28188_BAILEY, LEROY_20010806

Applicant Name
Address
CAMA and DREDGE AND FILL
G E N E R A L
jl tu�a�r spo j"�
PERMIT
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 15 NCAC
p
Phone Number
City - State A) Zip 2F sf
Project Location (County, State Road, Water Body, etc.) 1 720 C'd /�,yiewo, P1i.
<a-rs i �tr.�rri
Type of Project Activity
PROJECT DESCRIPTION SKETCH
(SCALE:
/U.
)
;a7
Pier (dock) Length ,�,� Ic: ! �` '�j � � , t�f�
Jk
Groin Length } p
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IL
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,.
it
r�t�
p
r
g ttz.
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number �,m ,-t }We
f
,Fr
i f
Bulkhead Length
max. distance offshore
21—
Basin, channel dimensions
cubic yards
Boat ramp dimensions
M_
Other
�
14
I
(+
161—
rt
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
� /Ary
applicant's signature
permit officer's signature
//4- Gf
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that this project rr I 7�
is consistent with the North Carolina Coastal Management Program. application fee

OUTER BANKS MARINE CONSTRUCTION BB&T 4979
P.O. BOX 1988
ATLANTIC BEACH, NC 28512
[phone]
PAY TO THE
ORDER OF
61-�
MEMO
BRANCH BANKING AND TRUST COMPANY
MOREHEAD CITY, NC 28557
86-112/531
W
I'm 004979110 1:0531011211:1231015 295111
$ l o-0 010
DOLLARS
8 Security leatures
included.
Details on back.

u
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to t o 4
's
(Name of P operty Owner)
property located at
(Lot. Block, Road, etc.)
on I in _
%�� � L, , N. C.
(Waterbodv) (Town and/or County)
He has described to me, as shown below, the development he is proposing at tha: location,
and, I have no objections to his proposal. I understand that a pier; mooring
piling�oathouse must be se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to wai%-e the setback recuirement.
I J-Q wish to waive t�.at setback requirement.
DESCRIPTION AND/OR DRAWLN- G OF PROPOSED DEVELOPtiIENT:
(To be filled in by individual proposin, development)
AUu 0 J 2G0
COAST,0MA AGED NT
jS' . mature
1iZ >
Print or Type Name
Telephone Number
Date:

_
. (FOR A PIER/MOORING PILINGS/BOA TLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Am,46 's
(Name of Prope y Owner)
property located at
6L(D C�"v
(Lot, Block, Road, etc.)
on , in C.L. j(- } , N.C.
(Waterbody) (Town and/or County)
He has described to me, as sh;own below, the development he is proposing at t a- location,
and, I have no objections to his proposal. I understand that a pe-/mooring
pilingiNaboathouse must be se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to wa-,e the setback requirement.
I d4 wish to waive t :at setback recuire:ment.
DESCRIPTION AND/OR DRAWr G OF PROPOSED DEVELOPtiIE`T:
(To be filled in by individual proposing development)
AUG 0 3 2001
Signature
Print or Type Name
q 07. _ 14 '> � -- L4 u z
Te',eohone Number
Date: �7 - )- r - o j

P�) J�v , n q C)