28850_SHACKLEFORD, ETHEL_20010830

CAMA and DREDGE AND FILL �Ut
G E N E R A L dell.
PERMIT
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 Phone Number
-------------
Address
City State Zip Sr.
Project Location (County, State Road, Water Body, etc.) ` o, fin V
It, fign4.,a1!'i
Type of Project Activity a,(
PROJECT DESCRIPTION SKETCH
Pier (dock) Length!
Li
► "� +
`
(SCALE:
/)6"r
)
Xi
kd1
i
Groin Length
number
Bulkhead Length
max. distance offshore
i
t
I'
+ ' `I
-VI
Basin, channel dimensions
V# IT --
cubic yards
Boat ramp dimensions
Other
t
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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.
issuing date
:10 17 ,.
applicant's signature
permit officer's signature
expiration date
attachments
application fee

FIRST CITIZENS BANK 10526
DOWNS AND KRIEGER MARINE
CAPE CARTERET, NC 28584
AND GENERAL CONSTRUCTION
218 CAMP PELLETIER RD. 66-30/531
SWANSBORO, NC 28584 8/30/2001
[phone]
0
TO THE $ ** 100.00
ORDER OF NCDENR
A
One Hundred and 00/100****************************************************************************************
NCDENR 8
MEMO
A o lb lift
11'01052611' i:053100300i:0034L229L5931I'
AUTHO NATURE M'

ADJACENT RIPARIAN PROPERTY OWNER STATEKEIN47
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to *Ia/ 's
(Name of Property Owner)
Property located at 3 ,SLR 19 LSc
(Lot, Block, Road, etc.)
on � 7o .c/ , in (2.OA, 7e- A �q -� a -- 7-ef 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
pilinQs/boatlift/boathouse must be se- 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 d4 wish to waive ti-at setback requirement.
DESCRIPTION ADD/OR I(3AWLNG W PROPOSED DEVELOPMENT:
�ro�A s e--e� �n by individuaroposing development)
173"©4,l �,STCf! e
Z e-74 T
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S' ature ,/
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Print or Type Name
I � 113 3 �- 3 '2-
TeIephone Number
e-
Date: 9)1612- C o (

ADJACENT RIPARLkN PROPERTY OWNER STA=MENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to .61% e1 64,0i7c 's
(Name of Property Owner)
Property located at 1-.-s T s 3.3 Olk' //' � c7
(Lot, Block, Road, etc.)
on �gIe P_ �tti .V�2/ , in to- -rf A e_-r , 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 se: back a minimum distance of fifteen feet (lli') from my area
of riparian access unless waived by me.
I do not wish to wave the setback requirement.
I d-Q wish to waive tr.at setback requirement.
/oSeaC (DENS JR AND/OR WAWD G CO PROPOSED DEVELOMENT:
be filled in individual o vel
a
M IC
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Print or Typ Name
a�a - �93 - 74-1 i�e 7
Telephone Number
Date: _5 lee, — c5 /