57513D - Sloan

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date %4 5-14 D
Name of Property Owner Applying for Permit:
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Mailing Address:
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I certify that I have authorized (agent) ",-JCyl,,:7 1 Y"/G/oP to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 1a les k✓ p� 9o,a.,L
at (my property located at) // 8 //",j y�L Ss7�rQeQs �i��e� h/ C
This certification is valid thru (date)
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erty Owner Signature Date

/06/2011 11:44 910-327-1433 COASTAL MINI STORAGE PAGE 01/
Joyce Sloan and Stephen Franks - Yahoo? Mail LoWn '�,'r Page 1 of 1
�® 'MAIL
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Joyce Sloan and Stephen Franks Wednesday, October 5, 2011 2:08 PM
From: 'Gall, Jason" <[e-mail]>
To: "]onathan Yopp" <[e-mail]>
Jonathan, I need a drawing showing the existing boat basin and docking setup at 118 Cedar Hollow Lane, in
addition to the proposed (need dimensions shown). Also, let me know what size lift are going in the slips. I can
get the general permit issued once I have this.
Thanks,
Jason
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Jason Dail
Field Representative
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone: [phone], Fax: [phone]
wwwmccoastalmanagement.net
"Please note that e-mail correspondence to and from this address may be subject to the North Carolina Public
records Law and may be disclosed to third parties."

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to y a S�o�i s4e"OA,.J rg,," "s
/ (Name of Property Owner)
property located at //8 Cec��1I I, 1-4/I/ ai 407'e— w: 5ley 0,,W5 sc�hdI✓, s, )
(Address, Lot, Block, Road, etc.)
on in ,S/le�pa5 6eL/�--J 0f1541J) , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
-------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
N
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/10 !e 5 4,— „? 9104
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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. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail
(Property Owner Information)
Signature
Print or Type Name
(Riparian Property Owner Information)
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Signature /
Print or Type Name
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Mailing Address
Mailina Address

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at //g CeAAIIA J <-��C /wi s>`�d d!' kS 5c,(z0', &J,
(Address, Lot, Block, Road, etc.)
on in Ale"-d 15 �y r©/1Sia�JN.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Mailing Address:
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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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. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
(Ri ian Prop Ow r Information)
L�' �� `ice
Signature
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Print or Type Name
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Mailing Address

:)licant: �� `�Gt �ixirt �j Fes% rjk �/r r�S Permit #: S % 5-/ 3
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scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
iitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
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