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Home My WebLink About32948_SMITH, CYNTHIA_20030130G E N E RALf MIT Previous permit4J�N# ew ❑Modification ❑Complete Reissue DPartial 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 ('� c� u- -T� Rules attached. Applicant Name Project Location: County 1 t- Address Street Address/ State Road/ Lot #(s) { r City C I N e State ZIP , S Phone # 05) 3VJ Fax # (^) Subdivision Authorized Agent City L i•11 `> ZIP kCW XgW `l�'IfTA ❑ ES ❑ PTS Phone # If C1 River Basin i • i�_; +a l�. Affected ElOEA O HHF ❑ IH O UBA El WA AEC(s): Adj. Wtr. Body at,/man /unkn) o PWS: ❑FC -CST �^ Closest Maj. Wtr. Body_ 1 >� t ORW: yam/ no PNA yes /(n4+--t � . Hab. yes / no Type of Project/ Activity `"i Pier (dock) length 7 ,->(U \t F Platform(s)� " { C V ZC" Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic Boat ramp Boathouse/ Boatlift Beach Bulldozing Other '169 Shoreline Length SAV: or, yes no Sandbags: not sure yes Moratorium: n/a yes no Photos: & no Waiver Attached: yes no A building permit may be required by: F• 1�� . _T'S . Notes/ Special Conditions (14 � ; 1, . , (Scale: ❑ See note on back regarding River Basin rules. Age or Applican�Printed e ! Permit ignOure ee 1. Date (ration Date Signature ' P. lease read compliance state ent on back of permit r Applicationfee(s) Check# Local PlanningJurisdiction"' Fo file Nl .. _ ..._ _ ••w•I,��. .. ;'�.'�-Fi �?�y•:w.�+' 'yac`i''�,''�y`:',.,'s'3is"'-•*l'°3L'kli."tLi""�C.i'sim.�+r.ssss.�.xG.:.v-- ❑ CAMA / DREDGE &FILL 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 15A NCAC ❑ Rules attached. Applicant Name Address City I ' -t i t State ZIP Phone # ()� �y' - z� Fax # Authorized Agent Affected ❑ CW DEW `p PTA 1-1ES ❑ PTS AEC(s): D OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Type of Project/ Activity Project Location: County_ Street Address/ State Road/ Lot #(s) ? 1 Subdivision City _ ZIP Phone # (__) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body (Scale! it ! i 1 Pier (dock) length Finger pier(s)■■1■■■�■■■h■Nr■Eel 111Groin ��■■■ :.�1�� ■■i■■■■ length Bulkhead/ Riprap length avg distance offshorei, 111111101111111111 MEN No 11Mli 1�■■■■■■■■■■■■■t1i■■�■■■�■®■■■■■■ - ii■■■■■■t11�■■■■tll■ ■!HiN!rl111■■ q�■■■ME■■ 111max �1i . ■■■■�I:�i■� distance offshore mom Basin, channel ME ME i PER III 1 M111■■■■I11; ill■■■�lMEN ■i■■■�1■■1! cubic yards Boat ramp Boathouse/ Boatlift �■!� VA' INMI A No■■■®i ■■i■�i �■■■wi■t�1`■I � ■n�■■1i■i�i 1i�■■i� ■�w■■■i ■i■��a�iii■��ii� Beach ..■W■Blbi■■■■■■■�I■■■1■■�Il\i■l■■■i■■■\■■■■■■1! ■■■®■®■t Length "'i■el■■■■l1Nl■■■■/■■■■'/1■■ice\■■■SAV. not sure yes no Sandbags: not sure yes no■■■■■■■U Moratorium: n/a yes no Photos: yes no Waiver Attached: Yes no ■111/N1�1■I�■i�■■■■�■■R!I■■■1! ■■■i■■►, ■■■MIME=►\ No .0 ■■■■■■C% Mail m■■■■irI■■■►l■■■lit■■��■■■■Shoreline Now ■■■■■�■/�■■�//.ALI ■■IIIE�1E!�■■■■■■■■ EWA A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** E See note on back regarding River Basin rules. Permit Officer's Signature 4�•, f F Issuing Date Expiration Date ApplicationFee(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 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 j j 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 (252-946-6481) 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 Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / I-888-4RCOAST Fax: 919-733-1495 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastaimanagement.net Revised 10/05/01 1 Ill 7099 PRESTIGE LAND SURVEYING, P.A. PH. (252) 393-2129 501 W.B. MCLEAN BLVD. CAPE CARTERET, NC 28584 PAY TO THE ORDER �OF___�_ _ /%--�-- e /Q DATE 66-7489-2531 ----- --I $ /00. DU y Marine Federal Credit Union Jackson ill0. NC 28541-1551 425317413931:090003823420 7099 -DOLLARS lJ ��« ■ Complete items 1, 21 and 3. Also complete item 4 if Restricted Delivery is desired. ■ 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. Article Addressed to: R?1-n0/0 y /UGC C-4 f2c A. Received by (Please Print Clearly) B. D to of elivery (01 C. Signature ❑ Agent ❑Addressee D. Is Velivery address different from item-1 ? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ElCertified Mail ❑ Express Mail ❑ Registered mourn Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7(Copy from service label) 9�9� 049 3V-ob 000zl �f5o PS Form 3811, July 1999 Domestic Return Receipt 102595.99-M-1789 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ 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. Article Addressed to: 2. Article Number (Copy from service A. Received by (Please Print Clearly) B. Date of Delivery C. Signature ❑ Agent Addressee delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type Certified Mail _❑Express Mail ❑ Registered 07 Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes _7L 3 *00 0004 0 9, PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 El Sent By: HP LaserJet 3100; 2523932463; Dec-10-02 12:15PM; Page 1/1 ZRIMED DIVISION OF COAS'0LI, MANAGEIVtEN-r ADJACENT RIPARIAN ROPWY OWNER NOTIFICATIONIWArVER FORM Name of Individual applying Address of Property: 6 I hereby crvrtil'y that i own pry applying ,for this :permit has da they a- proposing. A descripi letter. I have no obj V' you have objectivas to wi. Alanagenient, Hestron Pl= ll, 2$08 within I4 days of rgcdpl V yuu have been nodfied by Ce it: •. G'.�,1lfyf,� /T�ff. (Lot or Stmat #, Street or Road,,City & Coun[y) ert adjacent to ve referenced property. The individual � J � p ��Y Witte . to me~ as shown on the attached drawing the development n o drawing, with dimensions, should be, provided with this this proposal. zt isl being proposed, please write .he Divi iun of Coaswl 151- , Hwy. 24, Morehead City, NC, 28557 or call (252) $lJ$- ilais once. No response is considered"he sarne as no objection lifaea lVau. AMER SECTION I understand that a pier, dock, rn orin pilings I breakwater, boat house, lift or sandbags must be set back a rtunimum distance of 5' from my area of riparian access unless waived by me_ (If y01-i wish to waive the setback, you must initial the appropriate blank. below,) _ I do wish to Wai e the l 5' setback requirement. l do not 1%ish to wa.,iv� the I5' setback requirement- . � W4 SiLmatur e l e Prim. NaMA Telephone Number With Area. C da APPLICATION FOR CAMA MINOR DEVELOPMENT PERMIT In 1974, the North Carolina General Assembly passed the Coastal Area Management Act and set the stage for guiding development in the fragile and productive areas which border the state's sounds and oceanfront. Along with requiring special care by those who build and develop, the General Assembly directed the Coastal Resources Commission (CRC) to implement clear regula- tions which minimize the burden on the applicant. This application for a minor development permit under CAMA is part of the Commission's effort to meet the spirit and intent of the General Assembly. It has been designed to be straightforward and require no more time or effort necessary from the applicant. Please go over this folder with the Local Permit Officer (LPO) for the locality in which you plan to build to be certain that you understand what information he or she needs. Under CAMA regulations, the minor permit is to be issued within 25 days once a complete application is in hand. Often less time is needed if the project is simple. The process generally takes about 18 days. You can speed the approval process by making certain that your application is complete and signed, that your drawing meets the specifications given inside and that your application fee is attached. Other permits are sometimes required for development in the coastal area. While these are not CAMA-related, we urge you to check with the Local Permit Officer to determine which of these you may need. A listing is included on page 2 of this folder. We appreciate your cooperation with the North Carolina Coastal Management Program and your willingness to build in a way which protects the resources of our beautiful and productive coast. Coastal Resources Commission Division of Coastal Management Locality Permit Number GENERAL INFORMATION Nv J 11 4-002 LAND OWNER Name CYNTN/-/ �Sm / rH Address 1p�9 &X 'e{30 City State /YC zip 2659-11 Phone 25Z-3S,1- 2,1y-A AUTHORIZED AGENT Name PeFsrlbE L4N0 Su,cv�j/N4�G,A• �/p/fN.�- d0a•�1 Address 501 it/ 8, SIG LF.dN U«/rO . City �4AC- State /UC Zip Z85a"z Phone L52 393-2!?_ LOCATION OF PROJECT 6702 M&Sl1 Cauf R440 IS4,65- 421V ,B06YJF �aUM� (If not oceanfront, is waterbody natural or manmade?) NWTyt4 I— D E S C R I PTI 0 N OF PROJECT 4= Ma-V XXIV CC"WVdr for%0T-Y AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION (To be filled in by the Local Permit Officer prior to completing application.) Ocean Hazard Estuarine Shoreline !/ ORW Shoreline Other PROPOSED USE —ZResidential Commercial/Industrial Other SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the shoreline (575 feet of an ORW shoreline) baraF Lexlsr SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING /I/Iy S F l�oT/°.ti.v r- SQUARE FOOTAGE OF SITE 3,WJe1- O S•G OTHER PERMITS MAY BE REQUIRED The activity you are planning may require permits other than the CAMA minor development permit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list with your LPO to determine if Zoning, Drinking Water Well, Septic Tank (or other sanitary waste treatment system), Burning, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others. any of these apply to your project. i NOV 1 -1 2002 a STATEMENT OF OWNERSHIP r n I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in a an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person listed as landowner on this application has a significant interest in the real property described therein. This interest can be described as: (check one) /an owner or record title, Title is vested in J/41 f C Yllrlll.4 54,t inl , see Deed Book BOO , page_ in the l'eo ren F T County Registry of Deeds. an owner by virtue of inheritance. Applicant is an heir to the estate of probate was in County. if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this application. NOTIFICATION OF ADJACENT PROPERTY OWNERS I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (Name) (Address) (1) LEScrE A f 6eacF Ec✓EN o/8 �lAas,v 60uE kvaa , FittEn41-0 ISe-E NC z8 (2) l o r, .` ,4,vq rFE Sr. CA�o� Got F T N, Z458 �4- (3) (4) FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS: I acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing techniques. PERMISSION TO ENTER ON LAND I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. This application includes: general information (this form), a site drawing as described on the back of this ap- plication, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 made payable to the locality, and any information as may be provided orally by the applicant. The details of the application as described by these sources are incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any person developing in an AEC without a per- mit is subject to civil, criminal and administrative action. This the I3A day of /t/o// W6eX 20 oZ . Land owo person authorize t ac as his agent for purp filing a CAMA plermit application. I SITE DRAWING/APPLICATION CHECKLIST Please make sure your site drawing includes the following information required for a CAMA minor develop- ment permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you, if requested. PHYSICAL DIMENSIONS label roads label highways right of ways label local setback lines —label any and all structures and driveways currently existing on property PHYSICAL CHARACTERISTICS ,-"'draw and label mean high water mark ✓draw location of on -site wastewater system If you will be working in the ocean hazard area: draw and label dune ridges (note height) ,%L_ draw and label toe of dune ,414_ identify and locate first line of stable vegetation i draw and label setback line under CAMA �uA - draw and label topographical features (optional) If you will be working in an estuarine shoreline area: draw and label landward limit of AEC escribe terrain (slope) DEVELOPMENT PLANS draw and label areas that will be disturbed _iz'jf a house is to be placed on lot, describe location of house note size of piling and depth to be placed in ground c✓draw and label all areas to be paved or graveled ,-'-describe composition of surface note and list fully all trees and vegetation to be removed or relocated _show landscaping NOTE TO APPLICANT Have you: *completed all blanks and/or indicated if not applicable? *notified and listed adjacent property owners? *included your site drawing? *signed both application and statement of ownership? *enclosed the $50.00 fee? *completed an AEC Hazard Notice, if necessary? FOR STAFF USE Site Notice Posted Final Inspection Fee Received Site Inspections Date of Action: Issued Exempted Denied Appeal Deadline (20 days) I SSE sNEE i 20G 2 14.425 N f LAAIp LINE �f- Z� E� 5z,3d 7"O 88 &bfat/.4T� 3' ort 44 ►u t About, tU&SH oR 41ErU,4 `N "rHfs AA*,4 s 6/4AcuALL-1 S ��N SNdR.PL-/ a/C I .4TLA�/T/G �;vN VICINITY fI.4P NOT TO SCALE LEGEND E.I.P. EXISTING IRON PIPE S./.S. SET IRON STAKE R/W RIGHT OF WAY M. B. S. L. MINIMUM BUILDING SETBACK LINE M.B. MAP BOOK PG. PAGE S.F. SQUARE FEET 12 CENTERLINE E.C.M. EXISTING CONCRETE MONUMENT NO TES 1.) AREA = 3`f,`%$9•00 5.F 2.) CLOSURE = 1:10,000+ 3.) REFERENCE : M.B. 21 PG. -7o 4.) P.I.N. .S3P`% Zo-9/-9Zog 5.) FLOOD ZONE 37aoV7-0003-4 t"VST /7, /9y0 6.) FINAL MAP RECOADFD : 4-1= /$, /99T 7.) THIS PROPERTY IS SUBJECT TO ALL EASEMENTS, AGREEMENTS, AND RIGHTS OF WAY OF RECORD PRIOR TO THE DATE OF THIS PLAT. 8� A40--D SEPT/G �sE/yENT iEd. �s�, /'999 EntT/21' 4c7 K AliTH/A/ ??e $ 75 d.Q./U. S6T�ILAC JAN 2 " RECD A.eG= Go.33' ZO'ClTJc.iTj/ EASEM6KT" _ 61AR cb, S/.PB'-eR= N86�S2' �cs"h/ I,_ \/D,v",4, e-De hereby certify that prepared according Practice for Land S�a Carolina, and thatc( line encroachments e s,ona UR YED BY 6V S FIELD BOOKE/83/E/B2 PAGE "-67 /iS 1111r111►11/7,,,. ,CARn, �f,J 4lL/LILY.F �u�-7 � iig in No Ali : J a7s ropirty said rays pU_) N�. �, 11� A (� 111u1u1u► j%1'&z Registration No. DATE 4aaL)sT DRAWN BY a 4--l- oc./c.ITion/ e447' A70A �y/V T�ql'4 sue/ T# GoT/S, /`Ae,516:pv,6 jDi✓.sion/, EdLvcK ZG, M7R.7-H COUNTY CITY TOWNSHIP �A �TF, SET EME.P.QCL� /-SC WoYl 715- OAS SCALE DATE~Nz A77o /-Yo - 9-z-- PROJECT NO. (c,G' F;1007e Land Surveying, P.A. goi W.a, MaLEA,.'. BLYo- Cape Carteret Swansboro, North Carolina 28584 252-393-2129 Fax 2✓Z-393-3075 y J \ 60606 souo'o 3 P n A '+ ,o - N A 3 � NI Rf�s N � z a, y,- � a r 26 3 0 �m z F o i � 0 r �j Be t MEC-reo ) hRoui.+a 41►- .v l-Akbi; Ta" /. fu fats AeFq Wr Wood � Ek 7� �4- 4 N i i 0� C N o i .Sr,, C- S H E e"T I o F Z C,A.M•A, PV&(Alr AFPLIUTIN PIAT FcR, l oT 15 KAt6H GD UE ��OGr ZG KUQ TH SGAL, E -' I "= (00 5N,FET ZOF Z Z9`3d'Sa'E' 39.9�' 4&5, Al 1: LAND 41,V,E 13a' +• ro Be t4w4TQ-0 3 ',pot M to t Aaoue MAOLS14 oR t4jp ru,tC1 IN -Tt.lts A"-,4 - s 6KAV,ALL-1 >M r ��N SNd�PL�f � Dh/E��Idb � I °' Z - ' r WW APO o � " a VICINITY ff,4P NOT TO SCALE LEGEND E.I.P. EXISTING IRON PIPE S.I.S. SET IRON STAKE R/W RIGHT OF WAY M. B. S. L. MINIMUM BUILDING SETBACK LINE M.B. MAP BOOK PG. PAGE S.F. SQUARE FEET q CENTERLINE E.C.M. EXISTING CONCRETE MONUMENT NOTES 1.) AREA = 31�,&F,00 S.F 2.) CLOSURE = 1: 10, 000-I- J.) REFERENCE : M.B. ZI PG. -70 4.) P.LN. 53?1A. 20-9/-42 og 5.) FLOOD ZONE : Za�/Fr1Et!EG�)iL�ief/,Q t/,' 37oa5�7-cx�3 V .¢7!d►JS7' /�� r9gB 6.) FINAL MAP RECOkDED :,=r.15, IV91 7.) THIS PROPERTY IS ,SUBJECT TO ALL EASEMENTS, AGREEMENTS, AND RIGHTS OF WAY OF RECORD PRIOR TO THE DATE OF THIS PLAT. B� ,QDDEp SEPT/G �$EN,Ei`!T BEd �.�, rg49 �Kr/,e-Lcrr+s A/.T/////XiW 575' ,0, C.J J • SETdyLK — — — — — ZO'UT7c1Tj/ EASFME/Y% Si.28'-r` •7l/86�57' yid"H/ /y,9.�Sh/ Co✓E .��4p % R/w PRE✓,a7£) G.A../-A. Pc�Q.c4"ITAPP�-iUi �D�./ laG�lT FDA: ��\11111if11f/!p/�/ .4 _OO _ hereby certify that this 1�v P�� / TI-1/4 prepared according to tkZ� Practice for Land Surup9j ;IQ North /�ll':� SffEET / OF Z Carolina, and that (theze'�a— f-4 no erCy line encroachments either %uay = GoTISr MA,�SHCo✓EfSL�,✓�sion/ BL UGK ZG, /2TH survey, s a ; COUNTY CITY TOWNSHIP �C) c=AR7F-E7- /S147 In/Ni7j!�- oA,4- UFt \N'.��5�� SCALE DATEAv,Nc,*na.1-6 - 9-zo,20 PROJECT NO. HIS > IS NOT FOR 1FI;Cp}3p�,,.•OQ``�� !„ _ �, �jr/laus7 23, r�4�9(/�13-02 `i 700 �d P TL4s4AA/Land Sure yor /lel, YWr6iion No. UR YED BY B-cS DATE G_9-oo Land Surveying, P.A. 4,V40s7- /9, /y99 5ol w.8, McLgAW BLvo- Cape Carteret FIELD BOOKS/83/Ei>2 DRAWN BY Swansboro, North Carolina 28584 PAGE 66-67/AF LML-✓Ao 25,Z-393-2129 Fax 2VZ-393-3075 f may' G 1 I.I �Xt57IMG I PEER �'I 3 �► 0- - I m � of i �m F r /I�D<JN A QA) Y l.A4.6.f, Titers . t u 7-kit, Ae�q WI, Bra++ WOOD PIER i PA Ell Sir 5i,'Ee7j- IoF 2 C.A.M A. P (AIT APPNUTIL*J PcA-r FvlZr C`/N -10IA s�-rirA for 15 H146H DOVE , piocr ZL koQ TH SGAL- E= I "= (,01 �l 50�ET Z o F Z ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ 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: 7- .. C' COMPLETE- - - A. Received by (Please Print Clearly) I B. Date of Delivery y o C. Signature X ❑ Agent ❑ Addre u. is oelivery address different from item 1? V Yes If YES, enter delivery address below: ❑ No 3. Service Type Certified Mail El Express Mail ❑ Registered u Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Copy from service label) j 7o9R 3V-A0 0004 b150 gL165 PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 h b5 S Z "D N 1s 1'n�''aua -Ij ,, w -and ysav�✓- g-row Cl .� O ---- ----------------- ON X08 Od vo :'ON ldy laa1S prpew ,(q palatdwoj ay oj) (dtveatO juud aseald) awe 4 w 47 saa a6e so j'8 3 d lelol CD p 0 ❑ (pannb% 1u9wasJ0pu3) 983 laanpa(I paloulsad O O O O WOH (pannbaBluewasJopu3) aa3 idieoaB wn3aB 0 C N)ewlsod eaj p01111jeo $ 96e4sod [n fs aM3 'IV a 1 l sa 'sj w 4 'a -0 J3 r- _ L, U--1 CG✓EN DIVISION OF COASTAL MANAGEMENT .ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: 4: Y'AlrlW Snt/Tff Address of Property: &7,9Z /% 0SH ,4y _ e !V,"? GD /5 LE C�2r�LET Ca �N T`� (Lot or 5trett #, 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. If You huve objections to what is being proposed, please write the Division of Coasted Management, Hestron Plaza M I51-B, Hwy. 24, Morehead City, NC, 28,557 or call (252) 808- 2808 within IO days of receipt of tftis notice. No response is considered the same as no objection V you have been notified by Certified Uail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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 [rust initial the appropriate blank below,) I do wish to waive the I S' setback requirement_ I do not wish to waive the 15' setback requirement_ Signature -- Date Print Name Telephone Number With Area Code ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ 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: A. Received by (Please Print Clearly) I B. Date of Delivery C. Signature X ❑ Agent ❑ Addressee If YES, enter delivery address below: ❑ No 3. Service Type E (;edified Mail ❑ Express Mail ❑ Registered ER Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Copy from service label) 7099 .3460y 00041 /,el-sa 9�9� PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 .-------_-------__.y�f�/77I_7 — rn —1 Q -- --- ---3aa�iS Z U07�b oN_ S� b Od o tayi d �'J a i.�apeui fq patatdwoo a9 —0 W _ W _-_`__, ot) ffllea! tuu asea �[u saaj g a6elsod (elol Q Q i (Pannba a tuawas�opu31 aa3 /uaA!la0 Paloulsaa Q Q Q M a&R (pajinbea 1u9w9s1opu3) ea j 1d!aoaa wnlaa O Q �!�ewlsod aad payrya0 g a6elsod tr tr ------ Er— �z v DIVISION OF COASTAL MANAGEMENT AnJACEST RIPARIAN PROPERTY OWNER NOTIFICATION/WArVr, R FORM Narne of Individual applying for Permit: CYNI"H Sm/Tff, -- Address of Property: 67,9Z 100S# �oyE oaV �— P� y.� e�ve�uc,D (Lot or Strut #, 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. If 3?0a have objections to what is being proposed, please write die Division of Coasmi Managernent, Hestron Plaza II I51-B, Hwy, 24, Morehead City, NC, 28557 or call (252) 808- 2808 whin 10 days of receipt of this notice. No response is conWered the same as no objection V you have been notified by Certified Mad. WAIVER SECTION I understand that a pier, dock., mooring pilings, breakwater, boat house, lift or sandbags must be set back a mirL mum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you alust initial the appropriate blank below,) I do wish to waive the I5' setback requirement. I do not wish to waive the 15' setback requirement. Signature Daie Print Name Telephone Number With Area Code—