Harper, Loede

AMA / ❑ DREDGE & FILL N9 78975 A B �1 D
GENERAL PERMIT / Previous permit#6A
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality /
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7/� • 1 © a
Rules attached.
Applicant Name � a Project Location: County_0
Address_ n' -1 1 Z I --W Street Address/ State Road/ Lot #(s)I� e
city-3 n State! V_C ZIP_
p
Phone # ( 0 � E-Mail __— __ Subdivision
Authorized Agent [tg�_©� City ______ ZIP__
Affected ❑ CW ❑ EW ❑ PTA XES ❑ PTS Phone # ( ) River B inv/A de, UO_
AEC(s): ❑ OEA ElHHF ElIH ElUBA ❑ N/A
C1 PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length_________
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) /
Groin length
mber /
khea Riprap length
avg distance offshore
max distance offshore
Basin, channel r
t s
Closest Mal. Wtr. Body
Shoreline Length
SAV: not sure yes
Moratorium: n/a yesGn
.. f t
Photos: yes�-_iWaiver Attached: yes— -- -
A building permit may be required by: i/V D t
( Note Local Planning Jurisdiction)�� //
Notes/ Special Conditions (VD
J V-`G'h
----------------
Aer or A plicant Pri ted Name
ature Please read compliance statement on back of permit **
1788 &J _
Application Fee(s) #
Permit
( / //' )
Scale:
F.-I See note on back regarding River Basin rules.
S*9,-
0Ixpiratlq�ate

PERMIT FOR PICK UP INFORMATION
TO BE FILLED OUT BY THE FIELD REP TO ATTACH TO A PERMIT FOR PICK-UP
FIELD REP NAME (Please print): Brad Connell
1. Date (the date the permit is placed up front for pick-up):
2. Name of person picking up permit: lash garbPr4PFI CongtriiCtiian
(the person you called to tell them the permit was ready for pickup)
3. Phone number of the person picking up the permit:
910)330-5569
4. Permit fee amount to be collected. $400.00
Specify if the person is one of those who must Use Money Order Only
5. Month of Expiration: idly
NOTE TO ISSUER: The expiration dam[ will be the same day as
issuance.
6. Other information needed or instructions. N/A

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Pi
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 I U
in V 111s' 1, County.
l furthermore certify that l 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:
^ Sign ture 1
Print or Type Nanie
Title
7; r
Date
This certification is valid through I I

CERTIFIED MAIL ` RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAI,¢1/AIVER FORM
Name of Property Owner: Loede Harper
Address of Property: 109 Pine Street, Sneads Ferry NC ONSLOW
(Lot or Street #, Street or Road. City & County)
Agent's Name #: Josh Barber/PFL Construction Mailing Address: 135 Virginia Lane
Agent's phone #: (910)J30-5569 Sneads Ferry, NC 28460
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
_ K I have no objections to this proposal. - I have objections to this proposal.
tf 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 athttp i/cvww.nccoastahnana( Pmetit.netiwebl,'cm/t tiff-listiricl or by calling 1-888-4RCOAST.
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, boat ramp, 'breakwater, boathouse, or lift 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.)
s� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro erty Owner Information)
.Signature
Loede Harper
Print or Type Name
109 Pine Street
Mailing Address
Sneads Ferry, NC 28460
CityiState/-Lip
704-294-5008
Telephone Number / Email Address
Date
(Ripe 'an Property Owner Informs ion)
,Si�ftut rtre
_Paul & Joan Schoonmaker
Print or Type Name
21 Marjorie Lane
Mailing Address
Warwick, R1 02886
City/State/l_ip
Telephone Number/Email Address
Dole
(Revised Aug. 2014)

• Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the bacothe mot piece,
or on -the front if space permits.
1 Article Addressed to:
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9590 9403 0208 6146 1546 83
2. Article Number (transfer from service label) \
PS Form 3811, April 2015 PSN 7530 02-000-9053
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
VOW "kJoa4n 4 n1n)kr
A. E] Agent
X /X1-3 Addressee
gf�Received
1 by (P nnted Name) C. Date of Delivery
oii ❑ Yes
D. Is delivery address different from item 1?
below: [3 No
if YES, enter delivery address
❑ prority Mail Express@
3. Service Type
❑ Adult Signature
❑ Registered MatIT"'
p Registered Mail Restricted
❑ Adult signature Restricted Delivery
❑ Certified Mali®
Delivery
❑ Saturn Receipt for
❑ Certified Mail Restricted Delivery
Collect on Delivery
Merchandise
D Signature CO nfirmatlonT"'
❑ Restricted Delivery
0 Collect on Delivery
o Signature Confirmation
❑ Insured Mali
R���� Delivery
Restricted Delivery
Cl
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(over
Domestic Return Receipt
A. Sign pH
X
B. R elved by (Printed Name) C. Date of Delivery
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D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type ❑ Prority Mail Express@
II I'IIIfI IIII I�I I I I I II I I III II III I II IIiII �Il III [I Adult Signature [I Registered Mall
El Adult Signature Restricted Delivery ElRegistered MailTRestricted
1111 ❑ Certified Mail@ Delivery
❑ Certified Mail Restricted Delivery ❑ Return Receipt for
9590 9403 0208 5146 1546 90 ci Collect on Delivery p Merchandise
ConfirmationT"'
livery Restricted Delivery 11 Signature Confirmatlon
2. Article Numher 4 6 6 7 3 Restricted Delivery
01, 9 0? 0 0 0002 3 ..� Tlestricted Delivery
_________---- (,ver0"0)
Domestic Return Receipt
PS Form 3811, April 2015 PSN 7530-02-000-9053

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U.S. Postal Service"
CERTIFIED MAILO RECEIPT
-Domestic Mail Only
For delivery information, visit our website at www.usps.corjj,.
W*M F!"11 I
Retum Receipt (hardropy) $ b
❑ RAtum Receipt (afactjonlq) $ Postmark
❑ Certified Mail ReMificted Delivery Here
❑ Adult Signature Required
❑ Adult Signature Restricted mw.,y
TO—S—tage 4. A
Otsl Postage and T"a
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U.S. Postal Service"
CERTIFIED MAIL@ RECEIPT
M Domestic Mail Only
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Certified Mail Fee , T C.
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7
M Extra Services& Fees ichockbox, add faeg -g
❑ Retum Receipt C-rdcopA $
rU [JRartum Receipt (alacirwic) $ Postmark
O El Cerfified Mall RNhicted Delivery $ 11.1 Ai Here
E] Adult Signature Required $
E] Adult Signature Restricted Delivery $
CD Postage j-1 5.r,
0 $
r,1- Total Postage and Fees
$
117 Sent To
17-9
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