Miller, William 76691C (2)

®❑CAMA / ❑ DREDGE & FILL N9 76691 A B c
GENERAL PERMIT Previous permit#
[-]New ❑Modification ❑Complete Reissue ❑Partial Reissue Dateprevipus permit issued
As authorized by the State of North Carolina, Department of Environmental Quality 1
and the Coastal Resources Commission in an area of en*pnmental kconcern pursuant to 15A NCAC
ZIP
Authorized Agent
AffectedW W El PTA ❑ ES ElPTS
EloEA HF ❑IH ❑UBA ❑N/A
AEC(s):
❑ PWS:
Closest Maj. Wtr.
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to
property located at
on
(Wa
The applicant has described to me, as shown below, the development proposed at the above
IocatigrC
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)
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)
C. IYI-
Signtature
ck)t\\,Y-YY1 C, yy\.<1t-
Print or Type Name
Telephone Number/email address
Date
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
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Signature*
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/ email address
(Revised Aug. 2014)

Progress Energy
Mr. Billy Miller
PO Box 1376
Morehead City, NC 28557
Re: Permission to install a dock in the branch near Progress Energy Property
Dear Mr. Miller:
As discussed with you a week ago on site, the location you showed me for the proposed dock to the
branch/creek is not on Company property.
If you install the dock as shown on the enclosed aerial photo and you will not be on Progress Energy
property. We do not have any problems with approving a CAMA permit for this dock on your property.
Should you have any questions, please feel free to call me at 910-619-8833.
SiA L
Steve Banks
Land Agent, Progress Energy
Progress Energy Carolinas, Inc.
5700 Holly Shelter Road
Castle Rayne, NC 28429

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to w ; � r, •,, (. cc u2 's
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pro
on
(City/Town and/or
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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
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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.)
kz I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
S,i}p'nature n _ Signaturo* CI
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Date
*Valid for one calendar year after signature'
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(Revised Aug. 2014)

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