HomeMy WebLinkAbout33488D - Wright Jul 28 03 03: 42p TOWN OF HOLDEN BEACH 9108429315 p. 2
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1eAMA /� 1 N9 33488
DREDGE & FILL
itGENERAL
( PERMIT" �\ O
-it.lr v.( D Modification Previous permit#
Complete Reissue ❑Partial Reissue • Date previous permit issued
As authorized by the State of North Carolina.Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC IN 1 Z 00 A tv 71- i 51 00
ules attached.
Applicant Narne a h .
h W Project Location: County P r e...t r'1SLoick
Address i 1 1'1 nci�r- - -4 .oc I Street Address/State Road/Lot#(s) 1 0 (,
City Lij i ;6-hvi-S0.1C0n_ . • State ZIP 7:'-1 i(-3 5-harcirsh 7>r i ve.•
Phone #(330 F-R,9 =91 q a Fax #( 3__(,.) ' 2,5:. 75 3c3;. . subdivision •
Auto horized Agerr, • — • '#1 City "O ir4e * c j- ZIP R 2.
Affected O CW J W XPTA DES OPTS Phone# (9 i() )� t�-3 River Basin rn bet
AEC(s): D OEA HHF ❑IH D UBA D WA
0 PWS- DFC: Adj:Wtr. Body A N Ai (nat man unkn)
ORW: yes / PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body A I W(.0
no no _
Type of Project/Aetivi
ri Po M.S-i-y-r tc 14,1 L) pier 4IAS VI UCcfinq 7)60.4 ��-�G��---i f-
br�d'ce Canc_r (rnI�.in ar)c. J
(Scale:j r�^ ,fib /
Pier(dock)length 17 It &a'
Platform(s) 3":)(12..' --1--1 1 i i I i 1 I 1
1 1 )
No Finger pier(s) .. I LI ����N i _1 —
Groin.iength T_. I ! _�---rt-.- --; I r
number i I -';-� i c i � �--11��- 1
r � �� -�� I I L. [
i I I
Bulkhead/Riprap length _ � i ^r`L I avg disnce offshore 1 1 — -- — '-
_ I (`�-+
rt>mc distance offshore -i . 1 I i 1 ' i �1 Mil -
Basin,channel 'L UY.%O X Z �� -I ` It i / T.1 �-
yards i or I Ai
3�:L1 G i I� i , I 1 `�1' " I te-' i -'1
cubic J� , 2. r■.■ 1 + _
Boaz ramp r I 1 ■ - 1 •j-j- - -
1 I j I �'t ' r 6- -- - --•
Boathous Boatlift� [}K y O� l 1 - ' i i� u• '.
Beach Bulldozingr I .•
Other_ 1 I 7-L� !'� 1 - y � 1 ' 1 . r- -
-_, , -, ,,,.,,,u,,,_,_-___, ,
ShorelineLen' h' ._'T[') - `� I I �r— - ?. "�or.�'r -i i i �� .
SAV: nor sure yes no.'I~- -r-�—f-= + 'r --1 •� _ \ — ; i - � J Q`
1 1 i I__i__1 _, A T jjjH I MI
Sandbags:: not sure. yes no r-"�" _—. - r __ - ,j
•
Moratonurn: -n/a • yes no —. . 1 i i - -f:-- . ' --I I— Ca I — —.7-_'� : __�a'I•-� -L_
Photos- :yam na r I i 1 i i-i lSrl-,t1 • 1 �-I 1 --
Waiver Attached: i i -I y 1 �i r 1 -1, U s L. II .. ��t 4 1-7-�- -
-� l ► i I I i t .:, i u ► I : i . r 1
A building permit may be re. ired by: TTC 1'de.n ji rel ;'
. ❑See note on back regarding River Basin rules.
Notes/Special Conditions ?-(1 C:ce(1 d i 7 orl I H I 2 c o A---i z) f\i r7 t-1 iS-OG) A
-t.Ck4'r crr( , i _ � —
�-r��d�ec� Z_l: x Z� x Z -�oc( cy r\, r.-(•�rr`r�,f 4-v I �P d,-:�� `�
r :[tiv•ad tin 7(tsf)er-^i1 rand hwilcd 1.4�{.r
i'-�f/6N GO(Li6 i ' cT - .. ,. f Z
+gen:or Applicant Printed Name
Permit Officer's Signature
5130/63
iignaatc: Pk a rea m Ilarice statement on back of permit"* Issuing Date Expi.cion Date
Jul 28 03 03: 42p TOWN OF HOLDEN BEACH 9108429315 p. 1
w
1 •
' Rhonda
.\1/4 _
'. 'OWN OF HOLDEN REACH
=` FAX
`— icy` -\
. \ YOU MAY CONTACT US AS FOLLOWS:
Telephone Number: (910) 842-6488
i',)'-,.:.,,,i-,,,-t.,.,.p. W,
w 1 4: „�Yy , N Fax Number: (91 U 842-9315
i.z-t,k.?t-Vt:kI i.'
fir: 1, ., .. L ,
IN CASE OF DIFFICULTY IN TRANSMISSION OF TELECOPIES, PLEASE
CALL TELECOPIER OPERATOR LISTED BELOW:
TO: C (( i k-t--1,6
FAX #:
FROM: v i „....„, r- r_,
DATE:
RE:
TOTAL NUMBER OF PAGES THIS TRANSMISSION
INCLUDING COVER SHEET c
COPIES TO:
TELECOPIER OPERATOR:
MESSAGE:
9/0 ?171.A gffoe
G. A4/dcn Fax
110 Rothschild Street . Holden Beach, NC 28462
910-842-6488 . 910-842-6080 . Fax 910-842-9315
0 CAMA / DREDGE & FILL ',. 33488
GENERAL PERMIT Previous permit#
)1 -'' New . Modification. Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 71 /7 00 AN 7 Ni TUC)ales attached.
Applicant Name_ -1(1h_ Lir l gh+ Project Location: County F`',r,.-a (-)su MC
IS
Address i i 11 50.rw ( rak-ed -R.oad Street Address/State Road/Lot#(s) I 0 (o
City Li) tn5--un-5aicor\ State NG ZIP 'Z'11O3 5+0 r Sk 1)r i V e.
Phone# (530 f(p f -919 a Fax#(33 ) rI 2,5- '75 39 Subdivision
Authorized Agent City rJ (clPr1 d eot L h ZIP .2Si-ko 2
Affected cw riFIF
lp'TA DES ❑PTS Phone# (1I0 ) 34Z 3343 River Basin LLA rr be C
AEC(s): a OEA ❑IH ❑UBA ❑N/A Adj. Wtr. Body A N AL.. (nat/ /unkn)
❑PWS: ❑FC:
ORW: yes /no PNA yes /() Crit. Hab. yes / no Closest Maj.Wtr. Body _ _ I w(�V
Type of Project/Activity o0T7 Sctc' !Jai.) (fi( aviS� +�jothi .I 1)DC ¢Bcoc'I-�-I'L;
- 'k-
b- ed e CoCane-( (riatn-enanee- ) J (Scale:!/I^? )
Pier(dock)length 17 IC (p
Platform(s) .3 I2. —f ___ L_,. i i .
I � I
Finger pier(s) j
.
Groin length I { i G r4 N I6 L'
number_ --+.1 I
Bulkhead/Riprap length I I ;
avgdistance offshore
-
max distance offshore — :11 . _ _ ' -... ! , ----- — ;....._�
Basin,channel -20x 20X 2
_� __ / f r.,x. ►;rr‘t 1a- --o di-at;n,
cubic yards e. • I Z
Boat ramp
-- 1 I ; I . , -�---f i , '(v�fo�o3G ct f�f�1 it�a n'I- t
Boathous CD 10 K 101 T��`
MINN ' ! ! Ill LL \i ctu4orf z .d ' mcdi{ce tt
Beach Bulldozing ��`I I _L .*. o f `- h K S e ,1-ft ei e_
Other 11111 j t ! tC ex/�l/a�'ft, JO y c•
_, Svc.
ilk c L4,4
Shoreline Length ik) -_
SAY: not sure yes a _ I I
--
Sandbags: not sure yes
Moratorium: n/ayes no } —
�i 6UQ�ISL i
Photos. yes no
Waiver Attached: yes no -- per^ - '
A building permit may be required by: 'Ho !den,..Be0c /) . L_i See note on back regarding River Basin rules.
Notes/Special Conditions A(I C el fl d 1 hon S c'r- '7 I-t 1 Z Qo A N jj rJ 1-1 IS Uco Apn j L}
-4c ei(ia( -fv be dredy cd Z 0' x zC ' X Z' = 3U4(cy Ma ric,i `+o be. d r I ci
;taInd on prtperhj avid hauled oi{si'-l-cr
four ,iti' '�c-d.�
Agent or Applicant Printed Name Permit Officer's Signature
. ?a/�,. ')/ ,/' S6 30/63 /3oo3
Signature 4,,zoo--oe:*Please read compliance statement on back of permit** Issuing ate Expi ' n Date
1E5 -)Iden B each POS 9 Z IA
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-648 I)or the Wilmington
Regional Office(9 I 0-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
Location: Fax: 252-264-3723 Fax: 252-948-0478
Parker Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford,Hyde,
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9 19 733 2293 / 1 888 4RCOAST Morehead City D is trict Wilmington District
Fax: 9I9 733 I495 151-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: 910-350-2004
Fax: 252-247-3330 (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
Revised 10/05/01
www.nccoastalmanagement.net
GENERAL PERMIT COMPUTER FORM
•
APPLICANT NAME: .T�6r4 CUB( /27''
UU �/
ADDITIONAL NAMES:
AEC DESIG: Z u / % DEVELOP AREA: 0 ( PROJ DESC: /""' -
(Will only take 6) (Will only take I)
WORK: , i 7 (o E L. /' , 3
(Will only take 4)
BA— /v, /v
MALN'T:
(Will only take 4)
IMP: c� LcJ 3.6 0 C.c /v-z
(will only take 6)
0 ci / 3 900
ACTION EXPIRATION
DREDGE&FILL REQUIRED: s7. /o 3 �, D 3
CAMA MAJOR DEVEL REQUIRED: .5> )3 0/ /03
�S, d- ORTHQPI lED T C 13�6?�'S?539 NO.59? P0J 1
n
�� v �oia i ►�rslb�+I IZkUh'pF'SY MGT 5197?57��4 P.2
WRIGHT PROPERTY MANAGEMENT INC.
2000 West First Street
Suite 507
Winston Salem NC 2 7104
Phone: 336-725-7536 Fax: 336-725-7539
FAX
DATE:
TO: C.c1--\e-ce -5 -
FAX #: - -5C)
FROM: -S,
PAGES: (including cover sheet)
COMMENTS:
2/I'd 6ESLS2L6I6 l9W Ald3dOId 1HEIdM Wd80:2T CO, 0E AUW
J --• .:r•u i-. i �_r,i�. u i1L'IrnCL'1 r_
o,.r i w„lbri l I�IIllUh'kr-:ry r•1G'r G y r 5`�r'
NO. Pei a
P.G
}
,
.r I' t,c4H vrtr roam
1717 S.1 ND2AST2D ROAD
r4 i.
cwsT�
•
4 s.'�LTf.k. NOR.r C;AROX.flux 271U3
I �
May 21, 200:3
Dr. Stephen H. Kouba
163 Churcllhill Drive •
Fayetteville NC 28303
Dear Steve:
•
When my old bulkhead leaked, the sand filled the
my floating dock. Now with my new bulkhead in place I d
like to remove this sand. would
CAMA advises me I can remove this sand if my neighbors •
not object. I would also like to ® ors do
dock and Will Carter% propertyline.pt in a boat lift between my
agreeable with you please sig belowl andth'fax proposals o me
336-
725-7539at If you have any questions, please call me at any time
Cell phone 336-8z6-195g, on my
Sincerely,
J. Hugh Wright
4.
ApproYed: i
-�.._ ate:
•
2/2'd 6ES2S22.6T6 lOW Ald3dO d 1H9INM WdTT:2T Ell, 0E J,dW
J. HUGH WRIGHT
1717 SANDERSTED ROAD
WINSTON-SALEM, NORTH CAROLINA 27103
May 28, 2003
W. L. Carter
108 Starfish Drive
Holden Beach NC 27462
Dear Will:
When my old bulkhead leaked, the sand filled the area around
my floating dock. Now with my new bulkhead in place I would
like to remove this sand.
CAMA advises me I can remove this sand if my neighbors do
not object. If this proposal is agreeable with you please sign
below.
If you have any questions, please call me at any time on my
cell phone 336-816-1959.
Sincerely,
J. Hugh Wright
Approved- ' Date: 5 29 /v3
• DIVISION OF COASTAL MANAGEMENT _
. ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: r h / J , /---
Address of Property: Q r r h v
•
(Lot or Street#, S reet or Road) _
,4 /4I .- Z -? / 4 L .- ?7y 2 Lrc I(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A desc,Iption or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. 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,boat house or boat lift must be set
- bck a mini um distance of 15'from my area of riparian access-unless waived by me. (If you
wish to w ive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement. ..
I do not wish to waive the 15' setback requirement. -
S ( 3
Sign Name ate
A7A
wlfr
Print Name NCDENR
4 ( NORTH CARou � x orm
NA DAn-rm r
n 1 �""( � ENVIRONMENT AND NiciRAL RESOURCES
Telephone Number with Area Code S:\cama\shells\riparianproperty.f ni
LAMA/zA DREDGEC& FILL `=_8 r
ERAL PERMIT Previous permit#
New --Modification , ❑'Complete Reissue OPartial Reissue Date previous permit issued
thorized by the State of North Carolina,Department of Environment and Natural Resources
he Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC IN 1 Z CO f,F.`C? 7!'' I 5-C:Q ,
i J.ules attached.
cant Name --Hunk 1Uri ail ' Project Location: County r re_; :; :U!CIS
ess I'?11 Jci el,e s €--i P\-00-ci • Street Address/State Road/Lot#(s) j 0 - -.
J jn5 )--C1 In n State NC, ZIP 'Zrl 103 Cx ri-i S k 1 r + v
le#(3%(e):R q i q a Fax#(mil) C]2, 75.3q Subdivision
orized Agent City 4+0 1(4 r ri 6 eCc F, ' ZIP ."4S/4t0 2
❑CW 1 W fPTA ❑ES OPTS Phone# (9 id ) ? 1 3— 3 River Basin !t_.l r7m LAC'r
ted
(s): ❑OEA 0 HHF 0 IH ❑UBA ❑N/A Adj.Wtr.Body CA hi AL._ (nat l /unkn) ....1 ':''..•.
❑PWS: ❑FC: Closest Maj.Wtr. Body A I lA)(1.1
no
/: yes / PNA yes / no Crit.Hab. yes / no .
e of Project/Activity n G OS AC-4 1Je,r ! ) DIC r a kid i'1 oC.hn6i 1)o a k- 4-B 0A. L,-1 a
1)YC d4 e- Ca na al 6 r�A i ri(en a race- ) (Scale:i�1M ) - i.•..-::::
r(dock)length 17 X Ic i ! I I ! I I I ! i ! 1 I 1:-:-.---;
tform(s) 3` ' ( ` j II ! .I 1 • ! I i i !
(�I ! I ! jiil III Ij— I 1 ) i1
ger pier(s) ff I ! ! I ! I 1 I I I ! I , ! 1. ! 1 ( 1 I
Din length i l ! l i ! 1 ! I I • ! ( I ! I ! 1 11 1 ! I ::,
number I I ! __�i I i� I ; ! 1 1 l 1 I I:, :,
I � '� ! � 11 ! 1 1 ( ( d,=
lkhead/Riprap length ! T
avg distance offshore I i ! I I 1_f i I_ ! I !
max distance offshore ! i '~ ! ' 1� I !^ ' I I I 1
! 1 Ij_i I —T! ! i . I 1 I 1 ! 1 ! ! ! l ! ( ! ! i ( :
sin,channel 2^vX?UY_2 L- , I ' I f 'c-I-A't 1 a-.h.l j 1. +' _/,'�,.i,- • + cz s • i
1 1 • I : . rqj i I ; ( i 1"'s' I '- f LI 91ii�! I ':
cubic yards . • cr ! :E! ` 12.f 1 I ! i ' i 11 11 I I I !v I :-i, -
r 1 • 1 ! I , ! ! , 1I
at P . e 1 i i I ! 1 • , I ! ! i 1 b to CI !/1 i s cp)l1ectnl i1$
,athouse l oatliftt i Q X I O 1 I 1 , + ; ! ! ! 1 1 I ; I ! I I ! ,1 ! I
�_; - ' I , I , i , ;i 140-11 '(4 -4j mcdci�.ce- icil =-:-:_.
ach Bulldozing I \. ' I 1 I ! I ! I I I I It•C S ckn f ., `f6 iJ ' 1 i::
j !:her I • I 1 I i I : I ! i ! sjYt1t'-16�- 1tIfrr2I{,�y�� 1 •e14 1447Ai i
i '. 1 \ 1 \1 1 I 1 ! !! i -tv. ��/_1CA j C. - 1 Ili 1 (
r- , t , ,l1 I / 1 I 1 i { 1 I I i I l I I ! ! 1 1• I/ 1 ! I •I '_( '::'_:
till d I ! 1 1 1 1 r� 1I 1 ! I i i ii I 7:
oreline-Length
! i I i 1 _ ( 11 f 1 I 1 i i ! I I I 1 ! I 1 i
I I j j � l i I I �I I j I I I i i � l i i I ! I I ! I 1 :
+V/ -not sure : yes no ; 1 +':
{ I , 1 1 1 I l i I ! I 11 ! i I I 1 1 1
ndbags: not sure yes- no 1 ! e I 1 I ! ! 1 1 1 I I I 1 I 1 "�-(0 {1 i
oratorium• • . n/a eyes • :Cr)1 I I i f ! I i I ` I I. 1 1 I I I ! I i I 1 Iss 1 j I I I I I 3.-":" :
'otos: yes' no I 1 I •
v,' t S--i z—''I 4 LKI-104bE)E L I ! i I I ! 1 it I i I I ! 1 .
aiver Attached: yes, no I ' 1 • P Li 1 I 1 1 ! I i I I I I i ! I✓t_ I I. 1 i( ! I i 1 I I 1
";:
building permit may be required by: WG fc/C,'� ,,..,�.ucA ❑See note on back regarding River Basin rules.
otes/Special Conditions A-r t t
ClJ il '7 (--H!)n C.- r.) V( 1 Z 00 A N.1`) 7 U
f-1 IS c ADO f u
,+r.--c. i .l -73ID° +--.ii;--•do. c 2()' X2_()/ f: 2( = 3;4+ ct./ iv,1!.j-E ;-1(x-( -7`i h dr!Cri
(Act irk( on IJ(.01-)Cr4-1.1 0v d h(iu!co �N"S(r :..
f + 1 /
f 1
ial
ii
''',-, --'k- -- - - --' -----.j- '_ - -- ' - - - : ':-,---ai-e( e..:,' •-?/;-:...•.7 .I.1 6 6_4.J:-,.'.L-e,'''=. :,-,,'-: -:.-F2-ri.:-1 :,.-: ,:,.1, ..4.;:-.1.:.::::
:nt orApplicant Printed Name Permit Officer's Signature • r• '
`
+k IssuingDatepiton Date
. ..15.•50/63 •''' ' ,"' •-:•-'::.:'-'2 :',.-:;-.'..f:S/3.0 D.3"..i''-'-.:'H:f7 '''?'?....1.:-:
I d m Hance statement on back of permit
,/7.. \ :- -. . ., ,..•- .
tature`��" P
120000 - ,
d85. �Iden'�uc�l po2�2 !:. {
Local Planning Jurisdiction Rover File Name
?lication Fee(s) t Check# :,
, ' 06 03 02: 06p TOWN OF HOLDEN BEACH 9108429315 p. 1
j_e:::471il
3s"v-o73a y
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION/WAIVER FORM
Name of Individual Applying for Permit: ge&1VO) Of SG .& .40
/'I,Q 415 Ad OL ck T6 ,S'ars4b0 I t r -Aide
(Lot or Street# Street or Road, City& County)
I hereby certify that I own property adjacent to the above-referenced property. The
individual applying for this permit has described to me as shown on the attached drawing
the development they are proposing. A description or drawing, with dimensions, should be
provided with this letter..
I have no objections to this proposal.
If you have objections to what is being.proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or call
910-395-3900 within 10 days of receipt of this notice. 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, boat house, lift must be set
back a minimum distance of 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' setback requirement.
I do not wish to waive the 15' setback requirement.
le.....,- lk-ua6 0 c- at,- D3
'Signature Date -
1—txu& oc go Wei 'Beetail 9es At ut Lit Ett4i
All9rilrA
Print Naive
__...___._._' tr
IG 4. (448g EHt�lR
Telephone Number with Area Code
rO803 01 : 45p TOWN OF HOLDEN BEACH 9108429315 p. 1
T.�..;-f- usse/ /
•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION/WAIVER FORM
Name of Individual Applying for Permit: Re UO,J 0+ /ats, 40M
(-0.na I5 i C r'1 .7C.+011 ba i{ v -)rile,
(Lot or Street# Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The
individual applying for this permit has described to me as shown on the attached drawing
the development they are proposing. A description or drawing, with dimensions, should be
provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or call
910-395-3900 within 10 days of receipt of this notice. 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, boat house, lift must be set
back a minimum distance of 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' setback requirement.
I do not wish to waive the 15' setback requirement.
Imo. L6 C, at,- ra3
io ature Date
1sv,.M cc No td atft $ectd l i--eut Li ttir A6171-1111?riA
Print Name
g!G iQ_ 448g ----
Telephone Number with Area Code ED H 11 F
J. HUGH WRIGHT
1717 SANDERSTED ROAD
WINSTON-SALEM, NORTH CAROLINA 27103
October 27,2003
NCDENR
Attn: Caroline Bellis
127 Cardinal Drive Extension
Wilmington NC 28405
Dear Caroline:
As per your request, I am enclosing waivers for Will Carter and
Marsha Kouba, for my floating dock.
Thank you for your assistance and I hope you have had a
good summer.
Yours truly,
J. Hugh Wright
D ECEJTVF
cc T 7 s 2003
DIVISION OF
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: /4,< cJ 6'7,tr
Address of Property: /u 1L /D (, ¶7 ,,,,,y( ,oy1►
(Lot or Street#, Street or Road)
Was. 41,4e2 • gYvh.f kdi
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. 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, boat house or boat lift must be
set bck a minimum distance of 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' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign Name Date
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Print Namecl
10
1 J _ NCDENR 3 F 1 NO CAROLJNA DEf'AR M TME OF
/// Y`J`J f v ENVIRONMENT AND NQURAL RESOURCES
Telephone Number with Area Code
S:\cama\shells\riparianproperty.fnii V 2 9 2003
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• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
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Name of Individual Applying For Permit: /s , G` spi7
Address of Property: /vI /06 s7✓flr 1 'ant VA
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(Lot or Street#, Street or Road)
Uk. 6,49-r/( - lS WA 11.114
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
✓ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. 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, boat house or boat lift must be
set bck a minimum distance of 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' setback requirement.
I do not wish to waive the 15' setback requirement.
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Print Name ���
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code
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