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3ENERAL PERMIT Previous permit#
--,Slew Modification _'Complete Reissue Partial Reissue Date previous permit issued
,rized 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 1 \ . \\Oo
!Rules attached.
it Name PZG+i Q a.... ‘i) Y"11 a ZE L Project Location: County OWS L.c
S2-1 6 lr) vl�; v../v wL Street Address/State Road/Lot#(s)
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ng permit require ©tV S L.ot.-J ~fit..•.►-ter`'{ See note on back regarding River Basin ri
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Jr'117.1J.C.ClUj 11•YOni I 11..dJL1 I\ wlnv ) ��
1 DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATZON/WATVE ,FORM
1
Name of Individual pplying For Permit:
Address of Property; a 1 g 71 xi 6
t or Street#, Street or Road)
•
e , , at-16C
City and County)
I hereby certify that own property adjacent to the above-referenced property. The individual
applying for this perm 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.
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 SECT
1 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.)
a
____24\______ I cio wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
E lq/20(2A-
Sign Name Date
ij \'
ikiAPrint Name ���-
9i5 'sift !r NCDENR
-- _ NORTH Cumuli•bramtmRNr or

Jr119.1J.LCJU.; ll•`101-III 11t.LLl'I\ wlINv ) •"• �+•
AWSIQNITMAialari
ADJ C N T R AIR AN PROPER OWNER NOTIFI, AE ON/WAIVER FORM
Name of Individual Jido
pplying For Permit: ,z
Address of Property. 3 Z l �-I it.od vi c_ Dit —
t or Street#, Street or Road)
-tee c_iLLs____&-zit ._. Z& C-I60
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this pert/It has described to me as shown on the attached drawing the development they
are proposing. A desrlption or drawing, with dimensions, should be provided with this letter.
_:T I have no objections to this proposal.
1
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.
.\law R SECS'
1 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.)
__-_72L____ I cio wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
r
- Wi7Iti _411))/7"1"T 67(6
e 4- Date
,-,lokki ),/y, R-Q.,,,,,...+
ATAPrint Name �-
@" '2 3 2 i- _Ao NCDENR
NORTH CJRa1JMt Nauman..e.

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Ili TOY
w� TO THE `�
e C—� I 0.
ORDER OF e_ I /00 57
4 P l\ /`Ur L/N'e/ C cr l ' ,� _DOLLARS
°111
Ir
I BANK OF MILMINGTON
Hampstead,NC 28443
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FOR ��r0 P e-[�1 ��7 _ -
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000 2 58 Lio 1:0 5 3 L L 2 2041:0000 5 3 30