77645D - Williams

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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY §r§§m 20 m So m f
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• Complete items 1,2,and 3. A Signature o 0 0 o o
• Print your name and address on the reverse X ! 0 Agent o
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or on the front if space permits. Ifl yREw l�tvi"'.Q A 4i :, g0 3§o o d§o _
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Pt U. ' ).JX 1 59 S K aa R
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Priority Mail Express®
❑Adult Signature Restricted Delivery 0 Reg stared Mail Restricted g
9590 9402 2219 6193 1039 60 =rtif{ed Mail® Delivery
❑Certified Mail Restricted Delivery CGLReturn Receipt for r-
❑Collect on Delivery Merchandise O g; g g i t ii
0 Collect on Delivery Restricted Delivery Signature ConfirmationTM :m 3 IE a
2. Article Number(Transfer from service label) Mail
❑Signature Confirmation N c N
7 017 0660 0000 7487 0849 Mail Restricted Delivery Restricted Delivery a a, ol
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PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <o D e n
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECT'ON ;1N DELIVERY w
■ Complete items 1,2,and 3. w w w m oo'�m
• Print your name and address on the reverse ir
sir,
❑Agent ca-I-I -Iso that we can return the card to you. ❑Addressee x '
• Attach this card to the back of the mailpiece, ° R- • -d by r' e.Nam- .� Date of•eliv-ty m
or on the front if space permits. p , L f lI_ . ,, 4_4....r.�. 3
1. Article Addressed to: - D. Is delivery add-ss different from item 1? In Yes
-7-'1 'M'L1ctki If YES,enter delivery address below: ❑ No
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3. Service Type ❑Priority Mail Express® _
❑Adult Signature 0 Registered MaiITM N + `�'c 3
❑Adult Signature Restricted Delivery ❑Registered Mail Restricted - N m-t a g =o+ g
9590 9402 2219 6193 1039 77 -rtified Mail® Delivery
❑Certified Mail Restricted Delivery ifiAZsturn Receipt for
❑Collect on Delivery Merchandise g{g g V g g g g it
2 Artirla Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery D Signature Confirmation".
n In= i ro Mail ❑Signature Confirmation g g g g g 8 g 8 g"
7017 0660 0000 7487 08 56 it Restricted Delivery Restricted Delivery 41 GI 0 0 0 GI 0 0 0
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PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt' 11 m6 vvOvv ov vcv
U.S. Postal ServiceTM U.S. Postal Service-
CERTIFIED MAIL° RECEIPT CERTIFIED MAIL° RECEIPT i
E- _Domestic Mail Only Domestic Mail Only S
ca For delivery information.visit our website at www.usps.com®. For delivery information,visit our website at www.usps.com`.
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❑Return Receipt(hardcoPY) $ ❑Return Receipt(hardcopY) $ I{
I� ❑Return Receipt(electronic) $ Ili i-i i I I Postmark 0 ❑Return Receipt(electronic) $ $it.00
D ❑Certified Mall Restricted Delivery $ $i 0 1=3 .i Il i Here 0 El Certified Mall Restricted Delivery $ i Postmark
❑Adutt Signature Required $ En - U Here
{,}1i} ❑Adult Signature Required $ $�}.i I} m W W
❑Adult signature Restricted Detvery$ ❑Adult Signature Restricted Delivery$ m m m
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F. •' :.. ' 1 '' Ak••,r' r PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions

•
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
(Yl ) c-ivt€ 1 haixs
Name of Property Owner Requesting Permit: ��''-` I) :a s
Mailing Address: 713 N \ ) D
r-f I r• gLi- Lfy
Phone Number: -I it a-1 '0 (p �I();1/,e1 q I o -(I�o - K C j)
J
Email Address: U YY11,J a ag I rl e 1Y\Ce I I . C O P
I certify that I have authorized Cj r) C C-O ns fruc I 0 A
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: r e )IaC e, h uL K h �a
re f lar P, uLi_) wet ,` hrl 1,6 r s Cc)o rn -PC6t I I , e-4-C •
at myproperty located at I --01\C orCQ C�±r Pef O
P P Y
in 1pf u1SU.Wir J 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:
Uis Qk_m'>o
Signature
Prin or Type Name
ou311er
Title
D9 / ate -Dao
Date
This certification is valid through

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CRTIFIE,Q MAIL. RETURN RECEIPT REQUESTED
DIVISION OP COASTAL MANAGEMENT
ADJACENT RIPARIAN`PROPERTY OWNER NOTIFICATIONNVAtVER FORM
Name of Property Owner: Ct\Q 6 'i;\1 al mS
Address of Property: 51 1 C3i1C6 r d SAC ee.\- OCQSAn 1.1k 4C181 3ctlrbuJ►cV)
(Lot or Street#, Street or Road, City& County)_` -- t�� Caktnk,
Agent's Name#: DICE'. �1\5-k t.kc.'-Ivy Mailing Address:CQtir`tf) \ ►-.�c--
Agent's phone#:(`\\D-5-Ici-9Q -,1642 44 N( Z1594(1
y:r;
• d► I hereby certify that I own property ddjacent to the above referenced property. The individual applying for
this •:rmit has described to me as shown on the attached •rawin• the development they are proposing.
• .—ri _ . I have objections to this proposal, ,
lf you have objections to what Is being proposed, you must notify the DI , of Coastal
•
Management(DCM) In writing within 10 days of receipt of this notice. Co +rMr• should bt
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405.3848, DCM repro* , also be
contacted at(910) 790-7218. No response Is considered the same as no objection * been
notified by Certified Mall.
• WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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 Initiat the appropriate blank below.)
o
V''-` I do not wish to waive the 15'setback requirement.
C.Ck5erA)
(Prroperty Owner Information) je2acent ropertjt wner Infotil ggL,
aJam , 4 -44kkk,
1
Signature gnature 'M�
...._____,Signature
ViliC...\(\0„A LUiCt / -7) 7)/24:VAie7t)
Print or Type Name • Print or Type Name /
--t Sci NC y 21. E(t gV.11/ IS
Mailing Address I Malli g Address
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1\.. 2V4t113S a2/ L - adA)I) i•o77/�:..
City/State/Zip City/State/Zip
ql b-s12- lye(p o :34-5---- 39
Telephone Number Telephone Number
Date Date y _
Revised .; 012

•
CERTIFIED MAIL. • RETURN RECEIPT REQUESTED
DIVISION OF DOAVTAL MANAGEMENT
ADJACENT RIPARIAN`PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: M C\I IQ Q1 `1i;1` (Am-5
Address of Property: 51 CC) OCQ5.101 :i 4K.t81' .MrsW l(
(Lot or Street#, Street or Road, City & County)-- CI 4k1
Agent's Name#:Gf 1C t ��5 11(,�iv�1 Mailing Ad-dress:CQtt-?1.32(.k 1 0r
Agent's phone#: �\r)"b-1CA-C\ 5 A( --�-b4Q L.( N( Z S9(9q
I hereby certify that I own property ddjacent to the above referenced property. The Individual applying for
this •;rmit has described to me as shown on the attached •rawin• the development they are proposing.
# c__ •, • I have objections to this proposal.
'1 if you have objections to whet Is being proposed, you must notify the DI of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Co • should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3846. DCM repres -"Zs.,
•
, also be
contacted at(910) 796-7216. No response Is considered t e same as no objection ' been
•
notified by Certified Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.)
1
I do not wish to waive the 15'setback requirement.
(Property
'Owner Information)C/C5e414
(A sort Property Owner Informati
OJ'll� C�Q �
Signature Signature
\\)iC.,\ACLIAL)tit u1Y•
Print or Type Name Print or Type Name
MSc-1 NC ,y 2.l() Ect6k z�51 S J/gaJjVf - grO
Mailing Address 1 Mailing Address
City/State/Zip City/State/Zip
glb-S"12— \yfl(P ql° ?hi ° 572 - °R- 52/l73�
Telephone Number Telephone Number
IV Z° gb2if Zo
Date Date
ised 6✓ • 2

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
(Y\ ;GhatI � l).YlI ( ►`airs
Name of Property Owner Requesting Permit: 1 I i ' I U I :a iI%s
Mailing Address: 135 9 NC 1-1 a) 0 E
(-ktrr€ its NG 3g Li' `fy
Phone Number: _I it -via-1(1"9 (p Cm�Ke1 q I 0 —GoOg -
J
Email Address: ,'b YYl l,6 a a.g l rl ® CYY,t l CD t3'J
I certify that I have authorized li r l c t CO ns fruc f I O A
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: r P plac € h u K h eac0
re.)la(e, wal h hri s Cso Poo- pi , e-ric •
at myproperty located �--01�C D rd S-f r e'�� Q 7
p p y at I 1
in 1JIll1Sw_Lg 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:
,Clif4Of\fU)JA Ltigfillh- •
Signature
Wi Ilvs-
Priwor Type Name
ou. 1YPr
Title
39 r aD, Dao
Date
This certification is valid through Jc.A)/

/1 f f OZ°91'T1'(1 •
❑1DAMA/ ❑DREDGE & FILL N° 77645 A B C
GENERAL PERMIT Previous permit#
�� l' New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authbrized by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 01-4 . 0 .
El attached.
Applicant Name\C 6..,' L A\t 6, 5 Project Location: County 15(„✓A.S,,.. I c\C—
I i
Address 1' j 9 ( �L 2‘ U(r Street Address/State Road/Lot#(s) '5 4-a/t Cti. d
City \--kt.,f f t l State NC ZIP ?$9 t-14 cj a.
Phone# 1 !' ) M. iH/to E-Mail larvij Z2�f rl e� , 1 Subdivision
`` rr •.ter
Authorized Agent U��C< G (�- City O(av‘ (S(<_. ei 11 ZIP 'ek-14`l
Affected R2 CW ©EW XPTA ❑ES ❑PTS Phone# ( ) River Basin G,.,..be/
AEC(s): ❑oEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (ZtA(( (n m /unkn)
ORW: yes PNA yes Closest Maj.Wtr. Body /�1A/
•
Type of Project/Activity C.e l-'< •c e., a1G t `,c,, c' t 0X\` C'O _: c t;SL' ( •'�,\ /
l
A-I...L. S� � � n cZ S ?kl-S�.,� (Scale: v _
S )
Pier(dock)length
Fixed Platform(s) N --Y ! ! Ha! ! 'Floating Platform(s) j I,„�'
I. ; ; '
Finger pier(s)
f lilt i 1
Groin length i_ t
: I i il
number ... �..._...._..... _ _._._ _ —
Bulkhead/Riprap length _7 rj ,, T ................\
-
avg distance offshore j
max distance offshore i 1 1C1 A �!-1
Basin,channel fff 1 -
I
cubic yards ( f.d#s Cu
tuk
-- - I
Boat ram -
Boathouse/Boatlift u�t _ �si�`Y -�-•-�i. T
Beach Bulldozing rr , 1 1 1 - :- . c —�—
Other V '�: t,,
I
'I , }} . I rr
Shoreline Length U G W� rG� i 1A k c IL,,, Y i J !,
SAV: not sure yes l.,l-_. : .___- + ---�. -�_G- csy ._ ._.. _ } ._.. .._ C�... 0�c��_
Moratorium: n/a yes \\x b° 1 4 ,Photos: yes el C.._ t I —. ...
Waiver Attached: ,.yes no
( ?ct2'A building permit may be required by: OCv c 5'.z
CE c.<, k I i See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction),
Notes/S'pecial Conditions
w I� -, ! i .,,� (,..,,A\ r A (� ,,, c/(,)-t, ‘-- , ,N �� c(". -• (!c, -,S l\' C.. - - (2) \ \ ,t" tOA 6,I, I I , .�,,( ,c Ste. \ W-t of t
II11--�� n� j
, -7_,,,,<
_. 0„.y 1;VA c I ( .Q .: , (Tr (
Agent or Applicant Printed a Permit 0 icer' nted ame
K.i C ictX. �_...,_
Signa a cow-
1
read compliance statement on back of permit Signature
(i(lJ��' it- 1,1 7� I < __ /2 o Z U 113(.1z oa r
IssuingDate ExratiDate
Applic ion Fee(s) Check#