71415A_Gary Cosgrove_20180810

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GEN@RAn PERMIT III permit At '
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plane#(13J)d.149Y¢ E-Mall
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Applieanl'. C�b OI%Oval �ja/-� Permit p'. (i ISR
Date:
Deal te0iwlee NAaITATalawrbanufo
r me apparel All values $hmId match them e name. aunds of measurement
hand In yodr atlfAcoaesheet.
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Choose One
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362008R800 n 1-Bea4RCOAST :: ale manaoemen revised: Camels

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAWAIVER FORM
Name of Property Owner: l`X1ry
Address of Property: 13-1 rr>c- \'NPf \ i,
(Lot or Street 9, Street or Read, City B County)
Agent's phone k:
I hereby dadify that I own property adjacent to Me 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 draw no, with dimensions, must be provided with this lefter.
V I have no objections to this proposal. I have objections to this proposal.
Ifyou have objections to whatla beingpmyosed,, you moslnoflfythe ONlsfon ofCoasfelManagemenf
(OCM) In wtlheir wlfbin 10 days ofrecelpf of Man col Correspondence should be malted to 401 S.
down Sit, Me 300, Elizabeth Crty, Al 2709. OCMrepresenbtivee can also ba connected! at(262) I64
301. No response Is consfdwed the same as no morn ion If you have been nodded by CMrfiee Mall.
WAIVER SECTION
I understand that a pier, dock, meaning 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. (if you wish to salve the setback, you must Initial the appropriate blank below.)
1 do wish to waive the I6'setback requirement.
I do not Wish to waive the 15'setback requirement.
a�6a� �a�T-s'i 3tD
Teb Number/Erred AtlOrese
as\i
Oa T
Nalld for one calendar year after aignmure'
Mu
entPrope Owner Information)
s
phNi1'S k pr (i
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Maain Ad reas Jiki eC 97M
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Takp'wre Number/EmailAee sa
l) t!
(Mle'
Revibee✓an. 20f]

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Nameof Property Ow'ner'.(Sap)V i nS2q. y
Address of Property: 131
(Lot or Streetk, Street or Road, City S Countyl
Agents phone k
I hereby certify that I own property adjacent to the above referenced pmpedy. The individual
apprying for this permit has described to me as shown on the attached drawing the development
they are proposing A description or drawing with dimension must be provided wIth this letter
(/I have no objections to this proposal. 1 have objections to this proposal.
Ifyou have objectors to what Is beingproposed you mustmu ly Me Division orCoasblMarugement
(DCM)Inmaking within 10 days of receipt of this narks. Correspondence should be staged to 401 S.
OFMn St, Sfe JGq Elizabeth City, Ni 27909, OCMreprxartarves can also bet remated rt 2i 264.
3901. No response is aansiderski same as no objection It you have been nodded by CerNleL Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 16 from my area of riparian access unless waived by
me. (If you wish W waive the setback, you must Initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 1Y setback requirement.
(P operty Owner Information) (Adjacen e�Owner nform�n)
Signorm SrBnabme' //yy Lti
Gar,/ Cag9c64e !Lt&2Z
PmtorTy eNem, I Pon(or Type Name
ter. o. 4"bx 993 /ss &r w T)iji 7-R.
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d ly ar cols -� -Z2
Dole Date'
valid loose calendar year after signature' frommd.lan. W17

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C-1 R= 2403,94' L= 29.68' C- S06'25'36'E 2960' ,. Fpi N4#xgZj0'W 386"
WSM
SITE PLAN OF
LOT 24, SOUNDSIOE BLOCK 107
SOUTHERN SHORES
6URVEVED FOR
wrtic wGARY A. COSGROVE hmsHip E cDUNrr
VICINm MM (NI S) SOUTHERN SHORES NOUN CAROLINA
iv.oArtle e01ie Fi:q u: oA7 s98io-as $t.�O,,w, Igalfi9
3MSITE P 1. ROOD ZONE 8EE PLOT pp00 N. Craamn Hwy. HIII Oeeil MIIIS. N6 2]948
CFLE. 1' 40' qEC REf M.B. 3. PG. 41 pryane'. [phone] rox. Q52 LE NO,: 17-301 O.BN 304, P0. 01 ) 480-1182
WO NO.: 17301SP PIN gy 6
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Sep.21.2019 12:12 PM SeeGvove Hom0s Inc. 2522617664 PAGE. 1
SeaGrove Homes Inc.
Fax Cover Sheet
P.O. Box 943
Rllly Hawk, N.C. 27949
Phony 252-261-0187
Fax - 262-261-7664
SeaBrovehome @gmall.com
area to Ron Rancid
From;
Tax number. 2524C1 -�Ml
Tolewal".Intimating cove[ 2
The walkway/dock Isenown to scale on pest side of eu
d9 Y, it, ylw

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BEECH TREE TRAIL (60' R/w) E-1 Nim TAB, 3562'
CURVF ftTA,
L-2... NW950'-W 1714-
-3'. N44`37'24•W 13.C3'
C-1 R- 240?94' L= 2968' C= S0625'36'E 2963' L-4 NIO'33'20'W 3861'
�4nitix «iwiani w.. a. gII, wttt�PW..m.- saui.iows �"
n�e 1 am�o.fyp
L) - SITE PLAN OF
L0T 24, SOUNDSIDE BLOCK 107
SOUTHERN SHORES
pA^♦ p e EUR,EYED FOR
GARY A. COSGROVE
VI^.INRV SIZE AilAM1C IOWNSHN CARE CONNIY
1P9 (IT' SOUTHERN SHORES NORM GSOLIW
EV TE-8--1 1el8 F 1.......... R Y:'
SITE PUry ELOOD ZONE: SEE PLOT 2700 CALE: 1- . 0' REC. REF Y.B. 3. PC. 41 PM1 neN(52 lon -14 Kill DYNI Hi115. NG 2i9E8
LE NO.: 17-301 0.8 304. PG 01 ) aaI- 5 Eox: [phone]
WO NO'! 17JO15P 0 N