74876D - Lanier

),")%-HIVIA4 / UriCUkat V& FILL IV(). /4}6 M
GENERAL PERMIT Previous permit # A B C
,ANew Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ^� h
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC D l I 100
lil'CiJ (E� �Y�� ( �Q� ` ��.1�$ Rules attacfied.
Applicant Name F V✓� _. _�CP Project Location: County �aJ i �.•
Address vo 0)( 211 C) ,1 :�D Street Address/ State Road/ Lot #(s)
City? � UT M — State MCI- ZIP 24 4
Phone # fTL0 E-Mail Subdivision
Authorized Agent VONAI Ot- City --1Fv4F ZIP
Affected CW DEW ❑PTA ?QfS ❑PTS Phone # ( _ / River Basin w, 0
OEA ❑ HHF ❑ IN ❑ USA ❑ WA
AEC(s): Adj. Wtr. Body �E��(nat man un_kn)
PWS:
ORW: yes ( io PNA es no Closest Maj. Wtr. Body- - - _ ._ Vim_
Type of Project/ Activity
rev vC
Pier (do length_
Fixed Platfor
Floating Platform
Finger pier(s)
Groin length
avg distance offshore_ ` {
max distance offshore 1
Basin, channel
Pr°e.
c is yards -� (Olio rf `
Boat ram __—
Boathouse/ B lih-
Beach
Other
4
�V
i
W, :;
F�U gcek
y
t- .
e
(Scale:, )
vtyD
Shoreline Length I F—
SAV: not sure Y es o
- — -
Moratorium: n/a yes © l f
--
Photos: yes I
Waiver Attached: yes no `^ _- - ___ _----._ OM
no
W
/�'l�G/V,�__ � �^, -- -1 -
A building permit may be required by: �6W
0- . e> . C4 T-L/ ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) /� ( p�
Notes/ Special Conditions 't+ j'� (aj{� iS ��� �)4vz—! Z,gp:� / rTL---,
L- L" o'F
pot' ►i ar
Ag t or cant Printed Name
Sign cure ** Please read compliance statement on back of per%miitt***
Application Fee(s) heck #
DCN1 WILMINGTON, NC
P it rcer's Printed Nam JAN 2 8 2020
Sign re
Issuing Date Expiration Date

r. y<-CAMA / DREDGE & FILL No. 74876 A B C
GENERAL PERMIT Previous permit #
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �' ! ! ' �
Rules attached.
Applicant Name �� N (�ia•V�1 I �� I�TNE rzS+l ( Project Location: Countyv'C ►J �L--
Address & 13 L x 2--1 `j U L^f D.
City�� r� F CA-1 k I State NL ZIP 2 4a
Phone # ( D, G ` f, I`l IE-Mail
Authorized Agent -D U N ti! A L-*- N 1 L A-
Affected ❑ CW ❑ EW ❑ PTA <ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA Cl N/A
❑ PWS:
ORW: yes /,-nod III yes / no
Street Address/ State Road/ Lot #(s)
11l I -,--Co- I-'t, t Je
Subdivision
City "V f-f [ ZIP 7 K 4Q s
Phone # River Basin w
Adj. Wtr. Body �✓7 t ' z- y S �2 (nat /man /unkn)
Closest Maj. Wtr. Body :Ter:� l L,,-
pe of Project/ Activity
'vim
I.
/ w
■■■■■■■■�■■■■■■�uu:■■email■■�■■■■■■■■■■■■■■
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ii■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
illill■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
�lii■■Ili■■■■■■■■■■■■■■■■■■■■ri■■■■■■■■■■■■■
■■■■►■■■■■Iw■■■■■■■■���■■►�■■■■■■■■■r {
I■■I/fAi�7■■■■■■■■�■■■ill■■■■■■■■■��IiYli■ri�:
• 1! i/I■■■■■■■■■■■■■ ��■�■■■!!Il■■■■■■■■■MEN
ut)N C, L�0
7t or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
i�
Pe it icer's Printed Name
Sign f
re
74.7o 45• Z u 2�
Issuing Date Expiration Date
ut)N C, L�0
7t or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
i�
Pe it icer's Printed Name
Sign f
re
74.7o 45• Z u 2�
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
P
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
NOWN.RjAme Ar Ina
M"
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
�) 01 �A ��4ND"AD-,, �'l ��
at roperty located at I
in-- 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.
rant or i ype ivame
&14&=
Title
Date
This certification is valid through I l
RECEIVED
DEC 13 2019
DCM WILMINGTON, NC

I hereby certify that I own property
/adjacent to _
property located at
on �u �x (Address,
, in.
(Waterbody)
-a-9u," 611--i�
(Name cOroperty Owner)
ick, Road, etc.
(City/Town and/or County
I
N.C.
The applicant has described to me, as shown below, the development proposed at the above location.
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.)
Date
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Adjacent Property Owner Information)
Signature
Print or Type Name
Mailing Address Ktu D
City/State2ip D E C 13 2 019
Telephone Number
Date
DCM WILMINGTON, NC
(Revised 611812012)

ON NO-LONIVJ"M WOE
t PICNIC /
Dog Walk AREA/�-y^y'
31 7Y- / Ivll
Skeelers Drive —_
CIM, L.P EIII I
--------------
As
NORTH
son
Printed On Recycled Paper

1IJ14/2019 Mail - Lindsay Hatcher - Outlook
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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Own
Address of Property:
(Lot or Street #, Street or Road, City & County)
Agent's Name #: ( ® Maifng Address. ��
`✓u+l` �'"/ v
Agent's phone #: ` �C `t&t
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 p posing. 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.,
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.)
M I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Owner Inf ation)
/1 •mil �- _ ,�,
Print or Typq Name / \
PO "'6A
Maiing Address21
Cit /St Zip V S
qw -
Telephone Numb
a
�a /
Date
'-JAdjac nt Property Owner Information)
L�
Signature
Z�—�,lfk�i
Prin or Type N me
Mailing Address �—
City/Stat /Zip (RECEIVED
J/- 4e7-O- V700
Telephone Number DEC 13 2019
Date
"OM-vviiMINGTON, NC
Revised 611812012

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
5,W, 1` lam.
Phone Number:
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
U •
at JMYTroperty located at
in County.
1 •� U-141
r
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.
rnnr or i ype ivame
Title
Date
This certification is valid through I I
RECEIVED
DEC, 13 2019
DCM WILMINGTON, NC

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
Name of Property Own.
Address of Property: I V" 1 11ALVIrt V U t ILA cl" l -
(Lot or Street #, Street or Road, City & County) �
Agent's Name #: ( w Mailing Address: F' O ' %� 0( i
Agent's phone #: q �'l 7���(�
I hereby certify that I own property adjacent to the above
applying for this permit has described to me as shown on th
they are proposing. A description or drawing, with dimensior
I have no objections to this proposal.
If you have objections to what is being proposed, you must notify the
writing within 10 days of receipt of this notice. Correspondence shl
Wilmington, NC, 28405-3845. DCM representatives can also be cor
considered the same as no objection if you have been notified by Ci
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,
back a minimum distance of 15' from my area of riparian ac
wish to waive the setback, you must initial the appropriate
I do wish to waive the 15' setback req
I do not wish to waive the 15' setback requ
92EE 2fiTO 0000 0990 9TOL
(P o erty Owner Inf(*nation) t�Q w djacent Property Owner Information)
Print or Ty Name
Po
Ma'ingAddres I
Cit qSt-1-ziP
Telephone Numb
Date
Signature
Print or Type Name
Mailing Address
City/State/Zip
RECEIVED
Telephone Number D F C 13 2019
Date LiuMILMINGTON, NC
Revised 611812012

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
KN V� I
(Lot or Street #, Street
Agent's Name#:��/?4��%t
Agent's phone #: 1D J(;)1 C0 -41gq
e Road, City & County) /�
Mailing Address :P oy x jlt�6
I hereby certify that I own property adjacent to the above r
applying for this permit has described to me as shown on the
they are proposing. A description or drawina. with dimensinnc
I have no objections to this proposal.
If you have objections to whatis being proposed, you mustnotify the
writing within 10 days of receipt of this notice. Correspondence shi
Wilmington, NC, 28405-3845. DCM representatives can also be cor
considered the same as no objection if you have been notified by Ce
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, bo;
back a minimum distance of 15' from my area of riparian acce,,
wish to waive the setback, you must initial the appropriate bla
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirem
Owner
Signatur
Print Type Name /�
B "
Mailiney Address
111-S
/GJ.
it /State
--� q-r/7-
Telephone Numb r
Date
2EEE 2hTO 0000 0990 9TOIL
(Adjacent Property Owner Information)
nt1 Signature
Print or Type Name
Mailing Address
City/State2ip
RECEIVED
DEC 13 20'�
Telephone Number DCM WILMINGTON, NC
Date
Revised 611812012

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: o Q(
Phone Number:
Email Address:
I certify that I have authorized
�Affff.o
f
lula- ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits' /
necessary for the following proposed development:0-d I
at m property located at
in County.
1 furthermore certify that / 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.
Print or Type Name
1)11,6A1%
Title
Date
This certification is valid through I I
RECEIVED
DEC 13 2019
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own propertyadjacent to M I A 1!�� J1 W , N1, i 'l1,tib 's
p ( e ofAoMOwner)
property located at ) D d,
! I (Address, Lot, BI Road, g�tc.) l'
on r� 1L , in � ILC,4-
( erbody) (City/Town an or County)
The applicant has described to me, as shown below, the development proposed at the above location.
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
1 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 In rmation) (Adjacent Property Owner Information)
J��j4k, hq
r Si$ng�ur'g ' i � Signature
< Lam/ (� -
or y a ll Print or Type Name
U
�G ailing Ay(d ss -� Mailing Address RECEIVED
<7/,2 v 0x i11i ` �j-1 �" /
Telephone N mbe
Date
City/State/Zip DEC 13 2019
Telephone Number
Date
0CM WILMINGTON, NC
(Revised 611812012)

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1 /24/2020
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Track Another Package +
Tracking Number: 70180680000001423332
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Your item was delivered to an individual at the address at 3:16 pm on December 4, 2019 in ROCKY
POINT, NC 28457.
GV Delivered
CD
December 4, 2019 at 3:16 pm
CD
Delivered, Left with Individual
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ROCKY POINT, NC 28457
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Tracking History
December 4, 2019, 3:16 pm
Delivered, Left with Individual
ROCKY POINT, NC 28457
Your item was delivered to an individual at the address at 3:16 pm on December 4, 2019 in ROCKY POINT,
NC 28457.
December 4, 2019, 9:23 am
Available for Pickup
ROCKY POINT, NC 28457
December 4, 2019, 8:45 am
Out for Delivery
ROCKY POINT, NC 28457
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1/24/2020
USPS.com® - USPS Tracking® Results
December 4, 2019, 8:34 am
Arrived'at Unit
ROCKY POINT, NC 28457
December 3, 2019, 7:03 pm
Departed USPS Regional Facility
FAYETTEVILLE NC DISTRIBUTION CENTER ANNEX
December 3, 2019, 11:43 am
Arrived at USPS Regional Facility
FAYETTEVILLE NC DISTRIBUTION CENTER ANNEX
December 3, 2019, 2:07 am
Arrived at USPS Regional Facility
CHARLOTTE NC DISTRIBUTION CENTER
December 2, 2019, 12:52 pm
Departed Post Office m
CD
HOLLY RIDGE, NC 28445 CL
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December 2, 2019, 10:35 am
USPS in possession of item
HOLLY RIDGE, NC 28445
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