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Home My WebLink About57537D - Rust '2-2011 09:44A FROM:RUST ENTERPRISES.INC 9107385183 1/03/2010 19:40 910b7y9byb UKIUL cur+ TO:19106425718 P.1 r F1VG WA North Carolina Grtfn epaent of Enviro+ Division of Coastal M Bevedy Eaves Perdue dams H. Grey Drcector Govemor NT f Prr---,ty C Mier anrAyin9 for Permit: owner's Mailing Addressf- . , 71 I_-L �1�, rJ? Phone Number' is and Natural ResGutcGs Dw Frsemar+ Secretary authorized A eat for this Plea fail r, I !.(Ill Phone Number -� , o,• r It et t have auihorizthe 2913M iis'tou au.,•.. •o •.- ec+ for and obtaining all LAM' A permits r; seen to in5tuh 01 (MY Property located) sit This certrfics•,ori is valid thru (date') property pNmer Signetu my behalf, far The pO,,po9s of appiying slruct the foljowing (2001 ty): hair CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to � tw eyl - lA s� aOR �^ t (dame of Property Owner) property located at �` �� (Lot Block, Road, etc.) on p YQZ , in r �� , N.0 (Waterbody) (Town an /or County) Applicant's phone #: Q�\o-5`l°\-Mailing Address: �D` VIP—CL& � o, r6 N 2 He/She has described to me as shown below the development he/she is proposing at that location, and I have no cbjccticns to the proposal DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in w within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, 1 DCM representatives can also be contacted at (910) 796-7215_ No response is considered the same as no obiection if you have been notified by Certified Mail (Property Owner Information) \der (-) e n v 6�-- Signature Print or Type Name v _). Mailing Address, x _�i ria P perty erInformation; Signature ` Print or Type Name IAJ Mailing Address n ; Division of Coastal Mgt. Habitat Impact Computer Sheet licant:,'/t��/` ��'� Permit #: �D tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. tat 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 1 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 ❑ GRICE CONSTRUCTION OF BRUNSWICK COUNTY INC 6618 BEACH DR SW BS. 910-579-9095 OCEAN ISLE BEACH, NC 28469-4710 TOTHE ORDER OF BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.com `V FOR u10000 786 311' i:0 5 3 LO 1 L 2 L1:000 DATE l999 265 291i' W N ro ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your fame 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. ArtroWWressed to: A. ❑ Agent B. Received by (Printed Name) C. Date of Delivery A, PPrvCA 7-7-)) D. Is delivery address different from item 11 Yes If YES, enter delivery address below: No Ialp l-0s (i- ±- w aV71S� 3. rvice Type ,ZMertified Mail ❑ Express Mail ❑ Registered Return Receipt for Merchandise ❑ Insured Mail '❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑ Yes 2. Article Number (7009 1680 0000 2205 9519 )fensfer from service labe Ps Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1e40 Postage $ Certified Fee turn Receipt Fee Postmark >ement Required) Here cted Delivery Fee cement Required) Postage & Fees I $ 3800, August 201 See Reverse for Instructions Postal CERTIFIED MAIL,, RECEIPT tr(Domestic a Ln Ir WI '' fOU Postage $ "u Certified Fee $2.85 14 C3 E-3 C3 Return Receipt Fee (Endorsement Required) Postmark Here :2.30 C3 Restricted Delivery Fee (Endorsement Required) f0.� O EDTotal Postage & Fees $ $5.59 08/31/2011 rl Er C3Lt Sent - - tr P- It- ,street, Apt N--' - PO Box;o!L -------------------------------- �ty, Sta(e, ZIP+4 ----------[ O� PS Form 8003. August 2006 See Reverse for Instruction: