57548D - Rogers

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so that we can return the card to you.
■ Attach this card to the back of the mailptece,
or on the front if space permits.
1. Article Addressed to:
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2. Article Number 115 0 0000 1465 3 717
(Transfer from service I 7 11
PS Form 3811, February 2004 Domestic Retum Receipt
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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)
Applicant phone #: & Mailing Address: a /t) t /V. "Min,�2
I hereby certify th04tawn property adjacent to the above referenced property. The individual
appI1100fthis permit s described to me as shown on the attached drawing -the development
tUorare proposing. A description or drawing with dimensions, must be provided with this letter.
F
I have no objections to this proposal. I have objections to this proposal.
if you have obje0tons to what is being proposed, you must notify the Division of Coastal Management
CM) in wrAMg within 10 days of receipt of this notice. Contact information for DCM offices is
av 6rt+l at www.nccoastalmangement.neticontact-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, or lift 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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
�Lr[- /'h. waoe S
Print or Type Name
A,
Mailing Address
(Ri�payrinroperty w er Information)
I—AgWalure
� der
Print or Type N
0?007 d I Liauda Ave.
Mailing Address

56'
Existing
Float to be
replaced 48
/I
i
108'
N
� 15'
i
34' Existing Piles
Proposed Additional Float
•� Proposed Ooat Lift 12x12.1
Existing Float to be replace
21' -o.
12' 12' Existin.4 Gazebo
P/I
PROPOSED FLOATING DOCK SYSTEM REPLACEMENT
Carl Rogers & Charles E. Overbed
2101 N. Lumina Overbeck-Pippin M
Wrightsville Beach, NC INSTALL BOAT LIFT Wrightsville Beach,

Division of Coastal Mgt. Habitat Impact (Computer Sheet
,- 5 Permit #: � �S
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tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id 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.
Excludes any
Disturbance
total includes
disturbance.
Excludes any
itat Name
Choose One
includes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
V I1
Dredge ❑ Fill ❑ Both ❑ Other K
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
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PO Box No.
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Postmark
t ..... Here
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
(DomesticOnly;
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For delivery information
visit our website at www.usps.comu
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Postage
$
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Certified Fee
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(Endorsement Required)
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Overbeck Marine Construction LLC 66-1227/531 501
PO Box 716
Wrightsville Beach NC 28480 T)C�72_ �
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Wilmington, NC
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