28046_CAVERLY, WILLIAM AND DOROTHY_20010615

CAMA and DREDGE AND FILL ^1 `
G E N E R A L4116
� 1
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 zip {
Project Location (County, State Road, Water Body, etc.) `
Type of Project Activity
PROJECT DESCRIPTION
SKETCH .-'-
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(SCALE:
Pier (dock) Length
Groin Length
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number TZ
Bulkhead Length
max. distance offshore
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Basin, channel dimensions
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cubic yards
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Boat ramp dimensions
Other
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This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
applicant's signature
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-
permit officer's signature
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
issuing date expiration date
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.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee

DOROTHY H. CAVERLY
NCDL 8404556
534 SEA LAVENDER TRL. PH. 919-354-4167
EMERALD ISLE, NC 28594
25-E 354
531
5114374077
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4408 ARENDELL STREET J
MOREHEAD CITY, NC 26557
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1:05310112 Lll:S I lL,37407711' 0354

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DIVISION OF COASTAL NTANAGEN ENT
ADJACENT RIPARIAN PROPERTY OW-'�TR'VOTIFICATION/WAIti-ER FORN1
Name of Individual applying for Pei-,nit:�._% C e
Address of Property:-5��/'9
4 �a /' - - /I ) C-- - cV S`9.C1 s
(Lot or Str�.i e, Slrt.t or Road, Cicy &County)
I hereby ce:�ry that I own propery adjacent to the above reverenced property• T�ne incivicua�
a7Dlying for this permit has described t0 me as shown On the attached drawing the de'le:07lT,'-t
t=ley are Proposing. A description or drawing, with should be provided w::h t� is
l�:ter.
I have no obiections to this proposz
If You have objections to what is being proposed, please ware the Division of Coascl
Management, Hestron Pla-a II, 151-B, Hwy. Z
2808 within 10 days of rece� , Moreh-ad Cuv, NC, 28557 or call (: �?) 808_
;Dt of this norice. No resaorzse is considered the same as no ocie�r.
ir" Vou have been notified by Cerrified Mail.
WAIVER SECTION
I 'understand that 'e� . .
-- a p< " doc;l moOr,nQ plimgs brea�..a:`-, boat house; li;=� or sandba m
baCi: a minimum distance of 1�' _ =e
iiom my area or n�a,:a- access uni_,
to Waive the setback, waived by
�, you must tninal the aoproc, a:- blank below.)
I do wish to w i 1 5' set'
----� a ve the oack- re�,;re-ent.
I do not wish to waive the 15' setback rec•cire ,lent.
4Si4t-Z�r—
Date
L,
PMrit time
_ ., .z
1
e.ephone Number With Area Code

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAItiM
�R FOR
Name of Individual applying for Permit: w - r4 V 9
Address of Property:
4- d _j_.5 4p—
(Lot or Strom; =, Scram; or Road, City & County)
I hereby certiry that I own property adjacent to the abovd referenced prope. �y. The incividLz.1
anplyinQ for this pe.Ttnit has described to me as shown on the attached dewing the deve:oome t
eae are proposing. A descr1ption or drawing, with d mjens;ons, should be provided w::n t1`is
le:ter. _
I have no obiec6ons to this proposal
1f you have objections to what is being proposed, please write the Division of Coascl
Management, Hestran PL,-a II, I.SI-P, Hwy. ,Morehead Cizv, NC, 2808 within IO days of receipt of this notice. No response is considered tlz� same557 ras nacall (oci, � an
ir""you have been notijzed by Ceni ed Mail.
NVATti-ER SECTION
I Lnde:stand that a pier, dock, mooing piiin _ '
g-, hr�a� Va boat house, lilt or sandbac_ set back a minimum distance or 15' ii-om my - r,
area oi•rra-a access unless waived by me. (If you
�•sh to waive the setback, you must initial the approer;ate blank below.)
I do wish to waive the 15' setback rec>>ir=�enc.
4 1 do not wish to waive the 15' setback reCUirement.
S i s;,ature
e % Date J /
�L V V f� I lQ k�
Print Name
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1 e:epnone Number With Area Code