27917_WAGNER, ED_20010521

Your project is subject to the NC Division���
CAMA and DREDGE AND F1LL of water Quality NeuseRiver
Buffr
due to its location within eeRive`sr
91 7 - c-
G E N E R A L
Basin. Please Contact Deborah Sawyer r `
at252-946-6481 or
P E R M I T [e-mail] 313
,
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 "` Co:36
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
"� 1�1:::7�7�71 iF:(... `. IJ 1~� �..� .l �r�!�..�7J(.. •,}v 'I i:V (`'"?I_� :�HiLL'1�� 'r � � %V ��� �.�1'k%�':�'i 7ii
Type of Project Activity ;., ! >ti ►w - '�
PROJECT DESCRIPTION SKETCH (SCALE: ►.�Jtil� )
Pier (dock) Length � iL to
Groin Length ti a r `=; L k v'A i
f(' �•, mil% N k y
number 4ky }ti
Bulkhead Length
max. distance offshore
Basin, channel dimensions
n -0 t.
cubic yards i
1
41
Boat ramp dimensions N \
Other —
I E 71
t
This permit is subject to compliance with this application, site drawing�.�_..,
and attached general and specific conditions. Any violation of these terms / 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-
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to z�� _.,� ,,,/ c-r
's
(Name of Property Owner)
Property located at .5- 7 v a G4--) /d-!, 3 4 3 -7
(Lot, Block, Road, etc.) '
on In (Waterbody) ' , N. C.
(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/boatliftlboathouse 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 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPNIE.N-T:
(To be filled in by individual proposing development)
a
SYgnature
T/q (- l< lI "t l o w'/*
Print or Type Name
Z u --,- - L c-- l — c i% 4'
Telephone Number
Date: f - z co

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to &4wo)/ oL .Ne2 is
(Name of Property Owner)
Property located at & 7t1g-- 6M r 0 / � a-' 0-f y Z
(Lot, Block, Road, etc.)
on S Pf't -, in d Iq 0!�� , N.C.
(Wate ody) (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� I " wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMEtiT:
(Toy be filled in by individual proposing development)
.o 0
signature
;T71At e. 64 1&-/d e_ C1
Print or Type Name
(s�) 6-3-7- od9q
Telephone Number
Date: _ /y - "t�s-- 01

0
a
a
a'I
Secu rif�r enhan r_ d_du_rumen
PRESCOTT BROTHERS INC
141 TARA TRL
ARAPAHOE, NC 28510
PAY
TO THE
ORDER OF
or de iails
1491
DATE / 61) 1166-30/531
a7i
r � DOLLARS
HRW CITIZENS 471
R Bayboitizens B nk & Trust Company
L' � Bayboro,NG 28515
FOR IIJZi�WWW:`zVr�h\!Cl/71/7_1��U �J
lie 00 4 9 111■ t:0 5 3 i00 300t:[)01, 7 1 10 2 5 L. 2 9it■
PRESCOTT BROTHERS, INC.
Dredging & Marine Construction
Hobby Prescott Terry Prescott
I tome: 252-249-0937 1 iome: 252 745 7135
Cell: 252-670-9433 Cell: 252-670-0973
141 Tara Trail, Grantsboro, North Carolina 28529