78038A_Jessen, Martin_20210219

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Authorized Agent Consent Agreement
I MartinJeew hereby authorize Stewart M Davenport to act on
(Property 0w r) (As*ainsi A#tW)
my behalf in obtaining CAMA permits for the location tubed below, This agency authorization
is Limited to the Teeffic activities do nbed abovic,
Property Address:
Martin Jessen
Merry Fes, NC 27957
PTOPeny € wner`s hailing Address:
Ma,n Jess
98 Union Ave
Prx�cry Owner's Si gcaturc:
Authored Agent Signature -
Date: 0110112021

CERTIFIED L N R . EIPT REQYgSTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFtCAT1ONAVAtYER FORM
Nam of ..-
' .i 1 $ of ProWty150 Gov Eden House Road, Me" Hill, NC 27957
j Lot or Street #, Street or o
Agent's phone#: .:27928
,.
'aL.e*�� °a4. t T.
' ae..-.'
Myoo how objecdom to wham is being proposed, you mast nrOWY 00 04*%" Of C046W 46MON900NOW
( * In wa at; with4k tadays of rocolpt of this notice. ConOW k rM@d*n fW WU oMMS Is
srrallsaie ate nca� #rrssnatrs t negLw
_#kjnVS t#MAgft or by c4PI&V tO+ksi_
No rye sa Is conskiemd the same as no o tion tfM haw been no~ by Colffilsd Mail,
SECTIONWAIVER
I understand that a pierdock, mooring p4ings, boat ramp, breakwater. boathouse, Or tift must
be set back a mwwnum distance of from i. access unlless waived by
you • waive the setback.you below,)
i;t wish to15'setback requirement,
t do not wish to waive the 15` sedmbck requirement.
POW or typo Nanv
i ° i
01/05/2021
Dale
(Riparian Pro -OWnor Information)
Signature
148 s - 'sss
Address
Merry Hitt, NC 27957
(Revi,wdAug 20141

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner Martin Jessen
Address of Properly 150 Gov Eden House Road, Merry Hill, NC 27957
(Lot of Street #, Street or Road, City & Courdy)
Agent's Name #: Stewart M Davenport — Mailing Address: PO BOX 100
Agent's phone 4: 252-394-6015
Creswell, NC 27928
I hereby certify that I own property adjacent to the above referenced property. The indivkkiiall
applying for this permit has described to me as shown on the attached drawingthedevelopirriierit
they are proposing. A description or draw-IM, AM JiMjnjigM, mUst be prQ!6M with this Iftr
(New bulkhead 120 feet long across the waterside of the property)
--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 at htW J-Avww.n;;4p2a s m1mgriagernen f, not, wgo%c�s r#1:y1gn orbycalling 1-888-41RCOAST-
No resense 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 )
I do wish to waive the 15'setbacK requirement
I do not wish to waive the 15' setback requirement,
(Property Owner Information}
Signtiture
Martin Jesseir,
Pm# or Type Name
98 Union Ave.
Mailing Address
Edison, NJ 08820-3506
6 �Itiilwzp
732-522-1811 victortanofficerentals,com
Telephof* Number " Emad Address
01/0512021
(Riparian Property Owner Information)
Signature
James Hopf
Rm,.�
2131 Portertiawn Rd
Mailing Address
Greenville. NC 27858
cftyt5tatelzfp
T'eiephorw Number Emad Address
(Revised Aug 2014)

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