Degler, Howard E. 80412C

Emailing: Image (186).jpg
CAMA / DREDGE ! FILL NY 80412 A g D
ENEL PERMIT PreWouspermk#
New ❑Modlfiation ❑Complete Reimue GPartial Reissue D to 'ous rmit issued
—TT.. ral Q il
As auth
and the
State of North Carolina, Department of Environmen u nY
��A-.a('mmmission in an area of cWlrwnVAtal concern pursuant w I5A NCAC ks m
Project L=tion: County --
StreetAd S Road/
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2 of 3 5/24/2021,11:10 AM

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:oe)���Qu�Af ® T
�eo�l� Tr
Mailing Address: � 'T Degr Cre J ))✓'
CAP CbirAf f° Ak— 28513�
Phone Number: !' l9 7�12 &71,
Email Address: h"n )�lPrL ik /
I certify that I have authorized 49AARI ))fpe(q(og
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
d�.
necessary for the following proposed development: /N&I'gookICP_ d 040 ",
J-4
at my property located at 5
in_(�A4441.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:
20WY-e,f
° Title
/11/ Zo
Date
This certification is valid through

ADJACENT RIPARI N PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 405J
property located at r4L'/ '?1ne — r* _ _ , I (Name of Pronw __ s
on �P�rt�it (Address, Lot, B=ko?(Waterbody) In „cAF -r
(CltylTown and/or County) N•C.
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND1OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in dascr/pt/on below or attach a site drawing)
Maintenance dredging south
of existing dock, under existing
boat lift and to the west of
boat lift as shown In drawing.
Na�TfE ,�
'P�oPef+y
I understand that a/pier, dock, moerin—tnmlWAIV-SECTION
g pilings, oat ramp breakwater,
vtlior ft, be set back a minimum distance of 15, from my area' of riparian access unlesswaiv
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 Infnrmn4i...,i
Date
(AdJa t Property Owner Inf Mahlon)
S,I* nature
Pri t or Type; ydt�'tame
'D tl S LJCer- 6-e c1L 8v'.
I-&e--t, A] �- .2 9 S f: V
Telephone Number/email address
Date* _
'Valid for one calendar year after signature' (Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to #Vk4oi t, pl
y%r T-_ ,S
property located at —A ¢-% beer Creek Dri ✓o a,,, jug wptinruwner)
Z3
on �2" Crud (Address, Lot, Block, oad, etc.)
In CAPE CAg1)E P-G r , N.C.
(Waterbody) (Cltylrown and/or Countvl
The applicant has described to me, as shown below, the development proposed at the above
location.
t✓ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
Maintenance dredging south
Of existing dock, under existing
boat lift and to the west of
boat lift as shown In drawing.
0
....., K "trjca}
�y'O Ptf'iV WAIVER SECTION
I understand tha�i//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.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Revised Aug. 2014)
*Valid for one calendar year after signature'