28062_BROUGHTON, MELVILLE AND GORDON SMITH AND HOWARD BASNIGHT_20010709

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CAMA and DREDGE AND FILL 6!;
G E N E R A L'
PERMIT
bdas 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
Pier (dock) Length r
Groin Length
number
Bulkhead Length
max. distance offshore
I Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
iina'.1C1nnl la Ju u)Cl.l w wniFrnanc,C Vrviui una aNfJn%..auv1[, JIIG Ulawnis
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.
(SCALE: i ., i , )
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

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BASNIGHT MARINE CONSTRUCTION
252-726-7641
2709 EVANS ST
MOREHEAD CITY, NC 28557
PAY
TO THE
ORDER
1640
0 / 66-112/531
DATE ___ I 02302
Is /c) °X
DOLLAR �
BUT
BRANCH BANKING AND TRUST COMPANY
MOREHEAP CITY, NORTH CAROLINA `
FOR —MA
4
II'00161,00 l:053LOLL2L':5LL232247W911'

AUJAUL,iNT H"AR1Aiv PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to M �., , l .6
's
(Name of Property er)
property located at 3 � (� � i ) an 5 S f
(Lot, Block, Road,
on 6te in
(Waterbody)
(Town and/or Codnty)
N.C.
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 , do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT;
(To be filled in by individual proposing development)��
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Signatur
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3 3 / 3
Print or Type Name
c>?�-2- 12-� -0(p
Telephone Number
11
Date:L01 Z' ()U f

ADJALE.[ T RIPARIAN PROPEIl7'Y OWNER S'TATEMENI'
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 1, 's
'n(Name of Property weer)
property located at i J s S l Y (le, L ��
(Lot, Block, Road, a .) k7L
in .'V 4S , N.C.
aterbody) (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/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I i do not wish to waive the setback requirement.
_C I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT;
f(To
/b'ee filled in by individual proposing development)
�G�� uJT /if7�r E'_S�YI S'
-------------------
qrj Signature S
3 3os �� G-
Print4TName
or
Telephone Number
�I
Date:

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