Straithorn, William 80566C

�CAMA / I-1 DREDGE & FILL NO 80566 A B C D
GEN L PERMIT Previous permit# L/
F-New odification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by a State of North Carolina, Department of Environmental Quality �!/
and the Coastal Resources Commission in an TTf environmental concern pursuant to I SA NCAC / �RuIfs attached.Applicant Name j r�� / o ✓n Project Location: County ( e'r
Address - / t' ' Street Address/ State Road/ Lot #(;)
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❑ PWS:
ORW: yes % no PNA yes 7/ t% Closest Maj. Wtr. Body b t U✓ .
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Agent or Applicant Printed Name Permit Officer's Printed Name
V`
Slg `lure '"Please read compliance statement on back of permit" Signature
A61ic3tion Fee(s)��k# Issuing Dale
Expiration Date

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 [)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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

®F CAMA / ❑ DREDGE & FILL N9 80566 A B C D
GENERAL PERMIT Previous permit#
I_INew !'-]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
F ] Rules attached.
Applicant Name - Project Location: County_
Address _ Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) E-Mail Subdivision_ _
Authorized Agent City % !<" ZIP
Affected ElCW ❑EW D.P-fA"N^DES ❑PTS Phone# ( ) _ River Basin
AEC(s): D OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body _ (nat /man /unkn).
❑ PWS:
ORW: yes / no PNA yes / no Closest Mal. Wtr. Body -
Type of Project/ Activity
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Agent or Applicant Printed Name
Signature xr Please read compliance statement on back of permit••
Application Fee(s) Check#
Y
PermitOfficer's Printed Name
Signature
Issuing Date Expiration Date

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 1) 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 ❑
❑ 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal. ncdenr.org/web/cm/dcm-home
Revised 7/06/17

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: 1, /G 1,/,4,0 A :6;g,4 y .aria
Address of Property: A
Mailing Address of Owner:¢
2rPi�/vim
Owner'semail:W-IE AZed 4lv/1U/G•'bwnersPhone#:
Agent's Name: 0�l1 �/ G K,g Agent Phone#:
Agent's Email: �%Z/� O/✓ /✓J4 �5��/Y!A/G . G4�'/
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
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 DO NOT have objections to this proposal. ) — I DO have objections to this proposal.
it you nave opfecuons to wrier is neing proposea, you must noury me rm . urvision or uoasrai
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: f C>S--VNv r t
Typed/Printed name of ARPO: �y�/Y%A4 G, 0/yl;rzl
Mailing Address of ARPO: Aw 1414aiT,��1d02ES. G/lGs�/`,�O�4/1G ,
ARPO's email: ARPO's Phone#: 33� •¢ 2 'Z�Jrf'j
Date: ZN *waiver Is valid for up to one year from ARPO's Signature*
Revised July 2021

0

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN�PRi %
Name of Property Owner: v
RTY OWNER NOTIFICATIONIWAIVER FORM
i/` � C� i C-- -- C-I/-ll
Address of Property: (J JG a ✓,
(Lot
rorr Street it, Street or Road, City & County)
61 Applicant phone #: (� (— 6-� J1 St / Mailing Address:
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.
IqI 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. Contact information for DCM offices is
available at www.nccoastalmangement.netfcontact_dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no ob%ection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or 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 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)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number
Dare
(RipArian Property O runer
Information)
Signature
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City/State/Zip '
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11703-6IS--001
Telephone Number
3,D stye z�z I
Date

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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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9/23/2021
USPS.con-0 - USPS Trackng@ Results
USPS Tracking® FAOs >
Track Another Package +
Tracking Number: 70183090000029368206 Remove X
Your item was delivered to an individual at the address at 11:32 am on September 23, 2021
in GREENSBORO, NC 27455.
m
CD
OV Delivered, Left with Individual 0.
v
September 23, 2021 at 11:32 am F
GREENSBORO, NC 27455
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RECEIVED
SEP 2 S 2021
DCM-MHD CITY
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: 4�Z4Zglyl�
Address of Property: 11'e -�![ivr /7 /�t/�/�i� A�G'�''��
Mailing Address of Owner✓rOXG/�� �� N 8/����
Owner's email:W r/2B 2V0��%�/�!A/1 `Genera Phone#: 7�9 G/�-��2��1
Agent's Name: �i�2�i/ /✓ Agent Phone#:
Agent's Email: �,�2�4�Di4���vjyJiO/Gc G4/7'✓
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposes, you musr noury me ,..tI. I. ����•-•
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
owner:
Typed/Printed name ofARPO: ✓`<��.� O�i�li'�110�%
A
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#: &. I- 44101-G&G9
*waiver is valid for up to one year from ARP Q' $ignVleD* rFt� (�tRevised July 2021
SEP 2 S- 2021
DCM-MHD CITY

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
'(Top portion to be completed by owner or their agent)
Name of Property Owner: /G 1,1,41e .e:6/g,4
Address of Property: /e F'0' 1A1 j
Mailing Address of Owner: ¢ /*x oc/2E /Zo,� A04le C'
Owner's email;/,��j/.ed a,5; 9V 4 /G• `bwn1e"r?s Phone#:z�2�r3
Agent's Name: f e0" -/ � G KS Agent Phone#: �/�-A'0 0-446�,e 9
Agent's Email: "" ,iw /z�O
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that 1 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 DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
i understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must slgn
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
M
I do not wish to waive the 15' setback requirement (initial the blank)
RECEj11EL
SEP 28 7071
Signature of Adjacent Riparian Property Owner:
DC44-MHL)
ej I
Typed/Printed ; 140
,/ �/%/.'�✓�
Mailing Address of ARPO: %ODIjl NOdT��.ei✓.��0/dES_ G�f LSL'% ���0,��� �,li .
ARPO's email: ARPO's Phone#:
Date:
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: 1/o/a G 1,4 /Y% A 77�4 I-M2 A''/
Address of Property: pw�A Q�F,f/2s .>I1�
Mailing Address of Owner✓n��'�
Owner's email:Wtl/ o rAd �i _,Q jg/7!A/4��er's Phone#: 47�
Agent's Name: Zed la1/ /✓�/�1 Agent Phone#: 9
Agent's Email: /F��iiO/r%fli4���`��%GIGO G4i�✓
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notity the n.c. ulvfsion V,
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback 1/( /
Signature of Adjacent Rifanan Property Owner /
-OR-M0Tf: i1 u5f �Lf /`DtMc,3( , ;5it-\,j �3/Cc�`{�'e7� ,- /
I do not wish to waive the 16 setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: r
Mailing Address of ARPO:
ARPO's email: UACOOJ' ,� W OuTOK-CAM ARPO's Phone#: 2D2' K(01B~G 3�9
Date: 1 /)y t Z o Z *waiver is valid for up to one year from ARPO's Signature*
RECEIVED Revised July 2021
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ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
'(Top portion to be completed by owner or their agent)
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ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or dprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property/Owner: /
Typed/Printed name of ARPO: �H�/J%AS C, �/�/✓�
Mailing Address of ARPO: 14G71IA69.d?.%2.✓_'l zv e5rS. G%Gs�i✓!i�D,�D��/,G
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
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ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
if you have objections to what is being proposed, you must noruy ine fv- .. v,v,a, .. v. ����•-•
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
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TypedlPrinted name of ARPO: a� A
Mailing Address of ARPO:
ARPO's email:
Date:
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*waiver is valid for up to one year from ARPO's Signature*
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ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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
t_ I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you musr noury 'flu lv-..—1 ___--•
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been noted by
Certified Mail,
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 19 from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must at
the appropriate blank below.)
I DO wish to waive somelall of the 15' setback 1� /
Signature ofAdjacent Ri rian Property Owner
-OR � 9 %� � : � V S f �� I ��gr+,cSL �X�S'���'�S '�/`<�� j"'�7'C/� ..
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Signature of Adjacent Riparian Property Owner:
TypedlPrinted name of ARPO: o'N 4r.- ^ e� e- J
Mailing Address of ARPO:
ARPO's emall:'ShC"1')-,Z IN e 0vT40of,'. C•M ARPO's Phone#:
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Revised July 2021

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Tracking Number: 70183090000029368428 Remove x
Your item was delivered to an individual at the address at 3:22 pm on November 24, 2021 in
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