79301A_Powell, William & Erin_20210630

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Po R (IN W. VV Lr:- L L
Mailing Address: 539 WHITE WHAL WAY, COROLLA NC 27927
Phone Number:
Email Address:
I
I certify that I have authorized IVI A K PL- P, IR,(
'Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development: G iZ A N ( T E L E V E T I Vt C- N T
at my property located at i 31Su-oi,,4D LANDIN& tO,Al) Ki 7_1T_ 1-i*VK ,
in UA R E -County.
/ 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:
Q
Signature
Print or Type Name
Title
02 / 25 i 2021
Date
This certification is valid through 1 I

■ 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.
I. Article Addressed to:
DWAYNE L. FLENIING
«—ti 'SANf0KD '>T
FAST UVEKPooL OF1 1�tiZO
A. Si re
X Agent
_ ❑ Addressee
I by (Ffinted Name) C. jDate of Delivery
D. Is delivbry address different f em 17 171 Yes
If YES, enter delivery addr low: 0 No
3. Service jj ¢ Priority Mal Exprs esn Adult Signatureatom d Registered MaiITM
n Adult Signature Restricted Delivery Q Registered Mail Restricted
9590 9402 6189 0220 698380 n Certifi d Maile Delivery
'ail Restricted Delivery ❑ Signature Confirmation-
6 82
Delivery ❑ Signature Confirmation
a p 1 7 619 Delivery Restricted Delivery Restricted Delivery
0090 o Insured Mai
i
O insured Mail Restricted Delivery
(over $500)
PS Form 3811, July 2020 PSN 7530-02-000-9053 Domestic ReVm Receipt

CERTIFIED MAIL - RETURN RECEIPT 99QU9STgD
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
-
Name of Property Owner. L- , 1 rQ W, P 0 W it L L
Address of Property: 13JS0UIN4L7 LAt,40N6 ROAD KITT'f HAWK DARE
(Lot or Street *, Street or Road, City & County)
Agent's Name #: M A P, K PKEERP, �-PE. RRY NIARNEKAaffing Address: i U, -6-1 TvVi l- C, &P
Agent's phone #: 2-'--, 2 - 2 9 2 ---8133 C-0-1 k-1TT1't-/Avvr(<
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 de§gd9.Wn 2E dLqwLgng. wit b dimensions, must be Drovided with this letter.
I have no objections to this proposal. I have objections to this proposall
If 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
avaftbleatLffR.Ilwww.nccoastaimana-ciementnetfweblcmlstaff-listing orby calling 1-888-4RCOAS7'
No 2Wonse Is considered the same as no oa&bon 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 'It 5' from my area of riparian access unless waived by rne. (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.
Signature
EP,IN
Print or Type Name
COROLLA NC 27927
citylstatelzjp
Telephone Number/ Email Address
02 125 /2021
Date
(Riparian Property Owner Information)
Signature U -
A t4 6(4 /vi y'
Print or Type Nai-ne
Mailing Address
kfTTY N'AWK 61,C: 2-1`147
citylstatelzJp
Telephone Number I Emaii Address
Date
(Revised Aug. 2014)

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EXISTING E'U,t LIFE`
EXISING PIER
PROPOSED MARSH
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131.41 530UND RD
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134feet
EXISTING
MARSH

This map is prepared
from data used for the
inventory of the real
property for tax
purposes. Primary
!'n information sources such
as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
of the information
contained in this map.
•
s
to
1344 Sound Landing RD
Owners: Powell, William H -Primary
Tax District: Kitty Hawk
Kitty Hawk NC, 27949
Owner
Subdivision: Dennis A Perry Estate
Parcel: 011283000
Powell, Erin W -Primary Owner
Lot BLK-Sec: Lot: Parcel 2 Blk: Sec:
Pin: 986506397204
Building Value: $149,800
Property Use: Residential
Land Value: $214,100
Building Type: Traditional
Misc Value: $47,400
Year Built: 2006
Total Value: $411,300
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