76572D - Rankin

(CAMA / ❑ DREDGE & FILL N9 76572 A B
�P!NERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environmental Quality
-oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC na�
�} 4 r❑ Rules attached.
t Name ��)� n II \L a Ac -, -� Project Location: County i���, �Clc,
U C, n t el.\\ un 'V . Street Address/ State Road/ Lot #(s) l SS
S i s State N(r-ZIP 2T;10
O 'Z� U��'i, E-Mail ���^j``^l Ir�c�M Subdivision
ed Agent �J a_ i�ti C x; C.12-, City i o\ e 4.G � ZIP Z
❑ EW 'PTA OES ❑ PTS
OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
yes / ® PNA yes /
f Project/ Activity —Q, V) v
Phone # ( ) River Basin vim.
Adj. Wtr. Bod m,J na i
Closest Maj. Wtr. Body
OtD""A
.. ■■ .��"li ■■■■■■■�■■wc c71�1r�■■
i/ Riprap length_
I distance offshore
x distance offshore
cannel
)ic yards
Length "qs-
(Scale: N
ig permit may be required by:
-ocal Planning jurisdiction)`
❑ See note on back regarding River Basin rt

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: `� W y� 1'-m4yl
Mailing Address:
Phone Number: 1 101 ' -Z S o k-1 j
Email Address: �V--A 0 V-(a.J'Z.��C� rZ,►"2- Cpi�
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at (VA2
in {?tyiWI(.�/. County.
I furthermore certify that / 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
b w .
Print or Type Name
Title
14- , se 7-,r-3�

12,
it a. ► .. 1,111
► ., ♦ ► �j
DIVISION OF COASTAL_ MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIwAIVER FORM
Name of Property Owner: _�& h ?an 1� t 0
Address of Property: 155 agLbSh\bA k,1�64pn 13Qc4 �,(� ri5w IC�
(Lot or Street #, Street or Ikoad, City & County)-- -
Agent's Name #:GP kt (k!)*u,Jiv() Melling Address:LM 12Q3A Dr- 3W
Agent's phone #:���" 5-1G'gbgS &�WaT-Gtu 5&0�1 NC z'%%G
1 hereby certify that I own property idjacent to the above referenced property. The individual applying fc
thispernift has described to me as shown on the attached drawing -the development they are proposinj
C
I have no objections to this proposal. R i have objections to this proposal.
N you have objections to whet Is being proposed, you must notify the of Coast
Management (DCM) In writing within 10 days of recolpt of this notice. Co should b
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405.3846. DCM repr" also b
contacted at [phone]. No response is considered the some as no objection ff JWWf1WWft$1
notNled by Certifad Mall.
qr WAIVER SECTION
Vi I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
vminimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the
setback, you must InlNal the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
�1" t�(�c.Q CggPh�t�
ksMIgnalure
n YarlN
Print or Type Name MaNing Address
WiitAS r\ NC 2`75ub
cityisre /Zi
r!
nt Property Owner Information)
Signature
L--
,6
Print or Type Name
/ Z� d L<V
Ma . g Address
1�CcZ�'�f ZZ
cityistaterzip

C
C�
ia.
DIVISION Otr COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property: 1 �IU T � �5���`Q Mr'� �IZJ Qrt 13qqc� �N(
(lot or Street #, 11
Agent's Name #:Gr ict ck�rN*qaiy0
Agent's phone #: ( W_ rJ-N"qQ
or Road, City & County) --
Melling Address:M 32Q&� Dr-
�lQuc5n N( Ztu
I hereby certify that I own property ddjacent to the above referenced property. The Individual applying for
this permit has described to me as shown on the attached drawin the development they are proposing.
I have no objections to this proposal. __.._. I have objections to this proposal.
K you have objections to what Is being proposed, you must no ft the Dl of Coastal
Management (OCM) In writing within 10 days of receipt of this notice. Co should bo
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 2W5-384& DCM repres also be
contacted at [phone]. No response Ja considered the some as no objection been
notHled by CertKied Mall.
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. lkt 5 : 1 d q s ' 5.
n
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
sgnature 4
in ail-' i
Print or Type Name
Vts n1c
Maiing Address
�U�s45DnncPLC 2-7SQb
c;ty/Stale2i - .
(� t CI '27-: (\l a 1
(Adjacent Property Owner Information)
��
*Afure
J Qp-p M_'. Ile"
Print or Type Name
83 2 S Old Dz s11 %4. )
Mailing Address
L 217
q IQ 4 n 4' U i' A A

wtr
Neme o7Parmit Holder
Vendor
Check Number
CMek
amount
Permit NumbeNCemmente
Rebellit or Retund/Re M-.ted
enrl.7
ColumM
Columns
Columne
Co1umn7
COWmns
Column9
askiro
unswkkCounty Inc
u nw ckCcaMy Iro _
utlawick County hie
un_swiek ComH�lne
_
Bads Inc.
Marvin Smith 'Coastal
same_
,same
Gilbert Morton
Cynthia Vogler
'Michael D Biggers
Rodney Whitaker
,John Rankle
Phillip Jumey
Robert Noble IV
William Burton -BB&T
Chris Karshner -BB&T
Southern Bank _i
USAA Federal Savings Bank
BB&T -_ _ -
BUT
BBBT _ _
BBBT _ __
BB BT _
BUT _
BBBT
. 3190�
158781
_
$ 200.00 GP 976582D
5 200.00 GP #76561D
S 600.00 G28D - -_
9 200.00 GP #76192D
$ 200.00 GP #76191D _
X 200.00 GP #76568D _ _ _ _
$ 200.00 GP#76571D - - _ _
$ 200.00 GP#76572D
200.00 �GP #76570D -- - - -- -
$ 800.00 GP #76569D
$ 400.00 GP#76190D _ _ _
S 2W 00 IGP#76195D-
JD rd. 106D4
JD ret. 10801
JD rd. 10643
BB roll. 10212
BB td. 10211 _
M rM. 10210
BB_rd. 10215 _
BB rct. 10216 _
BB rct. 10214
BB rct. 10209 _
BB rct. 10213
`Bo not.1018
4825
13941
13939
13938
13942
13943
13940
13937
13937
76971

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1. Article Addressed to:
3��e�.�
�325 Cud Tm,1
V.t\ etyh Inc 71 (D 6
Al.at Signure
X jr
Agent
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B. awed
by (Prim ame)
C�[-]Yes
livery
CIS
_D. Is delivery address differe from item 1
If YES, enter delivery address below:
❑ No
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2. Article Numher lTransfar from saniira iahan
7 017 0660 0000 7487
ail
1594 JVvail Restricted Delivery
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PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
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,�vP. or Box No.
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■ Complete items 1, 2, and 3. A. Signature
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so that we can return the card to you. �� ❑Addressee
■ Attach this card to the back of the mailpiece, B. Received by (Printed Name) C. gate of Delivery
or on the front if space permits. < % Lf C �/ 1 S 2.-,
1. Article Addressed to: I _ D. Is delivery address different from item 1? 13 Yes