50304D - Daclar

ICAMA/ ❑DREDGE & FILL
;EN ERAL PERMIT Previous permit#
'flew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources 1-1
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:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC r i• 1� —
(,( ( / Rules attached.
t Name t f�LL P ° 10 t- 1 j PG i E V ZU'1 Project Location: County 0 PS i
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yes /n PNA ®/ no Crit.Hab. yes / no Closest Maj.Wtr. Body
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ng permit may be required by: 0136(i_t..,..) See note on back regarding River Basin r
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WATERLINE MARINE CONSTRUCTION 2122
P.O. BOX 1646
WRIGHTSVILLE BEACH, NC 2848066-19/530 NC y
DATE 7//1 1858
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PAY Ne- D
�/�l�O E` ' I $ 200 - O d
ODER OF //
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ll�ti j / s...,uy
I/ / Ov DOLLAR$ B "::�
Bank ofAmerica, r
ACH R/T 05300070 peit UI,T�
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&P 503 `t
0002L22iI 1:053000L961: 00237L3586L2"

CERTIFIED MAIL-RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: Daclar,Inc.
Address of property: 200 Royal Palms Way
Sneads Ferry,NC
I hereby certify that I own the 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,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
Management, 127 Cardinal Drive Extension,Wilmington,NC 28405 or call(910)796-7423
within 10 days of receipt of this notice. 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,boathouse,lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
yo wish to waive the setback,you must initial the appropriate blank below.)
I do ish to waive the 15' setback requirement
I do of wish t waive the 15' setback requirement
Sit'., t- Date
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