HomeMy WebLinkAbout63128D - CapeM0 i0MEM IN IME
r:►� r �►�z��� 1G 1�a
rar, t FAFMA ' 1p d
r
livision of Coastal Mgt. Habitat Impact Computer Sheet
ant: C n=z n��,�-,ram i�c : `% T�c�M �►� Permit* .(03
flk
be below the HABITAT disturbances for the application. All values should match the name, and units of measurement
in your Habitat code sheet.
at 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 0'
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 ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
THOMAS L. BRENDLE 9391
ALLISON T. BRENDLE 66-112/531
DL. 4319157 4667243 / G [ -
74 N. SHORE DR. BSL 845-2741
SOUTHPORT,NC 28461 �A «
LPi�1/,` // p �{ /j Q;00
ACCESS
BRANCH BANKING AND TRUST COMPANY BAN1ONU
1-M-BANK BBT 887.00m
i iaaCme-
e:n i; i in L L 2 Li:nno 5 2 168 3 16 lanno9 39 1
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 Street #, Street or Road, City & County)
Agent's Name Mailing Address:
Agent's phone #: 14/01) '747 - -63
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.)
4�- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
P06 K /083/
Mailing Address
(Adjacent ertygyLmer Information)
Signature
Print or Type Name
Jj,-
Marling Address
A i/ i oct/
5 `4 08:25p Cape Fear Pilots 910#457#9291 p.t
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
Street #, Street or Road, City & County)
Agent's Name #: ate; , ..
g ,�--v ...
!..`.
•—ti rr ,�
Mailing Address: l .1 _�� •;
,- �- �s � i
Agent's phone #:�
=
J i
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.
1/_ I have no objections to this proposal. I have objections to this proposal. _ 1 p posal.
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 Mall
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.
fl- I do not wish to waive the 15' setback requirement
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
(Adj e t Prope wne formation)
/ ( -#
w-fl-)
Signalu A
Print or Type Name
� cif _ `�� •
Add s
r)(.2�� ���
to ,
DOCK
M el DECK SrGN ,
CONCR� ngR
••.. A
12C�T�., or
�
�,4R
Pow r '04le
N�SIGN' .
CQN�p,,
8r ref �CK prQ .3 S3• . ' '. ' • 5..
8r of 83 ' �rQ � �69 = • ^ RIR�N• .
GSIqA;:
ROCK 4 5
' ; ••r�o rCoN"
p
Aj
,.g. , (S•I` °tG,
oa.�P-rt--
I�N7 NNG'7?t
.
PZto
r".' E71
e� bQckflow . 3,6b. , Rk5NG '•
e SIGN:
`. e�CO.NCZti�f'� Q of 7�'. • . .:: , ., '�
COA
BUILVINO
r CON
mac rb 15i
?Name of Individual Applying For pen-nit:L Eear
Address of Pr"eM l 1 y ' k+ "Py-k<� U(1 Ar-
(Let or Street* Street or Road)
'Ciro and Cowtyt
hereby certify that i own property adjacent to the above -referenced Proper),. The individual,
applying for this permit has described to me as shown on the attached drawing :tee developm�tthey
are proposing. A description or drawing. with ditneasions, sho>>!d he rrov,ided wrththis letfer
have no objections to this proposal
H* you have objections to what is being proposed, please wrtrt the Di. tsiun of COG$*
Management, 127 Cardtaal Drive Utsuaion, Wilmington, NC 28405 or c_tll 91�_796-721S
within 10 days of receipt of this notice. No response is considered the some as no Q"nil
you have been norifled by Certified Moil.
WAWER SECTION
i uadersmnd that a pier, dock, ttcooring pilings, breukwater, bout }louse or boa, Lift Cn%StbtSe
bci: a minimum distance of 15' from my area of riparian access - un,ess Nvaiv' b� (i f�„ot
Msh rO -Waive the setback, you must initial the appropriate blank below
46 '
do wish to waive the 15' setback renuire—
`:v 1
i da not � ish to waive the i tsctbaci;
le PP geL-610 ANmmr-wr-v..
Name of Individual Applying For petrait: Ew_r xLacjaC_
Address of PropeM I J� _ 'N C �rf htvs i
et or Street it. Street or Road)
'City and Cowry)
hereby certify that I own property adjacent to the above -referenced proper y. The individual
applying for this pemit has described to me as shown oaths amched drawing ;he developma:.atthe,,
are ptoeosing. A description or drawing, with dimensions, should be cro'Vided withthis kt4er
have no objections to this pronesa;
If you have objections to what is tieing proposed, please wrtre the Di --is n of Cow
Management, 127 Cardinal Drivo Exten3ion, Wilmington, ^C 28405 or call 910-796-7Z15
within 10 days of recaipt of this notice. No response is considered the some as no obje&6nil
you have been notified by Certified Mail,
WAMR SECTION
i understand that a pier, dock, tttvoringpiliW, breAltwater, bout house or boa, lift a %Ab#
belts minimum distance of 15' from my urea of riparian access - un;ess Nraired b� r'nt• Clfyot
Wish to waive the setback, you must initial the appropriate blank below
do wish to waive the 13' setback renuirer--
i do not wish to waive the i 5' setbaci:
kt-
zn Arat
1+&'n