HomeMy WebLinkAbout68002D - Higgins
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: U� t
Permit* u sb ce i
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
Habitat 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)
Dredge ❑ Fill Both ❑ Other ❑�
j�
Dredge ❑ Fill &Both ❑ Other ❑
Fq
— 1
'Dredge ❑ Fill Both ❑ Other ❑
l✓ v
Dredge ❑ Fill ❑ Both El 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 [I Fill ❑ Both ❑ Other ❑
.
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other El
ie)
ins
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Holder Comments
Wayne
Krahn/Island
Contracting GP
Inc BB&T 27986 $400.00 68002D
TM rct. 3576D
7 0134p Wayne krahn / Island cont
910-454-0430 p.3
Date
N.C. DIVISION OF COA TAL MANAGEMENT
AGENT AUTHORIZATION FORM
e of Pro a Owner Applying for P rmit:
P /
mil_ U i.Sc� ` c I
Mailing Address:
3ID
V-1 � ",S-0-
z
I certify that 1 have authorized (agent) 01 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) r _
at (my property at) /✓ `� c` i �^i'�— �cc �72-7
This certification is valid thru (date)
—Or-r�L
/-(� --�/ 2
Property Owner Signature
v // // Date
i 03:34p Wayne krahn / Island cont
S 02:38P Island Contracting, Inc.
910-454-0430 p.1
910-457-5099 P.c
P.O_ SM 11 U74
SOU7FI3,ORT, mr, n469
Phone: 910-OT-5816
Fax: 9tOAS7-6M
Fm
Toe C�_L��
Fam Date:
Pbmw. ra9*w
not cc: 41 Cb
I.kvw* For Rrview Please Comwomt Please Reply Please: "Cycle
•Cantr+e�b: '
I
i
03:34p Wayne krahn / Island cont 910-454-0430
' I
p.2
#2 boathouse tract.
Proposed-W If of
wnnd const. Sulhea
I
i
e 7
� s
7 03:34p Wayne krahn / Island cont 910-454-0430
p.4
DIVISION OF COASTAL
R
CERTIFIED MAIL— RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to
located at
Property IN
On �! .in
(Waterbody) (City/Town and or County)
Agent's Name tJ: `����--
Mailin Address:
Agent's phone Ii: CL to -
He/She has described to be as shown below the development he/she is proposing at that location,
And I have no objections to the proposal. -------------------
----------------------------------------------------- ---------
DESCRIPTION AND/OR DRAWING F PROPOSED DEVELOPMENT
(Individual proposing development must fill in escription below or attach a site drawing]
tf you have objections to what is being proposed, you m
(DCM} in writing within 10 days of receipt of this notice -
Available at -
(Property Owner information)
N 1 / 1
Signature 1
Print orType ame
Mailing Address
City/State/Zip ram-
a notify the Division of Coastal Management
:ontact information for DCM offices is
by calling I-8"_4RC0AST.
(Riper ro erty O�rne 1 forrnation)
`y� fI�
Signature
Print or Type Name e1�C
Mailing Address
City/State/Tip
LyC
1 l:
e�r._Gti42-Zt�a _?-,
7 03:34p Wayne krahn / Island cont
910-454-0430 p.5
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL— RETUIRRECEIPT REQUESTED
I hereby certify that I own property adjacent to 1 �.�1 3►'�\- s
Property located at
On �r�� , in N.C.
(Waterbody) (City/Town and or County)
Agent's Name #: � Maili�Itg Address:�X
Agent's phone#:92p,
He/She has described to be as shown below the development he/she is proposing at that location,
And I have no objections to the proposal.
------ —----- ----- ---------------------------------------------- _ i
---------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in (description below or attach a site drawing)
if you have objections to what is being proposed, you must notity the vivision or 16,oasa.11 WW. 5�.......
(DCM) In writing within 10 days of receipt of this notice. J Contact information for DCM offices is
Available at rittp://www.nccoastalrnanagernent.net/w bi cm/staff-listiog-or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information)
;�- qz�44
Sign re
Print or Type Name
� Gj
Mailing Address Zvi
wy-
City/State/Zip
(Riparian Property Owner Information)
t V4- es-CIV-11\
Signature p
Print or TypA Name
Mailing Address
s� 1pof k
City/State/Zip
L 4 — —. — 7