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I hereby certify that I own property adjacent to t -4- j1A 's
�� � (Name of Prop Owner)
property located at �� � 1 q,
(Ad -dress, Lot, BIgc , Road, etc.)
on d�/� o �! h1�1✓� , in N.C.
(Waterbo ) ?'k (City/T n and/or County)
The applicant has described to me, as shown below, the development proposed at the above loc
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual
(jp[roposing development must rill in description below or attach a site drawir
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.�---�� WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set b
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to I
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 Pr erty Owner Information)

I hereby certify that I own property adjacent to Jam- ✓,r- 's
Name, of Prope y Owner)
property located atff�`�
L ,address, Lot, Block; Road, ,ete.
on M-t;,`�w h-� &' .S' �1 It f- H! r,Ui� in t lyi f" r /144 N- C"
(Waterbody) (C,ity!Tow dlor County)
The applicant 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)
LC/z K 'fifes ri Wiz:
Ic �i1 +� -"ham -i E t'tc% • jr!L'
i
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j� WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back
minimum distance of 15' from my area of riparian access unless waived by me. (if you wish tc vvaK
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)
SI a �b ✓ �' ���
Print cr Type N�
(Adjacent rape Lawn inf rmation)
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Name of Pwmlt Holder
VwMer
CMek Numbw
CMck
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Permit NumbwlCo rx
Receipt a Re/undORNIloceted
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Ronnie and d Sharon Matthews
i Moore same _StateEmployeesCU
BUT
91
S 400.00
GP 976430D
GP #t76212D
Ben rct. 10283
PA rct. 10766
4294
S 200.00
_ Will Thomton Branch Banking and Trust
same SunTrust
Bulkheads LLC Guy Campbell Wells Fargo
Bulkheads LLC Richard Stitt Wells Faro
3141
$ 200.00
_
GP *75844D
PA rct. 10772
1268
$ 200.00
GP$76163D
PArct.11768
23401
$ 200.00
GP#7113
GPi76425D
PArd. 10771
23400
200.00
IPArct. 10770

https://outlook.office365.com/mail/deeplink?version=21
[External] Re: Pier forms
jeffery wolfe <wolfe971 @bellsouth.net>
Fri 5/29/2020 8:17 AM
To: Amico, Patrick J <[e-mail]>
External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to report.spamCa)nc.gov
Hey Patrick,
I have attached a rough drawing of the proposed walkway/dock from our property to the
creek/mosquito control ditch. I have also sent my neighbor the adjacent property owner
statement and he is going to sign that. Please let me know what my next steps are.
Thanks so much,
Jeff

https:Houtlook.office365.com/maii/deeplink?version=2
Patrick Amico
Environmental Specialist
NC Division of Coastal Management
Department of Environmental Quality
910 796-7423 office
910 395-3964 fax
[e-mail]
127 Cardinal Drive Ext
Wilmington, NC 28405
<Outlook-gviodbml.png>
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
<GP Pier Pkt.pdf>