78773A_Wheeler, Westley_20201022

Ar 4
'.. x trt roc
11' AVG
�� a� .v � � #n�� .LIB 'll'�G�13�'�9►

N.C. DNISH M OF COASTAL. MA# AGIM Nr
AGtBNT AUTHORIZATION FORM
iju� Df �.
N..»orrnr«+y parr Aspnr tw
iN�MI� MMner,
PA
tarrwp fu, I saw aWw%w (@BONO_JTgv1d CRL�F['yr w.s, w wy
w+u; lir INK Woo# s1 6pply4.. W wd oWWWiq aN C AMA rMrmlb .wwary to
E..Wu.w...w.,aAMIms" . aU' AP
�t•yt►ror•a�w■u .....�.?eeE__.._.131ec,�_-, G�•...._lcn�t,.eG,.,�....>l.Tttd
romp" ows wk-aftrt DW
.2-2 6
A C
✓ �� —.;)C,2
p�cc-7o?6Q /l7E. cow
https;//mall.modemeuto.eonVowa/service.evd8tGetFRoAttechmenl7ld=AAMkADM1NTUwZWRmLWU4M2QtNDAOZIthYTBILWt2OWE3Y2EyMWZmN.., III

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: s7'raaj
Address of Property. Z22cP a 14 AlC. 27pY�
(Lot or Street #, Street or Road, City & County)
Agent's Name #: O/9v4
Agent's phone #: .2.5-,2 20Z 96:r7-2
Mailing Address: .226 %�colc.. - Q)A
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 must be provided with this letter.
have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. 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, boat ramp, breakwater, boathouse, lift, or groin
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
gnature
Print or Type Name
Mailing Address
CL E AiAcvr 41 C 2 70/,2
City/State/Zip
Telephone Number/Email Address
Date
'Valid for one calendar year after signature*
Signature *
//% /C,L+ 'sr --
Print or Type Name
e o. t3oI 9
Mailing Address
City/State/Zip
2 r-2 - 1/ 72 - c512 G-2
Telephonemr/ /nail Address
J
Date 111 lT V _ --�—
�/ v Revised Jan. 2017

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner
Address of Property: -?.- F /?� r A K 1P/J 1AIC. 27 c/-'
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
P,-PVI e r-1ZLedrcr'/
Mailing Address:
226 acd'aAx pa,
Agent's phone #:
2 S�2 -202 9?e7-2
If. R /-/T Al C.
2 7Yeld'
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 must be provided with this letter.
�I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Grim St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. 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, boat ramp, breakwater, boathouse, lift, or groin
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Sig��na�turel
Print or Type Name
121 Ale.
Mailing Address
City/State2ip
Telephone Number/Email Address
Date -----
*Valid for one calendar year after signature`
(A roperty Owner Information)
ignalure
IJ Leif' is t� (�G Rd/}/✓
Print or Type'Name
.227 JeA a o%r~ Un .
Mailing Address
J< R 14. ,(/ C ;? Z!9,F
City/State/Zip
Telephone Number / Email Address
lc-y 2a
Date*
Revised Jan. 2017

m this mao
-
!&

This map is prepared
from data used for the 228 Rhodorns DR
inventory of the real Colington NC, 27948
property for tax
purposes. Primary
•
Tax District: Colington
Subdivision: Colington Harbour Sec U
Lot BLK-Sec: Lot: 29a BIk: Sec: U

9 � �. � ..'
�� r r
y'"�
t �