HomeMy WebLinkAbout27975_WARREN, MICHAEL_20010503CAMA and DREDGE AND FILL V-
G E N E R A L _ 27,97J -<�~
hdPERMIT
as authorized by the State of North Carolina G ' / tf c 91 r 3 A
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City r j
Project Location (County, State Road, Water Body, etc.)
r�
Type of Project Activity
PROJECT DESCRIPTION SKETCH ih/ls F,,4� i
Pier (dock) Length r „ •i
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Phone Number F _ 'I
State E zip
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.
3-o
issuing date
(SCALE: A4 .7 c )
applicant's signature
permit officer's signature
expiration date
attachments
application fee
DEREK S SMITH (DBA) NCDL 7836496 2244
BOGUE BANKS MARINE CONST
800 NORTH GATE RD PH 252-247-4428 66-152/531 CC
MOREHEAD CITY, NC 28557 U Date
Pay To The i c_ f 1 i
Order Of %V / C"
SLY Dollars
AROV
Wachovia Bank. N.A.
Momhcad City, NC 8A557
Memo- I/Ua r red boa-.9�,�
ar
1:0 S 3 10 IS 291: 546 1 1 13 2 14n' 2 244
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AIM ACI?NT HIPARIAN PROPERTY ON1'NEM S'1'ATPIA IN'I'
(FOR A PIERMOORING 1'1L1/1'GS/IIOnILI1.1%IIOA,1,11O(lsl")
I hereby certify that I own properly adjacent to i e I- 1 �/4
(N:uue of I'mimr(3, Owner)
property located al
_../.+... — (Lut, Block, Ito, etc.)
in
(Wa(erbody) '1'o%vii and/or Comity)
Ile has described to me, as shown below, the development he is ploposin." ,it Oud
location, and, 1 have no objections to his proposal. I understand that a pier/mooring
pilinf;s/boatlifUboathouse must be set back a minimum distance of fifteen feet (15') hom my arca
of riparian access unless waived by me.
1 do nut wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF 1'KOPOSE'D UCVEIMPAIENT:
(To he filled in by individual proposing development)
141
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Signatu c
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(� 4 c'� Print or 'Type. Nance
. 7 Z g �, . 34 05
Tcicphone Number ,
Date: /� D
s
3.t .
(To he filled in by indiridual proposing
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