87605D - Russell

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: GI
Mailing Address:
47,1
Phone Number:
Email Address: -{ HC
certify that I have authorized'i`'`�
Agent / Contractor '
to act on my behalf, for the purpose of applying for and obtaining all .CAMA permits
necessary for the following proposed develop en051
t:
.6�A*W
.-;at my property located at 1
in (5Vj( County.
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 agentsto enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
'S/ignature
. Print or Type Name
Title
/ IL
Date .
This certification -is valid through2yz2-

olvi�ION OF7GQASTAL 'MANAGRMIRNT ..
AWACjENT EtIPARtAN PROPERTY OWNSt NOInFICATIONMAIYEA FORM-:,
(roP portion to be opged by;ownec:orthetr,ag�r�tA
trtt� AQdress df f
riets.ttraalt: " Q_„OwrtcfsFriona*:
Nen s Name: Agent
JlD4P/1Cjzp ''RIPAPMN P, ROPOm,y OWNIEWS CERMFICA=N
0 ttarcby aerfilj€ that a 6a.rprtyd4ii e�Ote [naSiir orrt appEg uy4 taWs':
pemt 1s'd. as shmn;.on the attached dtawmq,,,the developrnent'thay are.proposLng. &
won o� 9t iwlna with d $i must Ise 616A d wish tht ,�r
Dta NOT h*ok 04���.ba talc propmSml t.Doti�va of rr� tc� �r� pr�apgsaf.. f
i±ryou, ltQifi.ot4wtYofi 'WtYdi'dS'�dilr�QlQ�W -Division of
illans tMvrtt ) in twrftltt9 irJiitfat #t). r or.iecsrfpt,afflyds nctkgr C46rrespandorrro lte�uFd 6e
nnm4U0 �',io: TY7► CarWn;!''Difi Ext'., 11frndrn cn,:l11C' 8t05 ''!] id�,:r i s�trteilres carr'aifso his i
coati coed of (210) 79V-7►�ZtB.'M* i°res rrsa'Is coMslderasd• � sartro eut ara vt�J on 7f you ti xva brr ;
" nCiFtlirld'=�!:Crrrtll9'odJlletl�G' ' � ' - .''
14tmefit7fld ltLgt �rsy PropM+d P�..d�• rttiD9 V R�►►a�s:.baat a ,p: b=kw liter, boathouse, Jet' or :.
C&ID inumt be set back a•c Un murn d�trtr�oe at 1� fl?®m rtry`aroa ;ot rtp�rign 8ocess unte .wratsrad t ` me
(tEtis m root bt tO t bltliU�eiaw.) 0 o' p rairebilrlrt�} .(IfYou "t !srraaf4 tha'ac .yob
{ 0►t�.+iamt� ki arrd.saU ot�the:,i
S,gaaW YcCiacaoat Ft'peuao �Pffj! OwtK3t �
t da ttatwtsh to:wra3vo ttimr 151 iVw6 _M'gjrfterr�ant (InluaF 4ttd.4tankj
'atrtat�r+e Ol Aodt I�Ipactsh PMY Owriar I
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+Rovis�dJuly 2021
2

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
S�TIFIED �a1 R T Rh, RECFIpT REQUFSTt=n er FL4ND DELIVIERY
(TOP portion to be Comb tpleted by owner or their agent)
Name of Property Owner �Pn (St + YiODU yk R�xtP ll —
Address of property. or e P I
Mailing Address of Owner -
Owners email: Owner's Phone#- Z ��
tj ei m
Agent s Name: Agent Phone#.
Agent's Email
ADJACENT RIPARIAN PROPERTY OWNER'a CERTIFICATION
tt» Adlaunt Prowrtv Ovmsr)
own PnoPerty adjacent to the above referenced property. The lndivktual applying fc
Pamtft has described to me, as shown on the attached drawing, the development flay are proposii
IRIMiltigr1 Or dry for ryrth dimensions must be -provided w t S IPnPI
100 NOT have objections to this proposal i DO have objections to this proposal
it YOU have obJacffons to what !s baing proposed, you must nobly the N.C. Division of Co
uWagsrnarrt (DCU) 1n wrfdng wlthln 10 days of racefpt or this notice. Correspondence shout
mailed to 127 Cardinal Orfya Ext, WAmington, NC 2UOeT-JW, DCM representatives can als,
conaKiiad at (910) 796all. . No rasponaa !s considered the same as no obJectlon tl you have t
nodfled by Cpitt►od Ifal/.
WAIVER SECTION
1 understand that any proposed pier. dock, mooring pilings, boat ramp, breakwater, boathouse. im, yr
(blips does not ply to bulkheads or ri�prapr otrevetrt re .R } area Of dPaian access unless waived by m
the appropriate blank bekrw.) I ( you wish tc wa ve the setback You s s
1 DO wish to waWe somalall of the 1 V
SV tum of Adjaoant -OR-
Riparian property Owner
I do not wish to waive the f 5' setback requirement (initial the blank),��
ARPO's small: A"ft PhonN:
Dab %VWV t b valid fob up 10 ens year frem Altme filpnature-

MacPherson, Tara
From: Stephannie Covington <[e-mail]>
Sent: Thursday, June 23, 2022 4:31 PM
To: MacPherson, Tara
Subject: [External] 416 East Bay
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Hey Tara,
Howard met directly with the neighbors this morning to get signatures.
See attached.
Thank you!
Stephannie

MAP FOR
HOWARD
DENISE I
CITY OF SOUTNPGR7
DRUNSMICK COUNTY
NORTH CAROUNA
DATE. NOV. 14. 201E
UPDATED JUKE 14, 2(
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Date ReceNed
Date Deecsbed
Cheek From(Name)
Name of Permit Holder
Vendor
Cheek number
Check
amount
Permit Number/Comments
Receipt or Rerund/R--located
Calumnf
Co1umn2
Column
Calamn<
Co1umn5
COlumn6
Column7
Column6
Column9
7/11/2022
James North
Nelson
Wells Faro
24469
$ 200.00
GP #87614D
Tmac rct. 19340
_
7/11/2022
James North
Roseman
Wells Fargo
24480
$ 200.00
GP #87746D
BH rct. 18065
7/11/2022
Southern NC Marine LLC
Ormond III
First Bank
1533
$ 200.00
GP #87764D
JD rct. 17999
7/11/2022
James Bucek
same
Wells Fargo
10966
.$ 200.00
GP #85641D
JD rct. 18000
7/11/2022
Decks to Sea, LLC
same
PNC Bank
6257
$ 100.00
GP #87763D
JD not. 17998
7/11/2022
Decks to Sea, LLC
same
PNC Bank
6256
$ 100.00
GP #87763D
JD rot. 17998
7/1112022
Sea Dog Marine Construction
109 Salisbury LLC
First Bank
1805
$ 200.00
GP #87797D
PA rct. 18048
7/11/2022
Sea Dog Marine Construction
Vinroot Family Rev Living Trust
First Bank
1804
$ 400.00
GP #85977D
PA rct. 18047
7/11/2022
Sea Dog Marine Construction
Hegarty
First Bank
1812
$ 200.00
GP #85992D
PA rct. 18049
7/11/2022
Sea Do_ Marine Construction
Scudder
First Bank
1791
$ 400.00
GP #87796D
PA rct. 18046
7/11/2022
F & S Marine Construction LLC
Daniels Jr.
First Bank
1024
$ 200.00
GP #87759D
BH rct. 18066
7/11/2022
F & S Marine Construction LLC
lHolding
First Bank
1023
$ 200.00
GP #87747D
BH rot. 18063
7/11/2022
The Pioneer Grou NC Inc.
Russell
Wells Faro
2662
$ 400.00
GP #87605D
Tmac rct. 19338