44937D - Oldham

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3ENERAL PERMIT Previous permit#
'New !Modification IComplete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources a /� G
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC //
les attached.
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOR\
Name of Individual Applying For Permit: Donnie Oldham
Address of Property: 49 Anson Street, Ocean Isle Beach, NC 28469 Brur
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referencedabove-referenced_property. The indi
applying for this permit has described to me as shown on the attached drawing th developmei
are proposing. A description or drawing, with dimensions, should be provided with this let
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of G
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu
set bck a minimum distance of 15' from my area of riparian access- unless waived by ma
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.
dill pdiplk?-44A,W WAX
Si:11 am Date
John Formy-Duval ATICIFA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Donnie Oldham
Address of Property: 49 Anson Street, Ocean Isle Beach, NC 28469 Brun,
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indi`
applying for this permit has described to me as shown on the attached drawing the deveiopmen
are proposing. A description or drawing, with dimensions, should be provided with this lett
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cc
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu
set bck a minimum distance of 15' from my area of riparian access - unless waived by mi
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.
ign Name Date
Dm..l Thmrr,