44063D - Bullington

(Ver-
CAMA / ^+DREDGE & FILL
3ENERAL PERMIT Previous permit#
New Modification _Complete Reissue - Partial Reissue Date previous permit issued
lzed 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 /h1, lief
❑�ttuurs attached.
NameDSe// f,w ie,t �N��i s ��,� Project Location: County t?Q
/ : 1/ (/' xe W A� D/I , Street Address/State Road/Lot#(s) 2 / notife
o/,,- l -LP &4"# State /'C ZIP 2 ry ,.
(9/O) 2/ 3/7o Fax#( ) Subdivision /
edAgent CityOC to/) 1l`` ,go/>cA ZIP 2 r/i
❑CW p-'Vir �PfA ❑.}es ❑PTS Phone# ( ) River Basin L
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑PWS: ❑FC: Adj.Wtr. Body CO,..A L d 4r/9nn
/41/ (na6'
yes PNA yes / Crit. Hab. yes / no
Closest Maj.Wtr. Body f'9 y 4✓
Project/Activity if y2gc P CX 'S 1,2 4$F ,lam�� t N 6 d 409,02) 52 /al/r E G�
'llir!A 3 (Scale:/
:k)length .-.•...../'J r7 s,,z/
(s)
er(s) `..,-
igth
de
nber
1. ...
I/'Riprap length/NJ
distance offshore --e
x distance offshore... —
annel 4-'03 ;ry t,(o A 1/iln/n
is yards
se/Boatlift
it
illdozing i l _ V 4( it
Length id e k D
not sure yes no
: not sure yes no) �-
um: n/a yes , no r,
no
ttached: yes
ig permit may be required by:( -o n^/ r5LP g h I I See note on back regarding River Basin rt.

r CAMA and DREDGE AND FILL 2�,
GENERAL
PERMIT r' o313 '.
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC "l f t , I2 a 0
:ant Name 06 \ W A k1'ftT^54 r\ Phone Number 57 9 (.^ D 2-
U e .. -1---Ca t C., State Si Zip
:t Location (County, State Road, Water Body, etc.) c u r sLA t c L- ( ( t n'
t (-i-
n V,c-__UJ '1 IN�r',JC C)Ce 1 StC- �kjGfl 4�c 1I \ - ( )AC�C .N"1^Fk
i i
>f Project Activity t,)C t ) Pt e.r (- a c 1 o a'h rl au( --"',, s. r c k�--c '
Y.Q 1 e < 0 G ti hoA-t c P �P e xt s-1 i n c
ECT DESCRIPTION SKETCH (SCALE: I, 7I
:k)Length .1IIII
3 . ta W ,oc.., NI , , }
ingth
rali PI { ( — _.. '
per ill
2 44 At 0
d Length , e I
distance offshore
ate—tilt--i-
41 ! IIII , f\0
hannel dimensionsII ' - Mit 11111... _ .,,,,,...„.II - l` &
iiiii
..._. wig .. ..),yC{, .: .. .ci
yards _
as« fir-, i '
ip dimensions ,r
P.. .� ,o ort.^ .-0
m :
1_fso i
i"toP T it ---. " 1 i ' m4g.
* -0--t a rdi
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1ooc) -,L s I ; r.f
Imit is subject to compliance with this application, site drawing

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Tame of Individual Applying For Perm 101E
it: \\ ,\—C�5,--(.1
5
.ddress of Property: ca..\ C .-...)se_--..._,
(Lot or Street #, Street or Roan)
ac,--: ___- -11\4____ ,Lc 4 , Q ( -. clg>cit, 5 c .
(City and County)
hereby certify that I own property adjacent to the above-referenced.property. The indivic
)plying for this permit has described to me as shown on the attached drawing the development ti
e proposing. A descripti or drawing, with dimensions, should be provided with this letter
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coas
anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
thin 10 days of receipt of this notice. No response is considered the same as no objectior
u have been notified by Certified Mail.
WAIVER SECTION
nderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
bck a minimum distance of 15' from my area of riparian access - unless waived by me. 1
i 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.
( 1 v 3- l2 a 6
Nam e
Date

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lar-16-2006 02:33am From-RIVERS EDGE [phone] T-174 P.007/007 F-760
-� -•� �� •••.•N 16.uririir uav15 9305798995 p,
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIP. N ROPERTY R NOTIFICATION/WATVERFOR I
Name of Individual Applying For Permit: '
Address of Property: •
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The individ
applying for this permit has described to me as shown on the attached drawing the development tE
are proposing. A description or drawing, with dimensions, should be provided with this letter_
`e I have no objections to this _ro osa
p p 1
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 910-395-391
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 k set bck a minimum distance of 15' from my area of riparian access- unless waived by me. (;
you wish to waive the setback,you must initial the appropriate blank below_)
Ido wish tow 'v15'
waive the setback requirement.
I do not wish to waive the 15' setback requirement.
(31
Sign Name
Date
Print Name

OFFER TO PURCHASE AND CONTRACT
Odell Frasier Bullington , as
by offers to purchase and Odell and Virginia Williamson , as
n acceptance of said offer,agrees to sell and convey,all of that plot,piece or parcel of land described below,together w
Irovements located thereon and such fixtures and personal property as are listed below(collectively referred to as the"Prope
n the following terms and conditions:
tEAL PROPERTY: Located in the City of - Ocean Isle Beach
mty of Brunswick - , State of North Carolina,being known as and more particularly descril
;et Address 21 Causeway Dr Zip- 2846!
Al Description: - 100 x 100 section ofparcel 243ma035 (Surf Realty)
All ❑A portion of the property in Deed Reference:Book Page No -_ , Brunswick C
TE: Prior to signing this Offer to Purchase and Contract,Buyer is advised to review Restrictive Covenants,if any,whic
it the use of the Property,and to read the Declaration of Restrictive Covenants, By-Laws, Articles of Incorporation,
Regulations,and other governing documents of the owners'association and/or the subdivision,if applicable.
'IXTURES: The following items, if any,are included in the purchase price free of liens: any built-in appliances, light fi:
ing fans,attached floor coverings,blinds,shades, drapery rods and curtain rods, brackets and all related hardware,windo
r screens,storm windows,combination doors,awnings,antennas,satellite dishes and receivers,burglar/fire/smoke alarm;
spa equipment, solar energy systems,attached fireplace screens,gas logs, fireplace inserts, electric garage door opener
trols,outdoor plants and trees (other than in movable containers),basketball goals,storage sheds,mailboxes, wall and/c
rors,and any other items attached or affixed to the Property,EXCEPT the following items:
'ERSONAL PROPERTY:The following personal property is included in the purchase price: office and land
'URCHASE PRICE: The purchase price is$ 400,000.00 and shall be paid as fo
$_ EARNEST MONEY DEPOSIT with this offer by LI cash personal check ❑ banl
-1 certified check LI other: to be deposited and
escrow by ("Escrow Agent")until the sale is c
at which time it will be credited to Buyer,or until this contract is otherwise terminated.In the event: (1)this offer is not acc
or(2)any of the conditions hereto are not satisfied,then all earnest monies shall be refunded to Buyer.In the event of bre
this contract by Seller,all earnest monies shall be refunded to Buyer upon Buyer's request,but such return shall not affe
other remedies available to Buyer for such breach.In the event of breach of this contract by Buyer,then all earnest monie
be forfeited to Seller upon Seller's request,but such forfeiture shall not affect any other remedies available to Seller fo
breach.
NOTE: In the event of a dispute between Seller and Buyer over the return or forfeiture of earnest money held in escroi
broker,the broker is required by state law to retain said earnest money in the broker's trust or escrow account until a v
release from the parties consenting to its disposition has been obtained or until disbursement is ordered by a court of corn
jurisdiction.
$ Na , ADDITIONAL EARNEST MONEY DEPOSIT to be paid to Escrow Agent no lab
TIME BEING OF THE ESSENCE WITH REGARD TO SAID DATE.
$ NA , OPTION FEE in accordance with paragraph 13,Alternative 2, to be paid to Seller
Effective Date as set forth in paragraph 23. (NOTE: If Alternative 2 applies,then do not insert$0,N/A,or leave blank),
$__ _ Na ,BY ASSUMPTION of the unpaid principal balance and all obligations of Seller on the e
loan(s)secured by a deed of trust on the Property in accordance with the attached Loan Assumption Addendum.

DNDITIONS: (State N/A in each blank that is not a condition to this contract.)
tuyer must be able to obtain a Li FHA Li VA (attach FHA/VA Financing Addendum) [1 Conver
I Other: loan at a Li Fixed Rate Li Adjustable Rate in the principal amor
(plus any financed VA Funding Fee or FHA MIP) for a term of yea'
n initial interest rate not to exceed %per annum,with mortgage loan discount points not to exceed
re loan amount.Buyer shall apply for said loan within days of the Effective Date of this contract.Buyer sha:
,uyer's best efforts to secure the lender's customary loan commitment letter on or be
and to satisfy all terms and conditions of the loan commitment letter by Closing.
re above letter date, Seller may request in writing from Buyer a copy of the loan commitment letter. If Buyer fails to pr
eller a copy of the loan commitment letter or a written waiver of this loan condition within five days of recei
eller's request, Seller may terminate this contract by written notice to Buyer at any time thereafter, provided Seller has no
copy of the letter or the waiver.
'here must be no restriction,easement, zoning or other governmental regulation that would prevent the reasonable use
toperty for commercial pur
'he Property must be in substantially the same or better condition at Closing as on the date of this offer,reasonable wear an
Kcepted.
ill deeds of trust,liens and other charges against the Property,not assumed by Buyer,must be paid and satisfied by Seller pr
r at Closing such that cancellation may be promptly obtained following Closing. Seller shall remain obligated to obtain any
ancellations following Closing.
'itle must be delivered at Closing by GENERAL WARRANTY DEED unless otherwise stated herein,and must be fee si
iarketable and insurable title,free of all encumbrances except: ad valorem taxes for the current year(prorated through the d
:losing);utility easements and unviolated restrictive covenants that do not materially affect the value of the Property;and
ther encumbrances as may be assumed or specifically approved by Buyer. The Property must have legal access to a public
f way.
ECIAL ASSESSMENTS: Seller warrants that there are no pending or confirmed governmental special assessment
valk,paving,water,sewer,or other improvements on or adjoining the Property,and no pending or confirmed owners'associ
al assessments,except as follows: na
rt "None" or the identification of such assessments, if any.) Seller shall pay all owners' association assessments a:
rnmental assessments confirmed through the time of Closing,if any,and Buyer shall take title subject to all pending assess:
y,unless otherwise agreed as follows: None
(ORATIONS AND ADJUSTMENTS: Unless otherwise provided,the following items shall be prorated and either adj
een the parties or paid at Closing: (a)Ad valorem taxes on real property shall be prorated on a calendar year basis throug
of Closing;(b)Ad valorem taxes on personal property for the entire year shall be paid by the Seller unless the personal pro
nveyed to the Buyer,in which case,the personal property taxes shall be prorated on a calendar year basis through the dz
ing;(c)All late listing penalties,if any,shall be paid by Seller; (d)Rents,if any, for the Property shall be prorated throug
of Closing; (e)Owners'association dues and other like charges shall be prorated through the date of Closing. Seller repre
he regular owners'association dues,if any,are$ per -_
(PENSES: Unless otherwise agreed, Buyer shall be responsible for all costs with respect to any loan obtained by Buyer
h,title insurance,recording the deed and for preparation and recording of all instruments required to secure the balance
rase price unpaid at Closing. Seller shall pay for preparation of a deed and all other documents necessary to perform Se
ations under this agreement, and for excise tax (revenue stamps) required by law. Seller shall pay at C
N/a _ toward any of Buyer's expenses associated with the purchase of the Property, including
NA lender and inspection costs that Buyer is not permitted to pay,but excluding any portion disapproved by Buyer's lender
JEL:Buyer agrees to purchase from Seller the fuel,if any,situated in any tank on the Property at the prevailing rate wit
)f measurement thereof,if any,being paid by Seller.

•
ney's file to Buyer and both Buyer's and Seller's agents and attorneys: and(2)the Property's title insurer or its agent to relea
ose all materials in the Property's title insurer's(or title insurer's agent's) file to Buyer and both Buyer's and Seller's agent
neys.
,ABOR AND MATERIAL: Seller shall furnish at Closing an affidavit and indemnification agreement in form satisfacti
r showing that all labor and materials,if any, furnished to the Property within 120 days prior to the date of Closing havt
for and agreeing to indemnify Buyer against all loss from any cause or claim arising therefrom.
'ROPERTY DISCLOSURE:
-1 Buyer has received a signed copy of the N.C.Residential Property Disclosure Statement prior to the signing of this
to Purchase and Contract.
Buyer has NOT received a signed copy of the N.C.Residential Property Disclosure Statement prior to the signing c
Offer to Purchase and Contract and shall have the right to terminate or withdraw this contract without penalty pr
WHICHEVER OF THE FOLLOWING EVENTS OCCURS FIRST: (1)the end of the third calendar day folio
receipt of the Disclosure Statement; (2)the end of the third calendar day following the date the contract was made;
Closing or occupancy by the Buyer in the case of a sale or exchange.
Exempt from N.C. Residential Property Disclosure Statement because (SEE GUIDELII'
-11 The Property is residential and was built prior to 1978 (Attach Lead-Based Paint or Lead-Based Paint Ha:
Disclosure Addendum.)
'ROPERTY INSPECTION,APPRAISAL,INVESTIGATION(Choose ONLY ONE of the following Alternatives):
►LTERNATIVE 1:
'roperty Inspection: Unless otherwise stated herein, Buyer shall have the option of inspecting,or obtaining at Buyer's ex]
actions, to determine the condition of the Property. Unless otherwise stated herein,it is a condition of this contract that: (
-in appliances,electrical system,plumbing system,heating and cooling systems,roof coverings(including flashing and gut
s and windows,exterior surfaces,structural components(including foundations,columns,chimneys, floors,walls,ceiling
:),porches and decks,fireplaces and flues,crawl space and attic ventilation systems(if any),water and sewer systems(publi
tte), shall be performing the function for which intended and shall not be in need of immediate repair; (ii) there shall 1
ual drainage conditions or evidence of excessive moisture adversely affecting the structure(s);and(iii)there shall be no fi
ttos or existing environmental contamination.Any inspections shall be completed and written notice of necessary repairs sh
r to Seller on or before (the"Inspection Date"). Seller shall provide written
iyer of Seller's response within days of Buyer's notice. Buyer is advised to have any inspections made pr
Ting expenses for Closing and in sufficient time to permit any required repairs to be completed by Closing.
Wood-Destroying Insects: Unless otherwise stated herein,Buyer shall have the option of obtaining, at Buyer's expel
rt from a licensed pest control operator on a standard form in accordance with the regulations of the North Car(
:tural Pest Control Committee,stating that as to all structures,except _ , there v
le evidence of wood-destroying insects and containing no indication of visible damage therefrom.The report must be obtai:
::ient time so as to permit treatment,if any,and repairs,if any,to be completed prior to Closing.All treatment required sh,
for by Seller and completed prior to Closing,unless otherwise agreed upon in writing by the parties. The Buyer is advise,
rispection report described in this paragraph may not always reveal either structural damage or damage caused by ager
iisms other than wood-destroying insects.If new construction,Seller shall provide a standard warranty of termite soil treaty
:epairs: Pursuant to any inspections in (a) and/or(b) above, if any repairs are necessary, Seller shall have the optic
tleting them or refusing to complete them. If Seller elects not to complete the repairs, then Buyer shall have the optic
sting the Property in its present condition or terminating this contract,in which case all earnest monies shall be refunded.U
wise stated herein,any items not covered by(a)(i),(a)(ii), (a)(iii) and(b) above are excluded from repair negotiations
:ontract.
Ladon Inspection: Buyer shall have the option,at Buyer's expense,to have the Property tested for radon on or before the da
tletion of inspections as set forth in paragraph 13 (a)above. The test result shall be deemed satisfactory to Buyer if it indict
level of less than 4.0 pico curies per liter of air (as of January 1, 1997,EPA guidelines reflect an "acceptable" levi
fling less than 4.0 pico curies per liter of air). If the test result exceeds the above-mentioned level,Seller shall have the o
remediating to bring the radon level within the satisfactory range; or b) refusing to remediate. Upon the completic
diation.Buyer may have a radon test nerformed at Seller's exnense_and if the test result indicates a radon level less than 4 fl

•
�ost Of Repair Contingency: Notwithstanding the above and as an additional remedy of Buyer, if a reasonable esti
fined by Buyer of the total cost of repairs required by (a) and (b) and/or remediation required by (d) above equ
:eds $ _ _ , then Buyer shall have the option to terminate this contract pursuant to this Cost of R
:ingency no later than seven(7)days following the Inspection Date and all earnest monies shall be refunded to Buyer.
Lppraisal Contingency: The Property must appraise at a value equal to or exceeding the purchase price or, at the opti
!.r,this contract may be terminated and all earnest monies shall be refunded to Buyer. If this contract is not subject to a fma
tingency requiring an appraisal, Buyer shall arrange to have the appraisal completed on or bef
The cost of the appraisal shall be borne by Buyer.
::LOSING SHALL CONSTITUTE ACCEPTANCE OF OF THE PROPERTY IN ITS THEN EXISTING CONDI7
.ESS PROVISION IS OTHERWISE MADE IN WRITING.
LLTERNATIVE 2: (This Alternative applies ONLY if Alternative 2 is checked AND Buyer has paid the Option Fee.)
Property Investigation with Option to Terminate: In consideration the sum set forth in paragraph 4(c)paid by Buyer to
Escrow Agent)and other valuable consideration, the sufficiency of which is hereby acknowledged(the"Option Fee"),I
1 have the right to terminate this contract for any reason or no reason,whether related to the physical condition a
perty or otherwise, by delivering to Seller written notice of termination (the "Termination Notice") by 5:00 p.r
,20 ,time being of the essence(the"Option Termination Date").At any time
losing, Buyer shall have the right to inspect the Property at Buyer's expense(Buyer is advised to have all inspection
aisals of the Property, including but not limited to those matters set forth in Alternative 1, performed prior to the 0
iination Date).
ixercise of Option: If Buyer delivers the Termination Notice prior to the Option Termination Date, time being of the es
contract shall become null and void and all earnest monies received in connection herewith shall be refunded to Buyer;hov
)ption Fee will not be refunded and shall be retained by Seller.If Buyer fails to deliver the Termination Notice to Seller pi
)ption Termination Date, then Buyer will be deemed to have accepted the Property in its physical condition existing as
on Termination Date;provided such acceptance shall not constitute a waiver of any rights Buyer has under paragraph 5
on Fee is not refundable,is not a part of any earnest monies,and will be credited to the purchase price at Closing.
LOSING SHALL CONSTITUTE ACCEPTANCE OF THE PROPERTY IN ITS THEN EXISTING CONDIT
.ESS PROVISION IS OTHERWISE MADE IN WRITING.
tEASONABLE ACCESS: Seller will provide reasonable access to the Property(including working, existing util
igh the earlier of Closing or possession by Buyer,to Buyer or Buyer's representatives for the purposes of appraisal,inspe
)r evaluation.Buyer may conduct a walk-through inspection of the Property prior to Closing.
LOSING: Closing shall be defined as the date and time of recording of the deed. All parties agree to execute any al
ments and papers necessary in connection with Closing and transfer of title on or before__ __ 3-30-06 _
'lace designated by Buyer.The deed is to be made to
POSSESSION: Unless otherwise provided herein,possession shall be delivered at Closing.In the event possession is NOT
rered at Closing: ❑a Buyer Possession Before Closing Agreement is attached. OR, ❑a Seller Possession After Cl,
:ement is attached.
)THER PROVISIONS AND CONDITIONS: (ITEMIZE ALL ADDENDA TO THIS CONTRACT AND ATT.
ETO.)
tISK OF LOSS:The risk of loss or damage by fire or other casualty prior to Closing shall be upon Seller. If the improver
e Property are destroyed or materially damaged prior to Closing,Buyer may terminate this contract by written notice delive
r or Seller's agent and all deposits shall be refunded to Buyer. In the event Buyer does NOT elect to terminate this contract,
be entitled to receive, in addition to the Property,any of the Seller's insurance proceeds payable on account of the dama
uction applicable to the Property being purchased.

•
PARTIES:This contract shall be binding upon and shall inure to the benefit of the parties,i.e.,Buyer and Seller and their
essors and assigns. As used herein,words in the singular include the plural and the masculine includes the feminine and r
lers,as appropriate.
iURVIVAL: If any provision herein contained which by its nature and effect is required to be observed,kept or perfo:
the Closing, it shall survive the Closing and remain binding upon and for the benefit of the parties hereto until fully obs(
or performed.
ENTIRE AGREEMENT: This contract contains the entire agreement of the parties and there are no representat
cements or other provisions other than those expressed herein.All changes,additions or deletions hereto must be in writin
by all parties.Nothing contained herein shall alter any agreement between a REALTOR®or broker and Seller or Bu;
pined in any listing agreement,buyer agency agreement,or any other agency agreement between them.
JOTICE AND EXECUTION: Any notice or communication to be given to a party herein may be given to the party or to
es agent.This offer shall become a binding contract (the"Effective Date")when signed by both Buyer and Seller and
,ng is communicated to the offering party.This contract is executed under seal in signed multiple originals,all of which tol
titute one and the same instrument, with a signed original being retained by each party and each REALTOR® or b
to,and the parties adopt the word"SEAL"beside their signatures below.
er acknowledges having made an on-site personal examination of the Property prior to the making of this offer.
NORTH CAROLINA ASSOCIATION OF REALTORS®, INC. AND THE NORTH CAROLINA BAR ASSOCIA']
CE NO REPRESENTATION AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FOR
(SPECIFIC TRANSACTION. IF YOU DO NOT UNDERSTAND THIS FORM OR FEEL THAT IT DOES NOT PRO'
YOUR LEGAL NEEDS,YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE
V IT.
3/16/06 Date: (96n nn 3/96/06
(SEAL) 4141 • • ' cal/ • :n
dell r ington Virginia Williamson
•
/16/06 Date: 3/16/06
(SEAL) Seller SEA
'ow Agent acknowledges receipt of the earnest money and agrees to hold and disburse the same in accordance wit
Es hereof.
Finn:
By:
(Signature)
ng Agent/Firm/Phone
Acting as ❑ Buyer's Agent C-I Seller's(sub)Agent ❑ Dual Agent

r' O F BULLINGTON HOLDINGS INC
PH.910-279-5470
1 104 CAUSEWAY DRIVE BE
I OCEAN ISLE BEACH,NC 28469 ( BR)
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DIVISIOri__OE_COASTAL MANAGEMENT
• ADJACENT.RIPARIAN_PROPERTYOWNER NOTIFICATION/WAIN .R FORM
Name Of Individual Applying For Permit: S Or-( ecia 1 1-1--U
Address Of Property: 02 I CQ U SCL IAJa ,Jr. (D -17 Q aYt(p q
(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.
'Lyon have objections to what is being proposed, please write the Division of Coastal
Management, 127 North Cardinal Drive, Wilmington, North Carolina, 28405 or call 910 39573900_within lthlays 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, 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 do not wish to waive the 15' setback requirement.

X SO -P l oa-1-►n dod
e
n n n I
_ \AA V )0hV1 /S V/ x1 V /X 1/ VA A L . '8 ►1

•
DIVISION_OECQASTAI.MANAGEMENT
ADJACENT.RIPARIAN_PROPERTY_DIVNER.NOTIFICATIQN/WAiVER FORM
Name Of Individual Applying For Permit: S U 1 (1
Address Of Property: ) CQ U 56,u1a C--L Q a$cl ev ci
(Lot or Street N, 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 isle as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
2`'' +- I have no objections to this proposal.
ILyou_.have objections to what is being proposed, please write the Division of Coastal
Management, 121North Cardinal Drive, Wilmi Eton, North Carolina, 28405 or call 910 395-
340_within 1Qdays 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, 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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.

"'"' C1 S e r u.11 y e n h a u c e d d a c 44 m e n L See h a k.Lo- e 1 f.: __
VARNAMS DOCKS & BULKHEADS INC
PH.910-842-6007L.
86 VARNAMTOWN RD SW
SUPPLY, NC 28462 -1 I i
66-112/631
PAY DATE 62101
TO THE 0 G i_____
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BRANCH BANKING AND TRUST COMPANY
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