71874D - Keene

Elm
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CERTIFIED MAIL • RETURN RECEIPT RE _ UCH, ESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner:��� fge
Address of Property: ��3_r'a Al y,.2y
Agent's Name #:
Agent's phone #:
(Lot or Street #, Street or Road, City & County)
Mailing Address:
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 pro osing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
f 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
:onsidered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
)ack a minimum distance of 15' from my area of riparian access unless waived by me. (if you
vish 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 t
r formation)
gnature
k)�a k ee-AIC
Irint or Type Name
301
9 iling Address
(Adjacent Property Owner Information)
r
Signature /
,
Print or Type Wame
Mailing Address

CERTIFIED MAIL - RETURN RECEIPT REQUESTED-
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property: 36 �4 t✓ Sv r 6s
(Lot or Street #, Street or Road, city & County)
Agent's Name #:
Agent's phone #:
Mailing Address:
hereby certify that 1 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
:hey are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
f you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
vriting within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Mlmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
•onsidered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
>ack a minimum distance of 15' from my area of riparian access unless waived by me. (if you
vish to waive the setback, you must initial the appropriate blank below.)
V I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Property er mation)
�ignatu
VI -IA )KO&/Cl e -- ----
Tint or Type Name
-"712, J�J^/V 301 vim_
flailing Address
(Adjacent PropA7ty Owner Wormation)
Signature
ice— C
Print or Type Name ,� D
41 "Q--C/,
1 / �
Maily i T ddress
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4CAMADREDGE & FILL No. 74817
A B
.1EIV RAL PERMIT Previous permit #
ONew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environmental Quality �� �/D
-oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC (�
❑ Rules attached.
it Name Project Location: County PW LQ D✓
Z O Street Address/ State Road/ Lot/#(s)
p allD State n%L Zip 27 SZ '� UGC !nJ
t 5 ° 0 , 7-lail Subdivision
:ed Agent &tN' City ZIP
❑ Cw © Ew ❑ PTA DES OITS Phone # ( "T'"--River Basin �f `/• l
OEA ❑ HHF [IIH UBA ❑ N/A Adj. Wtr. Body 1' 6 /f -I V AJ
nat r
❑ PWS:
no
Closest Maj. Wtr. Body
yes � PNA ye
Ck) length
rnber
d�)Uprap length
■■■■PLx distance offshore
g distance offshore
�ill��i�7%■�
iannel
np
i
!�I
■■■■ r r
■NN[■■■[i not sure yes ' ■■■iE■■■i■■■■■■*—■■■■■■■■■■■■EM■■■■■■■■ME■■■■■■■■■■yes■■■■ ■=MMMMMMM�MMmmmMO=O1M■■■■■■■■■■■■■
ng permit may be required by: �.(/���� ❑ See note on back regarding River Basin rn
Local Planning jurisdiction)

-3
CW-4
C0/umn5 Cnluma I Column] I Columns
CaWmn9
ip Inc.
Echo Farrns LLC
_1
United Bank
2030 $
20000_GP #76594D
PA rct 10257
3arcia
same
SunTrust
1072 $
200.00 GP#76541D
PArctr.10260
same
State Employees CU
1441 $
200.00 GP #71720D _
PA rct 10261
ip Inc
CFPUA
United Bank --
4628 $
400.00 GP it76535D
PA rat. 10256
uction, LLC
Bears Den, LLC
NAVY Federal CU
1166 $
200.00 GP #77823D
JD rct. 10823
'er
John Keene
BancFirst
165480281 $
200.00 GP #71874D
JD rot. 10848
uctionn LLC
Rogelio Drenninq Mandquez
NAVY Federal CU_.
1168 $
200.00 GP #77821 D
JD rct. 10822
_
same
Bank of America
1787 $
200.00 GPi76589D
PArcL10258
_.__