HomeMy WebLinkAbout63231D - McHugh
f#(;CLURE
BUILDERS
6412 BEACH DRIVE 5W
OCEAN ISLE BEACH, NC 28469
910-579-2454
PAY TO THE . NCDENR
ORDER OF
BB"
MARCR I-IMG AND TRUST COMPANY
NORTH CAROLINA
66-112-531
4/14/2014
s **200.00
Two Hundred and
NCDENR
127 Cardinal Drive Ext
Wilmington, NC 28405-3845
MEMO �� � $ 2'� � A-��'�-t1��
77 Monroe
3422
DOLLARS t
8
AUTHORIZED SIGNATURE r
IC Division of Coastal Mgt. Habitat Impact Computer Sleet
pplicant:
1 5
ate: V
1-4 r
escribe below the HABI AT disturbances for the application.
,und in your Habitat code sheet.
MtT-'?-U110
(o3Z3
All values should match the name, and units of measureme►
abitat 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 fir
disturbance.
Excludes any
restoration anc
temp impact
amount
[IEl❑ Dredge Fill Both Other0)
l
I 0
6�
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 ❑
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 ❑
14 10:04a RH MCCLURE BUILDERS 9105793580 p.3
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date s)
Name of Property Owner Applying for Permit:
1 c* ((
G rj c0? — I 1 a
Mailing A// ! &ddressss:
g (7 ge- I oyj
95�314nd )0q20
I certify that I have authorized (agent) g 4 jor-C14r; e&i Wo y to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct� (activity) �esnayt ��� ,
t.
at y property located at) 1 r ( \anro-q- -:&)c &.
This certification is valid thru (date)
2 )—,
Property Owner Signature /I--' I Date
CERTIFIED MAIL . RETURN RECEIPT REQUESTED
DIVISION OF COASTAL ffiANAGENIENT
ADJACENT RIPARIAN PROPfERTY OWNER NOT-FICATIONIWA.11VER FORM
Name of Property Owner: Wr t he, rnk Me 2 z.G' Jfo
Address of Property: !I t r- o C?sn _--L-sLe rSRrsssW"
(Lot or Street x, Street or Road, di-i & County)
Agent's Name #: t'� t�"a cC�vrt x i. �d/ur Mailing Address:CQ gip. ��z �r 'So
Agent's phone#: q/O-s�q�{ (%G � she 1 NG cZe.L(bC3
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 dr.—wing, _with_ dimensions must be provided with this letter.
I have no objections to this proposal. I h-,ve objections to this proposal.
-ff you have objections to what is being proposed you must notit t the Division of Coastal Management
(DCMJ in writing within 10 days of receipt of this noSce. Contact information for DCP.7 offlces is
available at wwrv_nccoasPaimarrauementneticontect e'crr h&n or by calling 1-888-4RCOASF No
response is considered the same as no ob!ection if you have been nodfeed b}r Cerlisied AUH.
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, vo_ 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.
(Property Owner Information
signature, ---
a
n."nt or Type Name
�� t'�t3SP�1d1u1r+ 1'l
(Rl ing Address
.L)J4, Ns-, NY 09?b
C/l�r'fsttnece2;p
(Ad'acen: Property Owner Information)
r,.2..cI ri
Print or T .'Pd Name pj-
3A5A Ccitx
c ,�lE .7r,`rc
A/lai#ng Address
ha-�n94Ir 1+s,
!./C--
City rta#e: zip
--?nq - i3Or,, , i (-(„ i
25 14 1004a RH MCCLURE BUILDERS
9105793580 p.4
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Prcperty Owner: r c/hti� 4 Z_Zct (140
Address of Property: 1 1 a�'no� �rtr'ct�CTLIL'Qi►^.�� (c a��, t�)^.�nsw;,
(Lot or Street # Street or Road, City & Cou,)ty)
Agent's Name Mailing Address: i �� �r l Vv
Agent's phone #: fJ- S �oZ �% /C ar /\JC- o q&q
I hereby certify that I own property adjacent to the aoove referenced property_ The individual
applying for tnis permit has described to me as sncwn on the attached drawing_the development
they are p oposing. A description or drawing, with dimensions, must be prcvided 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
(DCIVt} in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.necoastaimanagement.net/contact dcm.htm or by calling 1-888-4RCOAST. 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 cf riparian access unless waived by me. (If you
wish to `naive the setback, you must initial the appropriate blank below.)
do wisl^ to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement.
(Properly Owner Information) (Adjtero roperty Owner Information)
S;gnarur� - Signature
,--Ai tAAr4 M-zzu 11Q
Print or Type Name
s� Rfl--:;1z �g,�,�
Mailing Address
17)/ 1 s.
aV; i Or
Pr;nt or Type Name `
10 S
Mailing Address
Uy/Swe2 p
City/Statei-Zip
.2"k iv.,j,
Mon me,
I
V017� -,")p N
+115
�1^vJe�" 'c�r�ss ;
-7 -7
Owner
4
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6 OAM..e I w &&a�o
17 - ( , rti
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ 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:
David and Ashlee Stone �Q
105 Monument View Lane
Cary, NC 27519
A. Signature
❑ Agent
❑Addressee
B. Received by (Printed Name) I C. Date of Delivery
Dn �v S � v l (�tl�
D: Is delivery address different from item 1? ❑ Yes
I., ll�YES, enter delivery address below: ❑ No
3. Servi Type
ZZertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
I
2. Article Number 7010 3090 0001 1222 6091
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ 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:
Jimmy and Dean Icard
c/o Bobby Brighan
3252 Woodchuck Drive
Kannapolis, NC 28081
A. Signature
❑ Agent
❑ Addressee
A. Received by (Printed Name) C. Date of Delivery
D. Is delivery ad ress different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Servic ype
ertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7010 3090 0001 1222 6107
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-154r