Flanagan, Roy 78830C

CAMA / ❑ DREDGE & FILL N9 78830 A B CCD
G NERAL PERMIT Previous permit #
New ❑Modification El 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 B? T %l
-Rules attached.
Applicant Name VC Project Location: County -P
Address Street Address/ State Road/ Lot #(s) l 7*6 ! '11Y �jj t&m
City Ka1121i C[61 State NO, ziP
\J
Phone # ) E-Mail
Authorized Agent DED1-I.5 + Son-5 ,
Affected ❑ CW ❑ EW ❑ PTA ❑ PTS
AEC(s): El ❑ HHF ❑ IH UBA ❑ N/A
❑ PWS:
ORW: yes / no./ PNA yes /
l
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) r
Groin length
ber
E9vgmclistance
'Riprap length
offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes rno
Photos: yes
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction){
Notes/ Special Conditions V
Subdivision
City Pc,12, w e zlP � .�-3�
Phone # ( ) River Basin A/&,(s
Adj. Wtr. Body '" L e�' n /m n /unkn
Closest Maj. Wtr. Body C so wa
(Scale: )
0,5� See note on back regarding River Basin rules.
WT b _-S
t or Applicant Printed Name
Signature ease read corm lance statement on back of permit
plication Fee(s) Check #

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit:
Mailing address:
Telephone Number:
I certify that I have authorized ": %n(-)(Ate,". '-�-x)nS i\Ab0E ��or1S�.(agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of lq�l I OF \p)on I>t=L )
at my property located at
0 Lk'
This certification is valid through � 1 �;� O� 1 (date).
(Property Owner Information)
S nature
2nV 1- I aV-\ ti �r1
Print or pe Name
Title, co, ownV or trustee for property
/0 VLOU aOD-O
Date
efII--Ti2-- 1i10
Telephone Number
r-L9 . -� ( G VN _ to e�-
mail Address
�a $q00
RECEIVED
JAN 112021
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to o �i "'s
[Nam of Pronertv Owner/
property located at
on
(Wa
The applicant has
locatio
I have no objection to this proposal.
and/or County)
described to me, as shown below, the development proposed at the above
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
- 1 N `_5-)1^1 L' P� —\ 100
bF *P. 19W OF WOO) )
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
5ignalure—
[-�()U - c a,t
Print or ype-1 8me
1 I�
44ifinp Address
Cit /State
Telephone Number/email address
Date
(Adjacent Ppqnerty Owner Informatio
Signature
WLtf �� l
Print or Type Name _ ,
Telephone Number/email address
Zo N a oao
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner:
ROY FLANANGAN
Address of Property: 1745 TINY BRYAN ROAD HAVELOCK'CHAVFN
(Lot or Sheet #, Street or Road, City 8 County)
Applicant phone# [phone] Mailing Address: 4117 PIKE ROAD
RALEIGH, NG 47813
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.
X_ I have no objections to this proposal. _ _ I have objections to this proposal.
If you have objections to what is beingproposed, you mustnotily the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact Information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1
on-888-4RCOAST, No
response Is considered the same as no objection # you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
I do wish to waive the IF setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
ROY FLANAGAN
Print or Type Name
4117 PIKE ROAD
Mailing Address
RALEIGH, NC 31613
City/Stata0p
CIILI vl4_I
Telephone Number
D e 4
(Riparian Property Owner Information)
7
Date

CAMA / ❑ DREDGE & FILL v v N9 78830 A B 0 D
"GENERAL PERMIT Previous permit#
0111126 ew ❑Modification ❑Complete Reissue El 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 15A NCAC + II cr(_/
ules attached.
Applicant Name R O V � ( ftbV 00 Project Location: County�4F0
4 Address 9- 1 % Rgo, nnStreet Address/ State Road/ Lot #(s) 1 %7 / f ; Ay
City R cdy, q� State / Vr'ZIP9-113;
Phone # M) ;14;Z1 E-Mail
berm,&'-S1AS ��
Authorized Agent
r
1pL nffected
Ll CW
DEW ❑ PTA ❑ PTS
Affected
-
OEA
❑ HHF ❑ IH BA ❑ N/A
❑ PWS:
ORW: yes /9
PNA yes V
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s) .�
Floating Platform(s)
Finger pier(s)
Groin length
tuber
Bulkhead fUprap length
vg distance o((shore
max distance offshore
Basin, channel �"
Boat ramp
Boathouse/ Boatlift /
Beach Bulldozing /
Other
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes rn
Photos: yes
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
UV I S
t or Applicant Printed Name
,Signature ** Please read compliance statement on back of permit**
oV, oo-4,A5
plicadon Feels) Check#
Subdivision
City N84,0w- zIP PZ 53�
Phone # ( ) River Basin A ,..(s e
Adj. Wtr. Body c✓pn m n unkn
Closest Maj. Wtr. Body co SO to [j
f/1 f
(Scale:/ '-�U )
FV See note on back regarding River Basin rules.
Date

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit:
Mailing address:
Telephone Number:
I certify that I have authorized 'Sc,Y1S W160E ('o4,(agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of o oy)e L )
at my property located at % T5�
This certification is valid through _ al :� 1 ) "at )-) 1 (date).
(Property Owner Information)
nature
2 0 r 1 a VI. c, G- r1
y� Print or pe Name V
Title, co. owncoor trustee for property
/O VfDU C�OD-O
Date
q11 - i'12- - 1-7 3
Telephone Number
r0y . -� t GVN01C,,Cken �.-t-I _ to ej-
mail Address
Pa $ 400
Ck* ODW 05
RECEIVED
JAN 112021
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -R u � /� i a✓\ C ci, G ✓'\'s
r (Namd of Property 1Owner ee
property located at 1-145 71 ✓�� C',,n R d . . r° &V
%%2.US2 'R sLgf— (Ad resit, Lo ,Block, Road; etV
on Q I O�� N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatiop.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
iN`it1Li ��vl� bF kP
I`Iy' o F W001)1-Q
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
(Property Owner Information)
Date
r IY)J, — I I :L)
Number/email address
(Adjacent Pr47rty Owner Informatio )
JzCL
Signature*
k) r—le--
Print or Type Name
Telephone Number/email address
/OIJoy aoac�
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIUAIVER FORM
Name of Property Owner:
Address of Property:
ROY FLANANGAN
1745 TINY BRYAN ROAD HAVELOCK'(.HAVAN
(Lot or Street #, Street or Road, City & County)
Applicant phone #: 919416-ee64
Mailing Address. 4217 PIKE ROAD
RALEIGH, NC 22613
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.
y_ _ I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is beingproposed, you mustnotllydre Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. contact information for DCM offices is
available at w .nccoastaimangement.neticontact dcm.htm or by calling 1.888dRCOAST. No
response is considered the same as no objection if you have been notged by Certified Mail.
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, 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.)
do wish to waive the 19 setback requirement.
i do not wish to waive the 15 setback requirement.
(Property Owner Information)
Signature
ROYFLANAGAN
Print or Type Name
4217 PIKE ROAD
MaiNrg Address
RALEIGH. NC 22613
Ci40Staf&Zip
91q- yl¢ _ 14-,c1.1
Telephone Number
,D'�-�—� — —_
(Riparian Property Owner Information)
r