27887_QUINN, A R_20010405

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CAMA and DREDGE AND FILL /" 27887
G E N E R A L 4
PERMIT
as authorized by the State of North Carolina i
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC '
Applicant Name r,! f Phone Number '77. 2 z 3 ' S7 c,
Address
City
Project Location (County, State Road, Water Body, etc.)_
Type of Project Activity
PROJECT DESCRIPTION SKETCH}'
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
;l
State
Zip
r t 'T (SCALE: Ah r t. )
This permit is subject to compliance with this application, site drawing a.
and attached general and specific conditions. Any violation of these terms y applicant's signature
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- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- tl i
fies by signing this permit that 1) this project is consistent with the local issuing date expiration date
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. attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee

ARVIL B. QUINN LT. COL. RET. 6f'tt07gg-7 8294
ANN TYNDALL
PH. 252-223-5701 !"
917 NINE FOOT RD. Date c" 66-30/531
NEWPORT, NC 28570 290
Pay to the $/0, D p
Order of
Dollars °- ~ �-
FIRST CITIZENS 290 ChaYte Qwst
,� �{� First-citioans Bank E Trust Company
�t11\ice Newport, N.C. 28670
For�r�J`7`` '``��; —--------- -- —
I:OS3L00300'l:00290?41248911' 08294

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Ov"Pi, P►vrc-4y
--ft.,Mims,! % f vt Ou k Rd.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
t K
I hereby certify that I own property adjacent to ,i _ U 1 u1 VI 's
(Name of Property Owner)
property located at 3 L ► v e 00-L ,Ri . ,
(Lot, Block, Road, etc.)
on $e. I L ,S D c J in N.C.
�! � vi,' IDU i' ,
(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/mooring
pilingsiboadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
S
r�
I do not wish to waive the setback requirement.
I d-Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWP G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
o L'►�-
Signature
064 U t L4 IV) Vl
Print or Type Name
25— ;Z'R3— V S d` '2
Telephone Number
Date: 0 %/' o/

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to )9, I A/A/ is
(Name of Property Owner)
Property located at 3 13, ► v
(Lot, Block, Road, etc.)
on If t C., U � o Um D , in ` V EC.1 P L21� T , 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/mooring
pilings/boatlift/boathouse 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 DRAWPi iG OF PROPOSED DEV-ELOPIVIEN T:
(To be filled in by individual proposing development)
Si -nature
.
U 6�l
Q0A!R/ �"G rDf?)
Print or Type Name
asp-;�23-//-887
Telephone Number
1
Date:

MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME: Mr, A .B. O,A'„j,✓ PERMIT # Z 707 " C
LOCATION:_ 3$3 L; ✓Y Qp k R1 rf f L; ve 0ay IQC4FIELD REP. SA-q „c.-
fJe
PHONE: Z z 3 - Sq o I DATE REPORTEDLY COMPLETE: ?
DATE OF INSPECTION 5- 91
1) Do the measured dimensions of the development differ from those indicated in the permit and workplat?
YES/9 [circle one].
COMMENT:
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? '(I>/NO [circle one]
COMMENT:
3) FUTURE M ORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES [circle one].
COMMENT: