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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 I I 1 I I 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 �e�'� \s�oP � ✓LC�K�R o 331� 31� �I C 0 CIL r Q � 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 • :20 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 C 1 i 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 ti�V 00.` P A C 2 I Sp i 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 Sr 3 1` k k k eg�,�,��.� 6[v (. PA ►�-4vx'_ u.A- � Qe (--J — -3k-T 8( 0 i 9 o'g�o S pctsT-- 1 • ,s. a %T 02 1A 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 0 0 - L, Er r Ir 0 d A p r E3 rr Er �. r' I` MAILROOM NCWKFRS101 14111 CAPITAL BLVD. WAKE FOREST, NC 27587 0A 200S y� First Class 'A ;�k CAe .moo 6 cL AC-1 Zg s�3 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 ] Cl" 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 N ,. ' I e trlt t t,tmr. S '['c•1��1�3Tnrscl'dirlttbu•'�1PI)A l3rt's <.ijflC--� „._�. .___ C-111 IT-- li *nl wmo-rr 11) 6\AIANS Wee G GLe 4o-r- ��? i�pf rr� y f_? � In O QD `•. � 1 tl TECC'PHW,1E CAaLF, ►o aE AT I a 04CO -Yo 8006E fiUf��T� C-01QDU,T � u zIE b Z4 �CC.EPNoNE C{} B LC=. ?,�p SAP ( 5rWAR-F � CA5L� -to -PLoWE.) 6A srbuU)tr2 C) P &L cat gLG 7-[7 P)6 PLACED 0 V�NCboT R1641 ' to) F- VWVA , DMvVt'J -r-D ScA-LE �_' +, 7 s1'i Fl ]+,;(➢ )MAIL -__> t> �1. URN RE CFTI''1' RF U1STET) 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 OW OrAMC #,3tiCetorroad) „ (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 ____ PlkLt fit,►; W 17.1�')�3,nrsCNi',ntbar'41'Yt)n Arts (;4�ilc .,-- S` P — 7 2005 h lOrehead � l *-1 morr • -To 5\AIA -5 WeO so ZTeD TIC L, �[� 1�P �W �? Czar L t� U cu l 1J g:�P FRP suexeL) 7-4 1CI-E PO/v6 CA B (E Rip RAQ ( 5TEac ARfF CA13L. -ro ?Lov lEi) oA SN-oUL,6Cl?_ C)f:-- PoAb UP TO GvNDUI T- 614 f3Z--Z'*E AtL ' cal 8LG 73 Pa6 PLAED DV\J NCDo-r RS-64i- toP VWVA l�or DMWIJ TD SCA-LE f:'�+;��s'I'-I��:�lED i��fAI7. -- Idl�;�i'U1�N �h�CI�XI'1' RF , — _.�_--- >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 Iil�l �lllllif[IiIJ 11 L �11111 " II�IIIIIII'11�1'1'11'I IIIIII III 0001 25Q8857110 1:01, L 2038 241: 96000 L6 249n■ '3 k