86565A - Sawyer, Roland & Robin

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AGENT AIJ HORIZATION FOR LAMA PERMIT APPLICATI-QN MAy 0 6 2022
1. . .. DCM-EC
Name of Property Owner Requesting Permit: Dock Name F1.,q ��,c.a Z*_
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
C) Z
7g5-Y
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
r
necessary for the following proposed development: ` �{
at my property located at G
in 6a✓G County.
1 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.
r
Sign
jj V'5�
Print or Yype Name
i�W h-G✓'
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
Name of Adjace Ripana Prop
2 73 0i _ _..�....
Ad Fss
City, State zip
To Whom It May Concern:
Date
MAY 0 6 2022
DCM-EC
This correspondence is to notify you as a riparian prope�rt��y ow„er that T ani applying for a CAMA Minor permit to
%.— l .10-Li Lt f 7-4 , PAe*' ,AJ �t�~ �.rR" . I�t�e.:.- Qs cJlSl�i� Je.7th .
on my property at G / /" Ld
in O„Yel.� 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 OFFTCFR, NAME OF LOCAL GOVF.RNMF.NT, MATLING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/n unber listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO FMAIL).
Sincerely,
k4o-ojYe.Laker
Property Owner's tame
Address
City
2s ) Y 9004
Cam_
Telephone Number
State
I have no objection to the project described in this correspondence.
I, have ol?jection(s) to the project described in dais correspondence.
t
Adjacent Riparian Signature
Print or Type Name:
Address
City
Date
Telephone Number
State
Zip
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
L nn
KDL an5oKIN
Name of Adjacen Riparian Property w
Ad r s "
arti o . AVC 27 ` .�-(
City, State Zip
To Whom It May Concern:
U ,UVEE
DCM-EC
This correspondence is ttonotify
gyou
as a riparian property
uor
roper�tjy owner that I am applying for as CAMA Minor permit to
_
on my property at Z 7 Aa
in Dare— County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for yo1 r 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 rcccipl of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or cor unents, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, N,AMF. OF LOCAL COVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my addresq/numher listed below, or
contact (LOCAL PERMIT OFTICFR) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Property Owner's Nfime
Address
city
G ��) - -3 o S-- irr)4
Telephone Number
State
f have no objection to the project described in this correspondence.
I have objection(s) to the pro iact_deserihed izirtliis correspondence.
dy ent Riparian Signature Date
Prim or Type Name
Telephone Number
"Lip
Address City State Zip
R sed

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