28037_PETRILLI, E AND N_20011019

CAMA and DREDGE AND FILL
G E N E R A L
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 f
Applicant Name
Address
Phone Number
City State N t zip
Project Location (County, State Road, Water Body, etc.) eo r e ► (oi,v 4 '1 0.1
r
Type of Project Activity
PROJECT DESCRIPTION SKETCH i�r; t
: C'
(SCALE:
Pier (dock) Length
L
Groin Length
number
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Bulkhead Length/..
max. distance offshore
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Basin, channel dimensions
cubic yards
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Boat ramp dimensions,
Other
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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 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,
applicant's signature
�! r
permit officer's signature
issuing date expiration date
attachments
L i
application fee
.,

Edward j Petrilli Zcj Z— 39 3- 3 z i 5 66-30/531 33317
Natalie R. Petrilli 34f
519 Deer Creek Dr
Cape Carteret, NC 28584 PAI F 1 O1 V 1 O
PAY IO IIII %� C
Ultl)I R OF �,J _ _ _ _ _ _ $ 1 OO. Oo
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I nnk Inr. A1icm I'nnl ti,•nawc liar, r iae hpr ,ind Ilnar"k. I iid lillicm hank ,goon back. II nut prescnl, do nol unll.
HRST CITIZENS 341
BANKFirst-Citizens Bank & Trust Company
Swansboro, N.C. 28584
FORW
1:053 L003001:003L, L76t,90 L311, 03337

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ADJACENT RI PARIANT PROPERRTY O'4NWM STAT lEN`TT
(FOR A PIERIA400RING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
alia'--d .r f C / l /r ' s
(Name of Property Owner)
property located at `D L� ii C-t�t Ue
(Lot, Block, Road, etc.)
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. understand--th$-ameen
-piiin,,stboat-hfgboathouse-rnu-st-be-&eA-ba4k44nini= -distance-of-f fxeen fact rl 5l) from any area
—e€�par�a�aceess t�Rless-�+3�e-:-
I do not wish to waive the setback requirement.
MN
I Rio wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To he filled in by individual proposing development)
Signature "4,x ////�� r �
Print or Type Name
Telephone Number
Date:

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ADJACENT RII'ARIAN PROPERTY ONN'I` ER STATE' INIENTT
(MR A PIERIA100RING PILINGSIBOATLIPTIBOATIIOUSE)
I hereby certify that I own property adjacent to E-a�jc-✓d T 's
(Name of Property Owner)
property located at ' I q C 2 <- k-
(Lot, Block, Road, etc.) rl
on J �-�'� �2 �� , in a-e . — � i�� , 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. 4—u-n rstand that
-p ngsPbeatl tlb©athous� st-be s�t-b ce�I fifteen fe�t{IS'Tlrom rnyareof fi�
I do not wish to waive the 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)
"A'
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Print or Type Name
Telephone Number
Date: �gI7 �� Z®��

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