91343C - Ward, Eric

4o,4°`COAS 1 ICAMA ❑ DREDGE & FILL No 91343 ABC`, D
GENERAL PERMIT Previous permit
Date previous permit issued
n New n Modification Complete Reissue n 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 i _is &CJ n Rules attached. E. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name •C 06,01 I1,--" r Authorized Agent 40=6 l 1;.1,mil_),;;
Address _. t: ;,✓1 w V o s J Project Location(County): - -- 4 , - 4
City •I, c {,o-,a state A/C ZIP i 7 2 O S Street Address/State Road/Lot#(s) 7 w! - 'C `w i c,.-.-) ,
Phone#(_) / Y " S ✓/11 1 I-:,-, ��
Email V L-/ (� (�' l'i ii, 1 • C G' ''-) Subdivision
/ City 19 CO /41c,. f ZIP d ii S/Cz
Affected n CW E EW n PTA ES n PTS Adj.Wtr.Body t- 1 , y e, fiayman/unk)
AEC(s): n IDEA ❑IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body -'�-J- : Y-
ORW:yes/no PNA:yes/rip
Type of Project/Activity
/.
(Scale: )
Shoreline Length
Access Length , r,)c 6,11 #it/
Pier(dock)length ' 5X60 1'
Fixed Platform(s) , :> 3 �
}..
I i I 1
,
Floating Platform(s)
Finger pier(s) _
Total Platform area 2 „, T"1- • j I n"f € _
Groin length/# i S.L'ft 1.e,1 G vi - ,C1 3. , ;
Bulkhead/Riprap length �_, ,__,_ , •
Avg distance offshore
Breakwater/Sill AI f v' 0 .1 'S �J
Max distance/length j t ; / .
Basin,channel I
Cubic yards i--_ ._. .. _.__..... ;
• l
Boat ramp - -__ j 4
Boathouse/Boatlift ( }
Beach Bulldozing ij
Other !//, _..... - ; - _ -
SAVobserved: yes 'no j 1 j i
Moratorium: n/a yes no
Site Photos: yes , no - j- i i
Riparian Waiver Attached: yes no, 1 1 , 1 I - [
A building permit/zoning permit may be required by: - v 1 ..r;, ( , y
/ / ❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions n%�+ /�
, ,.• _2) 1 f•'c,, , .-i,�'k I/ t e -, o7' 'f ,,ell]See note on back regarding River Basin rules
r n 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
h/(mil/1" `---- " -- - . __
•
Signature**Please read compliance statement on back of permit** Sign ture
I i av03
Application Fee(s) Check#/Money Order Issuing D to Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/ 1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

0`444 7CAMA n DREDGE & FILL r No 91343 A B D
J 1 GENERAL PERMIT Previous permit
Date previous permit issued
n New n Modification I I Complete Reissue I I 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 - In Rules attached. l 1 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
t
Applicant Name { Authorized Agent
Address Project Location(County): i ,
City State _ ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP r/[
Affected ❑CW EW n PTA n ES PTS Adj.Wtr.Body - (nat/man/unk)
AEC(s): ❑OEA n IHA n UW n SPIMA I I PWS Closest Maj.Wtr.Body '
ORW:yes/no PNA:yes/nq
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length _ _...__._.- -.---..._- t ........_ ,..-
IPier(dock)length ' `
aIHIMCEIMIIIMIIIIIIIIMIIIIIIIIIIMIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Fixed Platform(s) ! . �.; i,�� ��i��:
'! !�i
i �
Floating Platform(s)
I
Finger pier(s) c, y ' mimmormimmimpammup ' .
Total Platform area ;/_T - MillimianimmffitinilaillEME 1-4 '''.Mil --r---- i
Groin length/# !/
Bulkhead/Riprap length ' i WillinIMMINNIIIIIIMMIN _
111
Avg distance offshore
Breakwater/Sill M Ui�� 'N
Max distance/length , -. 11111 1111111111111
Basin,channel iIliliAlN
Cubic yards
Boat rampilli
I _.+.._
_ I
Boathouse/Boatlift
�- ,■IIMNIMIIIIIIIMIIIIIIIINIIHIIIINIIIIMHIIIIIIIMIIIIIIIIIII
Beach Bulldozing 111111111.
Other
f
IMIMIIIIINIMIIIIMIIIIIIIIIIIIIMIIIIIIIIIIIIIIIIIIIIMIIIIIIHIIINIIIIIIIMIIIIIIII
SAV observed: yes no
Moratorium: n/a yes i no -- � N _N Site Photos: yes no
Riparian Waiver Attached: yes no/ „ MIIMIMMIIIIIIMMMIIIIIIIMIIMIIIIIIIIIIIIIIIMMIMIIIIMIIIIIIIIIIIIIIIINMIMIMNI
A building permit/zoning permit may be required by: r' ✓4 • 1 " `I
Permit Conditions D TAR/PAM/NEUSE/BUFFER(circle one)
- 5 ' ,i 0 See note on back regarding River Basin rules
ElSee 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

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/ 1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie, Camden,Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

dig"`" J LAMA 1-1 DREDGE & FILL - - A B C3 D
GENERAL PERMIT Mocrt��`� �d" Previous permit itl / gY
Date previous permit issued /J3f A 3
RM 54VA3
New 2S Modification —1 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:
I SA NCAC 0 7 tf r I 2°62 El Rules attached. X General Permit Rules available at the following link:vrlvvr,dea.ncc govfCAhjprvleg
Applicant Name E‘-/` a%kl1 61 ('l,a,d Authorized Agent /U i G& F 39J A
Address I G S 3 F n i r 1/1 CPI, P. o No[ Protect Location(County); COW '*
city A- 514,9 9 State Ai'‘.. ZiP ;. 7,A o S Street Address/State Road/Lot#(s) 1 S 5 A Ai I L,-z°0 M7 A✓13
Phone#(334) p'6 ~ S 8o 1? ..elr't,t !/
Emil (i rL W.1,siiJ 5 Y V ✓f/h s!f 14 C-P yin Subdivision/D A*1"-" �,�
City U YAAIo^?"" ZIP 2 9 SI4
Affected 21CW [XI EW JX PTA f i ES PTS Adj.Wtr.Body .4/e h.yr., f A iv( ' O''man/unk)
AEC(s): OEA ❑IHA UW ( 1 SPIMA L PWS Closest Maj.Wtr.Body I!fie it.,,,,i- A +`V e"
ORW:yes& PNA:yesig
Type of Project/Activity 51-4/5 j fie u', D/4i lt 4 r' )) Bo" // 4
r (Seale,j!r5)
Shoreline Length I SB I
Access Length S f x au'oval' C f✓ ..,.. I` .. �, .�_ .�.. :: '�AiP' >7I't 'T I 1 fn 1-y
Pier(clod()length 5 x 3ss'��`' )' jni I -� I - ;_-_�.i ,r >< , , ,)__ a _
Fixed Platform(s) JO'X'3'a ._ ... • ------ titf.44.,4_
"' " �L^Y^
Floating Platform(s) ` I 1,'1 I ' r, I "-"lam i 1 I'1 I111L t
1-----1 : s 1— I t
Finger pier(s) 5 ' '2 Y z ! T (. l ( y ! '
( i- -b
Total Platform area " ILO 1 i -_ I 1 1 � .1 i_ r��
j�ijj"""ttt"' ���_T�_.
Groin length/# i ; l _i. ...L__, , _ t " j , , f � j -a_ "i ..__. �r[.to
T _
Buikheac I Riprap length i- ' �..4 s._� _.j._ ..___..�j_ _ ' s l �
Avg distance offshore i - i_.r i i 1 --r 1-� .-�.- -1-j- '
Breakwater/Sill ---- I 1 { t , i"'1"-"-+""`.. ( I r _ c -99}-! { t-s- 1--+-• ,a1R •-- _..i.'-..1--1
Max distance/length -- ' 1' I ! -1 ; i_„1_,,„,;_
-- -r l i ! { t -F-=—-T- - 1--i . �-.4-i
i -L. I i ' / F-I I
Cubic yards s-^' ¢ ..�..1_�� �.. I _- ( � I_=---.{..-i-- i l__�.�...-_. +-� �._ i ".. ( 1 _` .( _7C f` i
Boat ramp t ! ; -*--r ,--i-1 ' ` i-...: }_.,1 3 .. f i t- ___
Boathouse/Boatlift Io r113' ( i --1 . i l i" r"`--i ji 4 . i i t ' ' i. I
` t
Beach Bulldozing i�ii (
_ , i ?
Other /'1nIG PQ2 1i" i .t. 1 -i 4 .4 il I .fe rtitHt. 4-
Pt sq*Ili,r!I- a' . 1 , . I t
/0. : + . 1 1 i llli
SAV observed:Moratorium: n/a yes . t- -- r--I-----r- yr+l---;- ---+^----�--..t.i_..y....s ... 4 i ' i
Site Photos: yes 1--..- --�-..i--- •- -- . 4i.--4- ' } ' . i Ti ITS
r i ; ,
Riparian Waiver Attached: yes ,. ' ' . l._--l_._J_-__.•_iL_.2._.1.._i.. .i_._._i_.,,-4-..�__:..,-..___.__._' 1 _ < i ;,,
A building permit/zoning permit may be required by: (G. `- . a' f�ti i i-
t L n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions VAIf eel I6t7S awe Gn►tA1 ,'.sHaAi5 S(ie1/ be'.th/h �1ji Aril Pie*4
3a,b, ,r�•+ ®zi w y"1401t Oki'. �.vc.k *flail (d st sil�f /�S iAil•+ri Air[b/4-"8/i4;62 pi�re, See note on back regarding River Basin rules
.$f`.t.J4/4'"4-/..t Ier/'• Cere C P'' k Y(ta(( .►,t- 67[404 742 r A-v*1 iiii.m•Kj 4 edja —j
I 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)
(IL `.". tl f•-iTEC L r t:' R.t.G,dpid /fit e y
Agent or pplicant PRINTE ame Permit Officer's P D Name
Signature**Please"'Please read compliance statement on back of permits' Signature / �/
0aJ� ) 7g7 a/i1/23 CA1 a 3
Application Fee(s) Check N/Money Order Issuing Dat ! on Date

�CAMA DREDGE & FILL N() ()f l4e1 A B C �D
;� Previous permit
F GENERAL PERMIT Date previous permit issued
)<: JNew !__Modification (-_;Complete Reissue 1 1 Partial Reissue
As autism tzet)by t St a o1 Nat th Cat ..a.Department of 1 nviintinierital Quality 3,1d lbe Coastal Rester,on Commission in an area of environmental concern,Pursuant to
I SA NCAC 1 '.) .. I 1 Rules attached I t Gen e:al Permit Rifles available at the totlowrng lurk www.tky,tK pew/CAM11ri s
_Applicant Name :.l ift_l� 1 +5..
Applicant _ 0.46t Authtxtxecl Agent i 1 t- - A,Y) r 6`...
AtldreEs �,r J /'}' � SUM7tlLdre ion(County)
City , ' I kd• State NC,, 1IP c_2 ,c. ss/Statt iio.uI'I A N(s). )
Emad Stthv A
((( Cn _.y TIP 3 S
•
AAttested171CW I LW
��� PTA HES IP1S Atli Wi, Body inaUnun/unk4
AL C(s) L i OF A t IHA I.....s 11W t I SPtMA 1 1 PWS Clown Mai Wtr licitly.._..,..1Verjek.,004
ORW ves a J PNA.ye(41
Type of Project/Activity yC.r-Aj-iyn sr�G.t� .hl
Shoreline Length_ 511 `__._, ''" . . 0'(jl` 'Gi a'.ki'"'l_.-, s--,`,....,—,,,.
Access Length Li 9p160114A C,1d1S,0 (M►' AH'ti•? I n, RP
Nei(dotkl length X 1 N'X20+L ,1„'•_•+i ' vT''T- '(,
U, 11..4 , P.(" I
I mint 1'latlrxmis)__.„._, .___......f
,..,,'.-- _ -_ tr.
�_
yIMating PtaHormis) __!"-_"`."'
finger wells) 1 /f;IXAILVJ
s t'( W
l
ti
im1a!Platform area��_,- '� t °
t fff `
Grvin h:myth/N 14_ .. ( s. ''tee
il:
Bulkht•adlRiptap length __. �._. ._---�� ) ", �'r �i-•., (//'
�.....°`'�,..-
r V
Avg dtntnnrr offshore_^»----y'' Mie��1 1�� Cl.
IsreakwaU'r/S+II ////
Max dttitance/length V
N.
Basin,(harm&_ / ��
Cohn yard% � {� ✓ y
Mal ramp _.T _.._ ,
Roathnuse B( itt 1. > 1 p4 +,�v) .j44l ��*� t-1'
n.•;,rt,rtulkinring .-- • /1/J t�tit�t' IVNAAretet—,y..aY ) Cyl.)
Other Yi1�+Lxk' 5 HOLM-A(lot+"' �x 1
SAY observed Yes V11 r t ti u' 7 - __ � - t ,_/1
Moratorium nJa 'les �1110 I cAk w,J.J
Site Photos. yes '• w.
Riparian Waiver Attached yes 1
„..
A!widow.;.pernul/z ng to may be equuM by'
TAR1PAhUNEUSEJBUFFER turtle one)
W.rrn' Cnnthtx s 1 /ti.t.Y. _j C".1
1.. •}r []See note on hack regal ding v i Rawl t uMa
��,, TI ��. re r i Ri
C2 -ktli-1.- - . - - . :). ri 44A .,,,,,b47;)421
0 SP('additional notes/conMnons on back
5 tcL,,....:..aviii .)._4_-_..e A A... pLI)Yd...3y.m...574er v‘..._ya ..
I AWA E OF STATUTIS,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AN R VIE E OMPLI STATEMENT. tPleasc him ill..,. - ___-
"�
•Agent or A phi ant r ntyJT(q �� Permit Officer . ti D Na
,i.tr/��TF'�t ase teal rtipliarnP statement oe bar I al petm,t" StL, to
t.JS.�
-*-7 2
Aoohc.Awn Fee(s) (:het t U/Munr•y(hiker Isuinp Date I xpnanmr.U.rt

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
; 1446
maw; at
.40".**40".".
Asheboro -Headquarters
3297 Old Cedar Falls Rd.
Asheboro, NC 27203 C
[phone] office
336 629-9757 fax
www.triadheatinq.com `
Greensboro
806 Green Valley Rd.#200 .
Greensboro, NC 27408
[phone] office r { on
i
Elkin " ))) ,`
V
143 W. Main St.
Jonesville, NC 28642 ,
[phone] office

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?
2

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: E R re_ Pt M L E t_ W fzt>
Mailing Address: 305 3 Fa,(v I�w :o.r .
skQ.bor0 t•I C 1(72d5
Phone Number: L3 )
- 58B`3
Email Address: O(9t&A r-t& q 5 4 q l`. r►ti a, . c oyv}
1
I certify that I have authorized Z.Lk x-A
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits�
necessary for the following proposed development: � OC-IL
at my property located at 155 (V1 A ' 99 L ar(0 Ui . 4-g2A4(oel'
in 0.--A RrE.IZE 'r 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 agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Informatii
r�
„digg#N, °Aim. Y".....11111
-iim- nature (�
Er; L Oav►.. Q \ L.�...;Gc �I
Print or Type Name
Title
12"3 t 2v 23
Date
This certification is valid through / 2-3 / 2 2-4

From: [e-mail]
Sent:Tuesday,January 24,2023 2:08 PM
To:[e-mail]
Subject:USPS eReceipt
UNITED ST/tTES
POSTAL SERVICE ®
ASHEBORO
1030 S CHURCH ST
ASHEBORO, NC 27203-6499
[phone]
01/24/2023 02:07 PM
Product Qty Unit Price
Price
First-Class Mail® 1 $0.63
Letter
Raleigh, NC 27610
Weight: 0 lb 0.50 oz
Estimated Delivery Date
Thu 01/26/2023
Certified Maile $4.15
Tracking #:
70223330000177795761
Affixed Postage -$0.63
Affixed Amount: $0.63
Total $4.15
First-Class Mail® 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 $8.30
Card Name: VISA
Account U: XXXXXXXXXXXX1474
Approval #: 606113
Transaction #: 108
Receipt #: 060337
Debit Card Purchase: $8.30
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: hops:/Lpostalexperience.comlpos?mt-9
or call 1-800-410-7420.
UFN: 360296-0203
Receipt 4: 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
voluntary, but if not provided, we will be unable to process your request to
receive an electronic receipt. We do not disclose your information to third
parties without your consent, except to facilitate the transaction, to act
on your behalf or request, or as legally required. This includes the
following limited circumstances: to a congressional office on your behalf;
to financial entities regarding financial transaction issues; to a U.S.
Postal Service auditor; to entities, including law enforcement, as required

PIO
3297 Old Cedar Falls Rd.
Asheboro, NC 27203
[phone]
°T [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+L c—Da vt%C \ IZa S
Address of Property: 0\Q)C�\ 0. QO HO(6 LA.
Mailing Address of Owner: so5.3 v,sta ( ►� . 4s W 7 >10, f2O
Owner's email:tAz.401544 ykas) t°Owner's Phone#: ( 3C ) CV )'4 - 58a3
Agent's Name: 'i 1�- row-a.VQ O. Agent Phone#: ��.5�> 9 23- go,7
Agent's Email: n 1 CV- E, t o f + v' • CO AA
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portiog 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 contacted at
[phone]. No response is considered the same es 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
-OR-
I do not wish to waive the 15'setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
c \�
Typed/Printed name of ARPO: Oil , (� pn
Mailing Address of ARPO: 6 OR 1. \AA L'Q a C .. }1 Ltc3k y Ne �" /&+
ARPO's email: ARPO's Phone#: `J
Date: "waiver is valid for up to one year from ARPO's Signature"
Revised May 2021

•
t.,40.
"'" 3297 Old Cedar Falls Rd.
f
Asheboro, NC 27203
/NCI' A 16" (336)629-7.588
ilt OOG [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.
Kindest Regards,
- ___ 1.)
Eric D Ward — President
l

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: E r r L ate , q 1 (( (k r
Address of Property: I�J� (A0. ��Q Lo.pv�A(CQ Cv► 1 r
Mailing Address of Owner:: '3OS3 aior, ,J 1—A+rw� t��-, f so0(O J4c t ln
2
Owner's email:dwarrcogSYgta,).4o Owner's Phone#: (734") Co9 - 5683
Agent's Name: Pi,IL . raif (t'k0. Agent Phone#: C2521) �23 - 4-101 j1
Agent's Email: VliLIL -7Cka. k 'acet0,•AC Lc' kA"-
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 contacted at
[phone]. No response is considered the same 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
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: -To.vv.Q 5 Qj,l p�►�
Mailing Address of ARPO: c;\ ✓- f . 5a w�a i �C 275760
ARPO's email: ARPO's Phone#:
Date: 'waiver is valid for up to one year from ARPO's Signature"
Revised May 2021

Tracking Number. Remove X
70223330000177795761
Copy le Add to Informed Delivery
1 & Delivered
Latest Update Delivered,Left with Individual
RALEIGH, NC 27610
Your item was delivered to an individual at the address at 11:44 Januarys 26.2023. 11:44 am
am on January 26,2023 in RALEIGH, NC 27610.
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Tracking Number. Remove X
70223330000177795754
in Copy Add to Informed Delivery
1 Cie Delivered
Latest Update Delivered, Left with Individual
SELMA. NC 27576
Your item was delivered to an individual at the address at 11:41 January 26. 2023. 11:41 am
am on January 26,2023 in SELMA, NC 27576.
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E.;ter*:ack nc; co oa.-:ode num^e s

30' I
• T •
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ir in3297 Old Cedar Falls Rd.
r r go, . ,...„
..3.0.1/4.-0
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.
Kindest Regards,
,l/L- _
Eric D. Ward—President
[phone]
{),02OO
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FEB 13 ZU13
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