68581D - Lanier

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
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to act on my behalf, for the purpose of applying for and obtaining all CAMA permits)
necessary for the following proposed development:
ItiUm
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.
roperty 0 ner Information:
Signature
Print or Type Name
rrfm

Dear Adjacent Property: i _ c I
This letter is to inform you that I,
� L ,
' Receipts for
Certified Mail
(Staple Here)
have applied for a CAMA Minor
Property OwSbt u t
Permit on my property at�7tA �1/�in Pender/Onslow
roperty Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact meat i t o- — / 7 or by �ail at .thp, address listed below. If you wish to
Applicants, Telephone Lo � /�-�- t `e f-\—
file written comments or objections with the Surf City CAMA Minor Permit Program, you may submit
them to:
Sincerely
Jason Dail, Field Representative
NC Division of Coastal Management
Town of Surf City local Permit Program
127 Cardinal Drive Extension
Wilmington, NC 28405
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1,ili� Ad s-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
1 hereby certify that 1 own property adjacent to
property located at
Address , t<oaA etc,/
on Ul in N.C.
(Waterbody) (town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development he is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date

Receipts for
Certified Mail
(Staple Here)
Dear Adjacent Property: flQt
This letter is to inform you that I, L`� ave applied for a CAMA Minor
Property Owner ; 41cin PenderlOnslow
Permit on my property at I 1
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at VA
( or by mail at the�address listed below. If you wish to
Applicants Telephone o�V1,q 44jnl -et' -
file written comments or objections with the Surf City CAMA Minor Permit Program, you may submit
them to:
Jason Dail, Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely, �Q (
()r� mi
Pro Owner
�, Mailing Ad(As� r I /1 /Di/i I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
Z
I hereby certify that I own property adjacent to bJ4'1A?6m,4*4's
(� (!lameofProperty Owngr)Q
property located at I Q " 1 ��y
Address, Lo!JJkck, Road, etc.)J
on AA&JZl�1f in N.C.
(Waterbody)
(Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development he is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHEDI
Signature
Print or Type Name
Telephone Number
Date

Jason
DJL Camp <[e-mail]>
Monday, November 13, 2017 10:36 AM
Dail, Jason
A Linda Wiggins
act: [External] riprap at Lanier's
ION: External email. Do not click links or open attachments unless verified. Send all suspicious email as an attachment to
[e-mail].
ing at the boat ramp to the left is 200 ft. If we could go 100 ft. more it would go past the Lanier house which w
eat. A total of 300 ft. to the left if possible.
ing at the boat ramp to the right is 120 ft. ( past 2 lots).
:oncrete we are using is side walk that has been busted up.
ks
is

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LL LL LL a=
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ality _ Permit Number
!an Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
o. ficial rise onh'1
NERAL INFORMATION
ND OWNER - MAILING ADDRESS
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Tress (7) D
--------- - -
✓ -- - -- State %i
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THORIZED AGENT
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--- --
S Phone
dress -- --------_— ---
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►CATION OF PROJECT: (Address, street name and/or directions to site; name ol'the adjacent waterbody.)
I •�
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:SCRIPT ION OF PROJECT: (List all 1), o oscdl cons ction and land disturbance.)
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gal,-t_b wct!A. 16�
GE OF I,OT/PAR EL: o
IOPOSED USE: Residential ❑
F
feet acres
(Single-family ❑ Multi -family ❑ ) Conunereia1/industrial [] Other
)MPLETE F,Irl,HER (1) OR (2) BELOW (Confacl yan• Local Pennil O icer ifyou sire not sere which AEC applies
yore —property):
OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (include
conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but

■ Complete items 1, 2, and 3. JAna■ Print your name and address on the reverseso that we can return the card to you.
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■ Attach this card to the back of the mailpiece, ceived byor on the front if space permits. nI d t
1. Article Addressed o:
JPW� �W k
S
7 e
❑ Agent
do"Name) C. Dat of
�1-4 /Nl"
D. Is delivery address different from item 1? 10
If YES, enter delivery address below: ❑
3. Service Type
❑ priority Mail Express®
11
❑ Adult Signature
O Registered MaiITM
9590 9402 1942 6123 3556 47
❑ Adult Signature Restricted Delivery
0 Certified Mai
❑ Registered Mail Restricted
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
2. Article Numbe�ransf_er from service label)
❑ Collect on Delivery Restricted Delivery
11 Signature Confirmation-
7 016 1370 0002 2 610 3922
vlail
l Restricted Delivery
O Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
yvo)
Domestic Return Receipt
■ Complete items 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:
-��
III'IIIII IIII I'IIIIIIIII II IIII II (IIII I III I I
9590 9402 1942 6123 3556 54
^ nl-,mher (Transfer from service label)
A.
❑ Agent
❑ Addressee
C'
red by (1 rintedAame, C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
OCT 3 0 2017
J�
3. Service Type
❑ Priority Man Expresso
❑ Adult Signature
0 Registered Maili"
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
❑ Certified Mail©
C] Certified Mail Restricted Delivery
Delivery
0 Return Receipt for
CI Collect on Delivery
Merchandise
0 Signature Confirmation-
❑ Collect on Delivery Restricted Delivery
0 Signature Confirmation
n j,,,,,,, A „ail
Restricted Delivery
7 016 1370 0002 2 610 3 915 jil Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ;