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Home My WebLink About26179_TWIDDY, JOE AND SANDRA_200008304b Ja4 (j� CAMA and DREDGE AND FILL G E N E R A L 7 PERMIT 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 15 NCAC Applicant Name Address City Project Location (County, State Road, Water Body, etc.) Type of Project Activity State and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine, imprisonment 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 of- ficer when the project is inspected for compliance. The applicant certi- fies by signing this permit that 1) this project is consistent with the local land use plan and all local ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no objections to the proposed work. In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal Management Program. Phone Number zip issuing date ..— applicant's signature permit officer's signature expiration date attachments application fee i548 THE RIGHT WAY 66-85/531 0282027235 J, T. SMITH MITH CHAROLETT M• Q DATE 228 SUNSET DRIVE25 285B4 8B3 SWN ANSBORO,, $ PAY TO THE 0 °" ORDER OF _ few �� DOLLARS 140 = Centur Bank zs5 a , ddy _----------- Cape Carteret, S 79 i MEMO 3 L 5 Loa 3 100a 50l:0 28 20. 7 U.S. Postal Service r_FRTII=ll=n MA11 RFr..FIPT m r- a Postage Certified Fee _ it tmark _ Return Receipt Fee ftl (Endorsement Required) i e C:l p Restricted Delivery Fee (Endorsement Required) f�I`,•.3.� MTotal Postage & Fees —3 Name Please Print Clearly) (to be comgiQted by mailer) 1'•----'' = `� S��rc�-e _vrrnZ_�z 0 Street, Apt. No.; or PO Box No. on �Ky W-e DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNTER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit:ar��atldrA Address of Property: (Lot or Streit I , Street or Road, City & County) I hereby cer-airy 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 drawinc, 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 have objections to what is being proposed, please write the Division of Coastal Management, Hestron Pla<a II, 151-B, HWY.'C , Morehead City, , 28557 or call (252) 808- 2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been nodi ed by Cerri ed Mail. 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. (I; 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 1 5' setback requirement. Signature Date Print Name Telephone Number With Area Code Unites States Postal Service Re_,q iie6t for Delivery Information/Return Receipt After Mailin INSTRUCTIONS FOR USE: Accepting Office 1. Internal Usa Only. Help the customer complete Section 2 of this form and carefully compare it to the customer's receipt. Complete the shaded portions in Section 1. 2. Collect fees if required. 3. Select ONE of the following three options: A. If the item was mailed to an office not participating in the new signature capture process (refer to POM Section 619), regardless of the date of mailing, send this entire form, with Sections 1 and 2 completed, to the delivery office. B.._.._ If the item was mailed before the start of the new signature capture process, send this entire form, with Sections 1 and 2 completed, to the delivery office. C. — If the item was mailed after the start of the new signature capture process, choose one of the following two options: IJ If the office has Intranet access, use Intranet to generate the request, then discard the form. f� If the office does not have Intranet access, send this entire form, with Sections 1 and 2 completed, to a designated inquiry location. Delivery Office - Use Only for Manually Filed Delivery Record Inquiries (3A or 3B checked above) 1. If the fee is not attached or the form is not postmarked to show that the fee was paid at the time of the mailing, return this form to the accepting office. 2. Complete the shaded items in Section 3 below. Enter the delivery information or indicate the reason for no information. 3. After completion, detach and insert the bottom portion of this document in an envelope addressed to the requestor and deposit it in the mailstream. Discard the remaining portion. Accepting Office: P Returjg,,,1 Retum Receipt fee WAS paid at time of mailing. (Customer has provided Receipt fee w t @ ailreceipt. Postmark where indicated at left.) I �� ❑Return Receipt fee WAS NOT paid at time of mailing. (Attach fee below.) AUG 2 12000 Co i Attach tee hem ;/apiolkeb/e Accepting Office City/State/ZIP Code: ¢. C + Cc � 0 l � a4.. _...._ - ._. ... - - ....... ... . . . i Delivery Office/Manual Inquiries: Detach at dotted line and return bottom portion to customer Electronic Inquiries: Generate request from Intranet when inquiry is resolved - discard remainder of form. and discard the entire form. s _4"T!44.!NF0AMATI0N. ertified Numbered Insured Article Number frC I Q COD Registered Mailin Date (mm/dd/ ) U Express Mail f� Return Receipt for Merchandise /� /) N Addressee Name e f II'' o I ` �Ir.)I`I Jf)(AtOr) C0��IL QrlGO Addressee Address cnNor, C r (No., Street. Apt./Ste. No.) (City, State, ZIP Co ) j 1 For Delivery Office Use 0 Postal records show no deliver o information because: U . Record not found Forwarded (date: ❑ Returned (date: i Requestor Name Requestor Address i Fur- i (No. Street, Apt./Ste. No.) (City, State. ZIP ode) FAX Number (Complete ONL Y d an electronic inquiry - include area code) - -- ..._..._........... __..._...---------- .— .. -- - - .. _------- De.livere_.d to_the following individual, company or organization PS Form 3811-A, March 2000 Request for Delivery Information/Return Receipt After Mailing United States Postal Service ADJACENT RIPARIAN PROPERTY OWNER STA TEUENT (FOR A PIERIUNCOVERED BOAT LIM I hereby certify that I own Property adjacent to (Name of Property Owner) y Property located at (� k // (Lot, Block, Road, etc.) ' on ri � C �i lId /� G(%a s�r� pia in r,111 p rPS (K'zterbody) UTown and/or County) . N.C. He has described to me, as shown below, the development he is Proposin at that location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift must be set back a minimum distance of fifteen feet (151) from my area of riparian access unless waived by me. I sio nat wish to waive the setback requirement. I & wish to waive that setbac k requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: 2iZ�0 Signature,Lell Print or Type Name 6 E rrY � _ L.1 r 7- , Telephone Number Date:�> c� v � THE >LAT10.'..OF P/iEel sloN 4 UNA S'Oit SIFE M CO(!2T D IU=., 5 , CIL � 0 �kx�r i#7Lf}l/T/c bCERN. c i_OogTT O f" (,vOSF cr7[) �GA�� S . _ f .K(`l P - a _ F' - � rSo / . 6 v� r \ � v�, z�.Jr„ro,r. l YINcEN ?. AM ROS/A Tr. e f ; �x H N C. AAA KATHLEEN M. 1414 905 !R !fy0 s y!<r,u!/ L6. � ! \ ShurCY Cavrcrct Co., N.C. liltNove zee 19 9 Z Scrtile !' = 36 ie9gr _ s r� i iJof.nlc/ C- C/e'~+c.,t-s T Z 46 G .1-/. l9/.oz•rOT.gL 'b rx Ht(a.,t/c 5caC4, A/-C, Birect Query - Intranet Page I of I Track/Confirm - Intranet Item Inquiry - Domestic Item: 7000 0600 0021 6844 0783 destination ip: 33065 City: POMPANO BEACH State: FL Origin ip: City: —jState: Event Date Time Location NOTICE LEFT 08/11/2000 14:36 POMPANO BEACH FL 33065 Enter Item Number: Go to the Product Tracking System Home Page, `www � ww ', w ��►��