HomeMy WebLinkAbout42795_CAROLINA TELEPHONE_2005091611NE
MA/ DREDGE & FILL
RAL 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- ______ _ _ Project Location: County_-
Address------- Street Address/ State Road/ Lot #(s)
City
Phone # ( )^
Authorized Agent
Affected -' CW
AEC(s): �D OEA
i ' PWS:
ORW: yes / no
State
Fax#( )
ZIP
❑ EW D PTA ❑ ES ❑ PTS
i HHF ❑ IH ❑ UBA -1 N/A
C FC:
PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length____
Platform(s)_
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
�enlrpliV
y4pt Name
•E r
Signature ** Please read compliance statement on back of permit
Subdivision
City
Phone # ( )
Adj. Wtr. Body
Closest Maj. Wtr. Body
ZIP
River Basin
nat
(Scale:
J r
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date
Expiration Date
ApplicationFee(s) Check# Local Plan ningJurisdiction
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
❑ Other:
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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05
7
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1
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Sprint
Network Real Estate
James H. White
3116 Hwy. 24
Newport, NC 28570
RE: Carolina Telephone and Telegraph Co. cable easement
Broad Creek Bridge
Mr. White,
Shaun Tweed
Real Estate Specialist
14111 Capital Blvd.
Wake Forest, NC 27587
MAILSTOP:NCW KFR0331-317810
919-554-7745 Office
`N,/P19-554-5579 Fax
ra�'17Mr,7"�
71
SEP — 7 2o05
Morehead City LJ�aM
You are a land owner of record of property adjacent to the Broad Street Bridge. Carolina Telephone and
Telegraph Company is proposing a cable line be placed within a setback area. In order to complete this task
all land owners affected must complete a Property Owner Notification / Waiver Form. I have attached this
form for your signature in addition to a description or drawing with dimensions, for your review.
If you do not have any objections to cable being plowed on the shoulder of the road (Hwy. 24) abutting your
property, then initial the first line. Under the waiver section, initial the line that applies as to whether you DO
or DO NOT wish to waive the 15' setback for this cable line.
Run a copy of the document for your records and return the original forms back to Sprint in the SASE
provided.
Thank you for your assistance with this matter.
If you have any questions, please feel free to contact either myself or the Division of Coastal Management at
the phone number shown in the second paragraph of the Waiver form.
Shaun Tweed
Real Estate Specialist
Office: (919) 554-7745
Fax: (919)554-5579
1-06,IoA'
Sprint
14111 Capital Blvd
Wake Forest, NC 27587-5900
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Postage $
Certified Fee
Postmark
Return Receipt Fee Here
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees
Na a (Please rint Clearly) (to be completed by mailer) j
!�
---- - - - - ------
Stree .Apt. No.; or PO Box No.
----
City, Stete, ZIP+4 ---------------------------------
o.� 3'� t�•�• ZZSB� i
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Certified Mail Provides:
■ A mailing receipt
■ A unique identifier for your mallpiece
■ A signature upon delivery
■ A record of delivery kept by the Postal Sgrvice for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First -Class Mail or Priority Mail.
■ Certified Mail is not available for any class of international mail.
li ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPS postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. if a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT. Save this receipt and present it when making -an inquiry.
PS Form 3800, July 1999,(Reverse) 102595-99-M-2087
MAILROOM
NCWKFRS101
14111 CAPITAL BLVD.
WAKE FOREST, INC 27587
First Class Mail
J awe 5 � • ��'��-e
S7�
■ 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:
20J"t�
A. Signature
X
B. Received by ( Printed Name)
❑ Agent
❑ Addressee
C. Date of Delivery
71
D. Is delivery address different from item 1? ❑ Yes
_-
If YES, enter delivery address below: ❑ Now
�
`71
3. Service Type
1-'4certified Mail
❑ Registered
❑ Insured Mail
fV
0
❑ Express Mail o
'JKLeeturn Receipt for Merchandise un
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 0 al Q( 310 O V C)O I l 1q( SD 61 Qt 7-
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-0835
1�0
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Sprint,
Network Real Estate
June Stewart
3131 Hwy. 24
Newport, NC 28570
RE: Carolina Telephone and Telegraph Co. cable easement
Broad Creek Bridge
June Stewart,
Shaun Tweed
Real Estate Specialist
14111 Capital Blvd.
Wake Forest, NC 27587
MAILSTOP:NCWKFR0331-317810
919-554-7745 Office
919-554-5579 Fax
tv SEP - 7 2005
(Morehead City CCM
You are a land owner of record of property adjacent to the Broad Street Bridge. Carolina Telephone and
Telegraph Company is proposing a cable line be placed within a setback area. In order to complete this task
all land owners affected must complete a Property Owner Notification / Waiver Form. I have attached this
form for your signature in addition to a description or drawing with dimensions, for your review.
If you do not have any objections to cable being plowed on the shoulder of the road (Hwy. 24) abutting your
property, then initial the first line. Under the waiver section, initial the line that applies as to whether you DO
or DO NOT wish to waive the 15' setback for this cable line.
Run a copy of the document for your records and return the original forms back to Sprint in the SASE
provided.
Thank you for your assistance with this matter.
If you have any questions, please feel free to contact either myself or the Division of Coastal Management at
the phone number shown in the second paragraph of the Waiver form.
Shaun Tweed
Real Estate Specialist
Office: (919) 554-7745
Fax: (919) 554-5579
I
�L BLVD.
T, NC 27587
5�A-
First Class Mail
iplete items 1, 2, and 3. Also complete A. Signature
4 if Restricted Delivery is desired. ❑ Agent
your name and address on the reverse X ❑ Addressee
tat we can return the card to you. B. Received by ( Printed Name) C. Date of Delivery
:h this card to the back of the mailpiece,
1 the front if space Dermits.
e Addressed to:
`Ar"
z81s-l0
D. Is delivery address different from item 1 ? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered AlReturn Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
Number
:fer from service label) Q� `�� O () oot> l $ b
n 3811, August 2001 Domestic Return Receipt 102595-02-M-0835
SE — d 2oo5
More . `U Gh ®CM
;17�
Postage $
Certified Fee
Postmark
Return Receipt Fee Here
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees $
Name (Please Pint Clearly) (to be completed by mailer)
--
S -p- ��-------------------------------------
Street, Apt. No.: or, PO` Box No
1411 .- & i:W •�\-,j r► �1s OTC tJKF2,033t -
City,',�$ltate, ZIP+4 3 �,t Qt O
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PS Form 3800, July 1994' See Reverse for Instructions
Certified Mail Provides:
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A signature upon delivery
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First -Class Mail or Priorify Mail.
■ Certified Mail is not available for any class of international mail.
■ NO, INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valdables, please consider Insured or Registered Mail. ;
■ For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return .
Receipt (PS Form 3811) to the article and add applicable postage to cover the p
fez. Endorse mailpiece 'Return Receipt Requested". To receive a fee waiver for I
a duplicate return receipt, a USPS postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or ;
addressee's authorized agent. Advise the clerk or mark the mailpiece with the y
endorsement "Restricted Delivery". +
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail 7
receipt is not needed, detach and affix label with postage and mail.
IMPGRTANT: Save,this receipt�and present it.when making an inquiry.
PS•Form 38Q0, July 1999 (Reverse) 102595-99-M-2087
SpIrw t 14111 Capital Blvd
Wake Forest, NC 27587-5900
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0004360334
MAILED F12O&4 ZIPC(
2 �t SY-7 -S�
Sprint
vork Real Estate
James McDermott
4124 Edgewood Street
Ayden, NC 28513
RE: Carolina Telephone and Telegraph Co. cable easement
Broad Creek Bridge
Mr. Mcdermott,
Shaun Tweed
Real Estate Specialist
14111 Capital Blvd.
Wake Forest, NC 27587
MAILSTOP:NCWKFR0331-317 810
919-554-7745 Office
919-554-5579 Fax
MOreheed City ®C
vl
You are a land owner of record of property adjacent to the Broad Street Bridge. Carolina Telephone and
Telegraph Company is proposing a cable line be placed within a setback area. In order to complete this task
all land owners affected must complete a Property Owner Notification / Waiver Form. I have attached this
form for your signature in addition to a description or drawing with dimensions, for your review.
If you do not have any objections to cable being plowed on the shoulder of the road (Hwy. 24) abutting your
property, then initial the first line. Under the waiver section, initial the line that applies as to whether you DO
or DO NOT wish to waive the 15' setback for this cable line.
Run a copy of the document for your records and return the original forms back to Sprint in the SASE
provided.
Thank you for your assistance with this matter.
If you have any questions, please feel free to contact either myself or the Division of Coastal Management at
the phone number shown in the second paragraph of the Waiver form.
Shaun Tweed
Real Estate Specialist
Office: (919) 554-7745
Fax: (919) 554-5579
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MAILROOM
NCWKFRS101
14111 CAPITAL BLVD.
WAKE FOREST, NC 27587
0A 200S
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First Class
'A ;�k CAe .moo 6 cL
AC-1
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SENDER:
SECTION .DELIVERY
■ Complete items 1, 2, and 3. Also complete
40
A. Signature
item 4 if Restricted Delivery is desired.
❑ Agent
X
■ Print your name and address on the reverse
❑ Addressee
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
B. Received by (Printed Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to:
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
Qy c1e v%, �e
zs$ ►3
3. Service Type
Certified Mail ❑ Express Mail
U Registered Lk-eturn Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
1
(Transfer from service label) 4 'Alf Do boo
J
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-0835
Postage $
Certified Fee
Postmark .
Return Receipt Fee Here
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees
Na5e (Please rint Clearly) (to be completed by mailer)
---r-(� {`- ----- -----——— ---------------------------------------------------------------
StreeF Apt. No.; or PO B x rye.
►`�1�1-Ca.Q tS� vc�,t>M.a� Is{oQ nC.wl�Fg- 033_�
c ryv crate y, 4wa ,lam 2't s -I
Certified Mail Provides:
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A signature upon delivery
■ A record of delivery kept by the Postal Service for two years
Important Reminders,
i ■ Certiried Mail may ONLY be combined with First -Class Mail or Priority Mail.
■ Certified Mail' is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
! valuables, please consider Insured or Registered Mail.
■ For art additional fee, a Return Receipt may be requested to provide proof of }
delivery. To obtain Return Receipt service, please complete and attach a Return '
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fe6. Endorse mailpiece 'Return Receipt Requested". To receive a fee waiver for 1
a duplicate return receipt, a USPS postmark on your Certified Mail receipt is t
required.
L ■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the I
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANP.S9ve this•receipt and present it when making an inquiry.
PS Forrg3800, July 1999 (Reverse) 102595'-99-M-2087
. t
Spring 14111 Capital Blvd
Wake Forest, NC 27587-5900
SAP PCs,-
d
j PITNEY ROWES
02 1A $ QQ.370
0004360334
MAILED FROM ZIP CODE 27587
AC%,JK;:-r� 0331-3t1gl0
z'I se-1- S� o-6
SEP - 7 2005
Morehead City DCM
i
Sprint.
Network Real Estate
Osprey Oakes, Inc.
3197 Hwy. 24
Newport, NC 28570
RE: Carolina Telephone and Telegraph Co. cable easement
Broad Creek Bridge
To whom it may concern,
Shaun Tweed
Real Estate Specialist
14111 Capital Blvd.
Wake Forest, NC 27587
MAILSTOP:NCW KFR0331-317810
919-554-7745 Office
919-554-5579 Fax
SE p
2005
CIIY ®C/W
You are a land owner of record of property adjacent to the Broad Street Bridge. Carolina Telephone and
Telegraph Company is proposing a cable line be placed within a setback area. In order to complete this task
all land owners affected must complete a Property Owner Notification / Waiver Form. I have attached this
form for your signature in addition to a description or drawing with dimensions, for your review.
If you do not have any objections to cable being plowed on the shoulder of the road (Hwy. 24) abutting your
property, then initial the first line. Under the waiver section, initial the line that applies as to whether you DO
or DO NOT wish to waive the 15' setback for this cable line.
Run a copy of the document for your records and return the original forms back to Sprint in the SASE
provided.
Thank you for your assistance with this matter.
If you have any questions, please feel free to contact either myself or the .1pivision of Coastal Management at
the phone number shown in the second paragraph of the Waiver form.
Shaun Tweed
Real Estate Specialist
Office: (919) 554-7745
Fax: (919) 554-5579
splint 14111 Capital Blvd
Wake Forest, NC 27587-5900
AA� S t aee. d� 31-1 F I o
s�r�',1-1�
mC4:1 op�, ncW��Ro331-31'1�I�
Z'1581-5qoc�
SEP - 7 ZU05
Morehead Cay ���IA
lq Article Sent To:
1� O5 K \'Ce5 =�C
Postage $
ul
U_ Certified Fee
r'l Postmark
I — Return Receipt Fee Here
(Endorsement Required)
0
M Restricted Delivery Fee
O (Endorsement Required)
1 C:3 Total Postage & Fees I $
o
1 � Name (Pleas Print Clearly) (to be completed by mailer)
Il 1' % J
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Stre t. Apt. No.; or PO Box No. -------------------------------------------------------
1 °- ��{\\P: f1CW�_Mo3sI -
0 Cite, ZI +4
lr� re sAI %k 21 S8'1 3 1 i 4 I 1D
Certified Mail Provides:
■ A mailing receipt
■ A unique ictentifier for your mailpiece
■ A signature upon delivery
■ A re6ord of delivery kept by the Postal Service for two years
r
VorFr�at Reminders:
Certified Mail may ONLY be combined with First -Class Mail or Priority Mail.
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the ?
fee. Endorse mailpiece to
Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPS postmark on your Certified Mail receipt is "
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT; Save this receiptrand•oresent it when making an inquiry.
PS 1`6rnV3$00, July 1999 (Reverse) 102595-99-M-2087
,L BLVD.
T. NC 27587
SOOZ L — d]S
i
ams 1, 2, and 3. Also complete
Aricted Delivery is desired.
ame and address on the reverse
:an return the card to you.
;ard to the back of the mailpiece,
mt if space permits.
:sed to:
First Class Mail
A. Signature
X ❑ Agent
❑ Addressee
B. Received by (Printed Name) I C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
bI,Certified Mail ❑ Express Mail
❑ Registered Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
service label) qol °t 3ioo oou(l 10i94 5 1
1, August 2001 Domestic Return Receipt 102595-02-M-0835
i_'ERCITFIE'D tMAIL-,_RJ'rFURN RECETYP RE )I.TESTET)
D-1-V[SIO OF COASTAL
A-1)J.:`ICI1"N'T RII'ATUAN F'RO.1'YIRTY OW'NER iN0)TI3,iCAT10Na_ "AIVI:R
FORM
N,,i ie r)C illdivitlu;Sl :1p1)lyi13g foci l�Lrr)►it: gt�n/ L f ila�c� r
Address ol; Property:__ _
(I01 or strnct *, 9trr•a or road) -
(City & county)
I h--reby 6 V6 t'y that I own property adjacent to the above referenced property, The
individual Ajtplyi»- for this permit hms described to me (as shown on file auached
drflWinC-0 610 donrelopment they are Proposing. A description or drawing, with
dirncnsiOn�;, should bt:provided with this letter.
I have no objections to this proposal.
,if,Yflrc hrrt-i: nljcetions to wheel is bdhgproposed, please write the Div' ' 1i of Coastal
�Iwrrrur� � frte�rt, 400 Corti rrteree Ave., Moreheael City, NC 28557 or call (252) 808-2&08
3"ithitt 10'l4rys of rereijyt of lltis notice. No response is considered the same as no
oLjr_•clinst if you hrcvc been notified by Certified Mail.
WAIVER SECTION
i untierstawi that a pier, dock, rnoorl»o pilings, breakwater, boathouse, lift or sandbags
ti-tust bo set back a miniriutrn distance of 15' from my area of riparian access unl
below,) ass
waived by nlo. (I(, you wish to waive thi:, setback, you must initial the appropriate blank
I (70 wish to wai ve the 15' setback re uiren q lint.
—._ t do not wish to waive the 15' setback regttixernent.
ui}�rt:ltutts Date
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JM_1ST0N OF COASTAL MAN-ACrL11>r,ti'.l°
ADJACI:1,11' kIP RIAN ➢'.1 OPY'RTY OWNER NOTIFICATION- nVAIVER
FORM
p i l '
l�vstt))��crl'il►rlivitIu,ll:I)lyit�_. for )�rn►it:
+ddress 01; pr1)pe •ty:_,.— _.Z-.._Z
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„
(city & ca,ory)
I h(:rcby ci'Cti r'y thae I own property adjacent to the above referenced property. The
hidiv idual AlTlyin� for tivs permit has iIascribcd to me (as shown on the airached
drawing) tltc tluvelopment they arc; proposing. A description or drawing, with
dimension.;, should b,�providcd with this letter.
I have no objections to this proposal.
ffyou haw! nljcc.Pions to what is beirrgproposed, please write the.Divisiorc of Coastal
11Irrrtrr� ,;ncc>rt, 400 CornmereeA.ve., Alorehead City, NC 28557 or call (252) 808-2808
)'i'ithirz 10 (lays of receipt of this notice. No response is considered the same as no
014•clion VYozl have been norijiled by Certified Mail.
WAIVE, R SrcTION
I t!t)fltrstaad that a pier, dock, rnoorir►g pilings, brceakwater, boathouse, lift or sandbags
most 13c set back a minim►urn distanct. of 15, from my area of riparian access unless
waived by mc. (ff. yPu wiski to waive. the setback, you must initial the appropriate blank
below,)
I oto wish to waive the 15' setback requirement.
— Y- 1 f10 n01 Wish to Mlivc thL• 15' setback requircny)ent.
5�i{rr Utz, Pate ____
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S` P — 7 2005
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— _.�_--- >ULSTED
DIVISION OF COASTAL MAN-AGLNfl-tiYf
U AN P1k01'1,;RTY OtiV'iER jN i'ZT,"1C,kT10*NA -AIVER
FORM
1`1,1111i' fA'i11dividL1Jj :Jppjyltlg for perrllit:
Address o1, proper-ty:_,._�_�._�__ _ --
(10t Or strccc W, v c:t Or road) ti •` —"
(City & Councy)
1 hereby ci?rti fy that I own property adjacent to t11e above referenced property. The
individuai AfTlyin10- for tins permit has de.Scribed to me (as shown on the attached
dro wing) a -to (levelopment they a1•e Proposing. A description or drawing, with
ilimcnskms, should b,:providcd with this letter.
I have lio objections to this proposal.
ff ydu fill)"' ntjcctr{))ZS t0 whClt iv bf[nf,'()rC.1j)oye4 please write theDLYlsi01i of Coastal
1Vlrrrtrr � y�lc�rt, 400 Commerce A.ve., i1forrhead City, ArC 28557 or call (252) 808-2808
within 10 d{rys of receipt of this notice. No response is considered the same as no
{sbit"clion Vyou have beers notified by Certified MaiL
WAX ,R STCTION
r 1111(ie)-staad that a pier, flock, rnoorhlo pilings, breakwater, boathouse, lift or sandbags
roust I)(, -set back a miniliulrn distaneC_ of 15' from my area of riparian access unless
waivers by n10- ([f, you wish to waive, the setback, you i»,ust initial the appropriate blank
bclow,)
J_ I do wash to waive the 15' setback rcquirernc ilt.
.. 1 do D01 wish to waive the 15' setback requi. ome.nt.
ii :ttUt�: Date
• 1°L161i 4�,1�1IC —�--
1'�•1��1�3�n,•le3'Jr�iltb�r'41'Plla ��rts C:ijQc -
SEP — 7 2005
Morehead City ACM
Sprint NeXtel
10/06/2005
PAY TO TRr.
ORDER
OP
'11e11a Fa,Vo Bank, \.A.
115 TT-Pfr [ D,he
Van Wert, OFT 48891
VOID IF NOT CASHED WITHIN 180 DAYS
Authorized Signature
eaA4 jaw,
Sprint United Management Company Dal 2568857
Paying Agent on Behalf of Itself and Sprint Corporation's Affiliates
P. 0. Box 7977
Shawnee Mission Kansas 66207
1-888-283-4636, Opt. 1 56-382/412
PAY ********,e*****100 DOLLARS AND 00 CENTS
It1Y��>t1Y*�hY�t�'c�Y**>41Of)_ nn
000172 M
aa9®
NORTH CAROLINA DIVISION OF COSTAL GMT
�.1638 MAIL SERVICE CTR
—'-" RALEALEIGH NO 27699-1638 {•gyp, 0( v
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0001 25Q8857110 1:01, L 2038 241: 96000 L6 249n■
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