28838_NO, YON_20010814

Applicant Name
Address
City
C�`�- iC-I{T C •�Ni r$��
CAMA and DREDGE AND FILL �n�red � �►���&3�"C,
G E N E R A L ►�
PERM T � ,��tua�.., I �:du,�
I
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
Phone Number
State rJ f
Project Location (County, State Road, Water Body, etc.) rJ 11 , )
} (
. T i
Type of Project Activity i ! W1 v ' n r; to t' �, "i �1 ,•, t
PROJECT DESCRIPTION SKETCH 1=. (SCALE: AhAX
Pier (dock) Length 1 i', I pi ! c } I, c ,ojp
Ak
I
Groin Len thnumberrt
lilj'�
-
�G,
Bulkhead Length
max. distance offshore
{;
0
c t
C
G
Basin, channel dimensions
1
J
I
+'
i,,
a
.7
�L
4
•
.
cubic yards
I
Boat ramp dimensions
'
I
Other
►S
Ito
4
tl
of
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.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

OUTER BANKS MARINE CONSTRUCTION BB&T 5 013
P.O. BOX 1988 BRANCH BANKING AND TRUST COMPANY
ATLANTIC BEACH, NC 28512 MOREHEAD CITY, NG 28557
[phone] 66-1121531
x/14/1U01
PAY TO THE D.E.H,N.R. $ `*100.00
ORDER OF
One Hundred and 00/100**********rrrrrrrrrr*********rrrrrrrrrrrrrrrMrrrrrMr*************r#r*rrr#rr*********************
DOLLARS
Security features
included.
D.E.H.N.R. ^ ( ' Details on back.
J \ / MEMO no `/ 1 ����3� rOnl lli(Z ) "P
III DOS 013110 1:053LOLLa0:121LOIS29Sill

4)),)IOG 11ACIA L'0 0►Ji) 'PrIUs I V C ';�`1(004
ADJACENT RIPARIAN PROPERTY OWNER STA
(FOR A PIERIUNCOVERED BOAT LIFT
I hereby certify that I own property adjacent to Yc�q �Jo Is
(Name of Property Owner)
property located at DP —
(Lot, Block, Road, etc.)
on , in _I q 14H 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 pier/uncovered boat lift
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)
<`— �Ork�W PL6._d kuJai,d.,
Signature
Print or Type Name
- 7Z
Telephone Number
Date: l C�

ADJACENT RIPARIAN PROPERTY OWNER. STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT),`
I hereby certify that I own property adjacent to 101 mo is
_(Name of Property Owner)
�
property located at I b
(Lot, Block, lRoad, etc.)
on (�l �1
C�,1-�, - � , 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 pier/uncovered boat lift
must be set back a minimu
m distance of fifteen fe
et (15 )from my area of riparian access unless
waived by me.
r
`J 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)
ht
`-� cam, L L RE
b aJ
cam' 'mac ------- --------------------------------------- ----- -7�- ---- ---------------------------- - - -
Siigna4e
Print 6r Type Name
s't - 7,� G -1, y
Telephone Number
Date: --/ 1-1 -d J