27036_MORRIS, RALPH_20001214

CAMA and DREDGE AND FILL "� c,� 7036
G E N E R A L
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 L
Applicant Name Phone Number
Address
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
and attached general and specitic conditions. Any violation of tnese 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.
issuing date
applicant's signature
1 permit officer's signature
expiration date
attachments
application fee

s,. k_ ,,,, A
PRESCOTT BROTHERS INC
141 TARA TRL
ARAPAHOE, NC 28510
DATE �C ?.l)C'id 66-30/53;
47
d� DOLLARS
$AcNKCITIZCIYS4T,
FfrstLro, P, s Bank S Trust Company
Ba�pro,NC. 8515 '
FOR— o1�d-��r�3t�,}vc^"CI�7C r 7(
�i'00 1396u' 1:053 L003DO400t. i i �(24 29u'
PAY _
ORDER
R THE
OR
DER OF � l/
1396

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
hereby certify that I own property adjacent to /PAP 1-1 1 o4Pis is
(Name of Property Owner)
property located at 199 a uy2iti' 1v' E 1_vZ 53,34
(Lot, Block, Road, etc.)
on 1 o'J C e , in AA4 1. C_ n C-o. , N.C.
(Waterbody) (Town and/or County)
He has describer) 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/boatlifdboathouse 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 dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPM -N-T:
(To be filled in by individual proposing development)
re
� f T' �U E
Print or Type Name
Telephone Number
Date: q _7,e-t�)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
F .T.i` orris 's
(Name of Property Owner)
property located att u x l o n Ez o a d, Paradise Shores
(Lot, Block, Road, etc.)
on Buxfton Creel•: , in Pami.].c.!o Conzrii;p N.C.
(Waterbody) (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 pie:lmooring
pilings/boatlifdboathouse 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.
x I da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
L075
&-A 7 /?A ^7/-
i
VIN il�rrrll- 01
Signature
Marian E. P1eac?nus
Print or Type Name
252-637-441 2
Telephone Number