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HomeMy WebLinkAbout57330D - West 5/2011 09:47 FAX 19107383678 -2011 07:48A FROM:F$S MARINE mussetwhite-Branch 9102563062 40001/0, TO:1910738367(3 P.1 -- -- -- DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION 8, WAIVER FOR Name of individual app" for permit Address of property • Aka" ln4) XlL 28Y 1 hereby certify that 1 own property adjacent to the above referenced property. 'f individual applying for this permit has described to me as shown on the attache drawing the development they am proposing. A description or drawing. with dimensions should be provided with this letter of notification. Please IgEM below if you have no objections. Re wvd Z% t� I have no objections to this proposal. �0a&Aft &qA'W 1 Wu have objections to what is being proposed. please write the Division of Con Management, 127 Cardinal Dmrs Extension. Witrrtington, N. C. 28405 or coN 91 ,309*999 within 10 days of receipt of this notice. No rasponse is considers V i '4 ';Ixsame as no objection if you have been notified by Certified Mail - WAIVER SECTION i understand that a pier, dock, mooring plTings. bteakwater.boat house.11ft or sandbags must be set back a minimum Of 15' from my area of riparian initial the unless warned by me.(N you wish to waive the satback, You must�p 'ate blank below.) I DO wish to waive the 15' setback requirement. ! DO NOT wish to waive the 16 setback re quir+eme*nt Signature b Date 4 Print Name �1 �r �o-, 7— 2 P'7 C Teloptzone Number wf Area Code DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FOR Name of individual applying f il or perm Address of property;M 1me A o m #14 WC37" i hereby certify that I own property adjacent to the above referenced property. I individual applying for this permit has described to me as shown on the attache drawing the development they are proposing. A description or drawing, with dimensions should be provided with this letter of notification. Please initi if you have no objections. I&M" ve I/ rS ` I h no objections to thisproposal. have�•l IZ�p,�,� If you have objections to what is being proposed, please write the Division of Coa Management, 127 Cardinal Drive Extension, Wilmington, N. C. 28405 or call 91 within 10 days of receipt of this notice. No response is considered th 716 V& some as no objection if you have been notified by Cerffisd Mail. WAIVER SECTION N/N I understand that a pier, dodo, mooring pilings, breakwater,boat house,lift or sandbags must be set back a minimum of 15' from my area of riparian access unless waived by me_(N you wish to waive the setback, you must initial the appropriate blank below.) 100 wish to waive the 15' setback requirement_ I DO NOT wish to waive the 15' setbaCc requirement. --r- d Signature & Date //iA/i i � l i��� Drint Narttw PP-14-2010 Ola,':E Fr _•m: ro:a,02-16 0E-2 F. � i Resources North Carolina Department Wno ofEnvironment Ma �g�ement� Nature Dee Cregson Fresm James H. Beverly Eaves Perdue m Secret ;ovem:�r AUTWt�R#7.AT#ON 1:ORM (l �� • /1L Na a of ProQor'tY owner Applying for Permit. Owners Mailing Address iy -7607 . . ......................... .... .......... ............ Ohone Number ,t....-.— Name of Authorized Agent for this project Agent's Mailing Address' - & I 7%7— *M4 lea, Phone Number (, — i certify that i have authorized the agent listed above to act on my be"talf, for the pureose of aPPlyin9 iar,�rrtd obtaining aft GAMR Permits necessary to Insta/�� or gnat �ct the tollowing (activity). Wl ,my Propem' iacated) at This certification is valid thru (date, Date operty owner Signature RECEIVED r--I,a 17mi to RECEIVED DCM WILMINGTON, NC APR 1 5 2011 F&S Marine Contractors, Inc. Complete Marine Construction Services For Over 32 years! CAPT. ED FLYNN DURWOC Piers, Floating Docks, Pilings, Bulkheads, Boat Lifts, House Pilings, Repairs P.O. Box 868 Phone/Fax:(910) Wrightsville Beach, NC 28480 email: efly� ilk C� °L) S EN 01 11� k.g i I& (khroWyE rAiJ- 14ad 1"'Waso &cP 6+eh&r I 2YB.x 'u'- LI-3 4dow J.A8 Cho, MOM all % W+ "61#',Sri rs S mwz� &ftb fimsovi. yOIpMMIM BeMk N. C. WW 919/ZW3062 rir '%�0 GOO, � f", /"t p'6• ; s ms A,"b o P !/� QE•/ai� • - 3o"x3�"x6• �ohKRar A�ro+S, 14W,/FL �4 Division of Coastal Mgt. Habitat Impact Computer Sheet licant: I �j 41 ��S �- Permit #: 3-7-336 s: gibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. itat 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) VV Dredge ❑ Fill ❑ Both ❑ Other] 114Z J82 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 ❑ F AND S MARINE CONTRACTORS, INC. P.O. BOX 868, TEL. 256-3062 WRIGHTSVILLE BEACH, NC 28480 PAY ) // -Oe_ n TO THE ��/(� r� ORD�E�R�O)F /,"' &ww-A�7 RBC Bank"Ptjrj�3t� RBC Bank (USA) FOR 112000 3888 2um i:0 5 3 L008 501:0 2 7 DATE S // Cx DOL 4,/�"or -- -- ---