38932D - Beard

3'CAMA/ ❑DREDGE & FILL 42--C).-
3.ENERAL PERMIT Previous permit#
.Jew -Modification Complete Reissue CPartial 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 15A NCAC 7 H • 1 2 0 0
J ❑Rules attached.
t Name 13 CgCf Ben e r1 Project Location: County 0 II.5I 0 Cto`
m
!'7e -/4'I t s-, . Street Address/State Road/Lot#(s)
SU/-c C; "� / State1�) ZIP Z.a 4 45 Q ? `/l`r -�
`( '!4}6 75—S/G Fax#( ) Subdivision
:ed Agent City- 1)/F 6;4 7 ZIP 2-P9T_'
❑cw Krfw ,i PTA ❑ES ❑PTS Phone# ( ) River Basin Cet/ )
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑PwS: ❑FC: Adj.Wtr. Body A.let ,jQ (nat 1yes /6 PNA yes /) Crit.Hab. yes / no Closest Maj.Wtr. Body 1 S
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ier(s) Q
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;distance offshore r _ + +_ �._
ix distance offshore 1 . { -, 1 t I I f , j' ! +� v►�: �
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ng permit may be required by: .S i'u F C 1q), . See note on back regarding River Basin ri

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: BRAD Be/he 0
Address of Property: 7 G 79 S /
(Lot or Street#, Street or Road)
irj Ci
0/75161-6 at'-`-(/)
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indiv
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this left'
✓ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-,
within 10 days of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu:
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.
UAdk\31kAk-C' N\ .2 iLtti 0 (-7
SignName
Date
1 _ . MA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOR
Name of Individual Applying For Permit: 73.e#97, F, --0
Address of Property: 7C 7 t 7l
(Lot or Street#, Street or Road)
51A(-7 \
�) (ins 1c4-3.
(City and County)
I hereby certify that I own property adjacent to the above-referenced._property. The in
applying for this permit has described to me as shown on the attached drawing the developm
are proposing: A descrip ' ' or drawing,with dimensions, should be provided with this 1
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-39
within 10 days of receipt of this notice. No response is considered the same as no obje
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift n
set bck a minimum distance of 15' from my area of riparian access-unless waived by i
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.
c(-t- ,_5r-:7/17eil,
Sign Name Dat

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EMILY K. MARTIN 0IIIIIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIll
110 ABALONE DR I11
WILMINGTON, NC 28405 lm 66-763 01
yDATE � 1/RDPAY TOER O E ~ji-
0 _s_ DOLLARS�11 WACHOVIA
1 Wachavia Bank,N.A. ACV3&�3M Raleigh,NC 27611 �/�1 CO (2-1 ill t ' 0
FOR 1.053 L076331: 6 268 3 2 L L63II' 0 L57