27513_BONE, MALCOLM AND ELIZABETH_20010202

Applicant Name
Address
lJ
CAMA and DREDGE AND FILL u
G E N E R A L ������
,.:. A,.
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
Phone Number
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
and attached general and specitic conditions. Hny violation of tnese 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.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program,
zip
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

Malcolm W. Bone � � 7513 66-30/533 9207
Elizabeth S. Bone
132Arhonitae Dr. Ph(252)247-6242
Pine Knoll Shores, NC 28512 DATE{
PAY TO THE
ORDE OF
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IRRST CITIZENS 133 I _-
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER / UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to t A—Al2 4SE1 !-t a-1,4's
(Name of Property Owner)
property located at i '3 z A RL RV i j, 6- 1)a 1,&. F A W
(Lot, Block, Road, etc.)
on jl�'� �N��.� Uur�i��w,� , in �iNlz �Nnc� Saba-45 , N.C.
(Waterbod Town and/or County)
Y) (
He/She has described to me, as shown below, the development he/she is proposing at
that location and I have no objections to his/her proposal.
---------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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------------------------------------------------------------------------
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Signature
AI Q(L'a L.
Print or Type Name
C�)5a - �)q� 10 `� l
Telephone Number
Date: I 120 (,�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER / UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to KAkC-�L is
(Name of Property Owner)
property located at 1 2 iz 3 oR v' i Ai_
(Lot, Block, Road, etc.)
on t u k � - Lt,, �1�� R �� , in }SN rZ 46J c� t­_ Sc4of-/S , N.C.
(Waterbody) (Town and/or County)
He/She has described to me, as shown below, the development he/she is proposing at
that location and I have no objections to his/her proposal.
---------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
i�F.cto549
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Signature `7/
Print or Type Name
v?%% -/, F-OP
Telephone Number
Date: « J I N U I