86041D - Turner

&0(OSr"`&❑CAMA ❑ DREDGE & FILL N9 86041 A B C
Previous permit
Date
GENERAL PERMIT
previous permit issued 0 New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue [, q •Z7. za A ►, k,,/
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 '� ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name t�—�Ud` Q V Authorized Agent 1��" ' � � + �. �ti ' '• L.—
Address hC�� 1 Cam t✓y kProject Location (County): t��^h w
City Mt V 1 ��QC, LiC tie �' ZIR�o ` Street Address/State Road/Lot #(s)
SAME
Email N A4Y1 e 0 Y AP,✓ Q f 0YY1 Subdivision
City
Affected ❑ CW [EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body { t�l , +/ t t j `� (nat/man/unk)
AEC(s): ❑ IDEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body A i Y r r V I Y Vvt c` c� t t ✓y u�1
ORW: yes/no PNA: yeg/nq'
Type of Project/ Activity \V\ �1 ,
e�ncwGch ) s' v
Shoreline Length �d— U
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouseseoatli i�0 X 9
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: 10 y no
Site Photos: no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be rEy . . , r. •,,_ -
Permit Conditions P' i�,
(Scale:I ' '�V )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name ... l
l t
Signature "Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Signature
Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Manaeement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

fA d(Wrk60CAMA ❑ DREDGE & FILL 9 86041 — A B C 0
PreviGENERAL PERMIT Date
sous permit
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
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 kA- • OL Q V Rules attached. D General Permit Rules available at the following link: wwrr.dCq nc,ggv/CAMMuies
Applicant Name _ Ti�Wti� --
Address �� 1✓V
City /C�.rSytate KL ZIP _
Plwne # ('t� } y 4 1}, ifs 7, ` {
Email
Authorized Agent _ �� "�l L r+� ` s c t'T t K- - t Y L tr(
Project Location (County): h
Street Address/State Road/Lot #(s) ,,AA A SAYE
Subdivision
City
Affected DCW VEW PTA DES �PTS Adj. Wtr. Body L—U I V CIA_ /4—Cam
AEC(s): F]OEA F�IHA ❑UW [:JSPIMA ❑PWS Closest Maj. Wtr.Body A},WY�rld�tE�
ORW: yes(s)PNA: ye rsoi l t r
Type of Project/ Activity 111�.51 r X r �t�t" t t1—
.+jL i s r
Shoreline Length.
Access Length _
Pier (dock) length
Fixed Platform(s) ,
Floating Platform(s)
Finger pier(s)
� 1
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill f,(
Max distance/ length
Basin, channel
Cubic yards
Boat ramp s
Boathou Boatll
Beach Bulldozing __ t
Other
j.,_ E 6 `r CUT'
5AV observed: yes no (kYmcs )
Moratorium: ® y no sW vtO
Site Photos: no �.� `` t/_ J p11
Riparian Waiver Attached:: yes no �'i P %C-� (4 S } ctt C-Dlh t(�
A building permit/zoninj permit may be required by + �^
Permit Cpnditions i�i lTlOC ` s G L F/► e�
(Scale:(' 3V i
Ck
0
40
1W,,
❑ TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES CRC RULES AND rONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE ^STATEMENT. (Please Initial}
en or plican PRI TEO me Per fficer' RINTED Name �.
s..
Signa u e "*Please rea ante state n on back of p mit" Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date

�0X19 = 3c4)
7118 aq
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Wayne Turner
Mailing Address: 52 Pelican Dr.
Wrightsville Beach, NC
Phone Number: 919-449-8043
Email Address: [e-mail]
I certify that I have authorized Coastal Boat Lift Repair, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Installation of new boat lift
at my property located at 52 Pelican Dr.
in New Hanover County.
/ furthermore certify that / 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:
Signature
Wayne Turner
Print or Type Name
Owner
l Title
Date
This certification is valid through ! /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Wayne Turner s
property located at 52 Pelican Dr. Name of Property Owner)
an Lees Cut (Address, Lot, Block, Road, etc.)
in Wrightsville Beach N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
r, I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
individual ra► � .
� p posing aleve%parent must �11 /n description below or attach a site dratarl,rtg)
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.
ation)
Print or Type Name
52 Pelican Dr.
Marlin Address
Wrightsville Beach
Cityy/Statelzip
919-449-8043
Telephone Number email address
naw
*Valid for one calendar year after signature'
(Adjacent etty Ow biatio�'�
Si rant rr
rred Smith/f
Print or Type°` ame
50 Pelican Dr.
Mailing Address
Wrightsville Beach
city/state/Zip
Telephone Number / email address
Lhrtr •
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Wayne Turner Is
property located at 52 Pelican Dr. Name of Property Owner)
on Lees Cut (Address, Lot, Block, Road, etc.)
in Wrightsville Beach
N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location. A( ?Eg -p _ AF
x I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
Ondividual proposing development must rill in description below or attach a site drawing)
M&VS 5 FlUt4aS Mok-Y01,AUM Of -V'-V0 'FEET GtAC-t2CACA4MEtAT
1, I-ATO I-JA V=- t 5 ' ZeVb AC.V- 9,0�U I VA-=-t'*A ev-AT R JUE
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.)
X I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature
Wayne TuPier/
P int or Type ame
912 Pelican r.
MaifinqAddress
Wrightsville Beach
CIstatelzip
it09-449-8043
Telephone Number /email address
Date
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
sig�n&ure
James Smith
Print or Type Name
54 Pelican Dr.
Mailing Address
Wrightsville Beach
citylstatwZIP
Telephone Number/ emaddddress,
Date*
(Revised Aug. 2014)

r
w
0
00

Elks, Katharine B
From:
Jim Smith <[e-mail]>
Sent:
Tuesday, March 22, 2022 9:54 AM
To:
[e-mail]; Elks, Katharine B
Cc:
[e-mail]; [e-mail]
Subject:
Re: [External] Permit-52 Pelican Dr
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Yes Amanda described the work accurately. Jim
-----Original Message -----
From: Wayne Turner <[e-mail]>
To: Elks, Katharine B <[e-mail]>
Cc: Amanda Banks <[e-mail]>; [e-mail] <[e-mail]>; Doug Banks
<dougban [e-mail]>
Sent: Tue, Mar 22, 2022 9:49 am
Subject: Re: [External] Permit-52 Pelican Dr
James
Can you respond that you are ok with us moving the piers over 2' please
Wayne Turner
Turner Asphalt, Inc.
5805 Lease Lane
Raleigh, NC 27617
Cell 919 730 1046
Office 919 784 0014
Fax [phone]
www.TurnerAsphalt.com
North Carolina -South Carolina -Virginia
On Mar 21, 2022, at 4:07 PM, Elks, Katharine B <[e-mail]> wrote:
Received. Thank you Mr. Turner.
Katharine Elks
Field Representative - Wilmington Regional Office
NC Division of Coastal Management
Department of Environmental Quality
[phone]
127 Cardinal Drive Ext
Wilmington, NC 28405

NC.
- '" thinq rnparts,-,�
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Wayne Turner <wayne@turnerasphalt. com>
Sent: Monday, March 21, 2022 3:39 PM
To: Amanda Banks <[e-mail]>
Cc: [e-mail]; Elks, Katharine B <[e-mail]>; Doug Banks
<dougban ksconstruction@gmail. com>
Subject: Re: [External] Permit-52 Pelican Dr
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Yes You can go to property anytime
Wayne Turner
Turner Asphalt, Inc.
5805 Lease Lane
Raleigh, NC 27617
Cell 919 730 1046
Office 919 784 0014
Fax [phone]
https://Iink.edgepilot.com/s/32797474/AEZy4BHeYOmPfW17LmFuvA?u=http://www.turnerasphaIt.com/
North Carolina -South Carolina -Virginia
On Mar 21, 2022, at 3:26 PM, Amanda Banks <amanda(a)-coastalboatliftrepair.com> wrote:
Good Morning Katharine,
The applicant's current boat lift has a cradle length of 14' long. The new boat lift will have a 16' cradle
length. Therefore, we need to pull up the 3 outside pilings and shift them over 2' to accommodate the
larger lift (longer cradles). We do not have a drawing or survey.
I have included the applicant and neighbor on this email and ask that they please reply back if I have
inaccurately described the proposed project.
Thanks!
Amanda
Doug & Amanda Banks
Coastal Boat Lift Repair
252.635.8494 Doug
252.671.1196 Amanda
Visit us
online htWs•//link edepilot com/s/fe3a3c76/Sg6Hp1aZBOm9b9ZhlOI9VA?u=http•//www coastalboatliftrepair com/

HOW RE -.YE DOING' -A'* Re clew us on
LEAVE US A facebook� o gle
REVIEW!
This message may contain confidential and/or privileged information. If you are not the addressee or authorized to receive this for
the addressee, you must not use, copy, disclose, or take any action based on this message or any information herein. If you have
received this message in error, please advise the sender immediately by reply email and delete this message. Thank you for your
cooperation.
From: "Elks, Katharine B" <[e-mail]>
Date: Monday, March 21, 2022 at 8:54 AM
To: Amanda Banks <amanda(cD-coastalboatliftrepair.com>
Subject: RE: [External] Permit-52 Pelican Dr
Hello Ms. Banks,
I've received your paperwork attached to the email. Do you have a drawing or survey showing that
moving the pilings would encroach a max of 2' like the neighbor notification indicates? Also we have to
make a site visit for any permit. I will be on the island today around 10am for another appointment. If it is
ok with the applicant I can swing by 52 Pelican to do my visit. Otherwise we can schedule something
later in the week. It should be a pretty quick visit.
Thanks,
Katharine Elks
Katharine Elks
Field Representative - Wilmington Regional Office
NC Division of Coastal Management
Department of Environmental Quality
[phone]
127 Cardinal Drive Ext
Wilmington, NC 28405
a
:- - ---Nothing Compares.-%,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Amanda Banks <amanda(a-)-coastalboatliftrepair.com>
Sent: Friday, March 18, 2022 2:08 PM
To: Elks, Katharine B <katharine.elks(a)_ncdenr.gov>
Subject: [External] Permit-52 Pelican Dr
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious
email as an attachment to Report Spam.

Good Afternoon Katharine,
Please find attached the permit application for Wayne Tuner at 52 Pelican Dr, Wrightsville. Let us know if
you have any questions or if there's anything else you need. Once we have confirmation from you, I can
get a check heading your way.
Have a great weekend!
Amanda
Doug & Amanda Banks
Coastal Boat Lift Repair
252.635.8494 Doug
252.671.1196 Amanda
Visit us online
htWs://link.edZepilot.com/s/fe3a3c76/S` 6HpfaZBOm9b9ZhIO19VA?u=http://www.coastalboatliftrgpair.com/
HOW -RE WE DOING! **** Review us on
LEAVE US A
#acebook ro gle
REVIEW!
This message may contain confidential and/or privileged information. If you are not the addressee or authorized to receive this for
the addressee, you must not use, copy, disclose, or take any action based on this message or any information herein. If you have
received this message in error, please advise the sender immediately by reply email and delete this message. Thank you for your
cooperation.
Links contained in this email have been replaced. If you click on a link in the email above, the link will be
analyzed for known threats. If a known threat is found, you will not be able to proceed to the destination. If
suspicious content is detected, you will see a warning.
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detected, you will see a warning.

CAMA DREDGE & FILL 63
ko'ENERAL PERMIT Previous permit
New Modification 'Complete Reissue Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources e
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Z�l /2e!Pz�,
Rules attached.
Name Project Location: County
--,,l
Street Address/ State Road/ Lot #(s)
4tate A/ ZIP
10 A, Fax#
ed Agent
LL CW L-AW ES D PTS
F, OEA P HHF lH 0 U BA 1 N/A
E- FIFQ
yes / no PNA yes / 6101 Crit.Hab. yes no
Subdivision
cityZIP
Phone # River Basin
Adj. Wtr. Body (nab
Closest Maj. Wtr. Body
Project/ Activity J
ck)length
)(s)
07
ier(s)
:ngth
mber
d/ Riprap length U1 I
g distance offshore
ix distance offshore
hannel W1 G-
bic yards i.
- r-
ise/ Boatlift
Bulldozing
J-
ie Length
notsure yes no
gs: not sure yes no
riurn: n/a yes n
yes no
Attached: yesno
fs
(SCWe: AW
ling permit may be required by:
See note on back regarding River Basin

)licant: �� het
Permit #: � ( 2-
tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Excludes any
Disturbance
total includes
disturbance.
Excludes any
itat Name
Choose One
includes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
ternimpacts)
amount
_
/ (2
Dredge ❑ Fill ❑ Both [IOther K
7�
�g
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑ I __
■ Complete items 1, 2, and 3. Also complete
item 4 If Restricted Delivery is desired.
■ 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.
1. Article Addressed to:
i C i 5 , _� •1d s� ,
nl. 6, REe��ED ' C
DCM WILMINGTON, NO
A. Sig ture
X ;1 ❑ AgeM
/>Le .tu ❑ Addressee
j
by (Panted N C. Date of Delivery
t tt I F r
D. is dWhay address different from item 1? ❑ Yes
If YES, enter delivery bel)w: ❑ No
s�
3. Service Type
❑ Certlfled Mail ❑ Express Mail
❑ Reglsterad ARetum Receipt for Merchandise
❑
Insured Mail ❑ C.O.D.
U L L, 172013 4. Restricted Delhrery? Oft Fee) ❑ Yes —J
— i
2. Article Number 7 012 1010 0001 9023 8 311
(Transfer from servJoG ---'i
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-15

IAL SURVEY OF
52 PELICAN DRIVE
LOT 9 CHANNEL ACRES
TOWN OF WRIGHTSVILLE BEACH NEW HANOVER COUNTY
NORTH CAROLINA
DATE: NOV. 19, 2013
REFERENCE: DB 4952 PG 2971 MB 9 PG 27
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IAL SURVEY OF
52 PELICAN DRIVE
LOT 9 CHANNEL ACRES
TOWN OF WRIGHTSVILLE BEACH NEW HANOVER COUNTY
NORTH CAROLINA
DATE: NOV. 19. 2013
REFERENCE: DB 4952 PG 2971 1B 9 PG 27
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Slit, A k1ttO/,_ l /1/ tt4L
Address of Property: 5-a Ior✓l te6ttl
- %..]K-I bq- , OA-1 �s v�ll� Pal._ , , Vec.),
(Lot or Street #, Street or Road, City & County)
Agent's Name #: L
Mailing Address:
r
Agent's phone t1c)r
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.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to whatis being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mai!
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
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)
Signature
') e-
.5 � iq t t uoc_ l
Print or Type Name
Mailinn 4rirlrnec
Signature
�J,-ivtIze_ 14,
Print or Type Name
10I S 3nLd S4-17- 66�
a f.:1:—_. A _I 1

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner: l�t'taUL �I'
Address of Property. re- l / e P i,,
nll"C (,c)ytr V144 U11% 1�e64G�
(Lot or Street #, Street or Road, City & County)
Agent's Name#: _ rALe-k X jA%i
Agent's phone #: _ s�2 4 ` y y S"&
Mailing Address: /09 rim �4
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 ±he �+eve!cpr;zent
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal._ I have objections to this proposal.
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. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response 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, 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. 1-n i+s e-n+, *r
V6,t
I do arrrove- a 5 Fo! vicro zc.h w+ av&, t�+� 4-hP- g.,+
(Property Owner Information) (Adjacent Property Owner Information)
Signature
751,1PQ40t -
Print or Type Name
q �
Mailing Address
m
Si nature
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Print or Type Name
l�P)
Mailing Address

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner. .54 )q A1,L,9o,- LA) /-�-1 le—'
Address of Property.- pe-lIe6 ��!ue , WnI u"/je- R , , Jl1'W,
(Lot or Street #, Street or Road, City & County)
Agent's Name #: �h /'/
� � Mailing Address:
Agent's phone yqj-jp (,�j��f /
� 3
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 lion or drawin with dimensions must be ovided with this letter.
�f- Trhc-. ve no v�J�c��.f; ��S e►s o1 ,S <� l r �' S c
� v� 1�Ui-�5 C� �
I have no objections to this proposal. _ "` have objections to this proposal.
If you have objections to whatis being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certifi Mail.
ire
101*/ �r�'� WAIVER SECTIONcQ�jp�
understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 1 S 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)
Signature
S � kgkao,--
Print or Type Name
5� f e l ie kn- bru uc.
Mailing Address
(Adjacent Property Owner Information)
Signatur
� Ji�4-t Ke-- A
Print or Type Name
Mailing Address -�

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. SE
Governor Director Secr
AGENT AUTHORIZATION FORM
Date: /6 - / 7 - 13
Name of Property Owner Applying for ermit: Name of Authorized Ag nt for is project:
k� 2
Owner's Mailing Address:
Phone Number (1 /')
Agent's Mail ng Address:
_
Phone Number /o S� 0 - q 4 Y
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to i��nst II or construct the following (activity)- t
For my property located at-i�'1--
This certific4tion is valid thru (date)
Signatuiv, I Date

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4/14/2022
David Fax same
SunTrust 1027 $ 400.00
GP #85682D
BH Mt. 17554
4/14/2022
Richard Penny Construction, LLC Wally Diehl
Navy Federal CU 2662 $ 200.00
GP #86096D
JD rat.. 17804
4/14/2022
Coastal Boat Lift Repair, L_ LC Wayne Turner
First Citizens Bank 5929 $ 200.00
GP #86041 D
KE rat. 16961
4/14/2022,
Vincent Espinosa same
Bank of America 956 $ 200.00
GP #85414D
BH rct. 17555