57496D - Brick

CERTIFIED NLXIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEINIENT
ADJACENT RIPARLAN PROPERTY OWNER STATEILEtiT
I hereby certify that I own property adjacent to
property located at �gj-A�_
J
.me of Proj4rty Owner)
Y.Ce V ( St'y It S5
I
A (Lot, Block, Road etc.) _
on �I iJ� W , in �t~�Cu� I e '3tiul {'�wr,�tl Z, N.C.
(WaterboZj,
(Town and/or County)
Applicant's phone #: [�233 L-� l,� Mailing Address: �CwK, �_
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 AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
Vt; rah l Lu 11 z.. Ld NEAe F-err DF-7 NOW WLKt eAb 4. LC� 60c HT &P &1*4+eN0
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 Eat. Wilmington, NC
DCM representatives can also be contacted at [phone].
No response is considered the same as no obiection if You have been notified by Certified Mail
i2 Gc�c c'v � .
Mailing Addr ss
" �r �A In ).(� j) (�In i 1 _ K(7 "7Qui 11,
(Rip is rop ty er forthation)
Signa e
oc&,A414
Print or Type Name
Mailing Address S o : i'6 to S g
U —1, n1')/ ►[-

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L Yl n OI
(Na e Property caner)
property located at DMZ
(Lo Block Road, c.)
I
on in tsk A(k N.C.
(Wat bod) (Town and/or County
Applicant's phone 4: 10 233 -2-0 (p Mailing Address: mZ e
�t�Z Z1 io�l
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 AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
F�u�e—AO
If you have objections to what is being proposed, you must notify the Divis►on of i.oasLai iria«abClur.lit k -l-) -__ ---
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Est. Wilmington, NC
DCM representatives can also be contacted at [phone]_
No response is considered the same as no objection if You have been notified by Certified Mail
I,SZ, Ccx<,tC�-ek �2d.
Mnihna Ari ress
(Riparian Pro erty Owner Information)
r
Signature
Print orType Name
/ / 0
Mailing Address

.2- �a65r cA s,�
OG E �/✓ l SL L /3 �57,oq-Gff ,v G , z 8 ce67
� J i
Q
I I ,�
Q
c >yl (� u t K M` � �
o c. ,F1 Q S) pK
,
I
I
Q
� 3
0
NN
�
37
,E- P L A G/ T A( G d d 0 c fr 5 �

Division of Coastal Mgt. Habitat Impact Computer Sheet
//�� �- C% r
iicant: G1��.�.�,ria. ��'l�(.� / � U'1 ►'t'�'ermit #:
;vibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet.
itat 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 ❑
[ Z
I ' 2
Dredge ❑ Fill Both El Other ElD
U
Dredge ❑ Fill ❑ Both ❑ Other
D
ZQv�
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 ❑

OCEAN ISLE COUNTRY CLUB LLC
DBA BRICK LANDING PLANTATION
1882 GOOSE CREEK RD. SW
OCEAN ISLE BEACH, NC 28469
j�/�1� 1102
V d 36 66-30/
DATE C� l 111 365
st Citizens
ilk
II300 L LO 20 1:0 5 3 L00 3001:00 3 5 3 2 L 2 4
3 5 0'
$ ycv.
DOLLARS 8
a�«