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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