72266D - Britt

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFiCATiON/WAiVER FORM
Name of Property Owner: TEF t= tz.C-y 13a_ t T
Address of Property: ► 12- ZB 7H S!_j t r-T- S a ©A K `t-S L A rJ
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
.1 fc F E i3
Mailing Address:
t Z 7$'r1` S-T'
Agent's phone #:
1 c> -101 cl S ci S,
O a,
S s, L—A -i b r.)C
zt4- 6 �
_ _--
I hereby certify that I own property adjacent to the 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 drawing with dimensions must be provided with this letter.
ft'e_ I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if Lou have been notified by Certified Mail
WAIVER SECTION
1 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)
Print or Type Name
t e Z 2 B SIT F—E r77 5 W
Marling Address
O CA K =s t_ i4^ D N L ZB sF b 3
City/state2ip
ito3bt Crs95
Telephone Number
III 2D j8
Date t
(AIacent Property Owner Information)
i nature
Print or Type Name
/15LU12� G
Mailing Address
City/StatelZip
q1 � ---5-I-S- -- 3 _? 4 gz50
Telephone Number
Date
Revised 611812012

��` �w� Ofi Qil� �SLIacJT�
�� ADJACENT RIPARIAN PROPERTY OWNER STATEM
ENT
I hereby certify that 1 own property adjacent to 3'E frF-F-e V L
's
property located at 1 ) Z ZIMTH ST S v'/ (Name of Property Owner)
on Vgy�S a N<a L (Address, Lot, Block, Road, etc.)
(Waterbody) in O A+< _ �"s t_Kt ry r
N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
J ✓ 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)
I understand that a pier, dock, WAIVER SECTION
p 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)
(Adjacent Property Owner Information)
Signature
S� T-EY +
''� a
Signatztre
Pnnt or Type Name
t 1 Z. z.8-rH s•T � ul
Mailing
Pri`nt or T6 D Type Name
n
`7E� C7cc�Cl�atWY� big
Address
A K 'T S l p N D N C z�`��5
Mailing Address
a, ' ' a Arc 2not
Crt !St t !Z
_9 r e) 36 k q S q
Telephone
CitylState/Zip //J� t
(f 0
Number
Telephone Number
j 18 30"13
Date -
Date
(Revised 611812012)

https//www.arcgis.com/homelwebmaplyfewer.html?webmap=2bbcbad57598493387b5ba7934o�2a965&extent=-78.208,33.9129: 78.204,339148
. ArcGIS - DevelopmenCl-ite x
Fite Edit View Favorites Tools Help
* # Home... G nc f_ #) €ner_ (9 Brun.- � � Code- AM Log w � ArcG... ; tiG I Oak _. ® Init_ t) Real... _I Brun... ®FEMA L4J NCDE. J'�] Nor . [�*The ...
ArcGIS o Development -Line
(Q Details I / Edit Sa Basemap
8 g);'
Legend
LOMA--points
Ocean_Front_Parcels
II
Secondary_Dunes_2018
Streets
_1998_Static_Veptation_I
Beach_Access_
r0
Es+i.com Help TermsorUse Priwcy
Conan Esri Report Abuse
" Share 6 Print - 164 Measure Ch Bookmarks I Inc" ;,tId
Parcels: Oak Island
PIN
204615631340
CALCAC
0.21
PARCELID_
234JE029
PARCELTYPE
1
PARCELID
234JE029
OWNER
BRITT JEFFREY LY
ETUX BRITT AMY I
ADDR2. 4834 TOBAGO DF
UNIT B
OWNERCITY SOUTHPORT
nWNERSTATE NC

:frci: �x--,? t.- P� R.,� -TT
VAG F-, k oc Z-

�T ins G �-1
eAu!. T3\-A,,, k, "i G --0,4 t •N-->
i o c� z1 s-r r� �. �r- S •N
t--raT t 1
AT LOW TtDE
e�T Ft 6 $4 'T1r-*r--
GrV y µ "�'+T/„"{„•.4 .: TCJ A P-ow
f
tt
4M,

Date R"Wmd
Dan
DOPOSItod
CMck Fan
Name of Permit Holder
Vendor
CNoek Ako*w
Chog* sino"
PemW Nunth 1Comments
RecsWorRefundRemNocated
Cokum1
Colum!
CokNm3
CoMnm4
Cok~5
CakNnn6
Cokmm7
CoMrm!
Colamo
12/140018
Jeffrey Brut Check 1 of 2
Jeffrey Britt
State Em to eee Credit Unlon
3146
200.00
OP 1722880 Cho& 1 of 21
Tm rd 7430
12/14/2018
Jeffr Britt fCheck 2 of 2
efh rift
State Em toe Credit Union
3145
S 400
P Ch