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CAMA AND DREDGE AND FILL
GENERAL N1? 22294
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State _
Phone Number
Zip_
PROJECT DESCRIPTION SKETCH >_ ; (SCALE:
�! `�
Pier (dock) length ;
Groin length
number :,;,,,. _ .. .. �.:...�•� �— �' _
Bulkhead length
max. distance offshore
Basin, channel dimensions F
cubic yards
Boat ramp dimensions
Other ........--^..�"..'"... .�.---�'r_"�' --� —""""....--►�--'"".�..,,�_.,__ .� --._
This permit is subject to compliance with this application, site
;' 1
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer's signature
permit officer when the project is inspected for compliance.
I
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee
Management Program.
OUTER BANKS MARINE CONSTRUCTION
P.O. BOX 1988
A I IJW I IC REACH, NC 78517
(919) 240-7525
BB&T
BRANCH BANKING AND TRUST COMPANY
100131' 1If AD Cl I Y, NC 28557
66 117/531
7/6/99
3996
PAYTHE
ORDERER OF D.E.H.N.R. $ **50.00
Fifty and 00/100********************************************************************* DOLLARS
Securitydfeatures
\I = included.
D. E. H. N. R. n Details on back.
MEMO (Dean Wgaman
III Q0399611- 1:0531O1L20:L23L0L5295n'
f
9192402525_ OBHC TIM GPIPIES 862 P01 JUN 10 '99 09:41
(FOR A PIERIMOORING PILINGS1B0ATLJn1B0ATHOUSE)
I hereby certify that I oven property adjacent to --DK " w���'���� 's
a/me of Property Owner)
property located at ( ��� o C V `J C,( 6 �0 �' k)a C' ((,& /)c
(Lot, BIock, Road, etc.) r�
on ('P-C= C-`eQ , in �i� w" 7 , 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.
I AQ-jLQI wish to waive the setback requirement.
142 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be fafed in by individual proposing development)
Q
Signature
JT
Print or Type name
Telephone Number /
Date: L2, � / ��
9192402525_ OBt1C T I H GP, I t ES 862 P01 JUN 10 ' 99 09: a1
(FOR A PIERIMOORING PILINGSIBOAYLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to p6r"4 wi� �T ���''� °s
(a/me of Property Owner)
property located at (�) Gnu �� J ��0 �E' !/14��C C' (� /t) C
(Lot, Mock, Road, etc.)
on �'oe n,���s ��< e , in ( �' T� 041 T 4 N.C.
(Waterbody) (Towns 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/boatiift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
V, I o not wish to waive the setback requirement.
I d, wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
0
Te ephone iqumbei
Date:
72Co-T(Z-�