27907_SHIPP, BUD AND KAREN_20010420 (2)

CAMA and DREDGE AND FILL W t
G E N E R A Lgt�°�'
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 r1
Applicant Name ' I 4 y: , Phone Number "4, it % 7,11 1094
Address 1A) rj t i, f v �,
City State Zip �Y
Project Location (County, State Road, Water Body, etc.) A4 tvc•,c T" ,
Type of Project Activity c�
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
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(SCALE:
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Groin Length Mo&4t4 6116101I
number O W
Bulkhead Length
max. distance offshore
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Basin, channel dimensions
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cubic yards
Boat ramp dimensions
Other
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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
1• �?tr C I
issuing date
1 mo /tr..
permit officer's signature
1 1, c /
expiration date
attachments
,.d44 L ?551 WGr h.c. F,
application fee

eiio� M f - �L5 w1i� i'i-1 Ill1 YR
OCEANSIDE AUTO, INC. EXPLANATION AMOUNT 66-18/530
D/B/A BOGUE AUTO SALES
5326 HWY 24 252/393-2469 27551
NEWPORT, NC 28570
PAY
AMOUNTzi'_�
,
OF 13OLLARSI
DATE TO THE ORDER OF D55CRIPTION CHECK
NUMBER
4c�3
ACHOVIA Wachovia (Sank, N.A.
Morehead City, NC
11'02?SS1,u' i:053000L83i: 5469 005L3sum
CHECK
AMOUNT
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ADJACENT RIPARLaN PROPERTY OWNER STATEMENT
(FOR A PIERAWOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to �- s
(Name of Property Owner)
property located at 5 V-�
(Lot, 131ock, Road, etc.)
on C1'k , in Y'�� , N.C.
(W�terloody) (To n 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/boadifuboathouse must be set back a minimum distance of fifteen feat (15') from my area
of riparian access unless waived by me.
I do not wish to wai-ve the setback requirement.
I J_!2 wish to waive that setback recuirement.
DESCRIPTION AND/OR DRAWr G OF PROPOSED DEVELOP'NIENT:
(To be filled in by individual proposing development)
t31-Fao.l�e�
,�� 1 .mod (
c�
Print or Type Name
Telephone Number
Date: 6 cir

r '
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOAMOUSE)
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at
Parcel # 5384-1434-6494' PT LOT P6 36
(Lot, Block, Road, etc.)
on k c7 vt 0 �t �n�, in Cal; ie , N.C.
( terbody) (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
pdin gs/boattift/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 d_4 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWr G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Town Clerk
Carole A. Fox
[phone]
April 16, 2001
r
Sign tore
yvt-e/v-� 7Skt Do
Print or Type Name
59-3-L9O
Telephone Number
Date:—�p- %

g
/7T/
Location: Field REP,
Phone: Date of FEoort:
Descristion of Project:
Date Project Peportedly Comp-re
(1) . Do the mEEsured dimensions c th dEVEIGpm differ fron those
indicated in the per-mit and"- 'plat?, YE_= / No FaVE all per, -,it
conditions been satisfied? ES / No '
COICHENT : .
(2) C E__':IErlt=L�Gn GriC Y • -
F_vSiOn CGntrOl. has PEriiil - Sc5^_' CraSSE:i
Cr C �.�ie'_-w 1S E S a= i 1 i Z EG ell G1s turi,E_ arE_S
COICHENT :
t
(3) Future McniterinC and T'nforcement P_c
Cr EnfOrC=riETlt colon needed. YES
CC'=- NT :
Is' fL'r t-`Ie ' in V es t1Qat-icn