14738_PERRY, TROY_19950621

O
Applicant Name —j
Address
CAMA AND DREDGE AND FILL
GENERAL' �4�
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resour k
mission
in an area of environmental concern pursuant to 15A NCAC i' / d "l
Phone Number ` �C� C71(�4 f �
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity ! ' F y� + A, 4
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
Gt; j"TA (SCALE:
';_._ t (_-
� f f 4p - r
)
Groin length
a
number
Bulkhead length
i
r
4
max. distance offshore
g
)
Basin, channel dimensions
i
j
1
cubic yards
-
Boat ramp dimensions
Other
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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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
v permit officer's signature
issuing date
attachments
application fee
expiration date

PAY
TO THE
ORDEFJ
OUTER BANKS MARINE CONSTRUCTION
P. O. BOX 1988 PH. 919-240-2525
ATLANTIC BEACH, NC 28512
W.9
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-T-1-1
MOtREHEAD OITY.'NORTH GAROIIHA
FOR ---
II50000 244011' 1:0 5 3 10 L 1 2 1F: 1 2 3 10 1 5 2
2440
66 / /[[ 531
19
i$ 1=30 d_')
�i DOLLARS
tw

�1 i ►�-, CSti�,�5 �� as �
ADJACENT RIPARIAN PROPERTY STATEMENT
(FOR A PIERIMOORING PILING <1BOATLIFT OATHOUSE)
—T�tq
I hereby certify that I own property adjacent s
(Name of Property Owner)
property located at S LJ
on
(Waterbody)
(Lot, Block, Road, etc.)
in , 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/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 Flo wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
z%///�
X Print or Type Name
R x - d 7a-
Telephone Number
-�, Date: & l— ��

ADJACENT RIPARIANT PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to '"� 's
(N a of Property Owner)
prep@Ay located at
(Lot, Bl ck, Ro4d, etc.)
i
on , in _ � , 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 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 dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Print or Type Name
Telephone Number
Date:

N\ C. 7,,E R EE-At,
.0
A .81
3 Lv E f�ngFz Lt r•� -.. - - � : COTE".. ; UpC-.�iD Div E Low ��` --� , �/fi
7Z:--7 01
4- U-T-TLE
TILES
JUN 2 31 1994
JLJ
DEVELOPER: HILTON TETTERTON
7-6 N
-QkoSTI),ts
54CF�kw LL.
3
LE S
L
REF: LOTS 26,27,28,29 BLK 17 SOUND VIEW ISLES
MAP BOOK 2 PAGE 196