Tippett, Kim

`XCAIVIA / 1:1 DREDOC-4, ALL
GENERAL PERMIT
1-1 New ElModification Complete Reissue LIPartial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal ResoTr!ces Commission in an area of envirTmental concern pursuant to 15A
Applicant
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Type of Project/ Activity
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No. 75781
Previous permit #
Date previous qen
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Project Location: County'
StreetAddress/ State Road/ Lot
Subdivision
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A building permit may be required by: See note on back reg r ding River Basin rules.
(Note Local Planning jurisdiction) ti
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Note Special Conditions
.1 1-1-1 Aill I i /
7
Agent or Applicant Printed Name PermitOffi(;er's Prii ii I Name
Signaturecompliance itatementon backof permit" Signature
Application Fee(s) Check# Issuing Date Expiration Date

Styron, Heather M.
From: Sherry Greenstein <[e-mail]>
Sent: Wednesday, October 09, 2019 9:29 AM
To: Styron, Heather M.
Subject: [External] 1512 Avery Street Morehead City pier permit
7nal email. Do not click links or open attachments unfeWy
Good morning Heather,
I hope you have a great day!!
We would like to renew the pier permit at 1513 Avery
Street in Morehead City.
Thank you very much for all your assistance!!
Best wishes for a great day!!
Take care,
Sherry & Kim Tippett
Sent from my iPhone
On Feb 19, 2019, at 9:20 AM, Styron, Heather M. <heather.m.stvron(@ncdenr.gov> wrote:
Daniel Williams I PUBLIC SERVICES DIRECTOR
Heather M. Styron
Field Representative
NC Division of Coastal Management
NC Department of Environmental Quality
252 808 2808 ext.216 Office
heather. m.stvron(cDncdenr.aov Email
400 Commerce Ave.
Morehead City, NC 28557
PC- Nothing Compares
Email correspondence to and from this address is subject to the
[phone] 1 Ext. 133 1 Dar

' Sherry Greenstein, CPA U 001t /� 0��
N ► � �, v�f t t._.t.► RNA s
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to I t p Ttf 5 Ace-r- }l (ErO ib c r
Na (me Property Owner)
property located at - � S (� A �� L �
on Ca
( e
(Addre , ot, Block oad etc ,fro
I C.('� —,In NMar � � tAq I (Ia, I 1L
(Waterbody) (City/Town and/or/Oounty)
The applicant hasdescribed 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.)
I do wish to waive the 15' setback. requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
r" .
Signature
Print or Type Name
(Adjacent Property Owner Information)
(Revised 61812012)
'-3

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _(S I'L V e Q) _S �.� G Is
n Name of Property Owner)
property located at /� �`� S j jZ fr. ; i n ' G . s! in
(Address, Lot, Block, Road, e4c.) on. CAc-co C�E(� in_ tifn2EF4G c�� AfU ttEi N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati
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.)
-x I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Adjacent Property Owner Information)
Signature �—
?A I&g4l A
Date
(Revised 611812012)