44945D - Richardson

/CAMA/ - DREDGE & FILL ,1 - `
ENERAL PERMIT Previouspermit#
New Modification ]Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
2oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 H , I 2...c) Q
[Rules attached.
it Name WILL Ric f-}A QS or...) Project Location: County 612 u N SW i Cir...,
3 2 "55 SSA Ci-eS1 A UE , Street Address/State Road/Lot#(s) 3Z35 S&[,I
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:ed Agent City 5 U? L\ ZIP LHD
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ig permit may be required by: 6Q.UNSW U 1A<_ I See note on back regarding River Basin ri

•
•
• PHYLLIS H. RICHARDSON 2861715 66-7704/2531 4 7 3 8
WILL C.RICHARDSON 4681397 08605176734
PH.910-842-5596 5-1 3—?00
3235 SEACREST AVE SW DATE
SUPPLY,NC B� C
28462•
(!!��
PAY TO I V D E 1� $ i Cv.,CO
THE O, ..
ER OF N
\Y1ar i --, DOLLARS 6 ,w
State Employees' Credit Unions
Supply,North Carolina
81
MEMO (2, —L9 — •q__ CJ�6 C'i
• I: 253 L77049i:01360S L76734" 4 38

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIP.�RIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
same of Individual Applying For Permit: Witt ,t) ic.IWASOn
.ddress of Property: 3 3S Ade_SiQ_..
(Lot or Street #, Street or Road)
(Cityand County)
hereby certify that I own property adjacent to the above-referenced.property. The indivii
pplying for this permit has described to me as shown on the attached drawing the development
re proposing. A description or drawing, with dimensions, should be provided with this letter
.4:eS I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coa
Iauagemcnt,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
ithin 10 days of receipt of this notice. No response is considered the same as no objectic
Ju have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
t bck a minimum distance of 15' from my area of riparian access - unless waived by me.
nu 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.
n Name Date ----
•
l`[P��it) tint ,�VWA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
\Tame of Individual Applying For Permit: Mil t �- l ba f d50-1
\ddress of Property: I3S c.c.f Ade
(Lot or Street #, Street or Road)
S.Z4FLI asvpa
(City and County)
hereby certify that I own property adjacent to the above-referenced_.property. The indivic
pplying for this permit has described to me as shown on the attached drawing the development t
re proposing. A description or drawing, with dimensions, should be provided with this letter
Lc I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coa!
anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3!
ithin 10 days of receipt of this notice. No response is considered the same as no objectio;
lu have been notified by Certified Mail.
WAIVER SECTION
rnderstand 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.
u wish to waive the setback, you must initial the appropriate blank below.)
_S I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
n Name Date

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