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Home My WebLink About57590D - Williamson NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director Authorized Agent Consent Agreement William G. Ross Jr. s cht�Y s ` is hereby authorized to act on my b (Printed Name of Agent) order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited iecific activities described in the attached sketch. )CATION OF PROJECT: RF E, DEC 12 2011 tOPERTY OWNER MAILING ADDRESS: DCt +.Nft,R', INGTON; NC r -- I C1 ' M t n G /UCH E -1 PHONE NO. _ 9/0 - S36- 3" iTHORIZED AGENT MAILING ADDRESS: y PS-YDq PHONE NO. _960-573E--'73 1. r — ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER1AI00RI,VG PILI_VGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to property located at ) i `Q I ,s (Name of Property Owner) L4 174- C , f (Lot,/Block, Road, etc.) on F9T W(JJ in N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive �,C,h_ I do wish to waive that setback requirement. - ----------------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) RECEIVEL DEC 12 2011 6cm WILMINGTON, NC If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writ within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, N1 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 (Information for Property Owner/Applicant Applying for permit) .m P. o, 6ox Mailing AddrreAssSt j (Riparian Property Owner Information) OM14L43 S ignature I/ 0 U) w D�;.,r r'r- ATE.,,' USPS.com® - Track & Confirm Page 1 c English custOnDf Ssi USA NoMN Register / Sign In III usl s-coI1rf , Search USPS.com or Track Packages Quick Tools Ship a Package Send Mail Manage Your Mail Shop Business Solutions Track & Confirm GET EMAIL UPDATES YOUR LABEL NUMBER SERVICE STATUS OF YOUR ITEM DATE 3 TIME LOCATION FEATURES 70091680000237981117 First -Class Mail Delivered December 02, 2011, 2.27 pm LAKE Expected Delivery By: WACCAMAW. NC 28450 December 1, 2011 i Certified Mail Return Receipt { Notice Left December 01, 2011, 504 pm LAKE - WACCAMAW. NC 28450 I Arrival at Unit December 01, 2011, 927 am LAKE WACCAMAW. NC 28450 Depart USPS Sort December 01, 2011 FAYETTEVILLE. NC 28302 Facility Processed through December 01, 2011, 1:51 am FAYETTEVILLE, NC 28302 USPS Sort Facility Acceptance November 30. 2011 11:08 am OCEAN ISLE BEACH, NC 28489 Check on Another Item What's your label (or receipt) number? LEGAL ON USPS.COM Privacy Policy > Government Services Terms of Use, Buy Stamps & Shop , FOIA , Print a Label with Postage No FEAR Act EEO Data : Customer Service, Site Index OTHER LISPS SITES Business Customer Gateway Postal Inspectors . Inspector General Postal Explorer, Copyright?, 2011 USPS. All Rights Reserved ON ABOUT.USPS.COM About USPS Home, Newsroom , Mail Service Updates, Forms & Publications, Careers 1:0. Postage $ m Certified Fee (U Ej Return Receipt Fee 0 (Endorsement Required) C3 Restricted Delivery Fee (Endorsement Required) E Postmark $2.30 Here $0.00 CID Total Postage &Fees x6.23 11/30/2011 rq , `- 0-' Sent To Ap Street, t. No. ; cT x 0 or PO Box No. Crty, StatelP f � � PS Form 3800.0 �i06 See Reverse for Instructions RECEIVED DEC 12 2011 ''CM WILMINGTON, P C Division of Coastal Mgt. Habitat Impact Computer Sheet iplicant: VkA V1 �k' Permit # ite: 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 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) V Dredge ❑ Fill ❑ Both ❑ Other)( — t 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 ❑ EASTERN COASTAL CONSTRUCTION CO. 7903 157 ROGERSVILLE ROAD WILMINGTON, NC 28403 67-7194-2532 F DATE/ — /S— t cic r W R'v, . Rom' l DOLLARS �� DERAL 9 v II200 790 31I' s: 2 S 3 2 ? L 5i:6 7060 L 51, 281I'