30347D - Hand

0 CCA / DREDGE & FILL N°. 30347—;
> AMGENERAL PERMIT Previous permit # /
New Modification Complete Reissue Partial Reissue Date previous permit issued ,/4
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 I 5A NCAC ,(.-i
E Rules attached.
Applicant Name R 1 c.Vqt Y Ci. -1/2"i an" LI Project Location: County -i(iv 1-4,kyl UV C''
Address It 3 B u c k€ L( � Dr Street Address/State Road/ Lot#(s)
City k) \1 NA t J)-h7N-J State f . Zip
Phone#(G to) (o I T Q 2c iI Fax#( ) Subdivision S eDcfl 1„ 1- 'Cw ( (, , l •
Authorized Agent City ZIP
Affected CW LW , TA ]i-ES PTS Phone # ( ) River Basin (2 A V'E. ESA IA-
OEA ❑HHF El IN I UBA N/A
AECs : Adj. Wtr. Bodyr"►�I e's / C S (,(L
AEC(s):
❑FC: I 5 ( rv- nat /man /unkn)
ORW: / no PNA 63/ no Crit. Hab. yes / no Closest Maj.Wtr. Body l Eft
Type of Project/Activity F1 cce s tile y W i h. ` I— r l aih r vti
.R
OUE ft N()tj _ (Scale: Pts S�Q-w- )
Pier(dock)length i y Q+ -'-;i
i
Platform(s) X - v > 1. J- I _:
I P Ij
Finger pier(s) — - -
l
Groin length _. .e ! I -� --'-�l '
-__r�
number { , I ' j
- .
Bulkhead/Riprap length - N- I
avg distance offshore _~ - i !. �_ ,+ : i
max distance offshore .. i 1. :._
1
Basin,channel ___ _- I - -I - ---
G ' ' a
cubic yards - f. I 1
Boat ramp _ } I N + C
Boathouse/Boatlift Vr, N I I 1 1 I _ : Ly J- ' mai]rE! ' { ' : I _-_
Beach Bulldozing - m_ I I 1 1 , -f .
Other -7
.m c_ G .ram _ _ .
i i
. .._ , - . . .� I t r t 1
Shoreline Length , I-�; /_ 1- :__-. _. ..1..
SAV: not sure yes no -__--.__ — �' I I .e,
Sandbags: not sure yes (fio `+" '� '
'Ili . j
Moratorium: n/a yes [no, _ c- \.....--— i
J
Photos:) no . . , i
Waiver Attached: yes hit* \/ '
r T"- y� /f/
A building permit may be required by: tJet s i"id"Qt42 cPc/_ r C See note on back regarding River Basin rules.
Notes/Special Conditions
I`'�..\ \V, \'.j i a �/� �-��/ ,0 �\,
.. ,44,,...c..._
Agent or Applicant Printed Nam Perrpi.Officet'' at* f _C 1L
�(( .,,t.. _, :(7..... 7
Signature **Please read compliance statement on back of permit" Issuing Date • Expiration Date
oc tF3 i SI k - . !� L> 04 ' Gt3A
Application Fee(s) Check# 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:
I i Tar-Pamlico River Basin Buffer Rules Other:
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(252-946-648I)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 252-264-390 I 252-946-648 I
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker-Lincoln Building
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9I 9 733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 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)
Revised 10/05/01

• GENERAL PER1VMIT COMPUTER FORM
APPLICANT NAME: ' - R l,C-ual(6( Oeim
ADDITIONAL NAMES:
AEC DESIG: CW6 E-W/ Pj7, ES DEVELOP.AREA:__ 02. PROJ DESC: V - 1
Will only take 6) (Will only take 1)
• Wi101R take 4) f t to CA_ t
MAINT:
(Will only take 4)
IMP: Nl -I a.&
(will only take 6) ,r
•
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL.REQUIRED: i4--u -b -I,2C,-0 '-

LAMA/ C!DREDGE & FILL cm.:.
GENERA ` PERMIT N° 303474
Previous permit# ���
New Modification :Complete Reissue ❑Partial Reissue Date previous permit issued v./ee.
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 I 5A NCAC 1 , 1 260-v .
El Rules attached.
Applicant Name 1 %c)40.rd 4CL'v.d Project Location: County PJeAw [4ti_ av er
Address j l 3 J V Gk - Street Address/ttate Road/Lot#(s)
City UJ tk vr,,tA44 a,._ State f . 'ZIP 72t4 I ( •
Phone# (CI 411) c0 16 0 2c I Fax#( ) Subdivision S QOM raiv, t - S, b
Authorized Agent City ZIP
Affected vi(CW L j2W TA ❑ES ❑PTS - Phone# ( ) River Basin CPp le FeA:11-
❑OEA ❑HHF ❑IH ❑UBA ❑N/A AEC(s): Adj.Wtr. Body Sond5ers(Po-gtS) Ck0/man /unkn)
0 PWS: ❑FC: C^
ORW: / no PNA ® Closest Maj.Wtr. Body P &S �
05 y / no • Crit.Hab. yes / ^ 1w „� /
Type of Project/Activity cc..ess tele w ,, �-0 Iota. „vv., /� g v
— Ov& 1 )r " (Scale: Ns )
• Pier(dock)length 1 Y 0 t -CD
Platform(s) CDtX 08 ' ---+� , - i i _ 1 ! , { 1 1 i I ! 1 1 I
� i i i ; 1 I I �,i t 1 ! I I 1 � � i ! I � I
Finger pier(s) -- i • -1 ' I _� I X I r I I i I I
—I / i I Groin length — I •
— -� • • 1 • 1 �h_—�p�t ' 1 I I.
number . •
I I Imo' 1 I I�I
Bulkhead/Riprap length _ 1H I I ! 1 _I I ice• I I •I . I. 1 i I 1 1 I
avg distance offshore
. . 1 I I I i I _ I i
max distance offshore • • • �L •I CITi l 11 _ ! N I _ i I i 5 I
• 1 ; 1 l 1 11 °1 I Qi I I i 1 1 I I '
Basin,channel 1 ^N
I
i ! �i "� I I I I • I I 1 %�. 11 i•
!
• l I I 1 1 0 I- I i I -- i I I -1 II I 1 { I
• cubicyards ! 1 I ! I
i ! l i i ! I i l l
Boat ramp I ' ' i Hill I I I ! 1 i _' _ I I i 1 I I_ 1 I I
1r l i :i I 1 1 I I I I I ! I I I I I
Boathouse/Boatlift �� F !
14 II I ! I I I I I
Beach Bulldozing 1 " I I i •11 G _ ! 1 I -w I, I I ; i i !
( 11 ! 1 ! ! I ( 1 I II 1 "I I I I i i I II
Other — i l I I
! I 1 I 1 i„ I i ( I 1 1 I 1. I I
1 ! I 1 l'.47' 1 0 1 1 1 1 ? I-• I 1 l
1 1 I I 1 1rI
\I I 1 •3 1 i 11P- 1 I I I
\ 1 1 ' ' ! 1 I i i 11 I I l i ! 1 i l
:Shoreline Length - - 1 I I ; ( I
• -f--LI I �i 1 I I i 1 1 1 !
.SAV: ' -not sure yes I I I 1 I ! ! 1 I I I 1 I I
I I ! I I 1 ! i 1 ~ I =i I.. 1 I ! I
.Sandbags: :not sure i•yes
Moratorium: . -n/a - yes -;`, " / 1 1 1 1 1 1 1 1 \ I T 1 !�I I 1 II III
Photos no 11 1 • 1 1 1 1 1 l 1 1 I I i ! I I I I.. - - • I - i I
T� i
Waiver Attached: ';-'.yes As? 1 1 1 I I I- � i l l �! II III ( I i I" I l i
A building permit may be required by: BUJOtyvvavetr' 09 bUP14b:
•
in rules.
Notes/Special Conditions -
•
..t. R\-QA\-cip FA \. aso.C).- ., --- . ,: ---z...., . ,.- , ,'.', -_:,-- --:-...,--:-.:,;,,,,:t.,.:-.:.-';1,;,;, :,,,,,.- --;i:,:,-;_r5,;,,:_,--,.,
Agent or Ap i t Pnntbd Nam Pe ffice •�t
ui.
•,4E1 -:-'': .. .-7.,,,-..,-fp t---.-,-:=i.--
Signature Please read compliance sta}ement on back of permit' - Issuing Date ;: 'r Expiration Date
I o® CC,E3 ‘1:�.5;� 0:eAti. v4::- . _ ' "Q,o42 ' 3 A :
Application Fee(s) Check# .:Local PlanningJurisdiction -_-- 'Rover File Name

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DIRECTIONS FOR OBTAINING A CAMA GENERAL
•
PERMIT for a PIER, DOCK, BOATHOUSE/LIFT
To obtain authorization to construct a pier,you must submit the following items to your
CAMA Permit Officer:
1. Signatures of no objection to the pier, from both adjacent riparian property
owners.
EgF Fill out the attached forms, complete with drawing of the
proposed pier, and have your neighbors sign and date in the
appropriate place.
If your neighbor will-not Sign.th e"form, or lives out of town,
you may send the form to him, certified mail/return receipt,
and 10 days after their date of receipt (which is listed on the
green cards returned to you by the Post Office)the permit can
be issued, even if no response has been received.
If any part of the proposed pier is-located-within 15 feet of the •
-
property line or the Riparian Access.Corridor line,the
applicable neighbor must cheek the box to waive the 15 feet
setback requirement. A signed form,-without-this box
checked, does not constitute a-waiver.
Liz' - The Riparian Access Corridor is not the extension of property
lines out into the water. It is established by two imaginary
lines that extend at a 90° angle from-the channel of the
waterbody to the highground property corners. Your Local
Permit Officer can help you.in determining your.Riparian
Access Corridor. In some cases,_a survey_may be required. - - - ---
2. Scale..drawing ofthe proposed pier. Your drawing must include the
followinginformation.(see.attached example drawing):.
Your name and project address
- ' Names of adjacentproperty owners -
'' Width ofproperty.and name ofthe waterbody

Pane Two
- I
' Dimensions of the proposed structure, including distance to
the property line and Riparian Access Corridor line.
LeF Any marsh grass border along the shoreline
ler Width of the waterbody (this is the measured distance from
the waterward edge of the marsh grass on your side of the
waterbody to the waterward edge of the marsh grass on the
other side of the waterbody)
- --Ear- --Water depth at lowtide at the-end ofthe proposed pier - —�
Distance from the.end of the pier to any federally maintained
channel, if applicable. This information can be obtained by
reviewing the channel survey maps at the US Army Corps of
Engineers District Office, 69 Darlington Avenue,
Wilmington,North Carolina
3. i Once you have this information you should contactyour CAMA permit
officer and arrange an appointment to meet you on the property and
evaluate your request. When you receive your permit;take it to your
building inspector to obtain a building permit. This authorization is only
valid for 90 days, contact your CAMAPermit Officer if for some reason
• .you cannot complete the construction within thus time period. The CAMA
Permit Officer will inspect the finished pier to assure compliance with the .
submitted drawing and all conditions of the permit.
4. ; Do,NOT mail information to the Wilmington Office.
Call • at 910-395-3900-to_arrange anon-site
__ I .. :.appointment. -
5. :Cost: $100.00
Attached: Sample Drawing
15A NCAC 07H.1200
Riparian Property Owner Letters
s:\cama\shellslpier.dir ' .

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SECTION.1200-GER'1aRAI PERMIT FOR COnSTRUCI7ON OF PIERS:DOCKS-AND
ESTUARINE ANT PUBLIC TRUST WATERS •
BOAT HOUSES 1N
•
15A NCAC 07H.1201 PURPOSE
Tnis permit will allow the construction of new pi ers,.docks,and.boat houses in the estuarine construction of new piers and docks within coastal wetlands AECs accordingauthority and public trust waters r i and
and according to the to theea provided in Subchapter 73.1]00
following guidelines. This permit will not apply to the Ocean Hazard AEC
History Note: Authority G.S..113A-J 07(a);113.4-107(b);113A-1 13(b);113A-113.1;113A-124;
Eff.March.1,1984.
•
•
•
.15A NCAC 0711_I202 . APPROV'ALPROCEDURES - - _
(a) The applicant must contact the Division of Coastal Management and complete an application formze g
•
• development The applicant shall provide information on.site location,dimensions of the �'��approval for •
address. project area,•and his name and
Co) The applicant must provide:
(1) confirmation thata written statement has been obtained signed
g bythe adjacent riparian property owners
indicating
r that they have no objections to the proposed work;or
(2) confirmation that the adjacsntriparian property owners have been notified bycertified ..
work Such notice shall insuttctadjacent pgoperty owners to rovide ommen mail ofth proposed `
developments any comments on the-proposed s
in writing for consideration.by permitting officials to the Division of Coastal.Manauement
'within 10 days of receipt ofthenotice,:and,indicate that no response will be interpreted as no objection.
. DCM sta$shallzevieivaIl comments and determine,"based on.their relevance to the o
Proposedproject,if the proposedproject can.be.approved by a`General P potential impacts of the ..
commems•.are-worthy of more in-depth-review,the-applicant shall be notified-that. e must CM staff snbmit an
application for arnajor developmentpetmit ..
(c) Approval of individual projects Shall be acknowledged in-writing by the Division of Coastal Management"and the
applicant.sbali.beprovideda copy of this Section.
(d) Constructionmust'ee.completed within.90 days of the approval of the permit or the permit expires.
(e) Any moduiction or.addition xo:theapproved project shall Tequire-prior approval-from-the Division of Coastal
Management.
_Historv.Note: Authority G 7.113A-107(a);1.13A-107(b);.113,1-113(b);.113A-118.1;113A-124;
Ef March 1,1984;
•
.4mendedEff August],1998:.January 1, 1990.
•
•
•
15AIVCAC07H.1203 MEt11III'F
•
*The:applicant must pay.apermitf a of one hundred dollars(S100.00)by check ormoney order payable to-the:Department.
•
:History Note: Authority G.S.113A-107;.113A-113(v);-113f1-718.1;.713A-119;113-719.1;113A-12-4; •
.Elf:-March.1, 1984;
AntendedEf.Au s't•1.?000;Alarch 1.1991. •
.15A NCAC 07H Z204 GENERAL COMMONS
(a)"Piers authorized by this general-permit shall be.for the exclusive use of the land owner,or occupant and shall not provide
either.leased or rented.docking space or any other commercial services. Piers designed to provide docking
space •

than two boats shall.because of their greater potential for adverse impacts,be reviewed though the major permitting'process
and,therefore.are not authorized by this general permit
(b) Individuals shall allow authorized representatives of the Department of Environment and Natural Resources to make
periodic inspections at any time deemed necessary in order to be sure that the activity being performed under the authority of
this general permit is in accordance with the terms and conditions prescribed herein.
(c) There shall be no unreasonable interference with navigation or use of the waters by the public by the existence of piers,
•
docks and boat houses.
(d) This permit will not be applicable to proposed construction where the Dent
must unnecessarily rndangca6'oinin� "P gent believes that the proposed activity
adjoining properties;significantly affect historic,cultural,scenic,conservation or recreation
values, identified in G.S. 113A-102 and G.S. 113A-113(b)(4),nor that might significantly affect the quality of the human
environment
(e) Tnis permit does not climinat`the.need to obtain any other required state,local,or federal authorization.
(f) Development carried out under this permit must be consistent with all local requirements,AEC Guidelines,and local land
use plans current at the time of authorization.
•
History Note: Authority G.S.113A 107(a);113A-I07(b);113A-113(o);113A-118.1; 113A-1"4;
Eff March 1,1984;
Amended Eff May 1,1990;
RRC Objection due to ambiguity Eff May 19, 1994;
Amended Eff Augurt I, 1998;July 1, 1994.
15A NCAC 07H.i205 SPECIFIC CONDITIONS
•
(a) Piers,docks,anti boathouses may extend or be located up to a maximmtrn of400 feet from the normal high water line,or the
normal water level,whichever is.applicable.
(b)Piers,docks,and boat houses shall not extend beyond the established pier length along the same shoreline for similar use.
'This restriction shallnot apply topiets 100 feet or less in length unless necessary to avoid unreasonable interference with
navigation orother.uses of the-waters bythe public. Theleag.h of piers shall be measured from the waterward edge of any
wetlands that border the water body. _
(c) Piers longer than 200 feet shall be permitted only iffheproposedlength gives access to deeper water at a rate of at least
one footat each 100 foot increment ofpier length longer than 200 feet,or ifthe additional length is necessary to span some
obstruction to navigation. Measurements to determine pier lengths shall be made from the ware-rward edge of any coastal
wetland vegetation-which bordersthe water body.
(d)Piersand docks shall beno widerthan sixf et and shall be elevated at least three feet above any coastal wetland substrate
asmeastred from-the bottom of the decking.
(e) Any portion of.apier(either fixed or fioating).exrending from the main structure and six feet or less in width shall be
.considered eithera'T"or a fmgerpier.
(f) Any-portion of a pier(either fixed or floating)greater than six feet wide shall be considered a-platform or deck.
(g) 'T"s,fi piers,platforms,and decks of piers on lots with shorelines 100feet or greater in length shall not exceed a
combined totalarea of400 square feet. The combined total area for lots less than 100 feet shall not exceed four square feet ner
linearfoot of shoreline_
(h).Platforms and decks shall have nomore than six-feet of.any.t i mension extending over coastal wetlands.
_ (i).Boathouses.shall not exceed-400 square feet and shall have sides extending no further than one-halfthe heig• t ofthe wall;
:and only covering.the lop half of:the walls. Measurements of square footage shall be taken of the greatest exterior
dimensions.Boathouses shall not be allowed on lots with less than 73 linear feet of shoreline.
(j).Areas enclosed by.boat lifts shall not exceed 400 square feet.
(k) -Piers,docks,decks,niatforms and boat houses shall be single story. They may be roofed'out shall not be designed to
•allow second story use.
(1)Pier aiitamens along federally maintained channels must also meet Corps ofsngineers regulations for pier construction
pursuant to.Section 10 of-the Rivers and Harbors Act.
(rn).Piers,docks,and boat houses shall in no case extend more-than 1/4 the width of a natural water body,human-madeu
nal
or basin. Measurements to determine widths of-the water body, human-made canals or basins shall be made from the
waterward edge of any coastal wetland vegetation which borders the water body.The 1/4 length limitation shall no:apply

•
when the proposed pier is located between long piers within 200 feet of the applicant's pr ope-r.
pier shall no:be longer than the pier,head line es b1jshed by the adjacent piers,nor,lonce than l i the widththe Ppose
of throw ated
body.
(n) Piers.docks and boat houses shall not int n et"with the access to am'riparian props of 1�5 feet between am•part of the pier and the adjacent pro n3'•and shall have a minimum sctbacl;
the fmt The j P�J lines extended into the water at the points that they inters=
minimum setbacks provided in the rule maybe waived by the written agree
owner(s),orwhentwo adjoining.riparian owners are co-applicant Should the adjacent property
bet of the before cons riparian
of the pier commrn�,the applicant shall obtain awrit1e11 P aivin -t sold setback
and
submit into the-Division of Coastal �^reelnent with the new owns-.waiving
-the rtherboathminimum and
' •of division ofareas of riparian a�-r-cs shall-be established by drawing mmy development of the pier,dock,or boat house. The line
' proper}�,�henth-ax�a3ine}�.lr�lnicularto the line oftheyaIinealongiaachannelor��pwate;infrontofthe
channel so thatit intersects with the shore at the point the upland
Properrylineineetsthe waters age. AppIimtion ofthis Rule may be aided by reference to
the(q)ofthisRnleillust> lheruleasappliedto-various shoreline conneeurations. Copies of the aa Tarr aye- mpa� ph
the Division:of Coastal Mana` �t"When shoreline configuration is such that a be obtained t be
.achieved thepicicball.beal �m.etthe1ment.ofthisRuIemthe perpendicular slig . mot be
(o) Piers,andmoor�gfacSiriesshallbe maximum t~'ntPracticable.;
des eded to docking space forno more than twob oats..
(p) Appiit tsfarallt...., . tionto constructs dock orpiersnaIi provide notice of rile
-part ofa-shellnsrifranchise:otl�over wnicbtheproposed dock'or ler would„ nd. application-to h ll a owner of.ase
holdertheopporrunitytomarhanavi Pad �eappiicantshallallowthelease
tioarntti`aom tltepier*othe edge of-the lease. •
(q)The aiansam shownbelow�iZlustrates-thevatious shoreline conf tturatians.
Iiirtorl,]dom Authority.G:S I1SA-107(a),-173A-107(a);.113A-113(b);113A-118.1;113A-1?--
.Ef:March 1,1984;
.deddfl-Deceaiber1,1991;.May1,1990;March 1,.1990; .
RRC Objer on.due.tonmbigui1y,f March 1 S 1993;
AmeadedEf.Au stl.1998:_April23,1993. '. : ..
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Y n:E:°itilAttiZlivilT

DIVISION OF COASTAL MANAGEiT
. BDSgCarT RTPARTAN p}apyFRTy OWI3FR Nf�TTFTc�n■rTn*T fz ATYER Fp)N
Name Of Individual Applying For Permit : c." -WZ:SVIA)
Address Of Property: l\r
(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.
t� I have no objections to this ro osal .
P P
Tf you have objections to what is being_proposed, please write the
DWilivimingtonsion of Cpasta] Management, 127 Cardinal Drive Extension,
North C' col ina 7R4f1� or cal l 9 i O �9� �9f1 wi thin i f)
days of receipt of this notice No response is considered the Same
as no objection if you have been notified by Certified Mail
WA TIMR RRPTTON
I understand that a pier, dock, mooring pilings, breakwater, boat
house or boat lift must be back a minimum distance of 15 ' from
my area of riparian access - unless waived by me. (If you wish to
waive the setback, you mtisf initial the appropriate blank below. )
I do wish to waive the 15 ' setback requirement .
I do not wish to waive the 15 ' setback requirement.
Og!--
Sign Name Date
117711
/o C4ir2«w£44-
416k eL
Print Name
910) 6,?-6;--.2/63 w
iltfr
Telephone Number With Area Code
NCDENR.
INDF,TH :.A$QL,N:.DPAF"TMEN: .'J=
ENVIRDNM=h i AND NQURAL F..E.SOUR=S

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. ?JACK"' RIPARIAN rN PROPERTY Ty'QYR NO'T'T K,C '?' Itf HP:^Z �nr,
Name Of Individual Applying For Permit: Rkcrl ,� 0
0
Address Of Property: 1 )1 C') ‘)'Z ' , .
(Lot or Street *., Street or Road, City .& County)
•
I hereby certify that I own property adjacent to ' the above-
reTerenced property. The individual applying for this e
rm1t has tU me ��-
as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,-- - should be provided with' this letter.
objections• V I have no ob]ject ' to this proposal .
Tf you hay= ol-ripcti on to WhRt i c bci na
nnnaaAR naa tr- nt sed
f pieas.e wri tP 1-hp-Di ri e�c 1 r 'ni
e F`xte
wi lmi-store., Nnrth f ernl,na, 2.R40 nr r,p11 9i n '“) -3gn0 -wit-}t;T, 1)
days of r c_ni Dt of this mo ice ITo r esnon P
s,�_ is L''QI1Sl dF.Ta[3 the Sr7-mn
29 no 'cibjoc; - nn if you have bean notified t
.-d by C'`ar, iSiPcl Nfai l
RTk IVEp SECTIO!
I de=stand _that -a -prier, dock; mooring pil"ings, -breakwater, moat
:house -Cr :boat 1 ft must .be set :back minimum distance a--c-e -
�- �5 ' -from m area .of =ro =3aaa :acce - -unless ess "Wc=ved Toy me (If you •wish -to .
.
-wa ve '.the _setback; you must initial :the appr or i ate 'blank :below. )
7 do wish to _wa1 ve--{the -_I-5'1 setback _requirement'. '
7 :ap --not wish 'to waive the 1'S (.setback rrqui-reemant_
IF fff-Aer-- g
Zvi Or ���
Sign
.Late .,i _ _y
Print Name
qta -b.g6 n76, . . .„.,_ ,„ . -T-. ---_,,,,44.;-;
Telephone Number With Area 'Code
n,'t,;i?-, i.A.:O_INA.D=?ARTYat.1 p=
_NM?DNM=,--AND h1::iTK.�Y'.=.rUFrS

RICHARD A. HAND 6 46536531 1251
SHERRY O. HAND 532227007
LIC. 3940832 5024548 asQ-
113 BUCKEYE DRIVE PH. 910-686-4213 Date O�
WILMINGTON, NC 284 1
Pay to the �1v\
Order of
`;ti,' Dollars o.."'�..a.r"
xIJBCentral Carolina Bank 536
lr°6naAY t411aJIC1
For \`�r�1 ► T\ " . T2IPJIrVC1
1:0 5 3 10046 51: 53 2 2 2700711' l 25 1
11.Y1 .Vrlir 'trr 71:':.7F'7:.`TS: "r: ltR 'b. r
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