69292D - Hayes

�CAMA / F-. DREDGE & FILL V—)" ISM
7 7ENERAL PERMIT Previous permit# A B
New Modification `IComplete Reissue ❑Partial Reissue Date previous permit issued_
)rized by the State of North Carolina, Department of Environment and Natural Resources ��� L� ,�
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC T
�'j �" I Rules attached.
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_60' 10, 12.'
DOCK
229 Myrtle Ave
Wilmington, NC
R T Hayes
June 27, 2017
12'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to RIC- / �Y,CS s
/ (Name of Property Owner)
property located at z 2 �, � vy7-<e 4� (J, l,K�C
(Address, Lot, Block, Road etc.)
on ��ra�%y ���,� , in N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above locatic
ry 1 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)
'Z S+eP
doc.J nl
Z2.q r^,y2 f I
ib'Y12' 4ei_K
I WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bac
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wa
the setback, you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Sign ure I //mod
Print or Type Name
2-Z9 / IVA
(Adjacent Property Owner Information)
26
SiM
re
Printype Name
=7 14 s,1'-44'. A%v

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
® Name of Property Owner:
I Address of Property:
Agent's Name #:
Agent's phone #:
(Lot or Street #, Street or Road, City & County)
Mailing Address:
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.
6/ I have no objections to this proposal. I have objections to this ro osal.
p p
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 O ner Information)
__0
Signature
Pr nt or Type Name
(Adjace t Property Owner Information)
unNv-
1
Signature /
&no e
Print or Type Name
Mailing Address
2 CC 0 e
Mailing Address

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 2 c-4AVt/ �aye3
Mailing Address: z13 ioil C
Phone Number: �ZO y 70 Z i 30
Email Address: 127#Ay JF-C'V 0 H
I certify that I have authorized q� 4.10'
I i'v Cr i
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
r
necessary for the following proposed development: �oC-k ' 0 oej�w Wvl�w,�r
l2X1 Z
at my property located at te Aa�e- W, ��+ �K g 7 , N. C ; 'Z �Y c
in .vovcu— County.
I furthermore certify that l 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
— � t C44 � 1 AA1 A: J 4S
Print or Type Name
0w'(1e✓
Title

F and S Marine Contractors
CMS Tool and Die Inc/Nick Chambliss
Charles Riggs & Assoc.
Lanier Family II LLC DBA
Clinton Lanier and Andrea Garnett
Overbeck Marine Construction
W K Dickson & Co. _
Zachary Salmon
7/10/2017
7/10/2017
7/11/2017
7/11/2017
7/12/2017
7/12/2017
7/12/2017
7/12/2017
-
Jim Vithnalani PNC Bank i6400 $200.00 GP 69265D
Nick Chambliss
BB&T
First Citizens Bank
BofA
22493
$200.00 GP 69316D
_- $100.00 transfer fee, MP 38-06
$100.00 renewal fee, MP 3-07
$100.00 minor fee, 6024 6th St.
$250.00 major fee, 2 Cedar Isla
$400.00 GP 69295D
Capital Assets Property Developme
Wayne Lanier
David Komegay
Timothy Bodeman
ONWASA
15167
1321
2838
BofA
SunTrust
4854
Fifth Third Bank
74243
_ _ _
same
Essex Bank
2788
$200.00 GP 69249D