HomeMy WebLinkAbout69154D - Farr
all to be place inside of wetlands
per our walk through. New
instruction to match existing wall on
'tanbark court
g
■ Complete items 1, 2, and.3.
■ 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:
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PS Form 3811, July 2015 PSN 7530-02-000-M
A. Signature
B. eceiv by
❑ Agent
C. Date of Delivery
D. Is delivery address dtfferenthom item 11 0 Yes
If YES, enter delivery address below' ❑ No
El priority Mail Express®
3. Service Type
❑ Adult Signature
❑ Registered MaIITM
p Registered Mail Restricted
❑ Adult Signature Restricted DelNery
Delivery
❑ Certified Mail®
Certified Mail Restricted DONWY
❑ Return Reoelpt for
Merchandise
❑ Collect on Delivery
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❑ Collect on Delivery Restricted Delivery
❑ Signature Confirrriatlon'm
El Signature Confirmation
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Mall Restricted WNW
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Domestic Return Receipt
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. C3 Total Postage and Fee.
■ Complete items 1, 2, and 3.
■ 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 mailplece,
or on the front if space permits•
1 • Article Addressed to:
A Signature ggant
xX ;Addre
Received by (Printed Nary) C. Dof I
D. Ie delivery address different ft6m item 17 Lf"
If YES. enter delivery addrm below: ❑ Nc
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Service Type
❑ Priority Mail Express®
MaJITII❑
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Adult Signature
❑ Adutt Signature Restricted Delivery
❑ Registered
❑ RDeliveryred Mall Restricted
402 2114 6132 1700 73
t-Number
❑ Certified Mall®
❑ Crtified Mall Restricted Delivery
❑ Return Receipt for
Merchandise
❑ Collect on Delivery
r wi—*,.n Delivery Restricted Delivery
❑ Signature Confirmation! 'ri
❑ Signature Confirmation
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Restricted Delivery
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7016 0750
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Domestic Return Receipt
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Fs Form 3811, July 2015 PSN 7530-02-000-9053
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■ Complete Items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
s ottac the s cardto the if spacebackperof the mailpiece,
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1. Article Addressed to:
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PS Form 3811, JUly 2016 PSN 7530 02 000 9053
Ak SlgnaU" J p Agent
It /�/tj ❑ Addressee
T� ` nnted Name) C. Date of Delivery
Received by (P
D. Is delivery address different from item 1? ❑Yes
if YES. enter delivery address below: ❑ No
❑ Priority Mall Express®
ce Type
ignature
p Registered MailT"'
Iterd Mail Restricted
TOAdult
ignature Restricted Delivery
Mail®
pel�iveryd
❑ Return Receipt for
d Mail Restricted Delivery
Merchandiset
Signature ConfirmationTM+
on Delivery
_ Delivery Restricted Delivery
❑
❑ Signature Confirmation
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Domestic Return Receipt
`DIVISION OF COASTAL MANAGEMENT
CERTIFIED MAIL -
REQUESTED
I hereby certify that I own property adjacent to _-DDv�c\'p,
Property located at(Name of Property Owner)_ � a$ it
(Address, Lot, Block, Road, etc.)
on Tnk7v in ILle _,a
(Wa t b _, N.C.
er ody)
Agent's Name #:
Agent's phone #: c� �o
(City/Town and/or County)
Mailing Address: 3'0 zo,t kt m y
-, nG ledzLI -A
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
--------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fIl! In description below or attach a site drawing)
" 02.E Z bc.. covk To
'J ag L43CIASt 5%0_4,t,;�A 'fo M&,T-Ck_
If you have objections to what Is beingproposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact lnfonnation for DCM offices is
available at http://www.nccoastalmanauerr►ent nei/web/cm/staff listing or by calling 1-88&4RCOAST.
No response is considered the same as no oP ection if you have baan nntifi,,,4 ti., ,--- ,u_- .._,.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
(Riparian Property Owner Information)
4Signat re
Print or lype Name
Mailing Address
City/Statelzip
0041- 1 hE a4cli to t
City/Stat
SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. ;� a PLAN NO.
PARCEL ID:
STREET ADDRESS:
G ALK K eg.d c. "% "-,4.
Please print:
Property Owner: La I to, . r "r
Property Owner: Qw; d �j . e c r
The undersigned, registered property owners of the above noted property, do hereby authorize
Of
(Contractor / Agent)
(Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
I eaic- Dr. S�• 6 3 2y
Telephone: 3k A-- 9 O — 94 $1 cis I
0% 31ti — Acea - v x s ct
-) `>! —'V: „b a
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
-AL.6x:f-,'-j QLJ-1)-
1
ISLAND CONTRACTING, INC.
PO BOX 11074
SOUTHPORT, NC 28461
PHONE: (910)457-5816
FAX: (910) 457-5099 July 10, 2017
Dear Property Owner,
Enclosed is notification of proposed project for construction of bulkhead on Lot #28 Tanbark Court
owned by David Farr. Please read, fill out and return as requested. If you have any questions, please feel
free to give me a call.
Thank You,
Wayne Krahn
Island Contracting, Inc.
(910) 443-3123
NC Division of Coastal Mgt. Habitat Impact Computer She
)licant: t(� V Y v
te: 0 /'9-
scribe Belo vABITAT disturbances for the application.
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
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
bitat Name
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 amount)
temp impacts
amount)
PC--,
Dredge ❑ FiI 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 ❑