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LAMA/ REDGE & FILL
GENERAL PERMIT Previous permit#
lew liModification L JComplete Reissue Partial Reissue Date previous permit issued
Prized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC A/MO
Iles attached.
nt Name �P,4 e_ el"1,4,v f Project Location: County ga w.v S ti//c-4i
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yes PNA yes /co Crit.Hab. yes / no Closest Maj.Wtr. Body e/4ei-}
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.; SHORELINE MARINE CONSTRUCTION3 3 3 0
67-7235/2532 k.
GREG PREVATTE 3zs000s�z
P.O. BOX 10671 r
SOUTHPORT, NC 28461 DATE ll'I�'Q E.
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 60-0.e Anim v.-�
Address of Property: /D Gf/AE.Lo7 .17
(Lot or Street#, Street or Road)
14L1),A,/ BSA , ,/5/C 1 i z Sozbos
(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 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 the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
J v),\!,_ \1\) t\ -
Sign Name Date
• Frank D.Moore
47, 5009 Old Elizabeth Rd.
Print Name + Raleigh,NC 27616-5416 ®._

TM/SION OF CO&STAI.MA_Nk_GEME T
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WANFR FORM
t
Name Of Individual Applying For Permit Gr /lie 19/449eA(5'
Address Of Property: /O e.7-/i 9,Cci 67f S ,
/e-4L.& &?Ac°A,% /1/c: ;2
(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 tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
ve no objections to this proposal.
If you have objection to what is being propos please write the Division of Coastal
Manavement, 127 North Cardinal Drive Wilmington North Carolina;?8405_Qr tall 910 395-
3900 within 10 days of receipt of this notice No response onsidrned the same as no objection
if you have been notifiediby Certified Mail
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 access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement_
I &nut wish to waive the 15' setback requirement.
AT:
Si$nature Date __