34121D - Rice

0 :CAMA/ DREDGE & FILL i N? /4121 D
GENERAL PERMIT Previous permit
)C p - _
New ` Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 f.(,; dia, .
Nifules attached.
Applicant Name dG,g411 : Kite Project Location: County 0V5/01../
Address 70V 719,E LAN(yN(> RROAl) Street Address/State Road/Lot #(s) X. t/ -774{? /A4t 6 ti& 000
City /4//y Ric-iq a State /V( ZIP .,t /t/ -
7 Phone# (//U )7O- 3..)7T Fax#( ) Subdivision
Authorized Agent 1 4(y -3, ,sK"4/j4 I City /-4//y/ /Q/1y ZIP JB 9 t/S—
Affected C CW PEW IkAA ❑ES ❑PTS Phone# ( ) y River Basin (A-
❑CEA ElHHF ❑IH illUBA ❑N/A
AECs : Adj.Wtr. Body( ) ❑ PWS: ❑FC: 57tierlP SO NNf) drat--?man /unkn)
ORW: diliP no PNA./'es / no Crit.Hab. yes / no Closest Maj.Wtr. Body 571/e!/' SUNS
Type of Project/Activity >/4(F m y 1 6 L /'/PAV) 1 /t,-T/,41 4 Af' Ctiiti
(Scale:/ =$O ' )
Pier(dock)length x SFCati
imu
Platform(s) ,M t 1 S(AhElm , —! imorm —',
Finger pier(s) i ■ . MI■, , Mil' 1 ' i
4.Groin length 11, 1 • L ■■, - • .,.00 c, .• iMall
number ' UI I ' ' —'w!a*:�f2?:ass.1i•r I.-•.,i i.?.'.:�•i►:•..•�i
Bulkhead/Riprap length 00 :fit
' ' ' ,^ � �� ' (1 �iii
' .__a
3 �'� ■� r
avg distance offshore __. •�
A ; ■ ■max distance offshore _ ��,�r,� i
Basin,channel — t� '
AViIIII
cubic yards t } 1
Boat ramp i b-/ if --- i
t i
IIP
Boathouse/Boatlift j
, i
l
Beach Bulldozing --__ i -�� 1„fir. ,,,,,,,, . ,,,,,,A,.. i I i
OtherP P�
- . _ _
� --'40. 'ilk....' ■■■� , ■� :■ _-_-_ 1
_ ! _ - - I _-
Shoreline Length I I I I
SAV: not sure yes no I I • . • ] .
Sandbags: not sure yes no I
, .. }Moratorium: n/a yes no — t vrt tl 1 1 i
Photos: yes no _ I I, II i
Waiver Attached: yes no I 1 - i
A building permit may be required by: 0(11S/0In/ en• Li See note on back regarding River Basin rules.
Notes/Special Conditions All /eNlY,-f-;old c o E" "?4(,..)i-/(X) SAP 0 APP/t/ •
fit'Y PAP nip, 7- 0e /OS;-rivt,EA A,oi 70 Zia e <7 i iXq/71k/r Or i i lir fs) I- > vi14-IP,410'
oc 71t E?O5/U" -E SMAPP/ +t Ai 6 a 0m oi4E- -77/A'v " Abu✓t inA�sH so bltie4 te .
i_./..71.
613 4.-N---
or pll rimed Name Permit Officer's Signature
Signature Please read compliance statement on back of permit** Issuing Date Expiration Date
U'v-.i/0:,./ to .
Application Fee(s), 5t-, Check# 114, Local Planning Jurisdiction Rover File Name

•
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
n Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington
Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I 9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] I5 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised I0/05/01

GENERAL PERMIT COMPUTER FORM •
APPLICANT NAME: P-P R l ut_
•
ADDITIONAL NAMES: \ PK-y
AEC DESIG: /` 'L1/4/ Pt 0 l2 DEVELOP AREA: D.0 7 PROJ DESC: /' - a t-'r
(Will only take 6) — (Will only take 1)
WORK: ' .IZ ,10 0 5
(Will only take 4)f I
MAINT:
(Will only take 4)
•
IMP:
(will only take 6) O
•
ACTION EXPIRATION •
•
DREDGE&FILL REQUIRED: 11-j Cr-6 3
CAMA MAJOR DEVEL REQUIRED: U-27 r,(r(k C 3

ji (6 ,
• ,r N rth Cd t 0.il �a
,�7,. Coastal Fed eras Lion.
Tex and Lai'ette Ritter NCCF Headquarters:3609 Highway 24(Ocean)Newport,NC 28570,
740 Tar Landing Rd. Field Office:3806-B Park Avenue,Wilmington,NC 28403
Holly Ridge, NC 28445
' July 20, 2003
RE: CAMA Permit application for Bernice Rice, 704 Tar Landing Rd., Holly Ridge,NC
Dear Mr. and Mrs. Ritter:.
Attached please find plans for a shoreline stabilization project for Ms. Bernice Rice, and
a form, which is provided for you to send comments to the NC Division of Coastal
Management in Wilmington. +
Ms. Rice is participating in a shoreline cost share program with the North Carolina
Coastal Federation. The purpose of this program is to provide grant assistance to
property owners to stabilize eroding shorelines with structures that are more
environmentally sensitive than traditional rip-rap arid bulkhead methods. As part of Ms.
Rice's project, we will also be evaluating the benefits of f using marl versus granite as
- potential oyster habitat.
' As you can see from the plan, the proposed project will be located on a small section of
the Rice property, which is a significant distance from-either-property line.-We would -
anticipate that this project will have no impact on your property, but I would encourage
you to contact nie directly if you have any questions or concerns. The attached form
provides you with mailing information if you wish to send comments to the Division of
Coastal Management.
Thank you for your consideration of this matter, and please do not hesitate to call if you,
have any questions. "
Sincerely,
Tracy E. S abal •
Senior Staff Scientist •
cc: J. Swartzenberg .
• "Citizens Working Together ForA Healthy coast"
- NCCF Headquarters Phone:[phone] m Fax:[phone] a Email:[e-mail] © -Wehsite:www.nccoast.org
Field Office Phone:[phone] e Fax:.[phone]
1'� •, .
1 •

.,f
. (� �
(r Nor �� a_ ortla
ow
T
Coastal '-octeriittor
NCCF Headquarters:3609 Highway 24(Ocean)Newport,NC 28570
Denise and Billy Scliindec'ltOffice:3806-B Park Avenue,Wilmington,NC 28403
• 8644 Kepler Ave. NW
Canal Fulton, Ohio 44614-8863
• July 20, 2003
RE: CAMA Permit application for Bernice Rice, 704 Tar Landing Rd., Holly Ridge, NC
•
Dear Mr. and Mrs. Schindewolf
Attached please find plans for a shoreline stabilization project for Ms. Bernice Rice, and
a form, which is provided for you to send comments to the NC•Division of Coastal
Management in Wilmington.
Ms. Rice is participating in a shoreline cost share program with the North Carolina
Coastal Federation. The purpose of this program is to provide grant assistance to
property owners to stabilize eroding shorelines with structures that are more
environmentally sensitive than traditional rip-rap and bulkhead methods. As part of Ms.
Rice's project, we will also be evaluating the benefits of using marl versus granite as
potential oyster habitat.
As you can see from the plan, the proposed:project will be located on a small section of
- • the Rice property,-which is a=significant distance from either"-property-line. We would
anticipate that this project will have-no impact on your property,but I would encourage
you to contact me directly if you have any questions or concerns. The attached form
provides you with mailing information if you wish to send comments to the Division of
Coastal Management.
Thank you for your consideration of this matter, and please Sdo not hesitate to call if you •
have any_questions. •
Sincerely,
Tracy E.Skrabal
Senior Staff Scientist
cc: J. Swartzenberg
'Citizens Working TogetherFor A Healthy Coast"
NCCF Headquarters Phone:[phone] d Fax:[phone] G Email:[e-mail] c. Website:www.nccoast.org
Field Office Phone:[phone] Fax:[phone]

. . : Site __
: = pan ,„
, ,_ ..
' ' Bernice; Rice Property..
Not-to scale
.
Y a
& Existing marsh
•
ea
•cc` - lift'MS •\
\ett' fir , „„ffeggr, lattfir4'
.' a
.44 E -- : . Hy�` Proposed
-� ►_4 rip-rap at
o ; r the base of marsh
ci, Existing�bulkhead/rip=rap ���;c
V V •L ' 01900
O eoo 000000
C4 -----Z______1>
_ • Stump Sound
existing pier start of proposed rip-rap
1

a
•
•
;
6%. A

Site Plan
Bernice Rice Property
Side Veiw
Not to scale
�T
:�I
Crest Max 0.5'
above marsh grade
0 /rm%7
/0/
Existing marsh
Max.5'

•"�t 1 '(l r•
LEIVIS1O (7,0 (.. ' ST6.
e.1�.1ACENT-_ RIPARIAN I'R.OP r;,� �r 0w F. t.. ti
- , 1•, t�l >'�'ll'•jr'aT'iA�!' A1}:•l::r-;__}_(=)hNJ
Name of Individual Applying t r 7 For Perth
ir: ...—���`
Address of I'1'.>pi rt)':__ Lf / c�6� zdi `-
(Lot or Street I. Street or Road) •
_.._-... _.�_.__.
//y4 &A25,(City and County)
I hereby certifj' that I own property adjacent to the above-referenced p'r,,o. ert
�. �. The i�tdividuai
applying for this per it has described to me zs shown on the-attached drawing the developmentthey
. are proposing. A description drawing
rop escription or draWi�g.'1�:.,with dimensions, should be p_:°ovidrd with this k ter.
1 have no objections to this proposal.
If you have objections to what is being proposed; please write the Division of Coastal
Management 127 Cardinal Drive Ex ensioa, Wilmington, NC 28405 or. call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if .
yoti-have been notified by Certified Mail,
•
WATV7R SECTION •
•
I understand that a pier,dock, oring pilings,breakwater,boat h o us e boat lift nut Ee set
bek a minimum distance of 1.5'from zny area of'riparian access a unless Waived by me, (1f 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 i ".setback reituiterifint:
•
:Sign-Name .'".-.- • Date M:i+r•'' l�.r ...
Print Ns3me NC'------ - +�R�anNtiMr�Y
ENS,
. . .
nfont�a c ncvw D xrr.ry r. .
ar
EN,,,: M6YW sun MR'Vw.RC.*L RGt
Telephone Number with Area Code S;\c;arna\shells lriparian r e t i
p"op T``y.n Xia

._ A�_1_^'ti'T_l lt?! R AN PT'Ol F,P, .�T ,r,,,�`r` t. , ' {
Name of.Indi'vidual Ap lying For Perrii': lam- i�/C.eRI
Address of Properly:_ �Ll�, 0,,ir •
�'td,� f r
(Lot or Street ;I, ; ueet or Road)
•
(City and r our?ty) .
I hereby certify that I own property adjacent to the abe ve,-r eferei,r,;r:td ,op''erty. The individual
applying for this permit has described to me a,s shown on the attached drawing the de 'eiopre it they• are proposing, A description or dsa"r� 1£: tirit7( dimensions; should be provided 67�1 ;?1s letter.I have no objeetianc,to this proposal.
If you have objections. to what is being proposed, please write the Division of Coastal
Management,. 127 Cardinal . rive Ey erisior;;, Wilmington„ NC 2,8405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the salve as no objection if .
you-have been notified by. Certified Mail.
WAIVER SECTION
•
"understand thata pier,dock,mooring pilings breakwater,boat house or boat lift must be set
bek a minimum distance of 15' from ray area of riparian access unless waived by me. (If you.
wish to waive the setback,you must initial the appropriate blank below.).
1 do wish to waive the 115' setback.requirement.
- - I do not Wish to waive the 15"setback recluirenicinti
•
Sign-Name Date
Print Name EN II
.• . ..N ''4 Ca011N.P.7rie'[NPJ 1 qP'
EAWIPa+MEP7.WP tiQVr4 Rt QURCTs
Teiephoue.Nui.ber with Area Code ��__� S;\oama\,shellslripec anproperty. u,.

• 9 a
y
\.

•
nr
- •. - { G
rr
Pestaoe $ 3 7 _ J
p ���
p Certified Fee ;I,i -� 1
p •/ `
p Return Rem ept Fee 1\,----�tTeo)
(Endorsement Required) / 7 / c �ie`rs,;,./\`
Restricterd Delivery Fee �; r.p t
. ' p (Endorsemot Required) 11 I - l
Toial Postage-8 Fees $ Z �'
p Se�To
p yy t 1
•
•
or PO Box No. i.
/y 0 /Gt/�/— ,7o/, , ''
Crl. By LIP•r / ��
r ` rr
pk•. _*�s"R.�. 13F' �.k rrt 1,I I , ,:I
I.
Y ,`.
f ice? Y q� -e I
3 Girt c t t s e
' tM '.r va 4 F 1• p-.[ 1 I:N[wh i r' �„ it kr, 4 a E
} .i, fi r`< Ie r
K e ou CUM`_lip 4ll�s pe, .�g PioVf �� • ..
Ln
Posrage $ t r 11 I! \ rUj"
t re
Certified Fee /6'.
' p (J
Return t Required)
t Fee :',•.Postrrra.;t
(Endorsement Required) 1 7 �-�-- H�rer ,.
0 Restricted Delivery Fee r i;- , *4, 3 ; ,tr
p (Endorsement Required) (
-a,
c
{ .
� pTotalP $l ; t ostaQo 8 Fees
/
a 4 p Sent To
r • rt- r `<.. #7Ttr '�j '. r k '§, p •
' �ZNf r Are krt r- I t :'./'7/Se /J,r�/f so,/,,/i;p4„'::'-)c:7/r `b ,* .0Y _ [ 3treot t • { c , o � , � J �vt " 'y+ � x .,-i ' or PO Box Na CJ ...7� -}�/ �t t e --<. ' '4--:
1/4
'::•,: '
t <a rY '" L'� Yt City,State,Z/f{A j , r Y l 'r'£ , ' <s _; * 3T y � �!!C( / yi)7 n 7J.-�r/_i"�- xru
.`` f x'i., f.A:t , , : ,,'-' , u ....7,...,.. , ,,,,,,,„.,_,,.,„,„.__,„, . s} .. Y " Y t 13. k% I t.r 3fic w u. i Is { ` I Ar/ r s�r ° r ry -a r' . a < _ '
"4' x1 r X r r b- .. -4 w ti - . • .
.i} s 4' . n� r3} rp s `` x.t. , 4. !? ? fiw •
rt a r Pig rt
r. "'

08/04/2003 11:09 9107909013
__. .
'fl 1 U hik0J,N.L.,' ..' \ ,, --•.,i--- NCCF WILM OFFICE PAGE 01
--; . /' 36(1‘) 11V Y ..1-1 (I)1 J.A N) • NI.:\X'1'k ACI. NC nal I ( A ii(11 INA 21-:',/i i . Cyk,:?I',I, ):,8 18r, . 3.,,,, (.)/.;:!) 31i
,, ..r. .
\ ,p •:1 :•;1.;t)01.; I./JO,: A VI 1Ql 11 WILMIN('Ai )N. N/ 'A1(1'. II I to 10)7i.:Q.!
COASTAL 1
I 1,1)IJKAT)0 N
FAX COVER SHEET
TO: li M velgc31 . D Cxc
FROM:..1,,-, c ICArtt.bGt.SL-
D ATE:
PAGE / OF 7_,___
1 .
1
NOTE: As
. .
, .
1,
1
1 .
. ,
1
. ,
1
. ,
•
1
1
()Email:[e-mail] svnr•cv.nccoastorg 1 •

08/04/2003 11:09 9107909013 NCCF WILM OFFICE PAGE 02
_ - - •
. .
•
• •
•
.. .
. i
. • -
. .
' • .
•
SENDER; COMPLETE THIS SECTION COMPLETE THIS SECTION Orr DELIVERY
• -
11r Complete fternal,2;'and 3.Also complete . A.Signature
• 1.• • item 4 If Restricted Delivery is desired. IMI"
• ;I:a Print year narnaland address on the reveise :. xadie.f.e.t.it deeht"...13 Addressee
i a°that w6112r1 Altiliin'th6 Caai t°Sa°°- " B. Received by(Fdrned Name) . C to entry
. .' • Attach this crud to the back of the mailpieoe.
'-
or on the frorrtifspace permits. )p4-Irefic Ai cidrafie- CAP LeiL,ir—• 1164/1)3
D. Iv delivery address different Item Item 1? 13 Yes
1.. Article Addressed is: ' If YES.enter 4:}elivery addrese below: O No
. eii.,15c, yi.g/ir Sc; .
• ryv .).t0.le.!°:fr- ./be. /me . .
.
Vlivid i.'"175° 3. semce Th.
. • . - .. , o Certified Mall •a Excise Mali '• • -.• : .
•9?4/47•—8 t&.-3 1:1 Registered lij Return Receipt tivirtendiandise
i • • .13 Insured Mall 13 C.0.11.
i'' '..! . . • i , • • s De • .
• • . ' A. Fletricted livery?(Extra Fee) . .0 Yes
. • •
. '2.*We Number i% •
• 1, • 7003 0500 DODO 4519 9 7B ;•• ..1.. . . '
......faansixirfrornsieruite!abell
11:1i tom. Ofilt Algust 21?01'-i' . ;.4: ,DelneaticRatum Receipt ..102.595414A4atio
1
• • ,
• ,
I,r,,.._P.'..• ... • .. • .
' •
girK?' .--- . • j•
- l
e&f.)o 7 -..s-- .5.7 ->' -'2-4; ' 7 /7 7-Z€••;- a - 24. e' 7C) •
gd -t/ 0 MA? oj- .e__75'e, AFOI 6.-- -, _7' .74-"Lit. e-.0,- 4?.f?
IP-6-6‘L ? 6)iNzt, do --Zs'
/()
C(e • • S e>/-
".(
7 7' / - ek.,(4pe.. - i,"..... . e
—.3
7 -z cys ? ,/ ee.-‘) .S7 " Il '
....
. . .

07/29/2E103 16:04 9107909013 NCCF WILM OFFICE PAGE 01
I 1 i 7M,IJ.:!! !.(11
.
/fI/
4 .-'i,;., ..i. 1 ,( )1 1. )' :%.j 1 (,J AN, . Y i)\+:%Yr));•J h(i1c.v71 ( A.) ' 1 1 t`,!.h. 'rir,':•i, . r:,, ', ;•''1;r:I} . ,, 01,2 ', ' i
" ‘7. i NI , >� , 1' .':•:: , 11 '/l ,
/- ,,• �i:Ur,l: i'/°.I•:I•, 15V1 •i lrll.h4ildt �'1• �I•. I'•t 1l1't VI) ''' ! •1?:.cr)lii� /II i.,l
COASTAL
}.;.1)i.11,710 l.•i
FAXCOVEzSiILET
TO: ..-1-19'lk q •-e_gos 0 4,.._ VY\
FROM: -+'-'�^-D c
DATE: 7'01 q- 0 3 .
PAGE ( OF .3---.
`C.i2 12-1 Cam- - etil--P itc_42_4 4S
�;''"-~'
NOTE: i A _ ' (LY:de--.4.--_
-11) .-- T-17 -1('43-11. -C.r\- i
olevt
LtekteA..C1-al
1\..0. .,12..;_rt- t)A 4 2`V -. 1• 4-' . .
—22.0.., ... 1
,�-po �-
0 Email: ;iccfZnccoast,org www-occoasL.orr ,

07129/2003 16.04 9107909013 NCCF WILM OFFICE PAGE 02
val r. �.sale,.. 14• 1�-e•, ri�•L.ann wtrtv i w.w� -
•
•
� C - �NIMI P CO 9TAI MANa g a
r
snummizacAngsayegmlow
Name of.Individual Applying For Permit!_ /C Z' • e c.x_
Address of Property: 7O c,' L 14
(Lot or Street#, Street or Road)
A ' c
(City an County)
I hereby certify that I own property adjacent to the above-referenced
pro arty. The individwtl.
applying for this permit has described to me as shown on the attached drawin the development they
are proposing. A des ' tion or drawing,with dimensions,should be provi with this letter.
1 have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395.3900
vrlthin 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail,
.MP -WAIVER
I understand that a pier, dock, mooring pilings, breakwater, boat house r boat lift must be
_ ejt bck a.Widmann distance of 13' 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 iknig wish to waive the 15'setback requirement.
o>
Sign Name Date
v 1r R. l Z -
Print Name
o .3? NC
com___________________
►rt Nauru "i�aN�ico
Telephone Number with Area Code •
S:1camalshel1s\riparianproperty.frm •
•
•
•
•

.MW. °._:3�3: 1] 'al.:i ' r{_:ZEHR l•dIF(� i,lfy
2VIS1ON OF COASTAL MAN1AG1 sMENT
ADJACENT RIPPA1Z1AN PROPERTYOWNER NOTIFICATION//WA1VEP FOR?.1
Name of Individual Applying For Permit: j2-7/LQ 'Cs2_ __ _
Address of Property: +70V 7 ,
(Lot or Street#, Street or Road) ____---
_ 4'//c C 2
(City and County) __________
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this perir it has described to rue 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
Management, 127 Cardinal Drive Extension, Wilmington, NC 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
A
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift m •
bck a minimum distance of 15' from my area of riparian access -unless waived by `'i on
wish to waive the setback,you must initial the appropriate blank below.? 'you
ti ��.,
�_ I do wish to waive the i setback requirement. V'-' �` \O o.
�` : �
I do not wish to waive the 15'setback reuuirement-. GAP''
Sign Name. ,,,X ---.
"
720 R IS 717 S(i.!1i,vdew / r�3te b : r.
I'rin a Assemeastraa ..mierm nsemor.
NCDENR
E`� Filv1100..MiM....0•LQ,...,.RENCUNCU
Telephone Number with Area Code S:\cama\sheils\riparianpr operty.fi-m

STEPHEN A. OR TRACY E.SKRABAL p
5729 OAK BLUFF LN. 4 6U WILMINGTON,NC 28409
66-7704/2531
Date • / )4)Q3
Pay to the
order of $
`l p rJ 8 �t�,m,���
STA EMPLOYEE CREDIT UNION
Dollars 1 Fe cl °p4
WR MNOTON NC 28403
f� •
p
For &/2-t €/ c/ "Y
I: 2 5 3 1 7 70491:086 2 589 2690 4 L68
f
O ARTISTIC CHECKS.INC. 1000-224-T021 Wlrw.a„IOIIteMcW.eom
BASIC BLUE I501
l
0