31851D - Whitsett

I
0 CAMA / DREDGE & FILL N':': 31851 Ic
GENERAL PERMIT Previous permit #
'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 I 5A NCAC 7 f1, /-500 .
[,,-Rules attached.
Applicant Name /,,jfJy k/h 'Ts ett Project Location: County wl =/Q
Address 5V a j (/1=lt/iV LA NP Street Address/State Road/ Lot#(s) 54/n e
City -17) /2$4 i ( TF'teJci/ State r/C ZIP .2is -/'i5
Phone# (- - ) t-/ _6_5 2 -' Fax # ( _ !) t/`/1 rj/77 Subdivision
Authorized Agent Npq Cityi---70 l J�4//, A(//f ZIP 2d sit/
Affected cw L EW PTA ES PTS Phone # ( ')� �� River Basin
AEC(s): OEA ElHHF IH UBA N/A Adj.Wtr. Body /71441-/140 .5e4" (natnunkn)
PWS: __FC: /�,/
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body T'>CJ'n� y�
Type of Project/Activity Ung7 RA,m9 (r!/t-L X 62. GIv1%y-,t. ci 1
(Scale: I'J v ' )
Pier(dock)length
Platform(s)
Finger pier(s) _- ';v' i` '
Groin length ✓
number
Bulkhead/Riprap length
avg distance offshore
max distance offshore
Basin,channel
I) A
cubic yards ! / .A
�, r/S ,
Boat ramp X/y I _ U�7 L
Boathouse/Boatlift
crP°4 ' 6 A
Beach Bulldozing — j
Other i I, f
L 4 -
Shoreline Length - / P ��'
SAY: not sure yes no i ♦—F V_Q---IA.N
Sandbags: not sure yes no f:. '" `l f 1 ' - - f L
Moratorium: n/a yes no ?,
Photos: yes no
Waiver Attached: yes no ---•---..__L_
A building permit may be required by: - A/ ZC /- . See note on back regarding River Basin rules.
Notes/Special Conditions
il _
.--A, / (2)...94\4—'
Agent or Applicant Printed Name v )(--- Permit Officer's Signathre
i 0j5-J5- 0.2
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
94.A/ 37:711
(il
Application Fee(s)
/O(), U. Check#j `. 3 Local PlanningJurisdiction 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 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(252-946-648 I)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 252-946-6481
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 / 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 9 1 0-395-3900
202-808-2808 Fax: 9 I 0-350-2004
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/C

•
•
CODES FOR AEC DESIGNATIONS
"OH" - Ocean Hazard "PT" - Public Trust
"EW" - Estuarine Waters "CW"- Coastal Wetlands
•
"ES" - Estuarine Shoreline - "FC" -___Fragile Coastal Natural/Cultural
"PW"- Public Water Supply "OR" - Outstanding Resource Water --
CODES FOR PROJECT
"P" - Private-usually an individual "F" - Federal
"C" - Commercial "L" - Local Government
"U"- Utility "H".- Housing Development
"S" - State "0" - Other
# CODES FOR PROJ DESCRIPTION_
"11"- Bulkheads,Riprap "16" - Utility Lines
"12" - Piers,Docks Boathouses "17" - Emergency Repairs
"13" - Boat Ramps "18" - Beach Bulldozing
"14" - Wooden Groins "19" - Temporary Structures
"15" - Maintenance of Basins, Channels,Ditches -- -;- — -- - -- - t
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: p4'NIJ e Gt1 H 1-7-6•6 /
ADDITIONAL NAMES: .
AEC DESIG: £Ui PT. ES DEVELOP AREA: PROJ DESC: P-
(Wt'7l only take 6) •
(Will only take 1)
WORK: 153 P 3, f L/
(Will only take 4)
1 AII`TT: - l
• (Will only take 4)
•.�
IMP: D C.cJ t Y i
(will only take 6)
ACTION EXPIRATION .
DREDGE&FILL REQUIRED:
CAMLA MAJOR DEVEL REQUIRED: g--2 3 -O Z re- 73-D Z

0 AMA / DREDGE & FILL it a 31851-,
GENERAL PERMIT Previous permit#
> '✓Kew Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources � �c�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 H` , 1 3 ° .
.;.Rates attached.
Applicant Name bAvvy witi1sett- _ Project Location: County WA/1. R -
Address $__5(if 1Yti LA-Ne Street Address/State Road/Lot#(s) gq ne
City d PfA ( t C11 State WC. ZIP 'kV y5 _
Phone # (33‘) yto,65"2"' Fax# (334 Y(1f-5777 Subdivision
Authorized Agent ,j/!/Q- Citylei WO ZIP / r-
rws—
Affected ❑CW L 1W L erfA &IBS E PTS Phone# 3 iO3 River Basin c-r-
AEC(s): ❑OEA CIHHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body in,frfecibithe 9f 44t1l (n
a�T�unkn)
❑ PWS: ❑FC:
77) 01
ORW: yes /57 PNA yes /Q Crit. Hab. yes / no
Closest Maj.Wtr. Body /f 54
Type of Project/Activity 73*T .'4jr1f7 (p,('t aV 41,;y4l it., S(/�)
(Scale: /~:JO )
Pier(dock)length
Platform(s) t-_' �..-.-' 1
Finger pier(s) 1 N
Groin length - - ---
number i I
Bulkhead/Riprap length
i
avg distance offshore
max distance offshore --1...___
Basin,channel -
cubic yards 1, �U�"j'J "'(JO-
Boat ramp 3+�(/y I !-=—t--�'�-- - '-•s FiXI S ` i
Boathouse/Boatlift
G� G,j a OE �D,1 l L i i i i i
Beach Bulldozing
Other 1 -� ;_ .___-;_
1_____ .
�,
.
Shoreline Length 40_ '/
SAV: not sure yes no • � �,,�r—�/_ �(�Q
Sandbags: not sure yes no a r rj�/7
Moratorium: n/a yes no •1 (/'•
Photos: yes no
Waiver Attached: yes no '
A building permit may be required by:--f-fiAl Z '�`/ T See note on back regarding River Basin rules.
Notes/Special Conditions
: antPrnte — c Pe Jt1
` 6 ,23- i/.73a.a.
Signature lease read co pliance statement on back of permit' ' Issuing Date Expiration Date
11;1j9
dO LocalPlasdiction Rover File Name
Application Fee(s) 1/AO Check#/6y3g)

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:
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(252-946-648 I)or the Wilmington
Regional Office(9 I 0-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elisabeth 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] .
Parker-Lincoln Building (Serves:Camden,Chowan,-Currituck, (Serves:Beaufort,Bertie,Hertford,Hyde,
2728 Capital Blvd. Dare,Gates,Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9 19-733-2293/ I-888-4RCOAST Morehead City District - Wilmington District
Fax: [phone] 151-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/C

SECTION.1300—GENERAL PERMIT TO MAINTAIN:REPAIR AND CONSTRUCT BOAT RAMPS ALONG
ESTUARINE AND PUBLIC TRUST SHORELINES AND INTO ESTURAINE AND PUBLIC TRUST WATERS
15A NCAC 07H.1301 PURPOSE
• A permit under this Section shall allow for the construction of boat ramps along estuarine and public trust shorelines and into
estuarine and public trust waters AECs according to the authority provided in Subchapter 7J.1100 and according to the Rules
in this Section. This permit shall not apply tb the Ocean Hazard AEC.
History Note: Authority G.S. 113A-107(a);113A-107(b);113A-113(b);113A-118.1; 113A-124;
Eff.March 1, 1984;
Amended Eff.August I,2000.
15A NCAC 07H.1302 APPROVAL PROCEDURES
(a) The applicant must contact the Division of Coastal Management and complete an application form requesting approval for
development The applicant shall provide information on site location,dimensions of the project area, and his name and
address.
(b) The applicant must provide:
(1) confirmation that a written statement has been obtained signed by the adjacent riparian property owners
indicating that they have no objections to the proposed work;or
(2) confirmation that the adjacent riparian property owners have been notified by certified mail of the proposed
work. Such notice should instruct adjacent property owners to provide any comments on the proposed
development in writing for consideration by permitting officials to the Division of Coastal Management
within ten days of receipt of the notice,and,indicate that no response will be interpreted as no objection. • •
DCM staff will review all comments and determine,based on their relevance to the potential impacts of the •
proposed project,if the proposed project can be approved by a General Permit. If DCM staff finds that the
comments are worthy of more in-depth review, the applicant will be notified that he must submit an
application for a major development permit.
(c) No work shall begin until an on-site meeting is held with the applicant and appropriate Division of Coastal Management
representative so that the proposed boat ramp alignment can be appropriately marked. Written authorization to proceed with
the proposed development will be issued during this visit. Construction of the boat ramp structure must begin within 90 days
of this visit or the general authorization expires.
History Note: Authority G.S. 113A-107(a); 113A-107(b);113A-113(b);113A-118.1; II3A-124;
Eff.March 1, 1984;
Amended Eff.January 1, 1990.
15A NCAC 07H.1303 PERMIT FEE
The applicant must pay a permit fee of one hundred dollars($100.00)by check or money order payable to the Department.
History Note: Authority G.S. 113A-107;113A-113(b);113A-118.1;113A-119;II3A-119.1; II3A-124;
Eff.March 1, 1984;
Amended Eff.August 1,2000;March 1, 1991.
15A NCAC 07H.1304 GENERAL CONDITIONS
(a) Structures authorized by this permit shall be non-commercial boat'ramps constructed of acceptable material and
conforming to the standards herein.
(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 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 public use of the waters during or after construction.

•
(d) This permit will not be applicable to proposed construction where the Department has determined,based on an initial
review of the application, that notice and review pursuant to G.S. 113A-119 is necessary because there zre unresolved
questions concerning the proposed activity's impact on adjoining properties or on water quality;air quality;coastal wetlands;
cultural or historic sites;wildlife;fisheries resources;or public trust rights.
(e) This permit does not eliminate 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 rules,and local land use
plans current at the time of authorization.
History Note: Authority G.S. 113A-107(a);113A-107(b);113A-113(b);113A-118.1; 113A-124;
Eff.March 1, 1984;
Amended Eff.May 1, 1990;
RRC Objection due to ambiguity Eff.May 19, 1994;
• Amended Elf.August 1, 1998;July 1, 1994.
•
15A NCAC 07H.1305 SPECIFIC CONDITIONS
(a) Boat ramps shall be no wider than 15 feet and must not extend farther than 20 feet below the mean high water level contour
in tidal areas,or the normal water level contour in nontidal areas.
(b) Excavation and ground disturbing activities above and below the mean high water level or normal water level will be limited
to that absolutely necessary to establish adequate ramp slope and provide a ramp no greater in size than specified by this
general permit.
(c) Placement of fill materials below the mean high water level,or normal water level contour,will be limited to the ramp
structure itself. Boat ramps may be constructed of concrete,wood,steel,clean riprap,marl,or any other acceptable materials
as approved by department personnel. No coastal wetland vegetation shall be excavated or filled at any time during
construction and subsequent use of the proposed ramp.
History Note: Authority G.S. 113A-107(a);113A-107(b);113A-113(b);113A-118.1;113A-124;
Eff.March 1, 1984.

5116: 08/26/2002 08: Ei7
III HUla,e',7; .0 , ... 362278641 • .
•...;,- id•...ADPIM ThI-- CDENR WIRO
eri WM.- D. '
e WHITSETT, DDS
JR,. PAGE 01
''...4'..3.4dAVVIA/ :-..-CIREOGIS is P ILL. NO.744
;II• eelv.J.D. • ,
'40'm G,ENERAL PERMIT Previous permit#_____-------...
7. ei.... :-..!ModifitatIOn -'Complete Reissue ::1Partati ReiSSUe Date previous permit
12rizescl by st•nt Slate of North C. rolinn.Department or Einvironment end Natural Resources . .
t Cued kw:curses Commission in an area of environmental concern pument to 1SA
. ••
An. t Nallis___bikAtaY„hatinert----- Prolect Location: County_37.60ig -------- _—_,
.• •
4v-.0....13-ave_—____________ Street Address/State Rossi/Lot#(10___ __g----------- '•
11,,,e5ddi_mars_4 Statedg._ZIP..2Vgi
- a#artagide --Fix#(314--TC- 1221- . .
arm!Asent_4„t---:---:--------- city0- itiarard zIP_ZY15----- :!....
0 C"Al GAO earfA swr D PIS Phone# ( _32;17a/a River 8iifl
:zed
C..1114 0 USA 0 NIA '•- ,
Acii•WV".BodY-Intp-L'arl--------11134g72.11B10 !-: ,
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.t. p n pwik
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. P f: yes 157 PNA yet i egt Crit.14ab. yes I no
.pct.of Project(Iiestitsley• ' . f'•
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:,„prig.u..„....._—
.1rr lend; -----. -1 • .
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Bulkhead)Riprap itrith -. .
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Boativion!boatift______ ,so
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*men'-.---_,—,--z -•
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siodkig. eor hire yes no
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tiorgOTiUTP! rtia Ye5 no t I
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pm.: red no 1 ... . •
Waiver Atr.arrad: 7e5 ri° . • . .. . ' -
... •
...
, A building permit may be required by; eZIAG261... A'jteitr--1.---- ______
• __:See note on back.regartling!liver Basin rules,
Mictesl.SP"Ial Clmicl °fts .-----•-- -.-----•------------------..................------
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A-Z/4•cr----r"k1" •LP ______,... . . _______11.:2?----------•--4Cla
Semite ''s?hummed comptianee minters on back of permit" Irtulnattate sepirotionWate
-----_--t—,..-k-n----.------- chei
Appiteadon Feed!) . /042, to- ---72ILY•fiLigiaL--------------------.---- —Leel1P elejuriecksden Myer Me Nemo
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•

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROP_FRTY OWNER NOTIFICATION/WAIVER- 77,S)RM
Name Of Individual Applying For Permit : etl,'/6 ;), Z.e./h07c4
Address Of Property: .S1b 614C '/./ t4 4i
723 P.M L Se.sfetv� ,� c P34ij
(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.
I have no objections to this proposal .
Tf you have objections to what is being _proposed, Please write the
Division of Coastal Management , 127 Cardinal Drive Extemsian,
Wilmington, North Carolina, 213405 or call 910 199-1900 within in
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
I understand that a pier, dock, mooring pilings, breakwater, boat
house or boat lift 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 tback, you mint initial the appropriate blank below. )
I do wish to waive the 15 ' setback requirement .
I do not wish to waive the 15 ' setback requirement .
0-&14A <- 0, 62
Sign Name Date
Print, Name — t � •
n / —
Telephone Number With
�h Area Code � „
1 ` �7(c2
JUL 1 1 2 N ''ZAROLJN�.
�2 AF TM rr
EWAa (# =h i AND azzi1JRAL RSJURMES
DIVISION OF ~�
COASTAL MANAGEMENT

r.I vI S I ON OF COS AL E.31-"� Ams,"" -
ADil��'t TT^' PTi� �TTnT RRnpFRTV OWN�p NOT-�Tr� m
I`/StiEri^-R_ FORE
Name Of Individual Applying For Permit : /4 J,4.4s�2_ /) !.c/fy/T
�1
Address Of Property: mot El/F.L re/ Z.v /e
• 1 /5tht GEC ,,,,. /,/04,€___
(Lot or Street #, Street or Road, City & County)
I hereby certifythat I
own property adjacent to the above-
�-efa,-anted 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 proded with this letter.
I have no objections to this proposal .
T= v }' 7a r1-jant-i C ic a
' a Dl caSe writ. tn.
'-)ivicinn of C'naSra] Managment , 177 Cardna il
- .�T i1Vo FYr on c '
7i i tpi-i tOr Nnrt-h arnl 'I r 1 ] o
_ nr 1 C) Cori �9 *i -}-y , "I (1
jiRVP or rara-Dt or this nDri(-a N r sf3T1sa i C
CDTLSi dared rha a
P. no nhjarri nr if vonhavA hea
r nnti fi a � . � Sam
'� by C"Pr, , r j ed mail
WAIV p SECTION
I understand that a pier, dock, mooring pilin s, breahwate`-, boa
house c_ boat lift must be set back a minimum distance of 15 ' _
rOII1
my area of riparian access - unless waived by me. (Ifyou w_
waive the Se_- i, sr to
back, you minx initial the approarii ate blank. below )
I do wish to waive the 15 ' se back =ercru ra_ment .
7 ;Jo not wish to waive the lS ' setback requirement_
gn Dame Date
Dri - ,
---nt Name f s
if q- 9�j? . �dC 7 �. �
Telephone Number With Areae -2 .gib '�' --,NcDENR:
......,____
Code
J U L 1 1 2002
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DIVISIONYOF
COASTAL MANAGEMENT

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WM. D. WHITSETT, DDS PAGE 01
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ADJACRNT $IPARTAN PROPERTY OWNER NOTTF7 th .CbTBIYF,g.EQBM
Name Of Individual Applying For Permit: 4J,:/ifj,n; 4), T ,7,-
Address Of Property: 41)g 6vtC '?,i 4,Ar/e.
r
o P.� L &*W, Pi1,4.�
(Lot or Street #, Street or R)ad, City & County)
I hereby certify that I own property adja::ant 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 drawirg, with dimensions,
should be provided with this letter.
I have no objections to this proposal . •
Tf you have ohj.prrions to what is bPina .propo d,_p1P3a-e write rhP
Ilivi s i cu of Coasr al Man aaPmpnr 127 CardinALDrivc3,Ext en ion,
Wiliningtoja, North f arnl i nai, 28405 nr cal3 y1.Q _y gfi_1 gQ,Q wlrhia 10
Jar; Qf receipt' of chi s nnri CP _No rPsponaPis. .4 nnpi c9PrPcl the fiRMIP
As nn nhjPrrjon if .you have been norifjed by G4rtzfiQd _Mail
I .understand that a pier,, dock, mooring pilings, breakwater, boat
house or boat lift must be set back a minimum disc
¢ace of 15 ' from
my area of riparian access - unless waived by ma, ' (If you wish to
waive the tback, you must initial the appropziate blank below. )
I do wish to waive the 15 ' setbacj4 requirement -
I drn ftnr wish to waive the IS ' setback. requirement.
2-
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Name Date
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Name _ndi'-idual Applying For Permit : 42ZikistrirLAJ
Auld ess Of Proper-.v. o1 4'4 L Yr/ ,'n'f
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(Lot or Street #, Street or ;oad City & County
hereby certify that I own property
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=e_erenced ProperT ty. The individual apoly_na or th; at -
described to me as shown 9 ?e '�=t Yeas
on the attached drae ng the deve.lopmn`
they are proposing_ A description or drawits , with dimensions,
should be oroyided with this letter_
v77/
I have no jp t '
ob, _t�ions to this prop )�al .
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mma r a j M�aq�mo* r i7 ar _ 1zLFxrv„C r r Norrh tea-.nl na ^40 ra7l 01 (1�,:�_�gnn
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I understand that s pier, dock, mooring pilings breekurete=. boat
house or boat lift must be set back
my area a_' � miz �� d=st�are of �5 � I_am
�ioa-.inn access - unless waived by ma. (If you wish to
waive the setback, you must initial the capropk4ate blank below. )
I do wish to waive the 15 ' s?t.;,alF: :irement .
T do nn, wish to waive the 151setba`k e ice.
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b0 3E d SQQ `113SlIHM 'Q 'WM Tb98LZZ98E 9E 8T Z00ZfTZ/80

DR. WILLIAM D WHITSETT 1643
BONNY G WHITSETT PH.336-449-6520
720P.O. WH 251 PARK RD P.O. BOX 25166-112/531
talc % .4__412)(9) 33401
WHfTSEfT, NC 27377
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BRANCH BANKING AND TRUST COMPANY o o
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