45908D - Mintz

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''LAMA/ l DREDGE & FILL
GENERAL PERMIT Previous permit#
Ik1<lew Modification liComplete Reissue -Partial Reissue Date previous permit issued
)rized 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 7 4-4 , '2,()i
❑Rules attached.
It Name 13. 1....L D Ni 9 M I N"i Z Project Location: County &QV NJ Su I C4c,
Z410 V\I1+in FRRL-O V2D Street Address/State Road/Lot#(s)
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❑PWS: ❑FC:
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Attached: yes 15 I I 1 ,

COASTAL DOCKS & BULKHEADS 67-7235/2532 1090
' LIC. 2353846 i 3558003328
2490 WHITEVILLE RD. NW 7)`�D`,/ii
ASH, NC 28420-3224 DATE l/�� ��I
55,
$ PAY TO THE /1)
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£ ORDER
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Coastal
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Cry SHALLOTTE,NC 28470
1 MEMO11"5-10
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
\Tame of Individual Applying For Permit: � L , /11 ,,,fy
address of Property: , 5'z, -3 I I (-
(Lot or Street #, Street or Road)
TA.6.,J uiJ`d 13.R� � cw ,c k C �
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individual
.pplying for this permit has described to me as shown on the attached drawing the development they
re proposing. A description or drawing, with dimensions, should be provided with this letter.
L. I have no objections.to this proposal.
f you have objections to what is being proposed, please write the Division of Coastal
✓lanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
vithin 10 days of receipt of this notice. No response is considered the same as no objection if
'on have been notified by Certified Mail.
WAIVER SECTION
understand that a pier,dock, mooring pilings,breakwater, boat house or boat lift must be set
,ck a minimum distance of 15' from my area of riparian access - unless waived by me. (If you
rish 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.
ien Name Date
1 I

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
name of Individual Applying For Permit: ( .
Address of Property: •2)
(Lot or Street#, Street or Road)
JV o AA.
t%A,of tio�Do 4 6 Q1„vSc�i c K C�
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individual
ipplying for this permit has described to me as shown on the attached drawing the development they
ire proposing. A description or drawing, with dimensions, should be provided with this letter.
ri I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coastal
vlanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
vithin 10 days of receipt of this notice. No response is considered the same as no objection ii
Tou have been notified by Certified Mail.
WAIVER SECTION
•
understand that a pier, dock, mooring pilings,breakwater,boat house or boat lift must be set
)ck a minimum distance of 15' from my area of riparian access -unless waived by me. (If you
vish 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.
;i gn Name Date
.T.i