76458D - Edwards

)CAMA/ ❑ DREDGE & FILL \5(A
°s No 76458 A B
3ENERAL PERMIT Previous permit#
VNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
•ized by the State of North Carolina,Department of Environmental Quality
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC • d-S00
� ❑Rules attached.
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ng permit may be required by:(-\cyy e e ci t.'v+ �5 i 4 ❑See note on back regarding River Basin r
Local Planning lurisdictionl

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J. Roger Edwards, Jr. & Sarah (Sally)
Scoft Tippett
Mailing Address: 2804 Lakeview Dr.,
Raleigh,NC 27609
Phone Number: 919-602-3293
Email Address: [e-mail]
I certify that I have authorized Jimmy North,
Agent/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: New floating dock
at my property located at 7 Sandy Pt., Wilmington, NC 28411
in New Hanover County.
I furthermore certify that I 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:
Sarah Scott E Tippett
Signature
Sarah Scott E Tippett
Print or Type Name
Title

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J. ROGER EDWARDS, JR. PATRICIA T. EDWARDS W . O . WILMINGTON,N.C. e03
LOT 7 SECTION 3 FIGURE EIGHT ISLAND �i/0. PHONE:I911I19I.1500
HARNETT TOWNSHIP NEW HANOVER COUNTY.N.C. ���� SNAIL:,•10e11x�NO C.33l.uim
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