28831_TOWN OF CAPE CARTERET_20010807

CAMA and DREDGE AND FILL
G E N E R A L
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
Applicant Name Phone Number
Address
City State Nr zip
Project Location (County, State Road, Water Body, etc.) /11 r ' (r t. Pf's, o'I Jr. W , n J..
(:.
Type of Project Activity v a ; 6.1)" 8.
PROJECT DESCRIPTION
Pier (dock) Length
Groin Length
number
Bulkhead Length
„t
max. distance offshore L/
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
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
I
issuing date expiration date
attachments
application fee

npSr CITIZENS 15381
TOWN OF CAPE CARTERET BANK
GENERAL ACCOUNT FIRST CITIZENS BANK & TRUST Co. CHECK NO. CHECK DATE VENDOR NO.
CAPE CARTERET, NC 28584
102 DOLPHIN STREET 66-30/531
CAPE CARTERET, NC 28584
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CHECK AMOUNT
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PAY
TO THE
ORDER
OF
I\IC DEPT OF ENV I F, 0 1-\l III E NT vA L.
HEAI T 1-1 & N A Tu F A L- F--'. E 5 0 U R C: E.
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SECURITY Ft A(Ofif PRINT ;f)P &BOTTOM BORDERS COLORED PATTERN ARTIFICIAL WAIF. 11MARK ON REVERSE SIDE MISSING FEATURE 11401CATES A COPY
THIS DISBURSEMENT HAS BEEN APPROVED AS REQUIRED By
THE LOCAL GOVERNMENT BUDGET AND FISCAL CONTROL ACT.
FINANCE OFFICE
CLERK

(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to / © W"V e) F Cc, t 2 Cc, /?a�R47`r
(Name of Property Owner)
Property located at �o u�.0 PlaA- Div./) O,,::. �art e sO4P,? : v, - ,
(Lot, Block, Road, etc.)
on e 6-cq/2c/ , ir► To�� oi' C'4,,oe C CPr%�2�T , 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/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
the setbackse,quife'fnent.
I dQ w' e that setback requi
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Telephone Number
Date: 1 - / C% c1 /

(FOR A PIERIMOORING PILINGSIB OA TLIFTIB OA THO USE)
I hereby certify that I own property adjacent to 7-0 W.,,v D F &�T Op onI?7-6;!?
(Name of Property Owner)
Property located at r' I 1 O,,' b�c>g a e J704p'?'r/
(Lot, Block, Road, etc.)
on e r-5'c;,y4cl , in ToN.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/boatliftiboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
the setback-raqtife(nent.
I w' e that setback requi
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Telephone Number
Date:
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