28096_WALL, AARON R_20010613

CAMA and DREDGE AND FILL
G E N E R A L M
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
i
Applicant Name Phone Number
Address
City State /vr zip Z
Project Location (County, State Road, Water Body, etc.) u. 4 y
Type of Project Activity „�c� } l �, �. t l i r�.,�1 „, ;t ,> ,, :7
and attached general and specific conditions. Any violation or tnese 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
.1,
applicant's signature
permit officer's signature
expiration date
attachments
application fee

ERIC B. ELLIS NCDL 65047
JASA M ELLIS PH(252)726-6T75 1971
205 NOTfINGHAM DR. /
MOREHEAD CITY, NC 28557
Date 6 ss-aoisai
Pay to the 133
Order of
FIRST
CITIZENS,,,
Dollars 8 feu
t 1 1-RS a CI 1 IZL' NS 133 �
KFirst -Citizens Bank & Trust Company
Atlarrlic Basch, N.C. 28512
For
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RWARLAL" OPERTY O WT+ER STA _ A-L
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to o
(Name of Property Owner)
property located at
(Lot. Block, Road, etc.)
on /1/� , in 26�, 4f- , 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
pilinas/boatli.ft/boathouse must be se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me. ;I - -,— v.— u; I- ,
lS � il.l�,
I do not wish to wai%-e the setback recuirement. ! L `l
JUN 13 2001 J
I d-Q wish to waive that setback requirement. COASTAL MANAGEMENT
MOREHEAD
DESCRIPTION AND/OR DRAWLNiG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
�4-
S' Q. tore
Print or Type Name
Telephone Number
Date: z14-' • /`, z - Z)/

.TY. , l
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Al 's
(Name of Property Owner)
property located at _Zzs— Z�rz C t')
(Lot. Block, Road, etc.)
on �,t/�z , in N.C.
(Waterbody) (Town and/or County)
He has described to me, as s;-:own below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a piermooring
pilings/boadift/boathouse must be se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
do not Wish to wa:',-,- the setback recuirement.
I wish to waive t.at setback requirement.
DESCRIPTION AND/OR DRAWL,, G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Pant or Type Name
- -�' 2 � - C-- ( C)
Te',eohone Number
Date: ( - /'Tr0 /
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