56676D - Rohrbacher

A;A—-
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
ierly Eaves Perdue James H. Gregson Dee Freem;
vernor
Director Secret
AGENT AUTHORIZATION FORM
Date: I h i 11
-ne of Property Owner Applying for Permit: Name of Authorized Agent for this project:
��, C, t-n hlcY ins - I��Ihda l-1 L �iCYl�j
mer's Mailing Address:
2 lI;�d W A ( ( (ircl'�
(ai6YI Yi llt M1) 212)2
lone Number (25 3) 91zI - 4 1
Agent's Mailing Address:
L
4iUT�ic'aal
2°44`�
_
Phone Number (�) to ) ( 19 - 11 3 7
;ertify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
r and obtaining all CAMA Permits necessary to install or construct the following (activity):
�v
ny property located) at 3d)o FR01100 111�11­ IAA Taa L2?
-his certification is valid thru (date) uP.cr N69r
u Zvl(
roperty Owner Signature Date

fl;C4 nlk�z�-
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
vame of Property Owner: Ipmis V0660r 4e-r
kddress of Property: 30u Balla O bi*rd Rd 440mpe4elad 'Pehda Cou
Tra t ETd (Lot or Street #, Street or Road, City & Couh'4.)
kpplicant's phone #: 910 - Gf 9 -1-1 3-I Mailing Address: 11.31y US 17
5onr edew, Hamp�-ead, W 29443
hereby certify that I own property adjacent to the above referenced property. The individual applying for this pet
ias described to me as shown on the attached drawing the development they are proposing. A description of draw
with dimensions, must be provided with this letter.
I have no objections to this roposal. I have objections to this proposal.
�oN� �ND�c1 C�laJ6�d �D
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DC1
n writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive 1
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
:onsidered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distanc(
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 IS' set back requirement.
�/--Wo not wish to waive the 15' set back requirement
Trope r Information) (Riparian Property Owpeer info atio
, I /-J i V////h
Signature Sdnaturg
�am[H Ro�rnClchGV I)auy (►i1aG tNillgh
Print or Type Name
Print or Type Name
-712 HiA114 RIuff Grel L
Mailing Address
204 Bobb Cv
Mailing Addr ss

':4 nkA�L'- �--
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
vame of Property Owner: ' Q ht" V o 6 6w hey
kddress of Property: Sou i3allall j%,ni IZd
—Tra (f E`d (Lot or Street 9, Street or Road, City &
kpplicant's phone 9: 91') - 6!9 1-1 3-1
on V'i U_Aeof)
}+uvnp�:*-ad pelida Cou
Mailing Address: f G 31 U W) i iw,� 17
W 25'144.3
hereby certify that I own property adjacent to the above referenced property. The individual applying for this p(
ias described to me as shown on the attached drawing the development they are proposing. A description of dra%
Kith dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
[f you have objections to what is being proposed, you must notify the Division of Coastal Management (D(
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCN1 representatives can also be contacted at [phone]. No response:
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 distan
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial th(
appropriate blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Proper r Information)
Signature
JOWL) W4r 6kcK
Print or Type Name
(Riparian Property Owner Information)
Signature
1)"o, MU(' M I I IaV1
Print or Type Name
204 ["'6k' (V
Mailing Addr ss
-(12 Nid1111 Bluff Cwl e_
Mailing Address

L-
CERTIFIED MAIL—RETI;Rti RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER ER STATEMENT
vame of Property Owner: JQN(L )
kddress of Property: 300 Ralleiyl 06M PA Himlgei(A'l Ht.hc(ty Coun4l
-1rat f R (Lot or Street #, Street or Road, City & County)
kpplicant's phone #: 91(/1 - G 1y - I-)�,� Mailing Address: 111I L;IU M H W 41 1
7i�nyG �!✓r�l�i FIQM{7��+YG1�� Nt 2,A43 -
hereby certify that I own property adjacent to the above referenced property. The individual applying for this p1
ias described to me as shown on the attached drawing the development they are proposing. A description of drat
Nith dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
[f you have objections to what is being proposed, you must notify the Division of Coastal Management (D(
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response
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 distan
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' set back requirement.
I do not wish to waive the 15' set back requirement.
(Prope ner Information)
r
Signa
J'JhV" k-k� �Idlkoy
Print or Type Name
(Riparian Property Owner Information)
Signature
R m 1 41'104e t�rf�rr� I
Print or Type Name
"1I fIIIlanI W6W, Circle
Mailing Address
2.I '� A nn qY C.0
Mailing Address

For delivery intor M
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:4 --§e—nt To 01/27/2011
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City, State, ZIP+4 W1161 I V1 �*�, , N / 2�40)
U.S. Postal Service,,,
CERTIFIED MAILRECEIPT
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(Domestic Mail Only, No Insurance Coverage
Provided) 09
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01/27/2011
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Sent To
..................................
204 CV
-------------------------
------------------------------------------------------------------------
lev velawn, TX
7VG2O,
PS Form 3800, Augus! 2006 See
Reverse for InstrLICU0111W

1h". d4 nk.;t� �-
CERTIFIED MAIL—RETI;RN RECEIPT REQUESTED
DIVISION OF COASTAL M ANAGUNIENT
ADJACENT RIPARIAN PROPERTY OWNER STATEINIENT
14ame of Property Owner: JArnrt, V66 hachcY
Address of Property: 30o &dla A Plrjon-i lid Hwvipi(f A H{yky CounJL�
rtrad E8 (Lot or Street.4, Street or Road, City & County)
Applicant's phone 9: '� i G - ig
-11 �,�
Mailing Address: I G;(0 k� I}w
�� I J
�o^^
7unyCt
Nt, 2,,j)443
1 hereby certify that I own property adjacent to the above referenced property. The individual applying for this pt
,ias described to me as shown on the attached drawing the development they are proposing. A description of dray
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 (DC
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response i
-onsidered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distant
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.)
RECEIVED
I do wish to waive the 15' set back requirement. DCM WILMINGTON, N(
I do not wish to waive the 15' set back requirement. FEB 0 4 201
(Prope ner Information)
Signa
iamcL, 141� �)dlkoy
Print or Type Name
(Ri arian operty Owner Information)
S n re
Rml 4ti��Ic (�rf�Yra I
Print or Type Name
-7I2 ►li(ldeyi HWCircle
Mailing Address
Mailing Address

—�
P.O. Box 682
Road
n ,,
257 Transfer Station
N
Hampstead, NC 28443
` -
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910.270.2919 Office
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LINE TABLE
LINE
BEARING
LENGTH
LINE
BEARING
L1
N 32*59'10" E
4.83
L10
N 86'53'48'
L2
N 32'59'10" E
42.08
L11
S 56*13'41"
L3
N 15'01'23" W
43.96
L12
S 5613'41"
L4
N 72'00'22" W
27.13
L13
S 11'49'10"
1-5
N 5 *33'14" E
9.99
L14
I S 10'37'07'
L6
N 89'52'35" E
25.24
L15
I S 36*34'18:

QI(3523PG160
STATE OF NC
COUNTY OF �C/1G� K
I, a Notary Public for said County and State,
do hereby certify that JAY TERV and BARBARA McKENZIE-TERVO, personally appeared
before me this day and acknowledged the execution of the foregoing instrument.
Witness my hand and official stamp or seal, this the INay of September, 2009.
�CLVI 4t.�� �1 .l..M.tJG� f✓YC 4���nnnnun��
NOTARY PUBLIC 0
6
����5. Ang��91
a�.
My commission.e n �i20+3 1 ►t� Cxw+�. a0• r
expires: -�.�n—

EK3523PG 159
TO HAVE AND TO HOLD the above described lands and premises, together with all and
singular, the rights, privileges, easements, tenements, duties, obligations and appurtenances
thereunto belonging, or in any wise appertaining unto said GRANTEE, in fee simple, FOREVER.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee
simple, has the right to convey the same in fee simple, that title is marketable and free and clear of
all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all
persons whomsoever except for the exceptions hereinafter stated.
Title to the property herein above described is subject to the following exceptions:
1. Ad Valorem Taxes for 2008 and subsequent years.
1. General utility service easements and rights of way of record.
2. Easements and restrictions of record.
3. Pender Countx Zoning and/or Subdivision Ordinances and Regulations.
IN WITNESS WHEREOF, GRANTOR has hereunder set hands and seals, the day
and year fast above written, iv_

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Label/Receipt Number: 7010 1060 0000 8473 3608
Status: Delivered
Your item was delivered at 1:42 pm on February 01, 2011 in
WILMINGTON, NC 28401. A proof of delivery record may be available
through your local Post Office for a fee.
Additional information for this item is stored in files offline
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P.O. Box 882
o;
257 Transfer Station Road
Hampstead, NC 28443
�--
910.270.2919 Office
G
Legl
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I
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71.44'
CWF6
55.35'
o
,5 Acres ` -� o o_ I o u � L4 3
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A8 /
x- SN UPI ndsl (1
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vJ m 1 1c
210.35'
N 64'41'13" W 438.44' A9
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Tract E9
MB 35 Pg 135
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Flood Zone p N
"AE"
pp
CWF3
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CWF2 1
93.93' v:
47.13'
CWF1
LINE TABLE
LINE
BEARING
LENGTH
LINE
BEARING
L1
N 32*59'10" E
4.83
L10
N 86'S3'48'
L2
N 3259'10" E
42.08
L11
S 56"3'41"
L3
N 15'01'23" W
43.96
L12
S 56*13'41"
L4
N 72'00'22" W
27.13
L13
S 11'49'10"
L5
N 5 '33'14" E
9.99
L14
S 10'37'07`
1 a
I KI co•r"),u"' r
I 95 94
1 L15
S 36-34'18`

C Division of Coastal P,19#, Habitat Impact Computer Sheet
plicant: I W l �i bay Permit #:5(-9 5(0 to-:-(
���1 WWWW
te:
4 3C)I I I
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
bitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
to p impaac/tt
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 [IFill ❑ Both ❑ Other x
1 V
��
Dredge ❑ FilX Both ❑ Other ❑
lJ
Dredge ❑ Fill Both ❑ Other ❑
l 0(,V
Dredge ❑ Fill ❑ Both ❑ Other
O
O
Dredge ❑ Fill ❑ Both ❑ Other ImO
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 ❑

RSC Engineering, PLLC
W. Randall Edens
Sonya Edens 5437
16310 US Hwy 17
Hampstead, NC 28443 DATE 1 U 67-219/0539
PAY
TO THE
ORDER OF —N(I)ENIZ
CAROLINA FIRST
15280 US HWY 17 NORTH
PO BOX 369 �/�
HAMPSTEAD, NC 28443 �<Y 1 W �% 1
F O R J l Cb^� —P
I:0S390 21971:7 100SO L
SAFETY
760110 St. 37
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