The URL can be used to link to this page

Home My WebLink About57379D - Wright 1"�I �"Pu10'IsU!65ql C Division of Coastal &19t. Habitat Impact Computer Sheet iplicant 1/1 Permit # ite: I � p 5�+3�-` scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement and in your Habitat code sheet. bitat Name JW 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 V 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 ❑ • • 0 ZIP Code Day of Delivery Postage __/ ❑ Next nd ❑ tad Del. Day Scheduled Date of Delivery ioeFee Accepted �1t / Month 1 , Day $ Scheduled me of Deli ry ❑ 3 PM COD Fee $ Insurance Fee $ lo. Day 4-Year - me ❑ cceptetl AM MilitaryNoon Total Postage & Fees •� w M ❑ 2nd Day ❑ 3rd Day $ 7 at Rate ❑ or Int'I Alpha Country Code Acceptance Emp. Initials lbs. ozs. ROM: (PLEASE PRINT( PHONE ( 9f� M41L UNITED STATES POSTAL SERVICE --'— --ram Label 11-8, March 2004 Post OfficeTo Addressee •ELIVERY (POSTAL USE ONLY) Delivery Attempt Time ❑ AM Employee Signature Mo. Day ❑ PM Delivery Attempt Time ❑ AM Employee Signature Mo. Day ❑ PM Delivery Date Time ❑ AM Employee Signature Mo. Day ❑ PM ONLY CUSTOMER USE PAYMENT BY ACCOUNT ❑ WAIVER OF SIGNATURE (D—sbc Mad Only) Express Mad Corporate Acct, No. Additional merchandise insurance is void If customer requests waiver of signature. I wish delivery to be made without obtaining signature of addressee or addressee's agent (if delivery employee Federal Agency Acct. No. or judges that article can be left insecure location( and I Postal Service Acct. No. authorize that delivery employee's signature constitutes valid proof of delivery. NO DELIVERY TO: (PLEASE PRINT) PHONE I A� ZIP a 4 (U.S. ADDRESSES ONLY. DO NOT USE FOR FOREIGN POSTAL CODES.) T FOR INTERNATIONAL DESTINATIONS, WRITE COUNTRY NAME BELOW. '14A NOO Carolina DepartrWt of Environment and Natural Resources Division of Coastal Management Severlr Eaves Perdue James H. Gregso, Governor Director Dee Freeman Secretary AGENT AUTHORIZATION FORM Date: _r- Name of Property Owner Applying for Permit. Name of Authorized Agent for this project Owner's Mailing Address: Phone Number 10 E/,?_ Agent's Mailing Address: Phone Number /- :r I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining /all CAMAi:Pe/rmits necessary to install or construct the following (activity). � Az (my property located) at . �G s �. ..�%' . r kco This certification is valid (date) Property Owner Signature 6�/A--Vy Date CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT lame of Property Owner:v-�Q kddress of Property: G V �1.,1US ,tr, NC ' `,�d/s� ( .r//r //C. (Lot or Street #, Street or Road, City & County) applicant's phone #: M—A6'1-q5W Mailing Address: /S%/ „ 5 L*J. J& ZN [ hereby certify that I own property adjacent to the above referenced property. The individual applying for this pet las 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 proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCT in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive I Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. 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 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 15' set back requirement. I do not wish to waive the 15' set back requirement. (Property Owner Informa ion) Signature C9ra -zb - Print or Type Name Mailina AddrPc, (Riparian Pro erty Owner Information) Signat Print or Type Name Mailing A dress _ 191--1 /I VC-1-1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to t;w ¢ XW,'o �%��/ �� 's (Name of Property Owner) property located at /lv l�li��a5 '��-✓CS'i�C� f�� , (Lot, Block, Road, etc.) on /�%".� W in �f�� , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 9?W -Z&y'95-3Y Mailing Address: r,'A 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 (IT) 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 I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual„gropgcing development) v V, �vv_ Y It, (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) 117/ Mailing Address Signature ❑r 56) ROPJf, \�'r� o�- UNDERGROUND / / �P�O�� GAS TANKS j 01 Get c�. Q� / I `y0 Q P.O.B. E.I.R. WESTERN MOST CORNER OF LOT 29 OF EXISTING SIDBURY ACRES SPIKE J,P'P'��6 �'�� MAP BOOK 4 PAGE 63 G.�ay'� (PER BOOK 3597 PAGE 56) PORCH STEPS E/P $ GUY Et WIRE �2 �? sP o le loe PORCH /STEPS GENERATOR y pECK PAD kA HVAC k-lpv-,- STEPS PAD 4. . NORTHEASTERN LINE HENRY B. BARNHILL BOOK 339 PAGE 265 (PER BOOK 3597 PAGE 56) MA TCH LINE SEE RIGHT STORAGE BUILDING ROCK BORDER E.I. R. OR/GIN UNKNOWN TO SURVEYOR N60 37'44 "W 100.60' HIGH WATER LINE OF TOPSAIL SOUND (PER BOOK 3597 PAGE 56) OC/N/TY MAP NO � i NOTES. 1.) THIS LOT IS LOCATED IN AN NRAMP MATCH LINE AREA OF 100 YEAR FLOOD. p/ELOATING SEE LEFT 2.) OWNERSHIP OF FENCES ALONGOCK IS UNKNOWN TO SURVEYOR BOAT �r LIFT ��' SURVEY REFERE / VI WIRE 2 Ole - 6 F� PORCH y0 <" � STEPS ?° GENERATOR ROCK y DESK BORDER PAD HVAC �e3� STEPS PAD s �• N 0.24f ACRE 3y NORTHEASTERN LINE �'�� 10, 680E Sq. Ft. a'o HENRY B. BARNHILL BOOK 339 PAGE 285 -o ' (PER BOOK 3597y PAGE 56) STORAGE ��o po- MATCH LINE BUILDING SEE RIGHT ��` E. 1. P. DISTURBED E.LP. APPROXII E.I.R. ORIGIN HIGH WA7E UNKNOWN TO ' ' ' LOCA TED 1; SURVEYOR �p N6037'44 "W 100, 60' �y HIGH WATER LINE OF TOPSAIL SOUND o� (PER BOOK �-p 3597 PAGE 56) NO TES: 1.) THIS LOT IS LOCATED IN AN NRAMP MATCH LINE AREA OF 100 YEAR FLOOD. PIEoA nNc SEE LEFT 2.) OWNERSHIP OF FENCES ALONGOCK IS UNKNOWN TO SURVEYOR. LIFT ��.' SURVEY REFER GRAPHIC SCALE: 1 "= 40' BOOK J597 PAGE MAP BOOK 22 P, IO 0 40 80 MAP BOOK 4 PA, lot of Survey For: ROBERT BENJAMIN WRIGHT an d L YD/A NOR TH WR/ GH T 0.24E ACRE / 10,680E Sq.Ft TOPSAIL TOWNSHIP PENDER COUNTY NORTH CAROLINA ?wend: NORTH CAROLINA NEW HANOVER COUNTY 1, MICHAEL N. UNDERW00 ,,,ar, TIFY THAT THIS P, DRAWN UNDER MY S of k M AN ACTUAI MADE UNDER MY Ifu n0N AS S THE FACE OF THI.-N�` �jFI0 ® ' VISION AS CALCULATED BY 3" TER 1 11 R5_� + THAT BOUNDARIES NO Sl/R S5 E S BY BRO, Pl nTTFn FRn" AUF "A77n11,0p"PFFP En THAT 7 AMOUNT CONNAWAY MARINE CONSTRUCTION, INC. 6216 910-794-8500 P.O. BOX 775 HAMPSTEAD, NC 28443 �y /� 66-19/530 NC DATE (J 18515 PAY TO THE rorqL ORDER OF : w/� I $ x oiscouNr DOLLARS 8 DEDUCTIONS CHECK Bankof America ACH R/T 053000196 --"" u■006 2 1P, ❑ 5 inns lgP,t_ nnnr-AA i 4 Aa11■ -