HomeMy WebLinkAbout41568D - Rivenbark CAMA/ REDGE & FILL N9
l'ENE L PERMIT Previous permit#
pe t
New ('Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
lzed by the State of North Carolina,Department of Environment and Nat r Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC , i Tsl`
ules attached.
t Name Ail Z i.y}gEL Q1 J E 3 A(L IQ Project Location: County )(,vk..✓ (123,
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: M ICHAEL Na A(2. V
Address Of Property: LOT 2. C NADW(c Le_ SNoaf-5 SIC_T. Z.
5MIAOS Fe ee)-1 Nc 28 L 10 0
(Lot or Street #, Street or Road, City & 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.
If you have objections to what is being proposed, please write the
Division of Coastal Manaaement, 127 Cardinal Drive Extension,
WI m Marton, North Carolina, 28405 or call 910 395-3900 within 10
days_o€ ,pecpipt 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 be set back 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. ) -
V I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
rI
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7 CARA KA-4/ 24, 2-
r,04.7A.:7 4*.k.,4Y, 9 P44_ j, 4 ts" ctoi L 0;e. 4)Ilice#44.4
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R: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
iplete items 1,2,and 3.Also complete A. Signature
4 if Restricted Delivery is desired. ad
••-nt
your name and address on the reverse X . ,i1 c -1,,,„/,Af.✓tS'.:�•ressee
tat we can return the card to you. B. 'eceived by(Printed Name) C. Date of Delivery 1nus®SAFETY - . OOarreRmertcor BA
ch this card to the back of the mailpiece,
1 the front if space permits. "3-• A • , 5- ( a h
D. Is dMliirery address different from item 1? 0 Yes Q o
e Addressed to: D o D
If Yli;"enter Stelivery address below: ❑ No v m
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o Ki 14w ��fi ., ?' 4. x c Us _r
Q lkftf�\ N C 3. Service Type 1 .�
0 Certified Mail CI Express Mail i
y N i\ PA
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D. N 2 z
3Cr
4. Restricted Delivery?(Extra Fee) 0 Yes
le Number ? o
sfer from service i 7004 2890 0003 7346 8975 a
m 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ,\.\.\11\,, `,
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