69160D - Lambert

/�, NC (Division of Coastal Mgt. Habitat Impact Coml
Applicant: 1 " �1 N I��}(.,+
Date:
Describe below the/ /BITAT 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
Fit
(Applied for.
(Anticipated final
(Applied for.
(Ar
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dis
Habitat Name
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includes any
Excludes any
total includes
Exi
anticipated
restoration
any anticipated
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and/or temp
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson
Governor Director
Dee Freemai
Secretar
AGENT AUTHORIZATION FORM
Date: April 25th, 2017
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
Mike & Kathy Lambert
Owner's Mailing Address:
301 Heathridge Lane
Cary NC 27513
Will Richardson
Agent's Mailing Address:
3235 Seacrest Ave. SW
Supply NC 28462
Phone Number( 919) 302-4134. Phone Number( 910) 367-0335
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
Installation of Bulkhead Wall
(my property located) at 121 Tuna Drive Holden Beach NC 28462
This certification is valid thru (date) 5-17
Prope Owner Signature Date

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CERTIFIED INLUL — RETLM-N RECEIPT REQUESTED
DIVISION OF COASTA NI VA-, iAGENIENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mike & Kathy Lambert
(Name of Property Owner)
property located at 121 Tuna Drive Holden Beach NC 28462
on canal
(Waterbody)
Applicant's phone #: [phone]
(Lot, Block, Road, etc.)
in Holden Beach
(Town and/or Canty
Mailing Address: 301 Heathridge Lane
Cary NC 27513
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.
I
we]
----------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must frll in description below or attach a site drawing)
Construction of Bulkhead Wall: See Attached Drawing
n you nave objections to what is being proposed, you must notify the Division of Coastal Management (DCII) in syriti
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. 'Wilmington, NC
DCM representatives can also be contacted at [phone]_
No response is considered the same as no ob'eciOn if you have been notified by Certified Mail
(Property Owner Information)
G[% rL Authorized Agent
Signature
Will Richardson
Print or Type Name
3235 Seacrest Ave SW
Mailing Address
Supply NC 28462
(Riparian
Information)
Print or Type Name
Mailg d ess

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CERTIFIED Mo-lIL—RE TURN RECEIPT REQUESTED
DIVISION OF COASTAL NL42NAGEMENT
ADJACEINT RIPARIAN PROPERTY OWY:YER STATEMENT
I hcrcby certify that I own property adjacent to Mike & Kathy Lambert Is
(Name of Property Owner)
property located at 121 Tuna Drive Holden Beach NC 28462
(Lot, Bloch, Road, etc.)
on canal Holden Beach N.C.
(Waterbody) (Town and/or County)
Applicant's phone *: 919-302-4134 Mailing Address: 301 Heathridge Lane
Cary NC 27513
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 A-N-D/OR DRANVING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
Construction of Bulkhead Wall: See Attached Drawing
IL yuu t,ave uuJecLloas TO wnat LS being proposed, you must notify the Division of Coastal iyauagement (DCTYI) in ryrit
within 10 days of receipt of this notice. Correspondence should be mailed to 1.27 Cardinal Drive Ezt Wilmington, N(
DCM representatives can also be contacted at [phone].
No response is considered the same as no obieci'ion if you have been notified by Certified Mail
(Property Owner Information)
G(% ,v Authorized Agent
Signature
Will Richardson
Print or Type Name
3235 Seacrest Ave SW
Mailing Address
Supply NC 28462
01ty / ZtgtP / 71T
Print or Type Name
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Mailing Address
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Manual
119 Tur
910-54�
5cope of Nork:
Removal of existing Bulkhead Nall
Installation of new vinyl wall
Nall to be in front of existing wall no
more than 2ft
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Owners: Mike & Kathy Lambert
121 Tuna Drive
919-302-4134