28150_PROCTOR, FRANK_20010807

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
Applicant Name a ti Phone Number
Address
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
FR0
JECTDESCRIPTION SKETCH
(dock) Length r , S
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
zip
(SCALE:
i._
.. J
i, L :'
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
1 ET,,,k ji\yT777777
.................................... ...........
NOT VALID OVER $1,000.00 MHC PLaza 60956577
ISSUING BRANCH
DATE Aug 9 2001 98-541/920
PAY TO THE �C' I� **200,00**
ORDER OF c
^�r�J, �ry r 1lIN )))iiillp��1��' p
6 K T .�'" � � p 1 �N� I ICI �1 . 1 II c 1 ,S, DOLLARS 8Y SIGNING YOU AGREE TO THE SERVICE CHARGE
fYYY/ `f-- ���t� 'T. .>•Y�T-f.-�-,'11', r�'T"'� AND OTHER TERMS ON THE REVERSE SIDE.
BB&T —r�,eN£g- rnffp_/)I11t �oNs-r
DRAWER: TRAVELERS EXPRESS COMPANY, INC.C" FJASE�{c�1C�[lgfi FOR DRAWER
P.O. BOX 9476, MINNEAPOLIS, MN 55480 r (a Q -�
DRAWEE: FIRST INTERSTATE BANK, HELENA, MT ^—'— n GADDF rm 1
C -A �� Ts Totem-- � m ()ND.soN �%Lp � � ' T � CITY &STATE -^
II'6095P.57711' 1:09200S4111:01?07104S1092118
■ THIS IXA:UMENT HAS AN ARIINCIAL WA IERMARK PRINTED ON'11W HACK. IIII: FRONTOI' THE WCUMEN'1' HAS A MICRO-I'RINT SIGNA"IUIZI: LINE AND 110RUHR. ARSENC'E OF'I'i II SE FHAI UHVS WILL INDICATE A COVY. ■

J"" C E N- . R OLrr33"t1
(FOR A PIER1 L'N�:OVERED BOAT t lFl)
I hereby ce-, ify that I own property adiacent to K _en—C-70-(Z!' 's
(ti!ime of Property Owner)
property located at �' t F-r� m 0 CK f�
(Lot, Block, Road, etc.)
on
(Waterhody) (Town andlori County)
He has described to me, as shown below, the deveicpr;nent he ;.s proposing, at teat
location, arid, I have no objections to his proposal. I understand ghat a pie/uncovered boat lift
must be set back a minimum distance or rireen rat (15') from myjar—fsaran asunless
IR XL Ely waived by me. Ii t
I do riot wish to waive the seiback recuirement.
I do wish to waive that settack requirement.
SzP DESCRLrMN A-ND/OR DRAWP G OF PRO POSED'. DEVEI...OP__;'YM _T:
cD p -0 <-3 7 (To be felled in by indavid4z j proposing deveL�pment)
r '
�I
_ - - - -- --------------------------- -------
Signature
rr Y u
�LC-) Print or Typ,6 Name
Telephone Number
Date: Ge

aoao ,� mk�
Cq 11) 7l6 - 3086
IR4.
a'7699 - y���

-JUN-11-01 11:02 AN ALLSTATE INS 9192379259 P.02
-~•��•• •-N-F& 1\11 vrllt0LIMJLL,,LY4.L,.11
(FOR A PIER/MOORING PILINGSIBOATZIF71BOATHOUSE)
I hereby certify that I own property adjacent to ��Nn(�C --j ,1 C+0i2, 's
(Name of Property Owner) _
property located at (()A 116 M M —�,j2
(Lot. Block, Road, etc.)
on L�
N.C.
(Waterbody) (Town an 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 pig'
piiingsNadifUboathouse must be se: back a minimum distance of fifteen feat (15') from my a -ea
of riparian access unless waived by me.
I do not wish to wai-,-,- the setback requirement.
I da wish to waive t.at setback repuire:rent.
DESCRIPTION AND/OR DRAWM OF PROPOSED DEVELOP.% ENT:
(To be filled in by individual proposing development)
�ScC gT(A-c�D
Siana re
Print or Type Name
a-�37 3 7 7
Telephone Number
Dace: 6 -- 0

.14
S-0p
V
40
C
C�o
1
z2z

Q-0-AllSt8te.
'
r
-Z S
- �:•..'k�4�Ci�I3�3Q`�?35C3�O�:d �G ;J:<_�4�c'?i� �c�;�.��''�C'i.i,�L"1�J�3Q
is iSb_
C! Ljs'A-Y, IC' OP I
SS=r:'.••. SSa OV L?i-17:"%= )v F.c.iC• ,. C�pa. i�" =.I 'G �. �1r2:�:i1 1 :T:-U E :rj�s." ivi 2�j )> 1CL
):C'C �:2: Q1 _— :�jd, w .� SI�� 1� ''^ } 0.'0 S:L? v7 5i:n �GC OU ;;n2L;
ST Za
�(/�-•aQ�IO� ;sC,l?LIF iX.,.,:1�fl�.�y _ j�'''(r��� (���7E:�aJ
7 11,7-ID Yf .
ry91S
Z0"d 69Z62-RZGT6 SNI 31ti1Sl-l" WO 09=TT TO-b0-d3S

% !1� '1 'l1 i_� :�i`L,ILL-I � �;r �iw3 lJ�Y1�:I"R ST�1A^ �..'`�' _�.1Ni
(FOR A PIER/UNt:O VERED BOAT -ELM
I hereby certify that I own property adjacent to _rzpple pleoc-Toil is
(ti lime of Property Owner)
property Iocated at 8' oL C'7 K _L)A MMpcjC
(L;ot, BIock, Road, etc.)
of-) n A©5 CA NAL , in s TSL�
(Waterbody) (Town nw o. County)
He has described to me, as shown below, t -,e deve'.oprPent he. is proposing at that
location, and, I have no objections to his proposal. : understand (hat a pier/uncovered boat lit
must be set back a minimum distance or-nrtera it (_5') from my,area or riparian ac:ess unless
waived by me.
I do not wish to waive the setback re::uire,nent. r
I do wish to waive that setback requirement.
DESCRLP'I 0.i A-N-D/OR DRAw-ENG OF PROPOSED DEVELOPMENT:
(To bejrz-Iled in by individual prcposing devel" meat)
G f DPtS�D
N
------------� - ------- I ----------------- - - - ----------
FLZI
Sig :afore '.
v
Pr..-.: or TyVe Nay ne
Teatphone Numb�rr� /
Date: v l
j