43910D - Singleton

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3ENERAL PERMIT Previouspermit#
;tciew !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 I 5A NCAC 2,,, //DV
[(Rats attached.
t Name ,9
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rig permit may be required by: SUJse 1 6 o A C/! See note on back regarding River Basin in

MR.AND MRS. G. F. SINGLETON 2813
PH 420-0370
121 W DREWRY LANE
RALEIGH,NC 27609 66-21/530
O� BRANCH T7630
Date
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Order of •L� /V I $ Yea e^ "
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
\Tame of Individual Applying For Permit: aA, U
�J
Address of Property: /,Z D l Npr41k £re LT h-;Vey Eris T Lf I
(Lot or Street #, Street or Road)
S tee. _
unsantok
(City and County)
[ 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 the
ire proposing. A description or drawing, with dimensions, should be provided with this letter.
VI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast.
VIanagement, 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
[understand that a pier,dock, mooring pilings, breakwater, boat house or boat lift must be sI
Lick a minimum distance of 15' from my area of riparian access - unless waived by me. (If yo
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.
1 ,14/(1/ ,0,2 .2 144
Si v Name Date 1
Elmrct Af.
Print NamP / A �

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
\lame of Individual Applying For Permit: a2x! r. _.6';j/P_T-o K_
Address of Property: /20/ 1rgi ;V gas hD-/-
(Lot or Street #, Street or Road)
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individuh
ipplying for this permit has described to me as shown on the attached drawing the development the
ire proposing. A description or drawing, with dimensions, should be provided with this letter.
1/ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
VIanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721
ovithin 10 days of receipt of this notice. No response is considered the same as no objection
Tou have been notified by Certified Mail.
WAIVER SECTION
[ understand that a pier,dock, mooring pilings, breakwater, boat house or boat lift must be st
)ck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yo
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 ame Date
1/144t _ ri4e2
3rint Names AWA