48329D - Varnam

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3ENERAL PERMIT Previous permit#
_,New Modification Complete Reissue III 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 SA NCAC 2A /2QG
1 ''Rules attached.
t Name 5e,l,, ,,/J ]l/'J)TAiAto Project Location: County 0/c,,✓s w ic/e
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ng permit may be required by:/Irmo (G✓Ic% Cadtel ✓ ? I See note on back regarding River Basin r

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h FAX NO. Jul. 12 2007 10:23AM P1
JUL-i i Q? 1 d o JA FFc'Qr':NTECI-i
-- 912 7`?4E454 to!a 2526SG4n1
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Name Of Individual Applying For Permit: •SCii`l
Address Of properEy: 11211 ! 2it.� 77 O1 wrI C c2$9( ,
(Lot or Street#, Street or Roazi, Cary t County)
i hereby certify that 1 own property adjacent to the a rvc-refere•noed 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
react._ provided with this
" I have no
Q objections to this proposal.
aziap�¢it t._}27_.' o F �tut� the C)iviakv of r e t
erva�,�, �.. y �'a 1-Qri Wilm nr j o••h C'i r l•.a 2g4rSLor a ►l 91(05 6
•
WANF'R SEC 17 NSI
f understand that a pier,dock, mooring pilings, breakwater, boat house. lift or sandbags must be
set back a minimum distanOO of 15' frvrr:my area of ran access unless waived by me. (if you
wish to waive the setback, initial the appropriate blank below.)
+ � I do wish-to waive the 15' setback requirement_
�` I do nor.wish to waive the l 5' setback requirement.
Alf
DateO
f7i,r-S

DIVISION OE OASTAI, MANAGEMENT
ADJACENT.RIPARIAN_PROPERTXOYE'NFR NOTIFICATION/WAIYF.R FC)RM
Name Of Individual Applying For Permit: I VYl Mil Va L i
Address Of Property: '07 —7,4 1 f io rn l o i'i A/C c2 Lkn a
(Lot or Street #, Street or Road, City & 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 n what is b ing_propose �j e wri e h Division of C n cal
Management,.12ZNorth Cardinal Drive, Wilmington. North Carolina, 78405 or call 910 395-
3900 within 10 days of receipt of this notices_ N _response is considered the came a_c,or+,�h p e.;p ,
if you have hen notified by Certified_ sail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian arrPss unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
4` 4
4'1
` I do wish to waive the 15' setback requirement.
I du.not wish to waive the 15' setback requirement.

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