28977_WATKINS, CHARLES AND ERIC ELLIS_20010914

CAMA and DREDGE AND FILL Q
G E N E R A L 2 977
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
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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
permit officer's signature
expiration date
attachments
application fee

J)5 ERIC B. ELLIS NCDL 65047
205 NOTTINGHAM DR
��o JASA M ELLIS PH(252)726 -6775 2037
MOREHEAD CITY, NC 28*557 Date 66-30/531
Pay to the '4( <' e _ 133
Orderof _.:7
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Q'nzENS33AN I` B-Ilk A hust Company
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For
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02037
(WAIWIAMWSAFETY 13LUE ESOL

ADJACENT RIPARUN PROPERTY OWNER STAMN ENT
(FOR A PIER/MOORING PILINGS/BOATLIF (BOATHOUSE)
I hereby certify that I own property adjacent to U � is
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on �^'-°�- , in �s��s„- , 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 (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
u 2001
I dg wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWDiG OF PROPOSED DEVELOPMENT:
(T be fired in by individual roposing development)
- -L
A
v 1 2001
-SAS -' , w%
Print or Type Na e
y
Telephone Number
Date:

ADJACENT RIPARL�N PROPERTY OWNER STATE�I -NT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 4."— , 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
an � - , in 0 'V�-. 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 (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement. � 2001
I d-4 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWENG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
2001
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Sian re
Print or Type Name
Telephone Number
Date: CV 0 6 / � 2-4110 (