HomeMy WebLinkAbout92523C - Barnes, Mike a30t r4, LlCAMA C DREDGE & FILL 9 92523A B CD GENERAL Previous permit
V C�E�A� PERMIT Date previous permit issued
°' New ❑Modification 0 Complete Reissue li Partial Reissue
As authorized by the Seat of N rti Carina:D partment of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
ISA NCAC j ,' 4 = ___. ti Rules attached. 0 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent I c Iv�`��`,l(x 'l l In r '. ..../
Address (9D-7 / Project (County): iV-� y(/.•(,f�
CJ ( � Location Coun
Cit. State lf\;C-• ZIP y " 14 LI Street Address/State Road/Lot#(s) a_.
---—
Phone# !, .. L e� f c9! it.(.. Z.l % (.(ice E`.(
Email, Subdivision ,,t , f, ��City C•;,Aj� kl J 2 1,`,;s ZIP9gLi(t> •�
Affected r CW tEW PTA El ES PTS Adj.Wtr.Body
' L, (nat/man/unk)
�, J
AEC(s): El OEA INA UW 0 SPIMA El PWS Closest Maj.Wtr. ( )/ ?L1
OR1
ORW:yes/so PNAe/no p n
Type of Project/Activity 9lL/¼ p-Cii,dctqtil) i Etkist '�t ... -) V1t`ri�.�s LL/La. j
1 1 (Scale:) _.:: c
4 I
Shoreline Length_
Access Length '``'- tt ,
9
Pier(dock)length (Dr�3J { 'OW t t'\4,(A.,
Fixed Piatform(s)}�
?C / ell° ,,gip--' - .--
Floating Platform4s),. \�,"" ` ,�" i�'
Finger pier(s)-"'""
Total Platform area ' ?- �.
Groin length/f `---- " ( esi ts, It/ am'"
Bulkhead/Riprap length ±----- ,,J /� '\'`
p P gam, 1 !� 1 fJ! , t 1 r
Avg distance offshore- _._ S, .ss+ n,/ , j(�
Breakwater/Sill�.____� }` _ �J j iIr
Max distance)length -- {^) h l '
Basin,channel _ ~-• - t `` �: /
Cubic yards.__ }�}\IL -`
Boatramp ,
--n r ��� s , r...,.-ram"
Boathouse/8oatlift �r) ��d. �f �' ��� .._...,..___.
Beach Bulldozing �"'"" �� ��
Other P �,..
t i ter Lb 3 t �...t✓ t.,,,,,�'
SAV observed: yes o fI GO
Moratorium: n/a yes o �w ,i..
Site Photos: yes n \ •
Riparian Waiver Attached: yes t
f ` . f
A building permit/z nij C (` `4"'`� �� N`g permit maybe required by: � ''�• � TAR/PAMJNEUSE/BUFfER(circle one)
Permit Conditions aS {)t(, LU''/I) � ( 10(..'
-`'7 t r 1k. 1- j C See note on back regarding River Basin rules
rJ,1.. m. p 1{ A ift„..4 YvcT t1 1ao thtt,ticol,vel See additional not- - .. .ack
I AM AWAR'OF ES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND •E IEWED COMPLIAN, V,: ATE ENT. . = f
Milli ,:. ss>.C '''1) ' - 1111N,1 R-a ,i.----
Agent — El), ame Permit• 's PRINTE r Name
�i►ire._...
• Igase read compliance statement on back of permit:: ,T,:, J r r J S a`ure I ,� a '1 I ') t I 1
, c ��o)400COM'"` CAMA DREDGE & FILL No. A B OD
GENERAL PERMIT Previous permit ��
Date previous permit issued
'New Modification Complete Reissue ❑Partial Reissue
As authorized by the Stat of N rt i Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
[r
I 5A NCAC J Cl Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Nampee ) i Authorized Agent____\31, VW1 n`/ ► 42
Addr --7 Project Location(County): Sl01/(1 -
City IN State / 'D ZIP VI"`'f - Street Address/State Road/Lot#(s)�"
Phone# c.13 ( ll, (4c.L.J u,L(A___
Email ^��' Subdivision
3� 0
City C ZIP
Affected I I CW $\EW PTA ❑ES ❑PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): ,�❑OEA IHA ///��� UW ❑SPIMA ❑PWS Closest Maj.Wtr.B y
ORW:yes/s PNA:&tno
Type of Project/Activity f1_tAs , 1 A f(CC�
I J 'PIjiiLt (Scale J'-2 f
Shoreline Length ca0i)I
Access Length "--- _ 4- )._. .;_. j.... _. , i
' 1 , 1 i
Pier(dock)length (D' f 4°"]`t v "
Fixed Platform(s)
a-�!! f f• II
a 1
Floating Platform is) • UINIi
le 111 I !'!IIflIUIUi
Finger pier(s) _ 11$
1 . _
Total Platform area "0 A ' ' ' '
Groin length/# MINIIIIIIIMI 1 ��
Bulkhead/Riprap length �p
Avg distance offshore `, � ,3 i, ' ri ccutilc rr / „_i
Breakwater/Sill
Max distance/length r
pi. �' e r / _ --- --
Basin,channel � �- 4� _ /
,/
Cubic yards r �'�f '� � ��'
Boat ramp a
�) may,
Boathouse/Boatl ft IV Xi,. 01044 0 �
Beach Bulldozing "---' v.,,
Q "`..�" ik
Other1)( t' r1'.4 ,
US
SAV observed: yes o ��-"� "� "
Moratorium: n/a yes o n
Site Photos: yes n
Riparian Waiver Attached: yes . _._.----"
A building permit/z ni g permit(� may be required by: O 5I vv&/ lk ' �` \i
Permit onditions (AfifS,)C_ LkAi i I WOowt �� ❑ TAR/PAM/NEUSE/BUFFER(circle one)
(/inv. t J 0-7' / ('n ���/,L � Q ,�(e. ❑ See note on back regarding River Basin rules
j "41� �Y ' i1\ ( ��1 K.IJ��i1�C"L,( 0,,,,, See additional
he+y 40 3), �--� dditiona notes/conditions on back
I AM AWAR OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND •E IEWED COMPLIANN 4.4.ENT. (Please Initial) i
j r
Agent or Applicant PRINTEQ,(lame Permit I . Name
ri. ik
Signature**Please read compliance statement on back of permit** Si ature
'�n,iY�(J /9 i'a(3I l P J i i Id3 I(2-13i CJ.3
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: 252-247-3330 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:252-948-0478
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:910-395-3964
(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
;o.0""s'"IN ri CAMA nl DREDGE & FILL No 92523 �, ABCD
y GENERAL PERMIT Previous permit
Date previous permit issued "-----""'
I !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 I Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County): .
City State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision y�r
City ZIP 4)!J / (-/
Affected CW tkEW PTA ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): n OEA n IHA UW ri SPIMA PWS Closest Maj.Wtr.Body -4 L,-i 4 r' f-
ORW:yes/no PNAry'/no J
Type of Project/Activity L I C.A. �)-(1j kt ,t1/) ) Plf e.0_P!!: .9-1 + (i''LL',„ (h kU L
(Scale:
Shoreline Length )
'�-�. .__ _ -�-- � � .�__ � � _. � .�..� � .._.
Access Length ...��.
Pier(dock)length toX N 4` ..
Fixed Platform(s) I i ...__,
. j
Floating Platform(s)
_ a
Finger pier(s) : . a, 4I1 ' / I '
Total Platform area 7S_
L"�'1`
a
I
I
Groin length/# y , �
Bulkhead/Riprap length -- yr
Avgdistance offshore A i p tJr"4....
Breakwater/Sill - �� i
Max distance/length'-^---- ��
Basin,channel ry 4 15f .,a�
Cubic yards t. �-...
41« 1 _
Boat ramp l../ ��
3
Boathouse/Boatlift t�! 5
t \ a
1 Beach Bulldozing a �tt' _ 3 ^ }
Other ';�O,1X` -c V'�l r r wy _�.
IAJ,...f-(nt}�'cc..-sl• W
SAV observed: yes no I .••/ $
Moratorium: n/a yes no j �^ +.
� .i..r._
- 1
Site Photos: yes no 1
Riparian Waiver Attached: yes no y ;
1 I
A building permit/z ni g permit may be required by: '
Permit Conditions r� p' 4. i' ;+ / (,( Kia n TAR/PAM/NEUSE/BUFFER(circle one)
t,/i,l(� , t \ r kl'..4-f !f2. E See note on back regarding River Basin rules
f , 4: 1 `�( - 4 1/,,,r t J41/1, l ` i 1-�,v 1
�' n See additional notes/conditions on back
f)" liit.. P�ia , c„A5fti ,
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: 252-247-3330 252-946-6481
(Serves: Carteret,Craven—south of the Neuse River,Onslow Fax: 252-948-0478
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: 910-395-3964
(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
�o�°,,COmr', c❑CAMA DREDGE & FILL N9 92523 f
Date previous permit issued AB CD
1 = GENERAL PERMIT Previous permit
I New ❑Modification n 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:
ISA NCAC Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected CW n EW I` I PTA n ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): n OEA n IHA ❑UW ❑SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/0 PNA:Yes/no
Type of Project/Activity
I
(Scale:. )
Shoreline Length
Access Length `"" __ __ _ I _. _J._-_.- __ +-- -1 i_._r
an
Pier(dock)length _ \11111111111a.�
l I 11
Fixed Platform(s)
j
Floating Platform(s) :
II-1--- - --- ---;-. - v. a a g
Finger pier(s) ...._ j
' ,
Total Platform area >". l
al g , ..
Groin length/# P
Bulkhead/Riprap length .//
Avg distance offshore -.--•- ; i i
ill 11121 11
Breakwater/Sill - •0 /1
Max distance/length 't
Basin,channel ipgflp�` c +
Cubic yardsII 1
Boat ramp
Boathouse/Boatlift 1 V,/ 1/1`
Beach Bulldozing rl- . lai.amitaiiiamaid ,��
toi.amisaaralkis -it ' 111.1111111 Iiiii. ill
Other . -" wn
SAV observed: yes no ' ■
Moratorium: n/a yes no , f ""
Site Photos: yes no �.,111111111. I ' "^-.^.....ir `
Riparian Waiver Attached: yes no f *` ` Illall 1 ; !
1
i a
A building permit/z ni g permit may be required by: i'
Permit Conditions ( ❑TAR/PAM/NEUSE/BUFFER(circle one)
1 ,,
+( • ❑ See note on back regarding River Basin rules
., 1\-1,c 11
riSee 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: 252-247-3330 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax: 252-948-0478
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:910-395-3964
(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
Styron, Heather M.
From: Brandon Grimes <bandbmarineoffice@gmail.com>
Sent: Friday,August 25, 2023 12:11 PM
To: Styron, Heather M.
Subject: [External] Fwd: paperwork
Attachments: paperwork001.pdf
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the
Report Message button located on your Outlook menu bar on the Home tab.
He goes all the paperwork for dock at 223 creekview that i spoke to you about.me and tina did site visit
on. Feel free to call me if you have any questions. It pretty straight forward.Just let me know when you
have it ready, i II come pick it up and bring you a check.Thanks Brandon Grimes
Forwarded message
From: Erica Thompson<ethompson@guyclee.com>
Date: Fri,Aug 25, 2023, 11:41 AM
Subject: paperwork
To: Brandon Grimes<bandbmarineoffice@gmail.com>
Here you go.
Erica Thompson
Guy C. Lee Building Materials
Sneads Ferry, NC 28460
910-327-2388 ext.1610
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
8/24/2023
Darrell Gillmann Date
Name of Adjacent Riparian Property Owner
222 Creekview
Address
Sneads Ferry NC 28460
City. State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
construct dock & gazebo
on my property at 223 Creekview Sneads Ferry NC 28460
in Onslow 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)
If you have any questions about the 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,
Mike ���f� �s of/o -rya- s/If
Property Owner's Name Telephone Number
Address City State Zip
I have no objection to the project described in this correspondence.
I have objection(s)to the project described in this correspondence.
Adjacent Riparian Signature Date
PCirtql G+11 r,an 92o - fYs- 3//5—
Print or Type Name Telephone Number
Address City State Zip
Revised July 2021
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 114; ke �Qr/1 it
Mailing Address: � a , 21 ?
Phone Number: q'/tJ - f 1 o • (f)r
Email Address:
I certify that I have authorized / kb ii41 Oz b. '5
Agent/Contractor
To act on my behalf, for the purpose of applying for and obtaining all CAMA permits
Necessary for the following proposed development: ltZic/c
at my property located at 2 2 / 6ret°ev( Pc-
in 1 h31/u/ County.
I furthermore certify that l 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•
C
Signature
MI6
� r s
Print or Type Name
t/vUhPl'
Title
/ 16 t 23
Date
This certification is valid through / f /
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
8/24/2023
Date
Timothy Harrison
Name of Adjacent Riparian Property Owner
221 Creekview
Address
Sneads Ferry NC 26460
City. State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
construct dock & gazebo
on my property at 223 Creekview Sneads Ferry NC 28460
in Onslow 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)
If you have any questions about the 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.
& T./6' 'CY& - C-/ if
Property O%41-t
e Telephone Number
Address City State Zip
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
4 T i - 73 - 23
pent Riparian Signature Date
(rz PG,ty\,5oin fly - iV o - for-
Print or Type Name Telephone Number
Address City State Zip
Revised July 2021