72817D - Bayshore

1JYY'' CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
YNew --]Modification ❑Complete Reissue El Partial Reissue
No. 72817 A B C Z
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 I SA NCAC
' ` El Rules attached.
tw Applicant Name K y t W c(44yL bifl D yya 15 Project Location: County N ✓ -P K
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XAgent or Applicant Printec.Name
Signature Please read complian4 state ent on back of permit
ef
Application Fee(s) Check #

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Miguel Echavarria
Mailing Address: 922 Bayshore Drive
Wilmington, NC 28411
Phone Number: 919-931-0453
Email Address: [e-mail]
I certify that I have authorized David Logan of Logan Marine, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Erect new docking facility
at my property located at 916 Bayshore Drive Wilmington, NC
in New Hanover
County.
1 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
Print or Type Name
Owfu 06-
Title
1—L�L—/ -le
Date
This certification is valid through 12 1 31 1 2019
RECEIVED
DCM WILMINGTON, NC
FEB 0 i 2019

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to David Fogleman OR Kathryn Borland
property located at 916 Bayshore Dr
on Bradley Creek
(Name of Property Owner)
(Address, Lot. Block. Road, etc.)
,in Wilmington
(Waterbody) (City/Town and/or County)
I
, N.C.
The applicant has described to me, as shown below, the development proposed at the above
locatio
Initials I have no objection to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
***DRAWING ATTACHED***
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me.
Initials �Al I DO NOT wish to waive the 15' setback requirement.
(Property Owner Information)
Sigl
David Logan CAMTiorized Agent)
Print or Type Name
2709 Shandy Ln
Mailing Address
Wilmington,NC 28409
City/State/Zip
910-367-1348 davidPloganmarinexom
Telephone Number/email address
1/30/19
Date
`Valid for one calendar year after signature`
(Adjacen roperty w er Information)
Print or Type tome
C) � L-\ V>C\'
Mailin AddVI 2q�
re s ��
City/State/Z
c1�0 U 0 2
Telephone Number/email address
RE VIED
Date* DCM WILMINGTON, NC
(RevFEBAVie- M

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Miguel Echavaria
Address of Property: 916 Bayshore Drive
(Lot or Street #, Street or Road, City & County)
Agent's Name #: David Logan
Agent's phone #: [phone]
Mailing Address: 2709 Shandy Lane
Wilmington, NC 28409
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.
'3A I have no objections to this proposal. I have objections to this proposal.
Initial
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
availableathtip://v✓ww.nccoastalmana_iement.net/web/cm/staff-listiii or by calling1-888-4RCOAST.
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.)
I do wish to waive the 15' setback requirement.
—6 0 _ I do not wish to waive the 15' setback requirement.
Initial
(Property Owner Information)
D—)
Signature --
David Logan
Print or Type Name
2709 Shandy Ln
Mailing Address
Wilmington, NC 28409
City/State/Zip
910-367-1348 [e-mail]
Telephone Number/ Finail Address
1/29/19
Date
( ian Prop rty Owner Information)
L
�''t�
Print or T peIva-me
Mailing Address
City/State/Zip
aIy. S-66 -�J3O —N4 c tAW&-% v4jk.E(PPAs►-s
Telephone. Number / Finail Arld" afE C E I E EX cz> *,A
2 2- _ DCM WILMINGTON, NC
Date (ReviFEci A g �23
ijp

Date"a1
te De osited Check From (Name
Name o/ Permlt Molder
VeMor
Check Number
Check
amount
Permit Number/Comments
Recei t or Relund/Reallocated
CColumn2
Column3
ColumM
Columns
Co1umn6
Column?
Columns
Column9
2/62019
Lo an Manne L
Ba W -dron Own-
Com Federal C
6510
00.00
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