41503D - Dean

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3ENERAL PERMIT Previous permit#
New .-'Modification 'Complete Reissue DPartial Reissue Date previous permit issued
sized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 14 , 2 t 0( '
LI p.SFN.) picAN t Rules attached.
t Name �0►1 •. [a D r g t- Project Location: County ON S f.. 1./
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ng permit may be required by: DtJS LJ n/ �v...iT`i I See note on back regarding River Basin r

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: C C,t 1)}-04/
Address of Property: 1 5-c e)iG R rac ICS NIA' RA.
(Lot or Street #, Street or Road)
S,z,-A s t A)k,s ! C v-,Art -k
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The indivic
applying for this permit has described to me as shown on the attached drawing the development 1
are proposing. A description o drawing, with dimensions, should be provided with this letter
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
6 1k w -tvQ,-i
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift musi
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
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.
Sian e Date
AM.

•
]M : John 8 Elaine Dee1, SF, NC FAX NO. : 910 3273247 Apr. 27 2005 09:42AM P2
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying,For Permit: ,�8 hU .a Q/
Address of Property: 154 Big Hammock Point Rd (Lot 40)
(Lot or Street#, Street or Road)
Sneads Ferry, SIC 2,8460
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property_ The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I .
have no objections to this proposal. P Iease initial
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION '"-
I understand that a pier, dock,mooring pilings, breakwater, boat house or boat lift must be
set bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If
you wish to waive the setback,you must initial the appropriate blank below.)
6crZZ--- I do wish to waive the 15'setback requirement. Please initial
I do not wish to waive the 15'setback requirement.
•
Sign Name ' Date
I17 '—mod_/J A A

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