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Home My WebLink About69409D - Shuford t-16venslarsix • i: ► : ut ►Y XIF N04111" Mel Name Of Individual Applying For r �r m S 640 rd- Address Of Property: 1 7-5 - l '7 3 G 2ac;� .So LA F 9.1. .C. 2194 (Lot or Str6et #, street or Road, City & County) 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, should be provided with this letter. I have no objections to this proposal. hiffil 8 mp@14 ffis MON11,11wriff I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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 no wish to waive the 15' setback requirement. A*"A NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management ael F. Easley, Governor James H. Gregson, Director Authorized Agent Consent Agreement William G. Ross Jr., Sep is hereby authorized to act on my behE I (Printed Name of AgwO er to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to fic activities described in the attached sketch. %TION OF PROJECT: '1 0 Irytufe� �� G'eo.cc, Q �\. S 0 L'-A I W �� -�� N.C. 2 $4I � )ERTY OWNER MAILING ADDRESS: 0 0 Pe (k to, /0"."c c- L-0 -fie , ,). C, 2 PHONE NO. %o0 8 6 f 8 IORIZED AGENT MAILING ADDRESS: PHONE NO. ure of Property Owner_ - 6a o Coastal Earthworks, Inc. 1955 Middle Sound Loop Road • Wilmington, NC 28405 • Phone: (910) 686-7555 Fax: MONO 00 c 3a�v t s �I NNE yr VC 4v Yf des m�N d ` �� 0% - 2EC9 88 : 32A FPOt,' : F3:E MARINE yt $ 9102563062 T 3 : 6 6 G., i 555 P.1 \ W% Dn 0.4 6C Ak t x2.3 � � xt.7r l '��1RL ` 2.2x 1 x2.5` f? Aa, jj to gle Earth feet 300 meters 90 NC Division of Coastal Mgt. Habitat Impact Comp Applicant: Wl�\ V Y �`�1. (� �940q Date: fl` I If Describe below t BITATdisturbances 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 FIN. (Applied for. (Anticipated final (Applied for. (Ant DISTURB TYPE Disturbance total disturbance. Disturbance dish Habitat Name Choose One includes any Excludes any total includes Excl anticipated restoration any anticipated rest( restoration or and/or temp restoration or teml temp impacts) im act amount) temp impacts amc Dredge Fill ❑ Both ❑ Other ❑ I Dredge ❑ Fill Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ■ 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: INr4-lurs" 7�-W IK W 12-19 +Io,,4 A - JP &Url/ rj.L. 252,0'7 X ® Agent ❑ Addressee B, eceived by (Printed Name) C. Date of Delivery 1)LL —Tg02 Q-52n!7 D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Expresso ❑ Adult Signature ❑ Registered Mail"R III II I III I I I I I II I I I I II I ❑ Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑ Certified Mail(D Delivery 9590 9402 3103 7124 6875 25 0 Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery 0 Signature Confirmation- 7 017 0530 0000 9562 6388 ' I-sured Mail sured Mail Restricted Delivery ❑ Signature Confirmation Restricted Delivery uer $500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt mplete items 1, 2, and 3. nt your name and address on the reverse that we can return the card to yorf. ach this card to the back of the mailpiece, an the front if space permits. cle Addressed to: k 3 Ri�rI` OIU � CA A. Received by (Prillra Name) C. bat of I D. Is delivery address different from item 1? e: If YES, enter delivery address below: No o :T` :TI QC 3. Service Type ❑ Priority Mail Expresso I III II I 0 Adult Signature 0 Registered Mail III I I I III II IIII I I III ❑ Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑ Certified MaIIO Delivery 9590 9402 3103 7124 6875 32 0 Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise .-.. �.... rT nef r fmm QArVICP. (Abel) ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTM 0 5 3 0 0 0 0 0 9 5 7 6 2 6395 sured Mail 0 Signature Confirmation ----------- sured Mail Restricted Deliverg Restricted Delivery