69351D - Milligan

1pagruM
lim"m 1 '
513mr ,11,

RECEIVED 07/07/2017 02:29PM
,07/07/2017 15:24 9102874281 MILLIGAN FARMS PAGE 01/01
— ATA
lab—�. ... AfiftL
WWEHR
North Carolina pep8rtn.e .t o E� f , virortment and Natural Resources
n
John E. &ti+84 It
Wc" Seal"
�Cve<'tOr
N.C. Divislor. of Caastai Management
AGt=NT A1JTHQR4ZA1lON- Q—RM
Date
me of Prop owner APpiyiRg for Permit. Narn� of Authorized Agent W this project.
rQ�Q� ,t l�_
--
owner's ailing A res Agent's IVJa(/!ng Add
ErnadrOKA
4
PNne
hone
I cerldy that i have author,zeo the agent listed stove to act on " beh8if, fOr tt+e purpose of ppptying
for. and ob lning all CAMA E� m ts� nec ssary t_o instaii of construct the fotlown (act' ity):
R -�' 1 S �- U- t c
for my pfooerty located at r
`TS . J&A
this cenincation is vatic$ 1 year from (date)
A(A(I.K 1

'1,9/2017 3:44 PM FAX [phone]++ ADJ RECEIVED 07/19/2017 02:43PM 0001/0001
ie�
�r
CERTIFIED MNL - RETIIRN R1�CEtPT RE(�UUTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTtFICATION/WAIVER FORM
t3wm of property own,
Address of Property
(Lot o+ Street X, 5Vw or MOW, t,aty d L,ounryl
Ag4� ft Name tVleigng Address:
Agent's Phone
1 hereby car* that t own property adjacent to the above referenoed property. The indMdw
appton9 for this permit has desc'dbed to me as shown on the ad shed dram K ft dWelopmer
they are proposing, A dasciipWn or drawkfa. be provided wig► M lettQr-
j��, =?have no objections to this proposal. --I have objcctions to this proposal.
C if you 1wv* objwdons to Wh#t is being pmposvd. Ya+ must nortq ma DivWW Of CQN$tW wn gement iv i i
wyNng within 10 daY4 Of rye Pt of dVz "dc*, Conwpondance should b* amBad W 177 CordkW W1vo tM
WArnf vtw, NC, 2840*4 i. CCU nrprasantsvy" cm sisv be crorrtacted at (9t0) ?W721$, No Mepofte
22LA of d the same as no 2&sg 1 N you R_a bow rw0fied by Cert M d Usti,
WAIVER SECTION
{ understand that a pies. dock, moosiN pilings. breakwaW, boa#t►ause, gft, or groin must be set
back a minimum distance of 15' from my area of riparian ac.6w unless waived by ". (if you
wish to waive the setback, you must inMial ft apprWfiate blank beiow)
A r
do wish to waive the 15' settwc requirement. �' l 40� fJ
_ t do not wish to waive the 16 setback requk0nWt�"4°;4I r1
(proper Own JaFyr�ti )
aw$tz��44&:L'
re
S"Q
Pint or type ►Vane
C)
Uq&V Addmss ,
(Adjacent Property Owner Inf+omtationj
r
Srgrntls<re
Print or Type Name
OAng Address

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FC
Name of Property Owner �//1/{
Address of Property. c arm k-
(Lot or Street 9 street or moan. ury 6 County)
G-Z,
Agent's Name #. Z-c,v� 1� `�S O Mailing Address lJ r
Agent's phone 0-
I hereby certify that I own property adjacent to the above referenced property. The i
applying for this permit has described to me as shown on the attached drawing_the dev'
they are proposing. A description or drawaw. with dimensions, must be provided with thi
(,,; I have no objections to this pruposai. _ I have objections to this propo
)f you have objections to what is being proposed, you must notify the Drvfsfon o! Coastal Atanagsmer
writing wfthin 10 days of receipt of this notice. Correspondence should be maded to 127 Carl
Wllmington, NC, 28405-3845. DCAI representativw can also be contacted at (910) 7W7215. No rx
considered the same as no objection tf you hove been nofed by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, moonng pilings, breakwater, boathouse, loft, or groin mus
back a minimum distance of 15' from my area of riparian access unless waived by me.
wish to waive the setback, you must initial the appropriate blank below)
I do wish to waive the 15' setback requirement. 1'� 1 S t0
I do not wish to waive the 15' setback requirement
(Property Own""oynsati )
" Signature
(Adjacen roperty Owner Inforr
Signature

Johnson & Johnson PLLC
Varnam's Docks & Bulkheads
Grice Construction
Grice Construction
Backwater Marine Construction
Alan Johnson
James Keen
Carl L. Britt
Stephen Pouask
CraD. Milligan Jr.
BB&T
BB&T
BB&T
BB&T
BB&T
1797
7267
11407
11385
2976
$600.00 GP 69359D
$200.00 GP 69365D
$200.00 GP 69352D _
$200.00 GP 69334D
$200.00ven GP 69351D
8/2/2017
8/2/2017
8/2/2017
8/2/2017
8/2/2017