86508A - Stiver, Edward & Laws, Lisa

3&ICOAR4, ❑CAMA ❑ DREDGE & FILL �� N° 86508 (: B C D
Previous ermit
t ' G E N E RAL PERMIT Date pre vous 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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
Affected ❑ CW
AEC(s): ❑ OEA
ORW: yes/no
State ZIP _
❑EW ❑PTA
❑ IHA ❑ UW
PNA: yes/no
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Shoreline Length
Access Length
Pier(dock)length j
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
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
4
❑ 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
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s)
Check #/Money Order Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: &)V%I� 7l V6YL-r / 54 LA-W 5
Mailing Address: Z. ?0Y NEES 4AD
1(vt oYoc K NC- Z-795b
Phone Number: ` lctb L' 9 ` t Z, -?
Email Address: JZa 5 t � V- e. r C-'�) C,Y I L . CvnO
I certify that I have authorized CA f JLZLL Fw-e
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: C-196NTaN &�Y LLAMT14VDG1Q
at my property located at Z l k k c-ILI 'PI&(?a tom" 0 (luye EXNTv N NL
in C �to WAI\jCounty. Z7 0132-
I furthermore certify that 1 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
cam, G. ST vc� �- �t S f E � - LA/ s
Print or Type Name
of YYA
Title
Date
This certification is valid through / /

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
KYLE. +LW 4rTT,4KE.
Name of Adjacent pa>a� Prgper w
t r� -W� PX
Address
ZDAl /V< 43a
City, State Zip
To Whom It May Concern:
Date
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
Btkito 0— AiA-je ki/ fir)Ut� ADa�-nAr,,,
on my property at - Q I E 1-10OJT bg , E I)EtT�
in DLOA-A County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL R IT OFFI R, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
fn/+ s CA" , 1f�2� o r2� N �
If you have any questions about tle project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
DVW D 5T, V169 + )"I'S R taws q 19_6g9-12��
Prope�Owner's Name Telephone Number
o y,�ERs
M 0Y0 c-%, A/ c, 14 5` �
Address City State Zip
—Z, have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
"acian Signature Date
1, E U) A I f-ir A 9 1 < qL9 q +
Print or Type Name Telephone Number
Address City State Zip
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
JE4AIAIC MA-RG�v T
Name of Adj
e i Eacent Ri arian Property Owner
�PbiN7 DR
Adc1reSD
City, State Zip
To Whom It May Concern:
Date
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
Gc i n n A- P i c k 01) V e.rJ-) lqO#. `Ht 6t5i!�-7
on my property at % /fEje PTjQ {jgAl /yw /V L !J
in 0-40 /ft/ll County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT MAILING ADDRESS CITY, STATE, ZIP CODE)
1,NAl ►'>'lfl 1-tl S4 � /U�pl tlEi 7-rOA D, n�c_
If youhave any questions abo t the projectse do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
DWR RIB ('54 kj,�ws
Pro erty Owner's Name Telephone Number
lA-0vocR,
z rho nlERs
nlc, aP ?5 e
Address
City
State
I have no objection to the project described in this correspondence.
I have objection( to the project described in this correspondence.
�?Do?
Adjacent Riparian gna Date
d E&6?%E TL
Print or Type Name Telephone Number
Address
City
State
Zip
Zip
Revised July 2021

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ITT
(ZIP,
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6
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