43338D - Woodward

CAMA/ 7 DREDGE & FILL
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3ENERAL PERMIT Previous permit#
Tlew - 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 7/7. /Z a
iftas-s attached.
t Name ..7"-o4 pi tiao ci tic 9iz Cy Project Location: County Ile c,1.l..S 1./i C le_
700.3 ,l P 4 e✓/0 J. R d, Street Address/State Road/Lot#(s) /7/3 )-19,12
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(q/0) 474 7Y2S Fax#( ) Subdivision 0,7 t/P2 ji,94 haeirt
ed Agent City Sip®Ly ZIP 2 zr y1
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1g permit may be required by: )i'Q S e COw e✓ '4',c (0,...4, . See note on back regarding River Basin n
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 02, v\ Wo& otilva —i�,
Address of Property: 6`4 (8 13 5UJ 4,aR „x.e.
(Lot or Street #, Street or Road)
SccrQQ � L c 5Wt�lc. Co .
(City and Couthty5'
I hereby certify that I own property adjacent to the above-referenced property. The individi
applying for this permit has described to me as shown on the attached drawing the development th
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 Coasi
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39'
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
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If y
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
XI do not wish to waive the 15' setback requirement.
(if illo6
Sian Name i Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONI\VAIVER FORM
Name of Individual Applying For Permit: ") O1.h WooAtoo,,I2 T"
Address of Property: C_.oi 6`f I E5(3 S W ff ows4.o..✓'
(Let or Street r, Street or Road) J
S (77 /I/ � r.� S l v 1/L C .
(City a �Cbunty)
I hereby certify that I own properr. adjacent to the above-referenced property. The indiyidu
aoplving for this permit has described to me as shown on the attached drawing the development tr,
are proposing. A description or drawing, with dimensions, should be provided with this leaer.
,(:) .6 I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 2S405 cr call 910-395.-39
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
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift'mustbe
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If y
wish to waive the setback, you must initial the appropriate blank below.)
I da wish to valve the 15 se recluirernent.
d: not wish to waive the 1.. setback re uirement.-
/l1IY/0,5-
• Sign Name Date
bA V L . RA1 E72 I

0/2005 10. 10 FAX a1V ore [ iii •
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PALMETTO LENDING GROUP, LLC. 10-03
910-686-8475
8003 REUNION RD.
WILMINGTON,NC 28411-9271
Date
Pay to the ///e...._Order of
'.! /We/144, Teo"(
Bank of America
ACH H/T 053000196
�{ /f� ) A-fru" PForIr& Ifve_lc y333
�r Dddaki( 000 L0041I' 1:053000 L96': 0006968 89116
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