75815D - Yacopino

C p ' ! a ' Lv c-v e.�•.
:AMA / XDREDGE & FILL o. 5815 A B
ENERAL PERMIT Previous permit #
Jew []Modification ❑Complete Reissue El Partial Reissue Date previous permit issuedJ,:�
:ed by the State of North Carolina, Department of Environmental Quality 7 J J I � DO t 2 �,. �
�astal Resources Commission in an area of environmental concern pursuant to 15A NCAC / j`j (�'�/71 Rules attached.
Name M a ed Y a(' bn i h U Project Location: County IJ r Nh.f wl
w pu�� i p� Street Address/ State Road/ Lot #(s)
-Orf-MState ziP �q70% D-7 Z,-J S e
A -Mail y"t_`' A jr v 4,"- Subdivision
!d Agent C kr t � LaV e.. � 1 � �� � M�I Yam' City � � L I � � ZIP
❑ Cw �w IZQ PTA ❑ ES ❑ PTS Phone # ( _ rRiver Basin
Arr
❑ OEA ❑ HHF /❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body Dl�i 1 � (-Gt� Qt
❑ PwS: Z� 1
Closest Maj. Wtr. Body
fes ^ ,) PNA yes
Project/ Activity -, r
:k) length_
itform(s) _
Platform(s)
ngth
-nber
�/�prap length 600
distance of ore
uc distapei�/offshore
'
cannel
i
bic yards
np
Bulldozing
ie Length + %
not sure yes no
rium: n/a yes no
yes no
Attached: yes no_
IRLA
by + a � Oak
Oh 9 F4(-
(Scale: I
= 2
Jing permit may be required by: _
1 —1 Pinnnino lurigdictloni -
S,
❑ See note on back regarding River Basin
1 I -- l A' . _ , - AA1

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: fyl I CNAC L- P. YACOPNO
Mailing Address: I% W A P- r2 t o c Av '
5, C., 2970 7
Phone Number: 704 TZ0 " 0 933
Email Address: M YA COP W O l_ �Amoo, C(1- 12)
1 certify that I have authorized N rNS �Oy-kk Z-77jed I' ► ((kr-
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
k)
necessary for the following proposed development: OU LK H&,4 D , W '4kt~% I y
FL©A-ri P (-� /0,000 L3 (Amc lam/ Li�A 7 Z.V� %.
at my property located at d J � ZJ OA x �5�i� ��� C' , L
in 5QQNSWlG< County-
4-
9 41)�2dcj,
t 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
#16PAE4- 1A-co)llsV
Print or Type Name
o✓V /e.
Title
C / /1 e - nn

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 11✓H Z- � I Ali P11 " 0
Address of Property: 107 Sal 26 1,o4K !SLAIVD N, C , Z84625
(Lot or Street #, Street or Road, City & County),
Agent's Name#: ch�I.S hp
Agent's phone #-,
[Mailing Address:
1 hereby certify that ! own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached dray.in� the development
they are proposing. A description or drawing with dimensions must be provided with this letter,
,/i have nu objec"(111S to this pro1'o,d. -- -- I have obiections to this proposal.
if you have obiections to what is being proposed, you rnust notify the Division of Coastal Management {DCMl in.
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive &t.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at 010) 796-7215. 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
mv--
Ier Inform Lion)
1'l,<.;1ltillll'i
gledAa 1° VACOPWO
Punt or Type Name
(Adjacent Prop rty Owner Information)
.�l f„�Ilflllr7 ;'
(�ra hi rn o 11 S
Print or Type Name
[q4 -+00AL 11 �t 1-a►ne

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
:dame of Property Owner: (� l i YAco Pi j ll, L
Address of Property: 1 oi' 5 W 26 04K t6LA vo, �(: �, Z@46-6
Lot or Street #. Street or Road, Cihr & County;
agent's Name#: fulaitingAddress_
agent's phone #:
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 dratving with dimensions must be provided with this letter.
./ i have. no objections to this proposal- _ _ ---- I have objeetions to this proposal.
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 Eirt,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (W) 796-7215. No response is
considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
! 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
(P er Information) (Adjacent Property Owner Information)
.�i,,r=,ttttrc Si��rtuttn :•
Pnrt or Type Alame Pdn�e hrame

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: � }��� fl, Y,\Cc> P, tl, 0
Address of Property: 107 Syg 26 1 OAK N. 2046.E
(Lot cr Street #, Street or Road, Citv u County;
.Ygents Blame#: ehrl � 1-c3 It
.Agent`s phone f . 910-919-62zye
Mailing Address: 90...;
,s.
I hereby certify that I otran 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.
1 hdu 'e.'I0 nhpectio❑s to this proposal. - -- ---- I have objections to unis pri�i)osal.
If you have objections to what is being proposed, you must notify theDivisfan of Coastai Management (DCIY,j
writing v.7thin 10 days of receipt of this notice. Corresnondence should be mailed to 127 Cardinal Drive Ext,
Wilrnington, 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 Mai!
WAIVER SECTION
i junders arrd that a pier, dock, mooring pilings, breaki,vater, boathouse, lift. or groin must be -et
back a minimum distance of 15 from my area of riparian access unless viaived by me. (If You
wish to naive the setback, you must initial the appropriate Uank below.)
I do wish to waive the';,' setback requirement.
1 do not �%--ish to lJaive the 15' setback requirement
(P erInform tion)
Pant or Type Name
67 (0) lop Av.
�✓raif+nn Lr}rirncc
(Adjacent Property Owner Information)
.�IF1ZilfEi! :'

rre
N— of Frrrnit Hold.
Vendor
Cka kNumber
Check
amount
Permit NumbWCommanta
wRalla6RaalboaW
m3
ColumM
Column6
Col-6
Column?
Co1umn8
i
Cuk."
same Suntrust
same- _------_-- - FCB
_ 6508
S 200.00 GP #76506D _
S 200.00 GP#76507D _
$ 600.00 GP #76508D -
JD mt. 10229
IMn
_ 8987
3113
JDrd.10230
Andy Darden Coastal Bank and Tnist
JD rcl. 10231
_ _ _
Suzanne Whitmeyer _ - Branch Banking and Tnrol
Michael Yaco ino FC B -
same UMB Bank _
Greer FCB
Ann Rose Coastal Bank and Trust
36773
- 1081GP
GP 176416D
Ban rcL 10440
#758150
Ban rtt 10447
1221Dawn
=2GP*76402D
2174GP
3133
#76551 D
JJD rel. 10233

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