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Home My WebLink About57377D - McCraw �iViSION OF COASTAL M��AGE. MA'-T AD ;A�; F' : RLIM PROMP-TY �?�4 ' R ST ' MEN hueby eeMF that,l Q N propeM 43CIM'to ame of Pope?" ty Owner) plopaNy ]ocaied a[ lock, mad, etc) T.C. (Town and/or Covstty) (�daY��bad I Mailing Address: Applicant's phone 4- 1 -- <'�,af�z NUJ c Svc HeJdhe w bw dpscribed th me as shobelow the deveiopmant kelshe is pzeposing at that location, and I have no objections to 'Ile prop8s11- --- MSMA PTIQN AN )1l3. DRAWING OF PROPOSO DE' VE'LO M ENT. �rdaa tea f�r�pasi�ze d�veIopme mt�sf fill i descripfion balaw ar aifach to site dtar�tA0 ~-�- 16 -� J 0 'you have objections to what is beingpropeSed, YOU t$uStRatify the 1}ivisiu ion of Coastal Mznagenvut (DC1d) In raisin witiun 10 days of recalpt of the notict. Correspond -Luca skeuld be maSied to I T CardinL Drive Ert- Wilmine-un; NC Debt repyesentsiives can afso be toateeted *t (910) 796-721i, A. n if You have been netifS L a�v Cerffficd Msii No resporute is rand{a�� rd the inliLE SS SD 0 (Property Owner Information) t � Sign�.ur6 r7mt or-TYDe xme Mailing Addstiss City 1 Stau: I zip _ Telephone TTt:TtrbeS � 919 t;Rip dan $ropem Owner Txito avian) Ar Pritlt or Type Nam � i C %�Gc'm Mailiag hddress <5 5`64% City ! State / Zip Telephone'Ownber i %'✓ C7 �' Tate 1 5 —//6 /�p// rid �.�.,�t�'T'i`�1� ��► �l1 t �N�� ..�► •,mil+.V � •�Kiitt �: •i: • ,. • � ��lil�at��il+�l�%Q�f'i11„�a:i�-a�t'N��fltiYt�� +lj `i•�=�1iGj�TN��C.+a�fi�'�w �1•A iffi "S + �.� '..�1� ♦J M �` � ."".�'! � .#��:+�' yk>J'�i��?fJ� W [•l ��•� �1f/Vilk�f�!# ii�ila? �� jd.•r��+ ' [4"��t+�'i tti i+I ui�c�o�Y i4 ��n�1t�i �� 1�•t1a.t��t - .. sa � #, e= '� •S Y � ! �- a �}i. �'1 '�� i�a� r a ' c � ins e� ��. t�{`t � �� 7� «.�7- Vag bi-44 iv fi!"la�j �u�4_id j� ��■�� r IC Division of Coastal &19t• Habitat Impact Computer Sheet )plicant:�hn�1'V�LCI�QN,/ ate: Permit #: ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ind in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. bitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount) Dredge ❑ Fill ❑ Both ❑ Other Dredge El Fill ❑ Both ❑ Other ❑ COMPLETE•N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1, 2, and 3. Also complete A. SigTture item 4 if Restricted Delivery is desired. (, ❑ Agent X ■ Print your name and address on the reverse &5wl�Adclressee so that we can return the card to you. B. Received bi(Printed Name) Date of Delivery ■ Attach this card to the back of the mailpiece, 10 or on the front if space permits. D. Is delivery address different from item 1? ❑ Yes 1. Article Addressed to: If YES, enter delivery address below: ❑ No clry,� pit l� 1 0 �-- O Sewlagam Oail ❑ Express Mail 21, GY ❑ ReturnReceipt for Merchandise Mail ❑ C.O.D. • �/S+ 21�tK 4. Restricted Delivery? (Extra Fee) ❑ Yes (r, 7009 1680 0000 5628 5533 PS Form 3811, February 2004 Domestic Return Receipt 102595-2-M-1540 i Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ 01her ❑ >licant: x�/�%(J��(f C �� r,�f Permit #: S 73 7 7 e: ' scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd 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 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 ❑ North Carolina aad LWural Resources Division of Coaxal Manaqement Beverly Eaves Perdue ,lames H. Gregson Govemor Director Dee Free Sew AGENT AUTHORIZATION FORM Date: Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: Owner's Mailing Address: J I Y. roe Phone Number Agent's Mailing Address: � 7-: 7 VY(15 Phone Number I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity): (my property located) at ! ��7, 1,(- G This certification is valid thru (date) Property Owner Signature Date DELTA DOCK & BOAT LIFT PO BOX 3532 TOSAIL BEACH, NC 28445 First Citizens Bank TgWi izens.com Y7� �- 133110 1:053 L003001:00353 8333 DATE 13 66.30/531 365 365 199 1 50411 OLLARS