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CAMA/ ❑DREDGE & FILL
IENERAL PERMIT Previous permit#
New ❑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 I m. / 2 GO❑.ales attached.
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 014,41:4-4b
YeNE
Address of Property: 19'7 I 1 r �e>
(Lot or Street #, Street or Road)
.Swop 1\.( - 2i AMID 3zL)t,15 c)lek
(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 tl
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 Coa<.
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7;
within 10 days of receipt of this notice. No response is considered the same as no objectio
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
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.
Sign Name Dat

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OM. D•CRANFILL ATTORNEY (WED) RUG 16 2006 8: 18/ST. 8: 17/No. 6816645116 P
DIVISION OF COASTAL MANAGEMENT
J E ARIAN PROPERTY NOTIFICATION/WALVEZ FOR ,
Name of Individual Applying For Permit: alARLES iti-le
Address of Property ILI 71 VoriC 3 >______(Lot or Street #, Street or Road) ___` .—._
4N41-1-t i•.fe. 27 _ 31Z0 4564__
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development till
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 Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721
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 be se
bck a minimum distance of 15' from my area of riparian access- unless waived by me, (If you
wish to waiv the setback,you must initial the appropriate blank below.)
_Lz.,
I do wish to waive the 15' setback requirement.
I do nos wish to waive the 15'setback requirement.
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Sign Name /� // ate
rv/YC$/ rrotn�`//
Print Name ArsA