69004D - Gilead

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NC Division of Coastal Mgt. Habitat Impact Corr
Applicant: 61,64
Date: o� /d k Am �
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
FI
(Applied for.
(Anticipated final
(Applied for.
(P
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
di
Habitat Name
Choose One
includes any
Excludes any
total includes
E;
anticipated
restoration
any anticipated
re
restoration or
and/or temp
restoration or
to
temp impacts)
im act amount
tem im acts)
ar
Dredge ❑ Fill 19 Both ❑ Other ❑
' 1 �v
(DO
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

2/8/17
Dear Adjacent Property Owner,
We are wanting to replace the bulkhead located at 402 Ocean Blvd W, Holden Beach. If you have any
questions or concerns please feel free to contact me.
Brian Murdock
VCC Inc.
3003 Holden Beach Rd
Supply, NC 28462
910-664-0126

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: �i L i� �� c'n e CatAi a
Mailing Address: C) Oi
rn} &,\eo, . LC 73vL
Phone Number: cl U G%GI-h/ a/ -
Email Address: VC C CK\
I certify that I have authorizedk-
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at 'qua, ® cQ-CLX-, 6\-4 C
in County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property OwWlnformation:
%t P � LuL -
Print or Type Name

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner:
Address of Property:
f�
Agent's Name Mk r A toe k Mailing Address: 6--� -} o'&xL�_�c� V�
Agent's phone #: 11 n- (o (O g b 1 l o � O l 4(y
I hereby certify 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 drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should he mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro pe w er Information)
Sign
r� -o I P a A � ctk ULL'%, Can
Prin or Type !Name
TO 6cx q 9
AAniiinry Aririrncc
(Adjacent Property Owner Information)
Signature
Print or Type Name p
� � �Df�S2 C e-e 1Z- r�
Mailinar Address

02

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or �Stree`t #, Street or Road, City & County)
Agent's Name #: J� �� m� c d Mailing Address: ��
Agent's phone #: q I()- 10 0 q-
I hereby certify 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 drawing the development
they are proposing. A description or drawing with dimensions must be provided with this tetter.
I have no objections to this proposal. I have objections to this proposal.
ff you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone], No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signatue-
C-
, ea x �
Print or Type Name
?0 3 ox
(Adjacent Property Owner Information)
Signature
Print or Type Name
V 0 -�501t- D� a
Mailina Address
AA-,');-- A. ,4ecc

2/8/17
Dear Adjacent Property Owner,
We are wanting to replace the bulkhead located at 402 Ocean Blvd W, Holden Beach. If you have any
questions or concerns please feel free to contact me.
Brian Murdock
VCC Inc.
3003 Holden Beach Rd
Supply, NC 28462
910-664-0126