Reeves, John 80076C

_ — -<CAMA / DREDGE & FILL � u N9 80076 A B 0 D
ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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 attache
Applicant Nameq'i-p � ,,,l��Q Lo S Project Location: County
Addres��zj �6 U p 1 JI (�� V, 1 /� Street Address/ State Road/ Lot #(s) 103 ��� n
.-.�_ 4) 11.ni_ e._._%�Y _ pro'/ //_/%/
Affected C1LW ^ W !i6TA ❑ES ❑PTS
AEC(s): Ll OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ORW: yes no PNA yes / no
Type of Project/ Activity
Pier (dock) length /A 7/1
Fixed Platform(s)
Floating Platform(s)
Finger piers) I
Groin length
number T
Bulkhead/ Riprap length —Tr=
avg distance offshoreTi
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse oatl' x
r
Beach
Other
Shoreline Length
SAV: not sure yes in
Moratorium: n/a yes
Photos: ��yes��
Waiver Attached: (y
A building permit may be required by:
( Note Local Planning Jurisdiction)„
Notes/ Special Conditions
Name
Sig ture ** Pleae read compliance statement on back of permit**
8 � /c0w9
Alyllication Fee(s) Check #
Subdivision r�
City ZIP o�
Phone # O River Basin
Adj. Wtr. Body at 'wan unkn
Closest Maj. Wtr. Body
❑ See note on back
J�(
i
River Basin rules.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
�ra Cn '4
Mailing Address: d `b ' S� e 2 Dr
Ra�z `5 N L Z-1 60 I
Phone Number:
Email Address:
taure,-r'eeves Z3v &can , I �coA,
I certify that I have authorized /,�/ -74-/- h �
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ��n 6Fi , �'xZY'
7
'id/,) /�n. GiG Jr'/o� %✓`�n�GdaoY �nn�x �l,'-c.c,o i,v L1or/�
at my property located at Acc) R.y� C\ P ^� K/t� LS Ku res r &J c
in LC Ae' 1 County.
Z 4S 5 I L
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:
Signature
�`krci 6. KQev2S
Print or Type Name Vd $ 1a o
0W"kR Q�-
Title
Date RECEIVED
g ,z.L JUL. 07 2021
This certification is valid through ( / /
0CM-MHD CITY

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner: Ltuv-c, GtA j �A Pee-Je-5
Address of Property: i ?) %coat Ck PiAe KA d [ [ 3 H u r25 N t Z $ S l
(Lot or Street #, Street or Road, City & County)
Agent's Name #: I-4- e A��� Mailing Address 57�3 c'tp /jrQycrt ��iX9
Agent's phone #: 75Z
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 roopposing. A description or drawing with dimensions must be provided with this letter.
'5 —1 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. Contact information for DCM offices is
available at http •//www.nccoastalmanagement. netlweb/cm/staff-listing or by calling 1-888.4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
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)
tin e
Signature
L'a rot ,Z -e-J �e s
Print or Type Name
Mailing Address
R tt ;-<g�N 07
City/State/Zip
(Riparian Property O r inform idn)
Signature
-5GeJ�%�l -I i
Print or Type Name
GT
Mailing Address
ZZ?f 6uzL& �� At 9S�/,
City/State/Zip
q -s)-q4 1 lwrA rzeve`9I— CAq/9
Telephone Number/Email Address ✓ Telephone Number/Email Address
RECEIVED
I //�l � ( JUL 0 7 2021
Date [ .2 �/ Dare M-MHD CITY
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
L_aLkrw pn A Baler P-eeves
Address of Property: o ?, Acorn p`n,-- Kfty 1( S Hares f-
(Lot or Street #, Street or Road, City & County)
Agent's Name #: 1"� Mailing Address:
/"ri'�/r Agent's phone #: 6615- �/ = % S/ti' `i✓rsi:�� �-"c_ �'�'�� a,
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 a a proposing. A description or drawing with dimensions must be provided with this letter.
V 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. Contact information for DCM offices is
available at http•//www.nccoastalmanaoement.net/web/cm/staff-listing orby calling 1-888.4RCOAST.
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, 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. RECEIVED
I do not wish to waive the 15' setback requirement. JUL O 7 %A21
(Property Owner Information)
11)
Signature
, K gnature
Lt. p
au-, eevt�
Ptint or Type Name
Zo%
Mailing Address
R,,.IQ,-� �, N(1 71t`dl
City/StatelZip
CM 6 7301E�
�N,0,t •l
Telephone Number/Email Address
CITY
Print or Type Name
I WCAyk t'` (� : PICs. N G
Mailing Address 2,ts517/
City/State/Zip
15 2,-1 L3—`5.11 Z
Telephone Number/Email Address
Dale Date
(Revised Aug. 2014)