76105D - Layden

,�CAMA / C=_i DREDGE'& FILL
GENERAL PERMIT
)qNew 'i-JModification ❑Complete Reissue ❑Partial Reissue
No. 76105 A B C 42
Previous permit #
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 15A NCAC ( - \ 20
I ❑ Rules attached.
Applicant Name e-vti Project Location: County /..r % ,., , c k`
Address—
(oy L ►Un S 1�..v.) Street Address/ State Road/ Lot #(s) l,4 oA S
City {A ok - e cc' ` State 1JL ZIP 251 cc2
Phone # (UD-) 2'2,y —7`q Yj//E-Mail (
Authorized Agent N � C un,�v ,� ��yn r \ _�k t 1,
to
Affected ❑ CW A EW Qi�PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ U13A ❑ N/A
❑ PWS:
ORW: yes / ® PNA yes Oho)
Type of Project/ Activity Q W"C� e x, -"V
Pier (dark) lanoth A '4 116
Fixec
Float
Finge
Groii
BOO
Basin
Boat
Boatl
Beac
Othe
Shon
SAV:
Mora
Phot,
Waiv
A building permit may be -required by: �Us � ,n �p� � ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions J ��Yt nl QT�Ur �� .�� �• Al t b{ b i
S (p
Subdivision
CityOk a ZIP
Phone # ( )
River Basin 1 Id i
Adj. Wtr. Body Ox"C. \ (nat , unknunkn)
Closest Maj. Wtr. Body
(Scale: K) r J )
e �<
Agent or A�p scant Printed Name Permit Officer's Printed Name
Signature lease read compliance statement on back of permit"
Application Feea Check #
Signature
� � 2020 i 2020
Issuing Date Expi tion Date

NC Division of Coastal Management
Cashier's Official Receipt
Received From:
Permit No.:
Applicant's Name:
Project Address:
c .1 _ l f lip. LJ
10454 A s C(]p
Date: � 20 ?"a
u
$
Check No.:
County:
t�
Please retain ipt for your records as proof of payment for permit issued.
Date: 5/4/2020
Signature of Agent or Applicant:
Date: /If
Signature of Field Representative:
Scanned with CamScanner

= H5 = PROJECT: 106 LIONS PAW, HOLDEN BEACH
CONSTRUCTION
i
Removing existing wooden deck
from this area
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106 LIONS PAW - LAYDEN
-Not to scale
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWMER hO7L9CATK)*WAIVER FORM
Name of Property Owner. 44,01j , L Aq AP.M
Address of Property: ! 0� �- strl S �J w P D la en 'e" . 9�.
AA ct�t or Stec s, sit or Rwd, Cft a Comity)
11
Agent's Name ##: ++S l
Agent's phone#: Q10 ^ kar%— 6 (. L
Mailing Address: c ( IC 14� f i i., &u h .
l C. VI6
J hereby certify that i own property adiacent 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 de ry or drawm, with dimer►sions, Truest be Provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
if you have objections to wtW is beftpropaseaL yest awatnooly the Di #Woa of CoasW AWaagement
(DCM) ai wriwng WWM 16 days of }t of Oft mwOm CeAdwt iaaarriaaroio for B CM yokes is
available at % � Al ww,v. P-- a�- ta4r*ar,ec�- *)ef-tW r- w+lstaWZs* %p or by calling 1 .
No response is considered the same as no objec ion Myon have been notified by Certified Mail
WANER SECTM
I tmdemdand tW a pier, cbek, nworg pfi gs, boat , brimbweim bye, or fift MMA
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (ff
you wish to waive the setback, you Trust kMW Um aptsropriate btank below.)
pQ,Q 1 do wish to waive the 15' setback requirement.
i do not wish to waive the 15' setback requirernenL
Prim or Type Marne
1-06 Li
Mailing Address
A�Ikvi begc0 1 r d V"
Ciittyyl Stt a2ite\\\p
CU/�r
Telephone Number / Ernazl Address
Dale
(Riow.. Property Owner trrRxviatioa)
PAW or Alari'►e
Ma" Address
HoURL
cityl&aWZip
9ie -9y�
TaftW aD re NurnbergEmad Address
L We--
C
(ReVesed Aug. 2014)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: i- i tb
Mailing Address: J'a 6 L-,`O Y s PAS'
Do re n beic A0-)1 C' )-
Phone Number: 1 /D -a � `r - ,� R7 Q
Email Address:
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary 'for the following proposed development:
at my property located at J L L ,`G n S &) ► �, )d eh�-
in M t1S d> ; ( k County-
/
furthermore certify that I am authorized to grant, and do in fact grant permission to
Divisiog of Coastal Management state, 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
fl7h le, n L. 9)q e n
Print or Type Name
Title
Date
This certification is valid through I 1

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT R1pAR1AN pROPERTy OWNER 140TWMATIONIWAIVER FORM
Name of Property owner. �A�i�i�Ph Z-Aq AU --
Address of Property:
(Lot or Street #, Street or (toad. City & County)
Agent's Name #: �} C �'�-�Yf t C'�v„ Maihng Address:
Agent's phone #: c� t _ S 7-3- _ Vi � (,
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 drawtrtg _with dimensions must be provided with this letter.
—1L I have no objections to this proposal. 1 have objections to this Proposal
If you Rave o jec&ws to what is being proper you nmst noW the Division of Coastai Atanagemen
(OCU) in writing wiftn 10 days of receipt of fts +wbce. Coasgct won for DCY offices is
available at �++ itwr*ys nc' was air 'ra' rnerr�r> Jva'-i�'c''rfsf-ibs3re or by calling 1-W&4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
1 ur6ersAand That a pies, dock, TwOdng p0wip, boast grip, �, boaevuse, cr A
be set back a minimum distance of 15from my :area of riparian access unless watered by me. (If
you wish to waive the setback, you rrtnst initial the ,appropriate Wank below_)
I do wish to waive the 15' setback requirement.
M I do not wish to waive the 15' setback requirement.
Prmt or Type Name
1406 L 1t o11s PO-U)
Mailing Address
City/StatelZip
ty
TeliVwe Number/ Ewa# Address
Date
(Rlpar� property Owner hyformation)
Signalure ?
Al eg—PAt R Wldr-nziw
Pent or Type Name
L, r3cbwh > �d
Mailing Address
-)--ftf6a
c�y/srat'eyzip T-
£eisphorte Mardi / Emad Address
Dale
(Revised Aug. 2014)

G ■ Complete Tte12iq.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 mailplece,
or on the front it space permits.
1. Article Addressed to;
yict5
X
'El —Agent
❑ Addressee
C. pate of Delivery
D. Is delivery addre,O different from item 1? 11 Yes
If YES, enter delivery address below: 0 Np
II�'I�('IIII
I IIIIIICIII'llIIIIIIIliIIIl�l'll
3. Service "type
Adult Signature
❑ Priority
0❑ red Express®
Registered MeiIT^'
❑ Adult Signature Restricted Delivery
❑ Certified Mali®
❑ Registered Mail Posticted
Deliver
9590 9402 4906 9032 2608 41
El Certified Mail Restricted Delivery
ElReturn Aecelpt for
2. Article Number (Transfer from service labEq
O Collect on Delivery Merchandise
❑ Collect on Delivery Restricted Delivery Signature Conftm atim-
7018 0680 0000 7 0 2 7 0905
Mail
Mail Restricted Delivery
Q Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
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'� H� ou_(W�' 9 \\]A - W.
X�y inn
4,9A �,
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Tracking Number: 70180680000070270905 Remove x
Your item was delivered to an individual at the address at 12:13 pm on April 11, 2020 in WHITEVILLE, NC
28472.
OV Delivered
April 11, 2020 at 12:13 pm
Delivered, Left with Individual
WHITEVILLE, NC 28472
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