2065D - Schupp

iii CAMA/ ❑DREDGE & FILL - 1.'
GENERAL PERMIT Previous permit#
New ❑Modification ❑ ❑Complete Reissue Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 74 . 1200- les attached.
nt Name Fa(fr\( a,\-1 CI'1' r��Project Location: County r-
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❑PWS: ❑FC. Adj.Wtr. Body A j V\l V\,/
� Closest Maj.Wtr. Body A \ VU�
yes / no PNA yes /l J Crit.Hab. yes / no
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ling permit may be required by: "} 02_, . I See note on back regarding River Basin 1

COASTAL AREA CONTRACTING, INC. 3567
4025 CHANDLER DR.
WILN^iGTON, NC 28405-6423 3- 2y- (CJQ 66-19/530 NC
Date L ` 1856
FayOrder trC snr he �— K( (2, CD c v ) I $ 2_co
,ter
LV&t2P Ti �I �1G° Dollars 8 M e
Bai if America
ACH1"T)53000)96_ Ip " 5 cAore
r); ` �`t.E Ul J ilh/24,6c/ t
L
1:0 5 4000 L961: 00069 34 799 L 211' 3 56 7

44617A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H.Gregson,Director William G.Ross Jr
Authorized Agent Consent Agreement
Ai 4 z 5d,,,v'l.4 2- is hereby authorized to act on my t
Printed Name of Agent)
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limite(
>ecific activities described in the attached sketch.
DCATION OF PROJECT:
� -F5ceo IJC 2SLy3
ROPERTY OWNER MAILING ADDRESS: • •
Leo c c,� 5ci4 U1)�
I lG r1Qesal ©a-� �,2
Stead , tJ C 2$ 1-N3 PHONE NO.. S( 0 '270--1.650
UTHORIZED AGENT MAILING ADDRESS:
Ia IU' ot,Aci Sc uf,•cAR_
L{025 Cduax3eltat2.,
w ;I t tssIrcoo ti r 2,e 405
PHONE NO. 352- 5 50�'
ignature of Property Owner: (Lic

CERTIFIED MAIL -RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/ WAIVER FORM
The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or
individuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of
Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property owner
indicating that they have no objection to the proposed work or that the adjacent riparian property owners have been notified
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a marin
contractor or other individuals acting as an authorized agent on behalf of the applicant.
This form was-sent to you by the-foilowirig individual or company designated by the applicant as an
authorized agent: ,(
!cl IJ /b O Nlc.�
An.zikit. 3-21 (-D
Authorized Agent's Sign r Date
Name of Individual Applying For Permit: �j tl� 47- ej)3
Address of Property: It Co G i e Oak. -0 IL.
(Lot or Street#, Street or Road)
(City and County) •
( hereby certify that I own property adjacent to the above-referenced property. The individual applying for this perr
has described to me as shown on the attached drawing the development they are proposing. A description or drawir
with dimensions, should be provided with this letter.
k • • I have no objections to this proposal. •
If you have objections to what is being proposed, please write the Division of Coastal Management, 1
Cardinal Drive Extension,Wilmington,NC 28405 or call 910-796-7215 within 10 days of receipt of this noti
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, boat house or boat lift must be set bad
minimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive
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. r; ^

• • CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or
individuals listed below. The CAMA General Permit application procedures require that applicants provide the Division o
Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property owns
indicating that they have no objection to the proposed work or that the adjacent riparian property owners have been notifies
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a marl
contractor or other individuals acting as an authorized agent on behalf of the applicant.
This form was sent to you by the-follbwin g individual or company designated by the applicant as an
authorized agent:
Li OVA,ONi./ ,1 S-6A-LA.LA-t2
3--2-I- 08
Authorized Agent's i azure Date
Name of Individual Applying For Permit: 3—IAA/Lk it #- raLs...qp
Address of Property: t( , d<f
(Lot or Street At, Street or Road)
Liwit �t-P e
(City and Coxnty) •
I hereby certify that I own property adjacent to the above-referenced property. The individual applying for this per
has described to me as shown on the attached drawing the development they are proposing. A description or drawl
with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal Management,
Cardinal Drive Extension,Wilmington,NC 28405 or call 910-796-7215 within 10 days of receipt of this not
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, boat house or boat lift must be set bac
minimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive
setback,you must initial the appropriate blank below.)
k I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.

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