Ward, Eric David 91144C

CAMA L:] DREDGE & FILL yQ 91144 A B �D
lENERAL PERMIT PrDviDNspen
i Date previous per issued
T4Nevv _]Modification LJComplete Reissue 11Partial Reissue
As author.zed by t e St a of North Car Ina, Depai tmem of Environmental Quality and thn Coastal Resources Commission in an area of environmental concern pursuant to:
15A NC -AC _ } � __- _— - ___. __ 1 Rules attached. I -) Gpnpml Permit Rules available at the following link: w.ww,de, n4$o-ICAPI rultis
Applicant Name
City 1P-
Phone a
Email
x.AXI ILi__ (.�C/b t _ Authonzed Agent _I - -I j- _.-1 --1-4
,A ' ix�^�-a _•. Project Location (County):
State - VIL �- ZIP 97,.AL96- Socut dress/Statp Road/Lotd(s)
Subdivision
city -
ZIP
Affected CW I EW PTA]ES I_ IPTS Ail Wtr. Body ._ _. ._ _... _ -- (nat/manfunk)
AEC(s) : OEA IHA UW LISPIMA 0PWS �If �,,�(�
'��N ��yy((�� Closest Maj. Wtr. Body __iT��
ORW:yes,gto) PNA: yes/nbri
Type of Project/ Activity
Shoreline Length
Access Lenglh 4 'Xl776(XAADA�50(,VVP AN VJ
Pier(dock) length y�i , `+ x�0 1r10rew
Fixed Platformis)
floating, Platform(s)
Finger piers)
Total Platform area
Groin length/llWIWI)
Bulkhead/Ripraplength
Avg distance offshore
Breakwater/Sill___-_. __-
Max distance/ length
Basin, channel_
Cuhic yards
Boat tamp _-16E 1i1�5D�
Boathouse iv
Boa th — IN✓__1O /y
ne,.h nulldwi^e
Other �(
SAV observed: o f ��
Moratornm: nJa yes no aU
Site Photos'. yes no
Riparian Waiver Attached. yes
A building perms/rnyngperm)f may be Iequired by:
V�
Ills: 1 I v t
V.. 4E
✓EA�OFF STATUTES, CPC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AN R VIE E
IF
plicanl PRINTCO fan c --- -� - - - --- _-- Permit Ofha
/aspasp,e nee statement on back of permit" Signs
0
(scale;
evv aA,
LJ TARlPAMJNEUSE/BUFFER (circle one)
See note on back regarding River Basin (tiles
See additional notes/mndioonsoon back
APU STA EMENT. (Please Initial) —FAD
IN DNa
fee(s) Ched A/Money Oidei Issuing Date

Styron, Heather M.
From: Customer Service <[e-mail]>
Sent: Monday, February 6, 2023 10:37 PM
To: Styron, Heather M.
Cc: Nick Farrugia
Subject: [External] Riparian Forms
Attachments: CAMA Agent Authorization Form and Letters.pdf; Delivery Reciept
1.1PG; Delivery Reciept 2.JPG
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Heather,
Attached is our completed riparian forms, agent authorization and delivery receipts for our property
located at 155 Maggie Leonard Lane. What other items do you need from me to start the process of
permitting our dock?
Thank you for your help.
Eric Ward
- President
Asheboro - Headquarters
3297 Old Cedar Falls Rd.
Asheboro, NC 27203
[phone] office
[phone] fax
www.triadheating.com
Greensboro
806 Green Valley Rd. #200
Greensboro, NC 27408
[phone] office
Elkin
143 W. Main St.
Jonesville, NC 28642
[phone] office
41

Rotary Four Way Test
Is it the truth?
Is it fair to all concerned?
Will it build goodwill and better friendships?
Will it be beneficial to all concerned?

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: C R L c-- :�) A, N-L E L W A tL D
Mailing Address: 3G5 3 tea, r v a ,�, ��r Wt �► i� .
(�sl�Q.borc� SIC ITZ65
Phone Number: IS34p) 9 Wy - 5BB`S
Email Address: D_ ( oa r (0 q 5 4
I certify that I have authorized
Agent
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
--Docle-
at my� property located at 65 M' o,%o. -g L—oA- L L 11, �¢ JibJ-
in C/n-R RTE(LE T 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
Print or Type Name
Ouz) h(I- C
Title
1 l 23 l 2023
Date
This certification is valid through /

From: [e-mail]
Sent: Tuesday, January 24, 2023 2:08 PM
To: [e-mail]
Subject: USPS eReceipt
UNITED STATES
POSTAL SERVICE
ASHEBORO
_.........................................1030, SNCHCHURCH S.T
ASHEB„ ..22..6499
800 275-8777
01/24/2023 02:07 PM
---------------------------------------------------------------------------
Product Qty Unit Price
Price
-------------------- ------------------------------------
First-Class Mailm 1 $0.63
Letter
Raleigh, NC 27610
Weight: 0 lb 0.50 oz
Estimated Delivery Date
Thu 01/26/2023
Certified Mail(& $4.15
Tracking #:
70223330000177795761
Affixed Postage -$0.63
Affixed Amount: $0.63
Total
$4.15
First -Class Mailm 1
$0.63
Letter
Selma, NC 27576
Weight: 0 lb 0.50 oz
Estimated Delivery Date
Thu 01/26/2023
Certified Mail(&
$4.15
Tracking #:
70223330000177795754
Affixed Postage
-$0.63
Affixed Amount: $0.63
Total
$4.15

Grand Total: $8.30
---------------------------------------------------------------------------
Debit Card Remit
Card Name: VISA
Account #: XXXXXXXXXXXX1474
Approval #: 606113
Transaction #: 108
Receipt #: 060337
Debit Card Purchase:
AID: A0000000980840 Contactless
AL: US DEBIT
Text your tracking number to 28777 (2USPS)
to get the latest status. Standard Message
and Data rates may apply. You may also
visit www.usps.com USPS Tracking or call
1-800-222-1811.
...........................
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Refunds for guaranteed services only.
Thank you for your business.
Tell us about your experience.
Go to: https://Postalexperience.com/pos?mt=9
or call 1-800-410-7420.
.............................
UFN: 360296-0203
Receipt #: 840-52700626-3-8316034-2
Clerk: 02
Privacy Act Statement: Your information will be used to provide you with an
electronic receipt for your purchase transaction via email. Collection is
authorized by 39 USC 401, 403, and 404. Providing the information is
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receive an electronic receipt. We do not disclose your information to third
parties without your consent, except to facilitate the transaction, to act
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Postal Service auditor; to entities, including law enforcement, as required

3297 Old Cedar Falls Rd.
Asheboro, NC 27203
[phone]
[phone] fax
License# 29416 H2 & H3
January 24, 2023
Mark Daniels
5009 White Leaf Ct.
Raleigh, NC 27610
Dear Mr. Daniels,
I am writing you to inform you that we are applying for permits to construct a new dock on our lot
located at 155 Maggie Leonard Lane. All portions of the dock will be located inside our own
property lines and will be well inside the 15' setback requirement.
No action is needed on your behalf. This letter is strictly for notification purposes only. Feel free to
call, text or email me if you have any questions or concerns. My personal cell number is (336) 964-
5883.
Kindest Regards,
Eric D. Ward — President

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Er r L ` Da vl , 't- 1 L)�a S
Address of Property:
Mailing Address of Owner
W Mos-
Owner's email: Q.,,O�11tW(0f7A,5tt—g41r CAMn,61,t owner's Phone#: (33eo� y' (p
Agent's Name: Nick A[tt/l0.� Agent Phone#: r?52� rl?-9 4alr7
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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 DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what Is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contactedat
[phone]. No response is considered the some as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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 (this
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
No
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name ofARPO:GG_ I6iV— �AvIWQ-Is /t
Mailing Address of ARPO: NA(z � Q-OLR 01r. "&IFi1C��1 I N� MID
ARPO's email:
ARPO's Phone#:
Date: "waiver is valid for up to one year from ARPO's Signature"
Revised May 2021

3297 Old Cedar Falls Rd.
Asheboro, NC 27203
[phone]
[phone] fax
License# 29416 H2 & H3
January 24, 2023
James Brown
409 Pecan Dr.
Selma, NC 27576
Dear Mr. Brown,
I am writing you to inform you that we are applying for permits to construct a new dock on our lot
located at 155 Maggie Leonard Lane. All portions of the dock will be located inside our own
property lines and will be well inside the 15' setback requirement.
No action is needed on your behalf. This letter is strictly for notification purposes only. Feel free to
call, text or email me if you have any questions or concerns. My personal cell number is (336) 964-
5883.
K
Eric D. Ward — President

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
t4Name of Property Owner: F, (, �, I > G.k o. 1 (a r
Address of Property, 6S Ao.% Q � DAIS 1 f
Mailing Address ofOwner:
� �pS?j O)NiQrhl 1-A,rNn �� AS�I�O(0 I`tC MCIS
Owner's email: &61,Sg5Yti�.LintAd- eo Owner's Phone#: �33G�> 9(Oy - 5683
Agent's Name: 14)C 11: _� Af/Llfni0. Agent Phone#: C 7-15 2D 923-4-1a11
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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
I DO NOT have objections to this proposal. _ I DO have objections to this proposal.
_ - - --- --------------
what is being proposed, you must notify the N.C. Division of Coastal
ti you have objections to
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contactedat
[phone]. No response is considered the same as no objection ff you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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 (this
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: -yavvte 5 k&rO Z h
Mailing Address of ARPO: 40'J �¢ coy t jQ� rvla r (�(� QiSr%i0
ARPO's email:
ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature"
Revised May 2021

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3297 Old Cedar Falls Rd.
Asheboro, NC 27203
[phone]
[phone] fax
License# 29416 H2 & H3
January 24, 2023
Division of Coastal Management
400 Commerce Ave.
Morehead City, NC 28577
Enclosed is our check to cover the dock permit fee for our property located at 155 Maggie Leonard
Ln. Our authorized agent Nick Farrigia will be picking up the permit. Please let me know if you have
any questions of concerns.
Kir
Eric D. Ward — President
[phone]
-0 ao v
#
RECEIVED
FEB 13 2nz3
0(;M-M"L) (;17'Y