52011D - Sherrill

'LAMA/ LREDGE & FILL
iENERAL PERMIT Previous permit#
'l'ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized 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 71i 1J 2
/ ©Roles attached.
.Name w)CI) C ;L/ e' c. Project Location: County Ea/,t,./S!Li i t it,
j: 3 ` 4/7,0 e ...5 . Street Address/State Road/Lot#(s) _Si9i-V r
State/VC ZIP 2 8 5/6,7
( ) Fax#( ) Subdivision
yd Agent City ZIP
❑CW DEW OPTA DES- ❑PTS Phone# ( ) River Basin f , .
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body "9/ GI/Lv (nat ;
❑ PWS: ❑FC:
Closest Maj.Wtr. Body " //z/ -"'
yes / no PNA yes / Crit.Hab. yes / no �
Project/Activity A ep2 C-! Cx /5 I,,f 3 vi/lh , 4
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um: n/a yes 9 I•, I}/
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attached: yes .. t / i
ig permit may be required by: ?N r�Scs%/C,P KC ar> "17- See note on back regarding River Basin
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k 2239 SHANE STREET SW 67-148/532
SUPPLY,NC 28462 BRANCH 459
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ORDER THE
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• From:SEASIDE MORTGAGE 910 452 9427 02/04/2008 10:20 4002 P.002/002
JO IU:o,a Mtiv-cr Cc LI-Nu Ot1LM-GILL t 1U-04L-OIJ4 p•
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: !7 �f jj
h4' y �1hE'Y� r if
Address of Property; 2 3 �' -S� ��- �' G�J 1
(Lot or Street Street or Road)
(Cit..'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 descriptiori or drawing, with dimensions, should be provided with this letter.
1.7 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, Wilmin`ton, NC 28405 or caII 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 m e. (Ifvou
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.
Sign Name ate

• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: fleh r 0, � yr, f/,�P
Address of Property: ?23 51,G�y� .S-( S t.),
(Lot or Street #, Street or Road)
54p l �', C, .2e g
(City and Count)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing; with dimensions, should be provided with this lette,
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 28.105 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectic
.you have been notified by Certified Mail.
WAIVER SECTION
•
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bi
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If
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.
(Cilajt. o
\ion Name Date
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