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ENERAL PERMIT Previous permit#
Jew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
:ed by the State of North Carolina,Department of Environment and Natural Resources �}6��
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,astal Resources Commission in an area of environmental concern pursuant to 15A NCAC Of ules attached.
i�V1 Project Location: County NeW Ik11VtV
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Name
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Attached: yes no
ling permit may be required by: ,VIAk Nuipay. � See note onback regarding River Basin
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NCDENR
North Carolina Department of Environment and Natural Resources
Mfvls?on of Coastal Management
Michael F.Easley,Governor James H,Oregon,Director Warn G.Ross Jr.,Secretary
Date - ?,-d q
Name of Property Owner Applying for Permit
Address:
41 W 5 3/ ..dui unj i 6 r
“Ih lr0 , IL 60119
9
lC.r, Rr'GK4.-tfs
I certify that I have authorized(agent) tJ et.•1at er Pt&rtAc Con sir ur irn.40 net on my
behalf, for the purpose of applying for .and obtaining all CAAIA Permits necessary to
install or construct(activity)r ao_Al
at(my property located at) 131_6 F21.4i- d r0,5 (e L .
• —_-This certification la valid thru(date)
6 -3-- cc)
Property Owner Signature Date

n u , Gih7CWH 1 r.K fYtHK11Vt 5275 P.
ADJACENT R1PARIA.N PROPERTY OWNER STATEMENT
I keteby ccrtiti that I own property adjacent t0 Csrc.R e
(Naive of Property Owner)
property located at `63 j Aa.ld_fekll4 .�
(Lot,Block, Road,etc.)
on I G L! , in ! i�4�atr_t!' N,C,
(water body) (Town and/or County)
Applieaot's phone N: yzt- ti3.96 Nlr+iling Addreeel I ?446g f _-_41,2Lal loft. Er
He has described to me,as shown below,the development he is proposin; at that location,and, I
have no objections to his proposal. ",i 1
DESCRIPTION AND/OR DRAWING OF PXRO.POS DEVELOPMENTt
(To be filled in by property owner proposing development)
(information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
27cv631 Swan Lake Drive ./"y!/,1,
MailingAddte ' • T .: Signature
Wheaton, IL 60189 . • '?
City/Statri'Zip Klfit or Type Name

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to CTrart e -.—'s
(Name of Property Owner)
property located at `6.316 IS a.1 d Eaq l e L.n•
(Lot, Block, Road,etc.)
on , in n1 e w !-1 art o ve( , N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: 6.30 In- N3 N6 Mailing Address: A 7GJ 631 SiAJan Late lar ,
i,Jhecd-ot'+, IL o/ '9
He has described to me, as shown below,the development he is proposin at that location, and, I
have no objections to his proposal. 1!i
DESCRIPTION AND/OR DRAWING OF PROPOS DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Addr2,L Signature
I / v�

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ADJACENT RIPARIAN PROIERTY OWNER STATEMENT
[hereby certify that I own property adjacent xo _ - Lvan9t _._ 18
(Name of Property Owner)
property located at it 316 &IA <51e l-n•
(Lot.Mock Rood,etc.)
on_ i c-t''thf in �/�,.1 Nano yef _,N.C.
(Wa ter body) (Town and/or County)
Applicant's phone itt130y3y Mailing Address: _17� 3�.,Sa.aan Inc br-
I.Jt1 e trr n, 1 L 6 1 ,
He has described to me,as shown below,the development he is proposing at that location,and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
2710631 Swan Lake Drive 40440.1_(,), 11 . _.
Miing Address Signature
_ Wheaton, IL 60189 v-- :Dui
City/State/Zip Print or Type Name
_ G1 w A

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to &ra✓t ye 's
(Name of Property Owner)
property located at 3 i 6 Ea(d Eagle
(Lot, Block, Road,etc.)
on IGW i,J , in New HavtvVer , N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: 630 7,2,? 13L/6 Mailing Address: 27W 6.3 i Swetn lake b(
LJ n r&4o vn, IL 60150
He has described to me, as shown below,the development he is proposing at that location,and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address
D Signature
, it'\ I ,, n \fl )

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REMITTANCE ADVICE
EDGEWATER MARINE CONSTRUCTION, L.L.C. err,n f TScr..4-I
P.O.BOX 15375
WILMINGTON,NC 28408
PHONE:[phone]
PAY 1rJ-O _As AAJ1LC! ei.t4 LI "% (00 DOLLARS
DATE TO THE ORDER OF DESCRIPTION CHECK NO.
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a.NORTH CAROLINAp
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