27806_BRADDOCK_20010405

CAMA and DREDGE AND FILL
G E N E R A L 27806- `-
t•
P E R M I T
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
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) Length
--------
Groin Length
number '� C
Bulkhead Length 1 -
max. distance offshore I
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
t
_.
inls permit Is suDJect to COmplidnCe wttrt una cipplICduvn, NV= UIdwnis
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.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

jy S< c u r i t y r n'h a n c r A A o r u rn r n t;5 r r B o c a ) o r a r a r r s. w-p--sr—�r1 —
5988
COASTAL MARINE CONTRACTORS INC
PH. 252-638-6407
PO BOX 12729 ' /
NEW BERN, NC 28561-2729 �X . Q/ 66-1101901
1
DATE 0190'
PAY A f� $
� TO THE /V
ORDER OF—
O^�clD DOLLARS
0
a
BB&T
BRANCH BANKING AND TRUST COMPANY
- NE� N.RTH CAROLtNA
FOR
ii'005988ii' i:053L0LL20:5LL0LL2698l1' _

Apr 04
01
02:31p
Bob &
Missy Baskervill
252-249-3537
Mar
29
01 11:07a
Don
Tedder
(9191 S62-1234
Mar
29
01 11:02a
Bob &
Missy Baskervill
252-249-3537 p•1
ADJACENT RIPARIAN PROPERTY 0I N'ER STATEMENT
(FOR A PIERAVOORING PILTNGSIB0A7UF7--1BOATJIOUSE)
I hereby certify that I own property adjacent to -Jim NA),dtLk Is
(Name of Properly Owner)
property locatodat j 3 &AjaS
('Lot, Block, R,) Road, etc
on �JP.ARo�S �eel� , in t4A DC- GD ,.N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development fie is proposing at that
location, and, I have no objections to his proposal. I understand that a pierllnooring
pilings/boatlift/boathouse mast be set back a minimum distance of fifteen fed (15) from my area
of i pa/rian access unless waived by me.
y I do not wish to waive the setback requirement.
I dg w ish to waive that setback rNuirement.
DESCRIPTION AAti'DIOR DRAIVZL G OF PROPOSED DEVELUPITET`T:
} (To be filled in by indA dual proposing de1,V1qp;n1 r) p6�e t
i D *
i
6 s � 3P I$s I
v
• s���eks
P/zoPeeY
y----'--------.- ------ _ --------- --------- ------------------
rQue:;-f) &WS Signature
asa - �Ly 9,0906
a5A4�Y9-3s57
Print or Type Name
919- 562-Ql-1 c�
Telephone Number

Apr 04 01 02:32p Bob & Missy Baskervill 252-249-3537 p.3
ADJACENT RMARTAN PROPERTY ONVNER STATE A' ENT
fFOR A PIERAVOORING PILINGSlBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to� ,s
(Name of Property Owner)
Property Iocated at l 3 ekb4k
1 (Lot, Block, Road, etc.)
on �@RKo[ 5 �,e,e 10 - , in
(Waterbody)
(Town and/or County)
He has described to me, as shown below, the development he is proposing at that
Iocation, 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 (I5') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
----- ----------------------- -- --------------------------------- -- -
DESCR]PTION A-ND/OR DRAtiNT, G OF PROPOSED DEVELOPMENT: _ ---_~-
I (To be filled in by individual proposing developLnt) P��e S
p * _ 1 ! e-
? -� 46 <-
3 Pot $ 1
y G�u5�2
C7 1
]A -- j
s%0A�eks
-------- _-_ _-_ _-- �1�D�22fi y
Signature
301 &50(
Q Print or TypcNam-el
D Z-3 J cCl
?el phone Number �—

Rpr 04 01 02:31p Bob & Missy Baskervill
252-249-3537 p.l
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