53169D - Gaitros

:AMA / LL DREDGE & FILL e .
IENE_RAL ` PERMIT Previous permit#
Date previous permit issued S{/:
Je M
w Jodification Complete Reissue ❑Partial Reissue -1
zed by the State of North Carolina,Department of Environment and Natural Resources ��O
)astal Resources Commission in an area of environmental concern pursuant to I 5A NCAC Rules attach
y1ed.
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Name Project Location: County�__�1A _T f �I�
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For: Gaitros Famllu
Address: 223 Beach Rd. North
Figure Eight Island. NC
Bu: Edgewater Marine Construction. LLC
Address: P.O. Box 15375
Wilmington. NC 28408
Tel. [phone]
Ir Fax. [phone]
UW scale: 1 in. - 40 ft.
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: j C d, a I Cl
Address of Property: a s (3 e c R A
3
(Lot or Street#, Street or Road)
; ,. - N " G Lf et-
(City
(City and Couiy)
I hereby certify that I own property adjacent to the above-referenced property. The individua
applying for this permit has described to me as shown on the attached drawing the development the)
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 Coasta
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721;
within 10 days of receipt of this notice. No response is considered the same as no objection I
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 se
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (Ifyot
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.
Ccid0/(-9‘6-6-
v
4.)Cd 6 -2-0 y
Sign Name Date
2I\ *t -,L L. pF
Print Name
f-: ,, ?2, : / ---��

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: k 0,4 id 6-6 : o f
Address of Property: a a 3 Q t-4 ell ( d , t
(Lot or Street#, Street or Road)
(City and County)
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 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 Coasta
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721'.
within 10 days of receipt of this notice. No response is considered the same as no objection i
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 se
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If yoi
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.
- (--)Nefr?
Lk.'`-_�`j
) ,--1...„ ,... _, q; _( C
S"Qn Name Date
4.-c,_Ott-
Print Name A/9M

DIVISION OF COASTAL MANAGEMENT
. ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: R6 l J 6-t , kn:S
Address of Property: 3 3 e G c L Rd . Ai .
(Lot or Street#, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu,
applying for this permit has described to me as shown on the attached drawing the development the
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 910-796-721
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. (Ifyi
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.
Jo - y,a 7
Sign Name Date
i/ A,v CO hfN o RJ A191911rA,
Print Name

00116[a yauros •""
4201 Devonshire'Zit.Wilmington,bNC28409 DATE �� '
PAY TO THRV . o c or tQ
ORDER OF r (1 �/!L I $ Z.05
.00
1 �. o4 o
DOLLARS 8 Osa?
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a Look for:Micro Print signature line.gray type and linework.First Citizens Bank logo on back.If not present.do not cash.
First Citizens
Bank (::::h5t
tirstcitizens.com
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