ste'
T%rhone Number
Date
r
,UG Ol"0.4
Ptint or Type Name
r4:5c.t)f1P L ki
ilin Addr s
;MW W,13qy,� , Nc fl-16485
City/State/Zip
Telephone Number
Date
(Revised 611812012)

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Date Recolved
Data Ds sited
Check From Name
Name or Permit NolWr
Vendor
Chack Number
Cheek
amount
Permit Numbsr/Commants
Recai t or Retund/R"AD-ted
Col—n!
Co1umn2
Column3
Colum/4
Co1umn5
Columnb
n2
Co1umn9
Cokrmne
9/17/2019
9/17/2019
9/17/2019
9/17/2019
9/17/2019
9/17/2019
9/17/2019
Jonathan Riles Jonathan Riley
B & J Construction of NC, LLC G & W Industrial P_rope_rties, LLC
H5 Construction, LLC LeeAnne Danford
Larry and Patricia McNeill Larry McNeill
Will Richardson/Richardson Construction Erskine Blount
WiN RichardsoNRichardson Construction Jim Fisher
American Marine Construction Inc Joseph Yoder
BB&T
BB&T — _
BUT _
BB&T
BUT
3226
$200.00
GP #74718D _
GP #74382D
GP #74520D
GP #74706D
GP #74537D
GP #74535D
1 GP #74707D
JD rot. 8568
TMc Mt9114
8B rat. 9112
BB rot. 9116
BB rot. 9116
TMc rot. 9150
Tmac rot. 9192
2087
S 200.00
2362
S 400.00
1046
$ 200.00
7530
7529
$ 200.00
$200.00
BUT
Fiat Citizens Bank
88781
S 400.00