13829_GORE, CHUCK_19941107

CAMA AND DREDGE AND FILL`
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal R�s urces Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name f Phone Number
Address r
City, + ? State Zip
Project Location (County, State Road, Water Body, etc.)'"
Type of Project Activity
PROJECT
Pier (dock) length
Groin length
r
t�rw
number
Bulkhead length
PA-
lamig
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
■■
■■■■■■■H■
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.
,y applicant's signature
permit officer's signature
`1-
issuing date expiration date
attachments -I r C Al .21f 1
In issuing this permit the State of North Carolina certifies that d ,, -
this project is consistent with the North Carolina Coastal application fee —
Management Program.

GRAFTON MARINE CONSTRUCTION 66-85/531 '
105 SEAHORSE DR. PH. 919.393-6137 775
SWANSBORO, NC 26584
PAY TO THE 19
ORDER OF /up
$
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�... Centura Bank.
"Pt Carngrel, NC 28384
1:0 5 3 1008 SOi: l.. ��
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GRAMN MARINE CONSTRUCTION
105 SEA HORSE DRIVE
SWANSBORO, NC 28584
[phone]
FAX [phone]
ADJACENT RIPARIAN PROPERTY OWNER
I hereby certify that I own property adjacent to �eLL r 's
located at � 1 006 SiiAE /10 f— , on
( LOT, BLOCK, ROAD, ETC.)
At""O/F in (2t'g! fee/ , NORTH CAROLINA.
(WATER BODY) (TOWN AND/ OR COUNTY)
Property owner has decribed to me the proposed development as shown in drawing.
I , �_ object to proposed project.
(DO) (DO NOT)
I understand that a pier must be set back a minimum distance of fifteen (15) feet from my
area of riparian access unless wavied by me.
I X, wish to waive that setback requirement.
(DO) (DO NOT)
DESCRIPTION OF DRAWING (MUST BE FILLED IN)
PIER
BOAT LIFT
BULKHEAD
LIFT/DECK OVERHEAD
LIFT/ROOF OVERHEAD
( G
:16 v 1-,IF S
(NAME�RINT
(PHONE NUMBER)
,(FOR PROPXRTY OWNER USE)
3 3) �'oc�Ko�t� a�
(MAILING ADDJ7s%' /i)` 0° ��59
�rrl�I�-A-1c�P �
(ffiY,. �T4�E, Z � CODE)
E)
(HOME PHONE)

GRAFMN MARINE CONS7RUCHON
105 SEA HORSE DRIVE
SWANSBORO, NC 28584
[phone]
FAX [phone]
ADJACENT RIPARIAN PROPERTY OWNER
I hereby certify that I own property adjacent to (� /'a C 1�',�r 's
located at
on
( LOT, BLOCK, ROAD, ETC.) y
',"e u► � �il-"��' ! , NORTH CAROLINA.
(WATER BODY) (TOWN AND/ OR COUNTY)
Property owner has decribed to me the proposed development as shown in drawing.
I ,_ object to proposed project.
(DO) (DO NO])
I understand that a pier must be set back a minimum distance of fifteen (15) feet from my
area of riparian access unless wavied by me.
I wish to waive that setback requirement.
(D ) (DO NOT)
DESCRIPTION OF DRAWING ,(MUST BE FILLED 1W
PIER
BOAT LIFT
--K:BULKHEAD
LIFUlDECK OVERHEAD
LIFUROOF OVERHEAD
(SIGNATURE)
(NAME) PRINT
/9 1,e9-
(PHONE NUMBER)
(NAME)
(MAILING ADDRESS)
(CITY, STATE, ZIP CODE)
(HOME PHONE)

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