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L urci c.224 J fa / {�fo� r`, i NG 4 e (Scaler A% w+E ) Pier (dock) length 1 tl ' t Platf BulkI Basir Boat Boat Beac Othe Shor SAM Sand Mon Phot Waiv o Fing Groin BulkI Basir Boat Boat Beac Othe Shor SAM Sand Mon Phot Waiv rm(s) j -- er pier(s) Q�/� "G4r ` length A� 'ex -td 41 f�✓ L00j. �- — number_A. L ' ,ead/ Riprap length r� �j! tpy► avg distance offshore _ ��`'a P. ' -- — max distance offshore T.__. AD ,channel ilkto-bih�'._ — - cubic yards r {�RQPt PiECL ! f ufb� Oa� 0 T - I ramp � • _._ +— _� louse/ at ft 13dX(3 �- i Bulldozing # - r ` _ . aline Length r I �— not sure yes )ags: not sure yes �n torium: n/a yes L� )s: yes— er Attached: ves dnnl /rC A building permit may be required by: (a, -IF , 4 1 (C . © See note on back regarding River Basin rules. Notes/ Special Conditions /}. H AM t ri, ✓, rP %n rt 4� e Dr c ! r r / =1 ;,� rE �i'/G4�Frll� F r :�, i , "'I J �l 1 Q OVWid -(l(Cr,gJ 4I4 JA,,t If �� 511/03, %�+�+ c�Q;•g�►'� da� �as-L1�03. .G ..y or Applicant Printed Name Signature Please read compliance statement on back of permit ee Application Fee(s) Check # %�J �� Permit Officer's Signature It CS Issuing Date Expiration Date (�,1f- t %C_ 1 C7TC /" Local Planning Jurisdiction Rover File Name A building permit may be required by: (a, -IF , 4 1 (C . © See note on back regarding River Basin rules. Notes/ Special Conditions /}. H AM t ri, ✓, rP %n rt 4� e Dr c ! r r / =1 ;,� rE �i'/G4�Frll� F r :�, i , "'I J �l 1 Q OVWid -(l(Cr,gJ 4I4 JA,,t If �� 511/03, %�+�+ c�Q;•g�►'� da� �as-L1�03. .G ..y or Applicant Printed Name Signature Please read compliance statement on back of permit ee Application Fee(s) Check # %�J �� Permit Officer's Signature It CS Issuing Date Expiration Date (�,1f- t %C_ 1 C7TC /" Local Planning Jurisdiction Rover File Name Statement of Compliance and Consistency 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 or criminal 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 officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian Iandowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar - Pamlico River Basin Buffer Rules ❑ Other: 41 Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Div�f,\ Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the 11m1ngton Regional Office (910-395-3900) for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST Fax:919-733-1495 Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28S57 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-395-3900 Fax:910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 WILLIAM E PRATT 1901 EVANS STREET PRFFERREI� 1654 MOREHEAD CITY, NC 28557-3940 loic/! is �i7� cii/L�Y� DatcPay to d ' 55-7265/212 301 SALOMONSMITHBARNEY c 1.800-63r-9855 D ('iUbnnk F.S.U. g Hnglcwood Cliffs. NJ F, 6PO33i.k5— i:021272655': 101113930111' 165Le it ,i..a ADJACENT RIPARL-kIN PROPERTY OWNIR STAM- ENT h (FOR A PIER/MOORING PILINGSIBOATZIFTIROATHOUSE) I hereby certify that I own property adiacent to 7 2003 s 6 (Name of Property Omer) prope.-y located at L�`, j Q (Lot. Block, Road, etc.) on -�aLt C�- w , in � aterbody) (Town and/or County) r He has desc.;bed to me, ac Shown below, the development he is Proposi-_ `__ t:�t location, and I have no objections to his proposal. I understand tra_ a pier;moorn� piiin`s%roa izvboathoLlSe muSi be se: back a minimum distance of fifteen fee; (�) from my a_re< or r va^:aii access uruess vv-:ve i by Y I do not wish to wa:,:e the setback rzpuireme:�t. I wish to waive t:_t setbac'.< recu,re,,--I ----------------- DESCRIPTION AN-D/OR DRAWL-iG OF PROPOSED DEVELOP.` `i: (To be,Filed ir_ by individual pr000 ,.PZ aev_Io�me^r) 4z- / t ' TZ ' `n,3L.eR, Y, . 'V-cr-'A� Am�� 4 / / F a e3`- /t/� obtl(' ,etv Sianatre �rstitv�uDE /`I, k-lK/-1 &Ck' P r,t or Type Name ua�e4 Te:ephone Ncmbe- Kr, Q� .......... t t XV -A,�-)CnCk )7- tj co