49223D - Brown

CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
1—,New Modification I Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources� Commission in an area of environmental concern pursuant to 15A NCAC /11�,2-6O G
(/� ��t ProjectCounty 2362 des attached.
nt Name ®Zp L✓N` Location: ups W iC.-E-
s/2/ Elm .57 Street Address/State Road/Lot#(s) /32 � iz
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ized Agent 6!l f, /7/O1 /o, i - City /�O to/0"i " c `j ZIP 2/FYG
d Li CW P.M L}fr'T IDS ❑PTS Phone# ( _) /yRiiver Basin L(ji+j
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•ing permit may be required by:ivh // ,,0,/ gP,7z., r See note on back regarding River Basin
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6-03-2007 10:02 From: To:8429806
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COAjTAL1v1ANAGEMENT
ADJACENT RIPARIAN PROPERTY OWisies.NOTiFICATj N/WAIVERFORM
The purpose of this form is to provide proper notice to you as on adjacent riparian property owner to the individual or
individuals listed below, The CAMA General Permit application procedures require that applicants provide the Divisio
Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property o
indicating that they have no objection to the proposed work 1 that the adjacent riparian property owners have been not
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a n
contractor or other individuals acting as an authorized agent on behalf of the applicant.
This form was sent to you by the following Individual or company designated by the applicant as an
authorized agent:
(%t'� C�1 :,J (t / —" B— s" a
Authorized Agent's Signature r Date
B Bn
Name of Individual Applying For Permit: LAJ 0 C .€_ co w t^
Address of Property:_ \-3 ! pZ Iv L'b b
(Lot or Street 4, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual applying for thi!
has described to me as shown on the attached drawing the development they are proposing. A description or d
with dimensions,should be provided with this letter,
I have no objections to this proposal,
If you have objections to what Is being proposed, please write the Division of Coastal itanagema
Cardinal Drive Extension,Wilmington,NC 28405 or call 910.796-7215 within 10 days of receipt of thi
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
• i understand that a pier, dock- mooring pilings, breakwater, boat kouse or bout lit must be sei
minimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to w
set ack,you must initial the appropriate blank below.)
i do wish to waive the 15'setback requirement.
11 I,dd a(ot wish to waive the 15' setback reouirement. A : WA

JG-03-2007 10:02 From: To:8129806
CEO EDMA L -R Ti ACEIPT REQUESTED
pIViSION OF COA TTL1v1ANAG,EMENT
ADJACENT RiPARIAN PROPERTY OWJ 8,1OTIFICAT1ON/WAIVER FORM
The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or
individuals listed below, The CAMA General Permit application praccdures require that applicants provide the Divisi
Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property
indicating that they have no objection to the proposed work of that the adjacent riparian property owners have been no
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a
contractor or other individuals acting as an authorized agent on behalf of the applicant.
This form wus sent In you by the following individual or company designated by the applicant as an
authorized agent:
"z4.
r"
Bn
Authorized Agent's Signature Date
B
Name of individual Applying For Permit; co w �--
Address of Property:_ \- pa b c
(Lot or Street it, Street or Road)
tk
(City and County)
I hereby certify that 1 own property adjacent to the above-referenced property. The individual applying for tf
has described to me as shown on the attached drawing the development they are proposing_ A description or
with dimensions,should be provided with this letter,
I have no objections to this proposal.
If-you hove objections to what is being proposed, please write the Division of Cousrnl Managen
Cardinal Drive Extension,Wilmington,NC 28405 or call 910-796-7215 within 10 days of receipt of tl
No response is considered the same 2s no objection if you hove been notified by Certified Mail.
WAIVER SECTION
1 understand that t pier. dock. mooring pilings. breakwater, boat house or bout lilt must be s
minimum distance of 15' from my area of riparian access - unless waived by me. (1f you wish to
setback,you must initial the appropriate blank below.)
i do wish to waive the 1$'setback requirement_
I tin nnr wich rn wnive the 15'cethnck reouiremenL A A