76994A_Searl, Edward & Melody_20200723

Le
"V,AFAA I tartfeLAUr- a ML-L i 'l l 7() 99-4 i i Ih p v
Coo" ro*&u} gal 4
� , _ �. , � �� ,r � ,,r f rww"r.�1tYYMi7Ei� i"ar�ar►
PAvvqmw� or VU Wa
Mldilll�i1►�Id AIMIouM'c�ai C.e�rwrrt�sacvc�k � u?, � enY� cr����, � � ��{w �_, ���`
art N e E46u.
I4iairtfa r �� Sty # ! �` 6(4eh C'A
CWY .,+ Eta+ jw AC zip).�J rt
A�rtt �� /}'�►+ , 'ry �, "^ '' liar
AOOCW Gw fFw -,�PTA n F S RAW sw*,
fiY�+* Pri Air �tilalt� t7€�{ � _
t
t s sari {f'
f
saki""
i.... , _.
CiAk
boa larlp
+itjr c,* 3 A&y
rd� ;
,
ppmew hu
No" Una ftm" off}
li L }
-41
rc r

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
��,A Sena r
Mailing Address:
{
o
t
I certify that I have authorized (agent) � ffia-r-1 n -e— to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date)
L�
7 /c 1'2-0
�_ c,
_.: 4 -,
a

DIVISION OF COASTAL MANAGEMENT
CERTIFIEC MAIL - RETURN RECEIPT REQUES 7E0 or HAND DE
1 hereby � that i Own property adjacent tos
16C (Name of Property Owner)
property located at Q)- o .. ........ A,
{Project Site: Address, Lot Block, 'Road, etc.)
in N.C.
(Waterbody) (City/Town and/or County)
agent's Name 2p-)
L4
He/She has described to me as shown below the developrnentl�a she is proposing at that location.
and I have no objections to the proposal,
-- - ---------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(IndMdvai p-opo-A*V dove I kpmarit,mast W in dq* 1 a site domwin!#
j you have objections to wha� is wing proposeJ, you must notify the oivision ofCoastal Management
fDCJW in writing wittfir 10 days of receipt of this notice. Cona-spondence should be mailed to 401 &
Gdffln St., Ste 13170, Elizabeth City, NC, 279ft. DCM represent3tiv" can also be awyty-led at (252) 264-
3901,y _R
�res om�& is cortsidered the same as n5��i��n if u have boon noMW by Certtfied Mail.
(P,ppi�lrty Ownq� info i rn atio
SiJWdtUW — —
,--, t De
:f a—r�--
Pqnt or Type Name
f4aking Address
LA
n q
Telephone Number /Email Address
(d
Date ( I
*Vah d for orte calendar year aft signature'
C'-% , 0 ner Information)
iZ Propv�
signat"
�tortype Name Pt
q mg
j'5.� 1 � _
Tsievoorie Numherl Emah,Acd!-&�
Revised Jar.201

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that ! own property adjacent to Is
, Tamfi-af Prop"'Oolner)
property located at
on _(Project Site: Adoons, Lot, Block, Road, etc.)
Jn
(Waterbody) (CitylTown and/or County)
t
P, rv� Agent's Name#I Mailing Address:
Agent's phone*�,) 9 � c I - ---3 L�
He/She has described to me as shown below the development-I�elshe is proposing at that location,
and I have no objections to the proposal
If you have objections to what is �5eingoroposed, you mtWnotffy the Division of ComWfillovigement
(DCU) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth C-ity, MC, 27909. DCM representatives can also be contacted at (2p) 2"
3901. No response is considered the same as no objection if you have been notiffed by Certffied Alaii.
(Pr 0 0 der Into on
Signature
k C
Print or Type Name
AoWing Address,
646staftop
telephone Number/ Email Address
Date
'Valid for one calendar year after signature*
(Adjacent Property owner information)
(V� -
Sign atuiet
Ai . ;J e ( / �, � F ,, J—
Print or Type Name
$0 b6,x ; Z.
,"ailing Address
f6, rSv } c, r
0", atemp
NC — � kA
- ? I
T?-kohone Number /Email Address
Date* RevisedJw-2017

orcl OAK-
Llcl-r"�S

7,vw
it