28911_PICTON, DOUG AND ROBBIE LOEBB_20010831

Applicant Name
Address
City
CAMA and DREDGE AND FILL )
G E N E R A L �. , �����"�
,
PERMIT
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
Phone Number
State zip
Project Location (County, State Road, Water Body, etc.)
.(- `Ai o_
Type of Project Activity
PROJECT DESCRIPTION SKETCH
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-,�
(SCALE:
)
Pier (dock) Length £
I
Groin Length
number
t '
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yardsfill
A
Y
..
Boat ramp dimensions
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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
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
issuing date expiration date
attachments
application fee

n. uv�umm a totlANUMS COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
u* F�jjj,,E,0 IMIRTMON, 7?Mi� F - 1 p _REq �)j �/i� IT T 7)-- �l
NOT VALID OVER $1,000.00
ISSUING BRANCH 61006547
DATE 93-541/920
PAY TO THE -T-,�
ORDER OF -LI/
I)OL-LARS AND 00 CE,-t-4
DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
111-113 1D 00Zry AND OTHER TERMS ON THE REVERSE SIDE.
13I
DRAWER: TRAVELERS EXPRESS COMPANY, INC.
AV
RCHAS
P.O. BOX 9476, MINNEAPOLIS, MN 65480 DRAWER
DRAWEE: FIRST INTERSTATE BANK, HELENA, MT h
ADDRESS
Cilnl4q ?-am rrs --Fc3-('-> GAL'Low-hq P(cTo. Nio lWf 4Gq0--r- T:f
CITY -& STATE
0 E3 1006 51,7110 1:0920054111:0170710451092112
■ THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK. THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY.

FILE No.680 08/05 '01 20:33 ID:EASTERN RADIOLOGIST FAX:[phone] PAGE li 1
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.DJ S.CE `f l .�a r3..i'�..L." 3.1 f n71 d -� s� s! 9 iJ� VVl \JIBES
(FOR A PI'E.R/UNCCl VP—,R.E'D BOAT LJFI)
I hereby cerLify that I own properry adjacent to 'S
(N, e of Property Owner)
property located at
(Lot, Black, Road, etc.)
on
, N.C.
(Waterbody) (Town andlorl County)
He has described to me, as shown below, the deveioprpent he is proposing at that
location, and, I have no obj�--tions to his proposal. I understand �jhat a pier/uncovered 'boat lift
must be set back a m.'riimum distance or fifteen f=t (_5') from mylarea of riparian acczss unless
waived by me.
I do not wish to waive the setback re uirement.
I do wish to waive that setback requir:�nent.
DESCRI 01N 3.N-D/OR DRAIVDiG OF PRO POSEDjDEVELOP-'YMN'T:
(To be felled in by individual proposing derelpprnent)
I
--- -------------------------------------- ----------------
Sig :ature
i
Print or Type Name
Telephone Numbr
Dat--:

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::' , t�11 M s �_ ri .:.-sl `( X7r E 'y 1 �' `) � ',� T�` i� ..
(FOR A PIER/M'vOOVGRED BOAT &FI)
I hereby certify that I own property adiac..n: to s
(-N;jl me of Property Owner)
property located ac
(Lot, BIock, Road, etc.)
on
Wt
, N.C.
(Waterbody) (.'own and/or] County)
He has desc ibed to me, as shown below, the developr ;en,, he is proposir,0 at tt at
location, and, I have no obje-tions to his proposal. : understand that a pier/uncovered boat lid,
must be set back a minimum distance of nrt=n feet (-'5') from myJarea of riparian access unless
waived by me.
I do no wish to waive the setback requirement.
I do wish to waive that setback reauir�rzent.
- _-__ DESCRI 02N -�-ND/OR DRA'YN-D G OF PROPOSEDjDEVELOP-NUEN-T:
('ro be filled in by individual prcposing devei' Pmerzt)
Sig:lature
Pri:.t or Type Na1me
Telephone Numb
DatV :