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LAMA / ::]DREDGE & FILL i N9 if
;E N E RAL PERMIT Previous permit#
New Modification __Complete Reissue Partial Reissue Date previous permit issued
ized 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 H , 2 400
/�1/Cr/ RQk't 3 ��4Rules attached.`/_ -'�
Name Q T -/ Project Location: County /�Y�'�
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F/r/ �?4/%O � �t'y State/re ZIP O? //* �Gry—me 4 g/vim',
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(9 XX,36$1 Fax#( ) Subdivision
.d Agent b—e, /''41' City Y/Y1/4Z 7' £ "/_ ZIP 1(�
C CW WCW -ETA ❑ES ❑PTS Phone# ( ) s� Rivers Basin (__.G.�
❑OEA ❑HHF IH UBA ❑N/A Adj.Wtr. Body '// (nat /r
❑ PWS: [1 FC:
des /® PNA yes / Crit. Hab. yes / no Closest Maj.Wtr. Body �e�`"�0 t
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distance offshore y
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ig permit may be required by: Gv/'/f4►1��//// So?. / See note on back regarding River Basin n
19 05 10: 33a Rippe Automotive 9103502986 p
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RiPAR1AN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual 1
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applying for permit �fdr?ki _/204ZoCT - __—
Address of property I D/ Pitfl U/VO. Milli?'-13OLiz �,/L
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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 ached
drawing the development they are proposing. A description or drawing, with
di ensions should be provided with this letter of notification.
�� Please initial below if you have no objections.�''
*(..I have no objections to this proposal. . - .,L"xI5 ivv f)-A,
If'you have objections to what is being proposed.please write the Oitiision of Coastal
Management, 127 Cardinal Drive Extension, Wfington, N. C. 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
ter+......•-w....r,e.,.,w.,,.
WAIVER SECTION
I understand that a pier. dock, mooring pilings, breakwater,boat house,lift or
sandbags must be set back a minimum 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.) M -
____.1_ 04;:s‘‘
I DO wish tothe15' A1,1—.-, .4./ t t'ppy
waive setback requirement- 't rr . '; 7,•• •
i DONOT q `", ...�.
---- --�. wish J , ;,
to waive the 15' setback u;��p l :,1'° -, Wi
.. ...75- ,,Fr: & , :;,.,
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4,...
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• Signature & Date
\ _—_ Print Name
•
•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit Ajy24 b&t
Address of property P) )"i1t J31v .J M24 T 31 BL1t['Aj 06
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 of notification.
Please initial below if you have no objections., T, 4
I have no objections to this proposal. I'A1
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 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,lift or
sandbags must beset back a minimum 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.)
I DO wish to waive the 15' setback requirement.
I DO NOT wish to waive the 15' setback requirement.
p !, /�764ijb 1// G,r Signature & Date
/. L L4,4 I n kl A kD I Print Name
• MS Marine Contractors, Inc
Complete Marine Construction Servi
nu� For Over 27 Years
ars
1 CAPT. ED FLYNN -I /�,�� - DURWO(
'd u'1 P.V. Piers, Floating Docks, Pilings, Bulkhe
� c�r Boat Lifts, House Pilings, Repairs
J in
P.O. Box 868 Phone/Fax: (910'
Wrightsville Beach,N.C.28480 email:efly
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