14815_WEHRMEISTER, RAYMOND_19950929

i
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 -
*is consistent with the local land use plan and all local
nances, 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.
Y
Applicant Nam
Address
City
Project Loca c
K/
CAMA AND DREDGE AND FILL
GENERAL = _ 1481.
n 11
PERMIT
as authorized by the State of North Carolina jt
Department of Environment, Health, and Natural Resources and the Co I R�o�X',esfZmmission
in an area of environmental concern pursuant to 15A NCAC
Phdtte (nber -. )11
nty, Stat Road, Water Body, et(;.)
Type of Project Activity
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State z'!!_z
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Zip
PROJECT•
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number
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ax. distance
offshoreBasin,
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channel dimensions
cubic yards
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Boat ramp dimensions
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Other
MEN
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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,
imprisonment or civil action; and may cause the permit to be- —�
come null and void.
permit officer's signature !
issuing date expiration date
attachments
>� r
application fee
f.
i
applicant's signature
I

66-112 1599
OSPREY MARINE CONSTRUCTION 531
2773 HWY. 70 PH. 919-728-4980
BEAUFORT, NC 28516��-
19
PAY THE D % I $
ORDERER OF /'� / l /t
v U BB&T
I1NCN.^NHIN011NOTNUS COMPANY
MOREHEAD CITY. NORTH CAROLINA 28557
MEMO Clf/'M
1:0 3LOLL20:5LL09469L2ii'
L599
�OLLARS

ADJACENT RIPARIAN PROPERTY OWNER STATFAUNT
(FOR A PIRR/MOORING PWIVOSINOATUMBOATHOUSE)
I hereby certify that I own praperty a WOUt to a 'S
(Nawe of Property Owner)
property located at
On 9— [A , in e d© L-�- , N.C.
1-3 (Waterbadl+) (Town and/or County)
He has desMribW to in, l4 shown below, the development he is proposing at that
location, and, I b4vo .1 no- OW09001 tP his Proposal• I understand that a pier/mooring
pilingw%oatlift/ *WJwux m1lst by pt back a minimum distance of fifteen feet (151 from my area
of riparian access u41m waived by me. J l / 4 p`J �- /I —'e
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lox w
S4- a
I Wish to Waive the setback requirement. a �--) 2
I Wish to waive that Setback requirement. a. 2-1
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AN "Won ARAWING OF PROPOSED DEVEWPMENT:
p of jfllitd in by individual proposing development)
e it ce l l o Lu
n/ o�
j A0 6
g ��
Signature
Print or Type Name
9/9-7s? 7
Telephone Number
Date: z 3 T /.9 p-.5