28804_OLIVER, DAVID_20010814

Applicant Name
Address
City
CAMA and DREDGE AND FILL ✓V ��
A L VS04
G E N E R-,
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
State
Phone Number
zip ,y-
Project Location (County, State Road, Water Body, etc.) t vr��� (�zry ,' f-^>i
Type of Project Activity "o 14-1 a
r. ` 4�. ,�. �, ✓ i�, C'�c-�t,J ai�C Q,'>G* !i 'd ,��l� !)%!k•��"��SQ _ ;,�.._Cr ii:,...::
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max, distance offshore
,C
Basin, channel dimensions
F
cubic yards
Boat ramp dimensions
-
Other
i
)cc ; PTA
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.
i
(SCALE: ij o r t e )
f' applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

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PAY
TO THE
ORDER O
r lrn rJ An rI, Sr br rk fu Jel nils_6J
ORS INC
6144
COASTAL MARINE CONTRACT
PH. 252-638-6407
PO BOX 12729 / 01 66-112/531
NEW BERN, NC 28561-2729 DATE W901
N2 �$o
OLLARS
BMT
BRANCH BANKING AND TRUST COMPANY �.—_..--_--_—
NEW BERN, NORTH CAROLINA
FOR
u'006L44Il' i:0531.011211111.5111101,111269811 _

ADJACENT RIPARL4,N PROPERTY oivNrR STATE.sTATE. w, N1'
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to .�1 if r d I V (� 's
(Name of Property Owner)
property located at D i f Li")Z
(Lot, Block, Road, etc.)
on -- V Alt kllle-A- , in VPcv 7C ,.N.C.
(Waterbody) (Town andloy 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 beset back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
k/ I d • not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION A,L\M/OR DRAW G OF PROPOSED DEVELOPI�'T:
(To be filled in by individual proposing development)
q . l6 ;
------------------------------- ------------------- -- 2------------------------------------
Signature
��i9%,c-T� t�vr24JS
Print or Type Name
a5 R - 63-
Telephone Number

0
ADJACENT RIPARUN PROPERTY OWNER STATE MIENT
(FOR A PIERIMOORING PILJNGSIBOATLIFT/BOATIIOUSE)
I hereby certify that I own property adjacent to _D,4Qy J 01 t I! 6 (�, - Is
j gg (Name 6f Property Owner)
property located at�
(Lot, Block, Road, etc.)
on �� �,t/ �/ !l'� , in MIA) .7. N.C.
(Waterbody) (Town and/o 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 (I5') from my area
of riparian access unless waived by me.
bl I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION A,�7D/OR DRAtiNTgG OF PROPOSED DEVELOP ENM _ y
(To be filled in by individual proposing development) ,
l�
Signature
Print or Type Name
a5a-�3�-gs5-a.
Telephone Number