27910_BUCCANEER BAY WEST POA_20010420

CAMA and DREDGE AND FILL Ail
G E N E R A L �,:. UC,6
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
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length �,��>,.
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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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.
Phone Number
r"
(SCALE: )
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

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COASTAL MARINE CONTRACTORS INC
PH. 252-638-6407
PO BOX 12729
NEW BERN, NC 28561-2729
DATE —
PAY }
TO THE �V
ORDER OF
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(� 4�y / 66-112/531
$ /p0
DOLLARS
BMT
BRANCH BANKING AND TRUST COMPANY `
NEW B RN, NORTH AROLINA
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COASTAL MARINE CONTRACTORS INC
PH. 252-638-6407 6004
PO BOX 12729
NEW BERN, NC 28561-2729
PAY DATE ` _ o �� / 66-112/531
•`• TO THE 1 i 01901
RDER OF �lJ DD
oo $77
/DD
BT�f'' DOLLARS.
1
BRANCH BANKING AND TRUST COMPANY
NEW B RN, NORTH ARO`L�INA
FOR
K1o8i Nea► �K
0
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Apr 16 01 07:04a Bob & Missy Baskervill
252-249-3537 l p.l
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Apr 16 01 07:04a Bob & Missy Baskervill 252-249-3537
p.2
ADJACENT RIPARIAN PROPERTY OWNER STAMIEN`P
(FOR A PIF_ MIOORMG p&WGSBOATLTFT/BOATHOUSp
I hereby certify that I own property adja=t to JJt C Ay t l t,At�+t ft`e.r
pp+
(Name df A►coP�Y Over)
Property Iocated at s P4- PIQA&
(Lot, Block, Road_, etc.)
on estSh CRee� in �Rle
(Waterbody) art L o N-C.
(Town or Cou�y) -
He has descn�bed to me, as Shawn below, the development he is
i
location, and, I have no objections to his roerstwo PmP�rlmooat that
Pi&B�["fllboathause must be set back a minimum dstance of fifteen f 5thw � g
Of riparian access unless waived bar me. - Y aria
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement. '
DESORTION AN-DIOR DRAINW iG OF PROPOSED DEVEWp.%IEr%T:
(To be filled is by indiiidud proposing desYLopment)
G Oxe p�G O4�rwo Oe (�10OX o ao O-o Qro p k
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Print or T l
ypc Name
Telephone Number

Apr 16 01 07:04a Bob & Miss3 Baskervill 252-249-3537
p.3
ADJACENT RIPARIAN PROPERTY OWNER STATE A'fENT
(FOR A PIERIAMORING PILINGSIBOATLITTIBOATIIOUSE)
I hereby certify that I own property adjacent to Bt.tcca,,i� (,�
(l�'ame of roperty Oticner}
property located at l 8r w <5 P4 k'I,Q4
(Lot, Block, Road, etc.) n
on 2�5� A� eR ee ^, in �21e l' ir►q l t o , N.C.
(Waterbody) (Town an 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/boatiift/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. r
------------------------- ------- - - ----------------------------------
DESCRIPTION AND/Olt DRANNT�G OF PROPOSED DEVELOPI\SENT:
(To be filled in by indiridual proposing development)
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D d G a s a po lib a Q o ao d-o ova p ti
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Signature
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Print or Typc Name
.2.3 aye - ?
Telephone Number