Ballou, D. A. 76649C

CAMA / ❑ DREDGE & FILL
6 ENERAL
ew flModification
As authorized by the State of Nortl-
and the Coastal Resourceg Commit'
Applicant
N9 76649 A B (J D
PEKMIT I Previous permit#
❑Complete Reissue ❑Partial Reissue Date prev' us permit issue
Carolina, Department of Environmental Quality n
in a ea of environmental concern pursuant to 15A NCAC (
les a shed.
SXU
Project Location: County

Styron, Heather M.
From: DA Ballou <[e-mail]>
Sent: Monday, June 1, 2020 9:35 PM
To: Styron, Heather M.
Subject: Re: [External] Adjacent property owner signature
This is an ez dock boat port 1 Ox24 and access dock 10x19 to the it. It will replace the lift that got tore on the
other end. it is not an additional slip
Sent from my iPhone
On Jun 1, 2020, at 1:56 PM, Styron, Heather M. <[e-mail]> wrote:
What are you proposing and what are the dimensions? FYI If you are wanting a forth slip area this cant
be done through the general permit process.
From: DA Ballou [mailto:[e-mail]]
Sent: Saturday, May 30, 2020 5:33 PM
To: Styron, Heather M. <[e-mail]>
Subject: [External] Adjacent property owner signature
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious
email as an attachment to [e-mail]<mailto:report.spam n�nc.Qov>
Heather,
Here is the paperwork for adjacent neighbor the Shaw's. Elizabeth Duff. Thank you DA
<image001.jpg>
Sent from my iPhone
�5

ACI AMT RIPARIAN PROPERTY OWN pp
I h61„ry cants tha,1 own IxoGbtY MjaoaM l0 1. Yz 1.,k'1 l ` 1I -6
In"
1 .
(WatArbadyl (Olh/Tawtl andl�Covnh)
T�h'�n�BVIDlkAM has dexntsa to me, os 6hown bhe tM aioly tvelop ,j p6vo66l at tM pbrrry
, „LL, I have nq opjelton to tN, P opusnl
1 hove obpdbna to Nis prnp»w
.."P,"""PON ANtROR nRAWINO OF PROPOSED OEVEIOPMF FIT(WIV1id6.a1 propoVV devolopment mu it fill In doacripdon bboWow a attach a sill
WRI4ER SECTION
I undi ndand that a firer. dock, moormR pangs, bmakwater W81hdt`ge`, I!; of fly rt11ri ate
back a minimum distance of 15' from my aroa of rpanan octets Militia warvod bry me (11 you
wish to waWaft setback, you must Initial the appioptialo blank bOtoW _
I do Math to waive the 16 eelback requirement r
I do not wish to wobo u+o 15' setback reyuirernent
c�ry�srara C r_ l*6Pi

I hereby certify that I own property adjacent to
property located at �1
h \\ % n ie
and/or
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location..
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(IndividuaLrop ing development must fill in description below or attach a site dra ing) _
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
Date
I do not wish to waive the 15' setback requirement.
(Adjacent Property Owner Information)
Signature G
\A131f R!A 1b 0, h a,Lf
Print or Type a e
(Revised 611812012)

I hereby certify that 1 own property adjacent to �S k f 's
ame of Pro rt wne .
property cat d at 1c,
ddress, Lo , BI ck, Rs d, c.
Oil `� C , in
N.C.
ICitvITown andlor Co ntvl
The�M has described to me, as shown below, the development proposed at the above
location
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
r/ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Adjacent P
or
Information)
u h+
Ma't (V�66 gdc),r \ ! M�t tVl DY1°�j G5ss
1-,
City/St' Ci /State2ip
L�� ��2 - -11215' -a3?, 7J5 -Ay
Telephone Nf fb-e(—) Telephone Number
5oC, ����� '5--0'/5'
Date Date
(Revised 611812012)

t hereby certify that I own property adjacent to
at � v
C-
�Muu.... .
on Z� f L , in �a Ln1 N.C.
(Waterbody) (Cityrrown andlor Co nty)
The applic�fit has described to me, as shown below, the development proposed at the above
location
I have no objection to this proposal.
I
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual p oposing development must fill in description below or attach a` /sittee drawing) \,\
it��� YES —
G
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