63209D - Heard

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: j� n�� ��/�
Permit #:
Date:
Describe below the HABITAT disturbances for the application. All values should match the name,
and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
Habitat Name
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amounQ
temp impacts)
amount)
-- Wiffi—.1
Dredge ❑ Fill ❑ Both ❑ Other��
"k
6'aou
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both 0 Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ .Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑�. Fill ❑ Both ❑ Other ❑ I I I I
Dredge ❑ Fill ❑ Both ❑ Other ❑ 1
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill [I Both C] Other ❑
Dredge ❑ Fill ❑ Both 171 Other ❑

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Date 1r 1
e i g r -, 4S sl...� Mar4[r e-T P.44S
I10t oepec- 34r S a �►h
Ma_
W iljpg n A 1rt+s, S �✓C 2 9411
'� T
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I,
Permit on my property at
50 r'a f : t4 a and
Property Owner
3q 2 ) W. gv-a.LL, Dr.
Property Address
Receipts for
Certified Mail
(Staple Here)
have applied for a CAMA Minor
in Brunswick
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at 1 fcf — or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Oak Island CAMA Minor Permit Program, you may submit
them to:
Donna F. Coleman
Local Permit Officer for the Town of Oak Island
4601 E. Oak Island Dr.
Oak Island, NC 28465
Sincerely,
. air4 F 41e& ro)
Property Owner
� 0 /'M LAI ro re JYe ��I ��✓�
Mailing Address
01 /VC 2 4-4-0
City, State, Zip Code

/ 4/4 V? e,-
Date �J
/4nc.,, `.S orvw� /al' h� e V zS
Adjacent Ffropay Ownjr
199 in / G� �e-oke
M 'ling Address
�aiee.0%J b a ro�Alt- 21yoY
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I,
Sato r OtAelel
Property Owner
Receipts for
Certified Mail
(Staple Here)
have applied for a CAMA Minor
Permit on my property at 3 9 2' 1 W • t9aa e-k L r• in Brunswick
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at �� 9 ' T 4 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Oak Island CAMA Minor Permit Program, you may submit
them to:
Donna F. Coleman
Local Permit Officer for the Town of Oak Island
4601 E. Oak Island Dr.
Oak Island, NC 28465
Sincerely,
Sara F 14 eo rdf
Property Owner
e-0 f"e J f /k /11 W/vW
Mailing Address
AJrkq", Al
City, State, Zip Code
V
S. Postal ServiceTM
ERTIFIED MAILT,, RECEIPT
omestic Mail Only; No Insurance Coverage Provi
For delivery information visit our website at www.usps.co
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