69234D - Morris

6/7/2017
Grice Construction
Frank Ward, Jr.
BB&T
11282
$200.00'GP 69233D
6/7/2017
Holden Docks & Bulkheads
Town of Holden Beach
CresCom Bank
2996
$400.00 GP 69232D
6/7/2017
James or Mary Hartsell
same
SunTrust
2173
$200.00 GP 69231 D
6/7/2017
Grice Construction
Mom's Revocable Trust
BB&T
11283
$200.00 GP 69234D
6/8/2017
Jerry Ennett
Richard Stanley
Coastal Bank & Trust
641
$200.00 GP 69182D
6/8/2017
Paul or Christine Minervini
Rich Balot
Marine Federal Credit U
2216
$100.00 minor, 146 Oceanview L
6/8/2017
Frank R. Bellini
same
LG Federal Credit Unior
7239
$200.00 GP 69141D
6/8/2017
'Carolina Bluewater Construction Co
Robert Purcell
BB&T
17781
$200.00 GP 69240D
6/9/2017
Will Richardson
Wrenn Patterson
BB&T
6735
$200.00 GP 69239D
6/12/2017
Permit Pals
Michael Ervin
CresCom Bank
1580
$400.00 major, 10 Monroe St., O
6/12/2017
Permit Pals
Julie Elkin Fisher
CresCom Bank
1578
$400.00 major, 6 Monrose St., O
6/12/2017
Permit Pals
Alonzo Pringle
CresCom Bank
1579
$400.00 major, 8 Monroe St., Oil
6/12/2017
Permit Pals
Michael Green
CresCom Bank
1577
$400.00 major, 4 Monroe St., OIE
6/13/2017
Allied Marine Contractors/Hal Fogleman
Louis Cox
First Citizens Bank
5734
$400.00 GP 69183D
6/13/2017
Allied Marine Contractors /Hal Fogleman
Donald Waters
First Citizens Bank
5733
$600.00 GP 66324D
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6

NCDENR►
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
at McCrory Braxton C. Davis John E. Skvarla, ill
3overnor Director Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FUHM
Date:
me of Property Owner Applying for Permit: Name of Authorized Agent for this project:
�7o�PPis �uc��C,� �uST � ,,� C.�✓s7�tic�7io�y
mer's Mailing Address:
/OZ'�r.�9vz- cam"
C,IM Y Al c-- a 7 52- [J
one Number 9&) 3.0,9
Agent's Mailing Address:
Phone Number (!?!O) a 9!q "
ortify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obta�ing all CAMA Permits necessary to install or construct the following (activity):
A ./ A r
it my property located at IQ !.y/L kWNI(,--lort/ yS r ®6.9'iA2 -
its certification is valid thru (date)
r
Property Owner Signature Date

CERTIFIED MAIL • RETURN RE99IP1REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RI RIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: lC nc ( t5
Address of Property:�� �� fl (A,
(Lot or Str #, Street or oad, City & County)C(/, 1 ��\\/\j(/ `
.v 11 (D &C�-i ` ' `� 6
Agent's Name #: `';(`1 �`�N�C-C"lj,') Mailing Addres ^f^ ( J
Agent's phone#: S ck" 0q (,&Ar "`Q
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.
1 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 Div1gJQn of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. CorrespEl`iifce should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represerw#4& can also be
contacted at [phone]. No response is considered the same as no objection ItW114ro been
notified by Certified Mail.
fig; ,. r , WAIVER SECTION
understand that a pieF, dock, rig-pllics, _ or
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.)
J 1 do wish to waive the 15' setback requirement.
1 (/ I do not wish to waive the 15' setback requirement.
(Property Own T
T
ormation) (Adjacent Property Owner Information)
1�C.9
Signature Signature
Pn»t or Type Name Print or Typ ; Name
t� ��A V
Q-Mailing Address Mailing Address
A[ q 1A Z-15\c6 —u�,;�( _ L� 8 G 1
City/stalte-op City/state2lp
C�h :i a--.qux�-1 �4.3- /,62- 7 905

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