49132D - Flowers

ICAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
New ❑Modification Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ? /2 0 0
�7j� I�Rules attached.
t Name ?if? 9 d I �toe-v '&J' Project Location: County B (.R' /.✓16✓iC�
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ig permit may be required by: 31f2.Wed rt✓icl/ COc...,/ 4j I See note on back regarding River Basin rt.

Akb tsULKHEADS INC
5262
4STER BUCK ESTATES
PPLY,NC 28462
66-112/531 ip
910-755-6861
BRANCH 62101 IV
DATE /
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: eraA Fl o ltie.rs
Address of Property: a75O Kg J 2( (2vn QCHJe-
(Lot or Street #, Street or Road)
Vo -kw \J(- a.v4e2
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individi:
applying for this permit has described to me as shown on the attached drawing the development th
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 Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39(
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (If yc
wish 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.
� f
7J(iVv4*-11/# A40td>7
Sign Name g Date
AMA

.10212008 01:44 8282526748 MIDDLEMOlNTtcH PAGE 01
:--3o-2e r 11 r 25F1 : _ ::WIM'S DCC.K. Bls.-KH 910-755-6871 To 1028252i6742 P.2
22'7.7?!.1 C:_C.iVA;,_ALNIP.NAC Eli[ ?4T
ADIA r.:a I'UI=/. w.N i'ltaEl ‘..Q.1 . h13, NIT"FI krOT4/W A P— x'n ,[
Name of Individual Applying For Permit: Bata Flo 1NC..i s -_ .
Address of Property: 9745-0 ! V e r RunOra tiE. -
(Lot or Street#, Street or Road)
1101111.0140Wil f<s)L ag401 .
(City and County)
I hereby certify that I own property adjacent to the above-raferencec property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
an proposing. A c ' n,or drawing,with dimensions,should be provided with this letter.
/i '
... . aye no objections to this proposal.
If you have objections to what is being proposed, please write the Division or Coastal
Management. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
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,boat house or boat lift must be set
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive Lie 13' �etbsck requirement,
• e ngi wi h to waive the 15'setback requirement.
•
- a $"
Sift Nye ate
to ", Ihd , , D._\.. a %. r.e k
Print Name44646
3 c k03 /p� NCDENR
Teleph a Number with ;i.:ea Code .CAMILI ►a...IMrr!I

--- Iv•fic.. JIJ LJ'TV
ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
ael F. Easley,Governor Charles S.Jonas,Director William G Ross Jr,Seen
Authorized Agent Consent Agreement
th iiht ka(Act_ is hereby authorized to act on my behalf
(Prirlitid Nuino of Apnn!)
er to obtain any CAMA permit(s) required for the property listed below The authorization is limited to th
is activities described in the attached sketch,
,TION OF PROJECT:
wSe) gt Uer- wr RjjQ
r44 ry- uJ1 IV C., . I
ERTY OWNER MAILING ADDRESS:
1 t' 1dw.' e {
(3 OK S1371
4.hpo I.(1" 0 C &701(P2 PHONE NO. 33(G - 7 S -O 753
DRIZED AGENT MAILING ADDRESS:
4-1 1)1061-erilock ES14-1-e-5
9I 'VC a� 1tr2
ti
PHONE NO 4y3-- LIA c
tire of Property Owner Vt C�11.)
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