57334D - Strickland

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORINGPHXVGSIBOATLIF7YBOATHOUSE)
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I hereby certify that own property adjacent to C-HAIS S*rA914XCA+P 's
(Name of Property Owner)
property located at _ !� 4 n'+ �` D A b�` • wR 14 017 trt 1-L C F 'q- "
(Lot, Block, Road, etc.)
on ,in WjLj&14r3rlt,iE f3F0404 ,N-C.
(Waterbody) (Town and/or County)
Applicant's phone b: 11 4- Pl 4-4*kailine Address: t i9`t
MyZICISVIL1. ^F-E—
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 eot wish to waive
1� I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OIL PROPOSED DEVELOPMENT:
(To be flied in by individual proposing development)
5L= ►4T-rA-elat0
(Information for Property Owner Applying
for Permit)
S 14 L E-r
SISA &RAY6 PLACE
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RECEIVE®
MAY 0 3 2011
DCM WILMINGTON, N,
(Riparian Property Owner Information)
10-1 SCA S-17A VL=` nL,4e L?
Mailing Address Si re

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RECEIVED
\ MAY 0 3 2011
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-0315.50'\- STRICKLAND 9194653417>>
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PLER/MOOMG PLUNGS/BOATUFT/BOATHOUSE)
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I herebv certify that I own property adjacent to 61-.41L.1$ frrL14 %—A-'A'•`,'*2`s
(Name of Property Owner)
property located at S Of & xt v&N wD.4 &ti-fYj�'
(Lot, Block, Road, etc.)
on , in W/t I & *Tlrl"G 04--v116-e-0 , N.C_
(Waterbody) (Town and/or County)
Applicant's pbone #: 9/ �+�! �/ll�alling Address: / a'7 X*2* #-a04 ry PL
►KOR�err vir. c.�' � �• 2.'7Tly
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMNT:
(To be filled In by individual proposing development)
5 L,-e . .va L-M S t+T"-r
RECEIVE®
MAY 0 3 2011
DCM WILMINGTON, N
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
raj S-E-A lirl &w E fl-+t6-
Mailing Address
Signature
"17/Z AWf V I L•.j, t A4 c• .2 95'6 0

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Division of Coastal Mgt. Habitat Impact Computer Sheet
-3311
limit: • �' rr'-5 ( Permit #: '
3ribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet.
Itat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
l% i ^ /
/ V �/
Dredge ❑ Fill ❑ Both ❑ OtherX
&9
D�
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑