48270D - Walters

„LAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
Clew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources 11' 7��
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC f
/ /• 1Rules attached.
it Name E pN/t1Q.� WPC L Project Location: County 0 OS//l�'-'sj
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❑OEA /❑HHF Id IH ❑UBA ❑N/A
❑ PWs: ❑FC: Adj.Wtr. Body S'rV,Y-^f N_ (nat q
/ no PNA no Crit.Hab. yes / no Closest Maj.Wtr. Body S�tn '� P S°`^ND
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imber
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rium: n/a yes no
yes no
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Attached: yes no I ' i -
ing permit may be required by: IV " 6 PVT'L C.A C 6 ❑See note on back regarding River Basin r

8973
ILES F. RIGGS & ASSOCIATES, INC.
202 WARLICK ST. 910-455-0877
P.O. BOX 1570
JACKSONVILLE, NC 28541 / 66-85/531
DATE U/ Z Sl° 0262089885
NCDE/✓/ 111 ► $ Zoo, oa
DOLLARS B 0
RBC
Centura
RBC Centura Bank
Jacksonville,NC 285
VALrobS fir
17 311' 1:0 5 3 L008 501:0 26 208 988 50

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to EiDiAblizO V. WALTetrs 111- 's
(Name of Property Owner)
property located at 1-or te., 16A1Z1-orl ISpfl i N c s1L 16t06 ,
(Lot,Block,Road, etc.)
on STuryp Sdd,Jc) , in Ndjzr,i To q,L. ,e�+ ,4� , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
V I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING IbF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
L.7...e‘-
Signature

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 6)14#642D V, WALTE4b,air 's
(Name of Property Owner)
property located at 1-'-r' to 15awfc& Bps, , f J C.s iZ. 1 S.o 6
(Lot,Block,1 Road,etc.)
on s'fJmQ Soor+o , in /✓ogra 7;1244+LZeAcil , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen felt(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 not wish to waive
✓ I do wish to waive that setback requireiient.
DESCRIPTION AND/OR DRAWING PF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Si ature