45857D - Resley

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3ENERAL PERMIT Previous permit#
New LIModification ❑Complete Reissue LiPartial 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/y 2 do a
rules attached.
t Name th%1( h'Rxi- R es ry Project Location: County
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MARK C ALBERT 1409
NCDL 8730102 PH.910-845-3291
112 NE 19TH ST / 66-112/531
OAK ISLAND,NC 28465-6201 Date 03003
b 6 03003
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7006 0810 0002 3696 4598
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIiVER FORM
Name of Individual Applying For Permit: i�YZ 9%f / �-� /
Address of Property: S OO ( A r\\DQrSo, ,) r .
, (Lot or Street#, Street or Road)
___() tC— -- gs()n /0 C. c=.2cP$44
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The iindi'
applying for this permit has described to me as shown on the attached drawing the developmer
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 C
Management, 127 Cardinal Drive. Extension, Wilmington, NC 28405 or call 910-39!
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift rr
set bck a minimum distance of 15' from my area of riparian access-unless waived by i
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.

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