Exempted_Sevage, Joseph_19940809

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT h 0 1 4_ CPU
I hereby certify that I own property adjacent to ose�� S. �� Jr -�
�Enr�rz 4Q 's property located at Lo4-1,9 FoYesl. ��1411-cS
L)VP
on 2Lpgr� \_reh (lot, block, road, etc.)
in (body of water) town and/or county N.C.
The proposal has been described to me as shown below; the development, a
CDbulkhead L structure, and the proposed location, and I have no objections
(circle one)
to the proposal. I understand that if the development is a pier, it must be
set back a minimum distance of 15 feet from my area of riparian access unless
waived by me. I do o not wish to waive that setback requirement.
Desaipticn and/or dm ing cf Mposed dMtCVrEnt: (to be filled in by individal
oPCqocsin9 dme1cpmnt.)
Roo
2S 8 20
1$
(Original mist be retained in the Inspectial Dgmrtma,lt)
affa�=
Signature
rid J
Name (Please Print)
• I�.o�- � � Te i s� ,r er �S

ADJACENT RIPARIAN PROPERTY OWNER STATEMEW
I hereby certify that I own property adjacent to Jc"Jel W S: .S4Vv41C
Sf ✓9Gcr 's property located at
on �1za� p C'rr l= 4w/r in C �.Q/-� G / d (lot, block, road, etc.)
N.C.
(body of water)" town and/or county
The proposal has been described to me as shown below; the development, a
ie bulkhead ( structure, and the proposed location, and I have no objections
(circle one)
to the proposal. I understand that if the development is a pier, .it must be
set back a minimum distance of 15 feet from my area of riparian access unless
waived by me. I do ao not wish to waive that setback requirement.
Description MWbr drawing of Frgrsed developmnt: (to be. filled in by ikxUvidual
=?nos prgJ061I1g dwelcpimt. )
• ' r, 40
20'
n
R
IL
(Origiml mist be retained in the Inspection Dgmrtmat)
ignature
J�mc--s F I ILL-6
Name (Please Print)