13845_STEELE, PAUL_19941122

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the..Coa tal Resources Coat y iop
in an area of environmental concern pursuant to 15A NCAC �s' 7 1/ r�/ `
Applicant Name a' (— .4 Ph'orie'Number 1�
Address - 4 ' ; "dal Z.X
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity--,.
PROJECT DESCRIPTION
.. (dock) length
SKETCH
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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,
applicant's signature
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's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
consistent with the local land use plan and all local
issuing date
expiration date
10is
nances, and 2) a written statement has been ,obtained from
adjacent riparian 'have" no
landowners certifying that they
r
-
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
application fee
Management Program.
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PAUL E. STEELE SSN 246-22-4502 0 8 0 8
RUTH K. STEELE SSN 238-34-5256
531
200 SEA DUNES DR. 919-354-4829 j �L �19 C'L1 66-25/620
EMERALD ISLE, NC 28594 ` T 7
a
3 ` Pay to the
Order of I $ 5 0, o-c
s u�—�` �4�0 f�• Dollars
a onsBank
NationsBank of North Carolina, N.A. Deluxe Banking Customer 1,
Emerald Isle / Swansboro
1:0531002SID: 6206377W1ll8 013013 _

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that.1 own property adjacent to
's property
Name
located at `f, , &/3 g C,,,rq CJ /'-,,' -5-6,J , on
(Lot, Block, RoaC, etc.)
in N.C.
(Water Body) '(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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive t},at setback requirement.
Description and/or drawing of proposed development: (TO BE
PILLED IN BY INDIVIDUAL PROPOSING ]DEVELOPMENT)
signature
Ell ( "�----
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
( FOR A PIER)
I hereby certify that•I own property adjacent to
's property
Name
located at 7`
(Lot, Block, Road, etc.)
, on
in C'��e C �7c'T� % , N.C.
(Water Body) (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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
Signature //
Name
Phone Number