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Home My WebLink About67974D - Island� �� "�� 1I1 �� WC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: ES, r Q2v-S RDA Permit #: 6 -7g z q 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 tempimpacts) FINAL Sq. Ft. (Anticipated final disturbance. Exdudes any restoration and/or temp impact a+,mouount) TOTAL Feet FINAL Feet (Applied for. (Anticipated final Disturbance disturbance. total includes Excludes any any anticipated restoration and/or restoration or temp impact temp impacts amount) /I CW Dredge ❑ Fill ❑ Both El Other Z�w C) W Dredge ❑ Fill ❑ Both ❑ Other pd 9 ZU .120 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 [I Other ❑ Dredge ❑ Fill 0 Both ❑ Other ❑ Payment Proccessing Confirmation Date Received 1/23/2017 Check From (Name) Brandon Grimes (Money Order) Name of Permit Holder Island Oaks HOA Vendor MoneyGram Money Order Check Number 59183422188 Check amount $200.00 Multiple Permits No Major/Minor Permit Number/Comments GP 67974D Receipt or Refund/Reallocated BS3436D CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: I>(� ��L� t'" fi7 i"tl Icy (-- , �c � j/ (Lot or Street #, Street or Road, City & County) Agent's Name #: rr� �r�/r ,� T r .' S Mailing Address:- � Agent's phone #: fj>'G' S ��r ; l s Agent's email: 1 hereby certify that 1 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 be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. 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. (Prot Pro Owner I io Signature Print or Type Name 4 �� el, /-1 / (A tc face t Pro rty Owner Information) Signature 74- — Print or Type Name CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: 1 S /,a d Address of Property: (Lot or Street #, Street or Road, City & County) /? Agent's Name #: ,f> % 4 �Jrj,� �j/ r y�.� Mailing Address: Ll U j� ,2 5 y Agent's phone #:Jy? - sw 2 S Y L2 Agent's email: t7n)d A H&,f Vl°LUnf /1 P 3r,<<11 .. 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 be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. 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. Signature (Adja e t Property Owner Information) Signatur Print or Type Name //� /;ole/ Print or Type Name ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to "I 'lmrj— l �� s (Name of Property caner) property located at -t l % o'v, ` ff / (Address, Lot, ck, Road,. I on l{ 2a/) in v 6 N.C. ( aterbody) (City/Tow and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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. Signature " Print or yp� Nam 0 / / �4 � dS Do (Adjacent Property Owner Information) /'�/' / &4Z�Z gnature * JoAn 14,,.J U,, lr Print or Type Name ?a dx _ 1f0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to .g� �/�D� �/cr 's (Name of Prbp rty gwner) property located at �µr /I % l o Q>( j`C k (Address, Lot, ock, Road,. TIt onlQfl in �� N.C. &Z ( aterbody) (City/Tow and/or County) The applicant has described to me, as shown below, the development proposed at the above locatiop. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 on) Signalure 'bL't " W Print ory Na / mf � o (Adjacent Property Owner Information) . Xnalure Jotin Print or Type Name & dX 1n1 2 Features Found (Showing 1 of 2) < PrevNext > PARCELS 4234-35-2612-0000 CALCACRES N A MR += - e ALMEDA LIMITED PARTNERSHIP ADD PO BOX 7403 CITY ,-_- _ WILMINGTON STATE NC ZIP 28406 PRO I'll,;10A .ND1)R SS S TOPSAIL DR & S SHORE DR 2 & 6 PB 21/15 BESSIE GRADY HEI: PROPERTY DESCRIPTO LT DATE 1996-03-20 SALE PRICE s0 2 Features Found (Showing 1 of 2) < PrevNext > PARCELS ='4234-35-6781-0000 CALCACRES NAME HARDWICK JOHN S ADDR PO BOX 3513 CITY SURF CITY STATE NC ZIP '28445-0001 IglII1'1:4?"l `� 11'>II.S 1207 S TOPSAIL DR PROPERTY DESCRIPT LT 6 PB 22/5 ELIZABETH GRADY DIVISION DATE x` 2005-01-10 SALE PRICE $450,000 Deed l� cfcl-vjjcc 2558/302 00220005 ACCOUNT'870100 TOWNSHIP TOPSAIL r /♦ i 1 1'% /�/ 293 n\, S32'53'17"E 1O4fi.dO'\� \ r 1tn'' J, 0, (� �o V � !� a N 57'38'04" E 23.06' N479 V34' 11.89' SF 421.06' ^� N32'53'17"W 940.17' TIE LINE TABLE r UNE I LENGTH I_ BEARING , gis.pendercountync.gov/maps/default.htm?PIN= Results Layers s List v No Records Found County Home Pai. T I BIFIN ES I- 71 I F) I S32' 53'1 /'E 104&4w ---------- -------------------- - l' N4tLWL3- �Jgl- 'Too tt4M 33:_ E to,4v H32'53'17"W W.17' 4.0 TIE LINE TABLE L44 GM IlEgn w 'IOGM SE1110 W LJ T &'J It t423'44Y2q*W 31.07 L14 .35 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: Mailing Address: I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) - / L �CAMA / ❑ DREDGE & FILL GENERAL PERMI ]New ❑Mod' i n ❑Complete wized by the State o Carolina, Depart Coastal Resources Commission in an area of i 4t" // A B Previous permit # El Partial Reissue Date previous permit issued ironment and Natural Resources :al concern pursuant to 15A NCAC ❑ Rules attached. it Name Project Location: County N .� State ZIP O E-Mail zed Agent i ) CW MEW ❑ PTA ❑ ES ❑ PTS ❑ OEA C HHF ❑ IH ❑ UIRA ❑ N/A ❑ PWS: yes / no PNA yes / no f Project/ Activity -> Street Address/ State Road/ Lot #(s) Subdivision City Phone # ( ) ZIP a�5`g4 River Basin Adj. Wtr. Body r�.. gnat i Closest Maj. Wtr. Body 1 J 4 (Scale:', >ck) lengthITT latform(s) Platform(s) i i mgth ember id/ Riprap len g distance offshore ax distance offshore hannel ibic yards_ mp use/ Boatlift U ie Length ■�■■■�11 ■■■■■ ■■■■■■■■■ not sure yes no' I■■r ■l,■■■■■■■�■= • ■!1■1■■■■►1■■■■■■■■■ no ■i'�■■■■■■■■■■■■■■ Attached: yes . ■ate■�■■■■■■■■■■■■■ ing permit may be required by: ,C-k C� 1 : ti� • ❑ See note on back regarding River Basin i Local Planninv lurisdiction)