21436_WATERS, JAMES H_19990302

CAMA AND DREDGE AND FILL
GENERAL 021436 -C _
PERMIT 4 1
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
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Phone Number
State
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,
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 when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
attachments
application fee
issuing date
Zip
(SCALE:
r. .
�F
applicant's signature
permit officer's signature
expiration date

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66-19/530 3690
JAMES H. WATERS 62
NCDL 1989640 PH. 919-393-8933
150 GOOSE CREEK LOOP RD. G"
NEWPORT, NC 28570 Date a' /
Pay to the 1 C, l ; I $ S �' (� ()
Order of d7 C� w
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NationsBank, N.A.
Carolinas _
For
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GUAROIAW SAFETY BLUE WBL
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ADJACENT RIPARIAN PROPERTY OWNER STATEMMNT
I hereby certify that I own property adjacent to .T a m j�- S 1 , A 7`E (ZS 's
(Name of Property Owner)
property located at / a �rC K F t- P- I-o
(Lot, BIock, Road, etc.)
on &Z)`DSr C I� 1� , in Cam_ P,•T-E-k>✓ �4u "J i , 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.
DESCRIP'IZON ACID/OR DRAWING OF PROPOSED DEVELOPME'VT V'�
(To be filled in by individual proposing development) ��*��
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Signature
Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWTNN STATEMINT
I hereby certify that I own property adjacent to T(+m E� /, % 44—E /Z- S 's
(Name of Property Owner)
property located at Cj-0-a S 'r-7 C k r t
(Lot, BIock, Road, etc.)
on 6-r-CS E Cg- e C Ii , in C* 2• i E'R— .E -F (�! l � Y , 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.
DESCRIPTION AIND/OR DRAWLNG OF PROPOSED DEVELOPI
(To be filled in by individual proposin, development) J
r
1, fLc-n�.Ovs T- i^s �m �oAT �' , ,� g0RIt
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ignature
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Print or Type Name
336 - 3 (/ --
Telephone Number
Date: — !2 / —